慢性症状性外阴：初级卫生保健中的患病率。
The chronically symptomatic vulva: prevalence in primary health care.
作者信息
Nunns D, Mandal D
机构信息
Bolton Centre for Sexual Health, Bolton General Hospital, Farnworth, UK.
出版信息
Genitourin Med. 1996 Oct;72(5):343-4. doi: 10.1136/sti.72.5.343.
OBJECTIVES
To examine within the primary health care setting, the frequency of chronic vulval disorders, their frequency, investigation, management and referral patterns.
METHODS
A questionnaire based survey at general practitioners surrounding a district general hospital.
RESULTS
A total of 79 (72%) GPs replied to the questionnaire. Thirty-six (45%) GPs saw more than one patient per month with recurrent vulval symptoms and ten (13%) GPs saw more than three patients per month. The predominant symptom amongst patients with recurrent vulval symptoms was itching (55%) followed by soreness (26%), burning (14%) and dyspareunia (5%). Topical-antifungals and steroid medications were the commonest treatments prescribed for all women with vulval symptoms.
CONCLUSIONS
Women who have vulval complaints commonly attend their GP for treatment. In many instances women with chronic vulval complaints are inadequately investigated and inappropriately managed.
目的
在初级卫生保健机构中，研究慢性外阴疾病的发病率、调查情况、管理方式及转诊模式。
方法
在一家区综合医院周边的全科医生中进行问卷调查。
结果
共有79名（72%）全科医生回复了问卷。36名（45%）全科医生每月诊治1名以上有复发性外阴症状的患者，10名（13%）全科医生每月诊治3名以上此类患者。复发性外阴症状患者中最主要的症状是瘙痒（55%），其次是疼痛（26%）、烧灼感（14%）和性交困难（5%）。外用抗真菌药和类固醇药物是所有有外阴症状女性最常用的治疗药物。
结论
有外阴问题的女性通常会去看全科医生进行治疗。在很多情况下，患有慢性外阴疾病的女性没有得到充分的检查，治疗也不恰当。
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