Sánchez Casado J I, Larrabe Medina J, Oscar Dosantos J, Ojer Tsakiridu D, Ruiz Tamayo R, Bilbao Izaguirre J, Sologuren Echenaguisía A
Unidad Docente de Medicina Familiar y Comunitaria de Vizcaya.
Aten Primaria. 1997 Jul-Aug;20(3):127-32.
To find the attitude of doctors working in General Medicine and out-patient Traumatology to the prescription of non-steroidal anti-inflammatory drugs (NSAID) and if these attitudes fit quality criteria.
Crossover, descriptive study.
General medicine and out-patient traumatology in the inland area of Vizcaya.
A questionnaire was sent to all doctors working in general medicine (146) and out-patient traumatology (19) in the inland area.
There was a 78.2% final reply rate. The questionnaire had 14 questions and collected the demographic variables and those which referred to the use of NSAIDs and stomach protectors. The prescription criteria for NSAIDs and stomach protectors were taken from a review of the literature before beginning this study. The most frequent risk factors were a previous history of ulcers (83%) and age > 65 (51.2%).
Although a great many doctors attached great importance to the erosive effects of NSAIDs on the stomach, they still use the most damaging drugs on at-risk patients and prescribe stomach protectors whose efficacy is very doubtful. Age is not thought of enough as a risk factor (only half the doctors considered it); the NSAID which were less damaging to the stomach were little used.
了解普通内科和门诊创伤科医生对非甾体抗炎药（NSAID）处方的态度，以及这些态度是否符合质量标准。
交叉描述性研究。
比斯开内陆地区的普通内科和门诊创伤科。
向该内陆地区所有普通内科医生（146名）和门诊创伤科医生（19名）发放了问卷。
最终回复率为78.2%。问卷有14个问题，收集了人口统计学变量以及与NSAIDs和胃保护剂使用相关的变量。NSAIDs和胃保护剂的处方标准是在本研究开始前从文献综述中获取的。最常见的危险因素是既往溃疡病史（83%）和年龄>65岁（51.2%）。
尽管很多医生非常重视NSAIDs对胃的侵蚀作用，但他们仍在有风险的患者中使用危害最大的药物，并开具疗效非常可疑的胃保护剂。年龄作为危险因素未得到充分重视（只有一半的医生考虑到这一点）；对胃损害较小的NSAIDs很少被使用。
