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全科医生具备针对胶耳进行“观察等待”的技术吗?

Do GPs have the techniques for 'watchful waiting' in glue ear?

作者信息

Bennett K, Higson J, Haggard M

机构信息

Medical Research Council Institute of Hearing Research, University Park, Nottingham.

出版信息

Br J Gen Pract. 1998 Mar;48(428):1079-80.

PMID:9624753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1410009/
Abstract

'Watchful waiting' for glue ear in children within primary care as a precursor or alternative to surgery is one of the increasing pressures on general practitioners (GPs) to limit outpatient referrals. An equipment survey questions whether primary care is properly equipped to 'watch', given the limited access to audiological equipment that might objectively underpin a decision on when 'waiting' should end.

摘要

在基层医疗中,对儿童分泌性中耳炎采用“观察等待”作为手术的前期准备或替代方法,这是全科医生面临的越来越大的压力之一,他们需要限制门诊转诊。一项设备调查质疑,鉴于获取听力设备的机会有限,而这些设备可能是客观决定何时结束“等待”的依据,基层医疗是否具备适当的设备进行“观察”。

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引用本文的文献

1
Selecting persistent glue ear for referral in general practice: a risk factor approach.在全科医疗中选择持续性胶耳进行转诊:一种风险因素方法。
Br J Gen Pract. 2002 Jul;52(480):549-53.

本文引用的文献

1
Evaluation of the diagnostic value of pneumatic otoscopy in primary care using the results of tympanometry as a reference standard.以鼓室导抗图结果作为参考标准评估气耳镜检查在基层医疗中的诊断价值。
Br J Gen Pract. 1993 Jan;43(366):22-4.
2
The natural course of otitis media with effusion in preschool children.学龄前儿童中耳积液的自然病程。
Eur Arch Otorhinolaryngol. 1990;247(4):215-21. doi: 10.1007/BF00178987.
3
Diagnostic value of microtympanometry in primary care.微鼓室声导抗测量法在基层医疗中的诊断价值。
BMJ. 1992 Jan 11;304(6819):96-8. doi: 10.1136/bmj.304.6819.96.
4
Tympanometry and otoscopy prior to myringotomy: issues in diagnosis of otitis media.鼓膜切开术前的鼓室导抗图测试和耳镜检查:中耳炎诊断中的问题
Int J Pediatr Otorhinolaryngol. 1992 Sep;24(2):101-10. doi: 10.1016/0165-5876(92)90136-d.