Berkö P
Miskolc megyei jogú Város Onkormányzatának Semmelweis Kórháza, Szülészeti és Nögyógyászati Osztály.
Orv Hetil. 1995 Nov 26;136(48):2619-22.
The author established a climacteric-osteoporosis outpatient clinic at his department of obstetrics and gynecology among the first ones in Hungary. On the basis obtained with the care of 3000 patients the author outlines the most important duties connected with such a clinic. In his opinion it is of special importance to screen women with several risk factors for postmenopausal osteoporosis,--supply these women at risk with hormone replacement therapy (HRT) and to care them,--include diseases which contraindicate HRT before starting it, --work out rational cooperation between the interested specialties and to delimit the duties,--make the rules of direction of patients clear,--supply osteoporotic women treated by rheumatologists with HRT, --use uniformed diagnostic and therapeutical protocol, --inform the women population and to prepare the specialists and family doctors and to take part in their further education. According to experiences of the author HRT is especially effective to stop climacteric complaints and to prevent and treat osteoporosis.
作者在匈牙利率先于其妇产科设立了更年期骨质疏松门诊。基于对3000名患者的治疗经验，作者概述了与该门诊相关的最重要职责。他认为，对有多种绝经后骨质疏松风险因素的女性进行筛查、为这些高危女性提供激素替代疗法（HRT）并给予护理、在开始HRT之前排查禁忌疾病、在相关专业之间建立合理协作并明确职责、明确患者转诊规则、为接受风湿病专家治疗的骨质疏松女性提供HRT、采用统一的诊断和治疗方案、向女性群体进行宣传并培训专科医生和家庭医生并参与其继续教育尤为重要。根据作者的经验，HRT对于缓解更年期症状以及预防和治疗骨质疏松特别有效。
