摘要
目的 了解泌尿外科医师对慢性前列腺炎(CP)诊治现状。方法 对83名温州地区泌尿外科医师进行问卷调查。结果 在诊断CP时,不到半数的医师(39.8％)表示常规行细菌培养检查。假如行细菌培养,42.9％的三级医院医师和17.1％的二级医院医师用两杯法或四杯法(P<0.05)。在治疗CP时,50.0％的三级医院医师和73.2％的二级医院医师常规使用抗生素(P<0.05)。关于抗生素的选用,三级医院医师多使用喹诺酮类,而二级医院医师多使用大环内酯类。细菌培养与否并不影响医师使用抗生素(P>0.05),但常规行细菌培养的医师更常使用除抗生素外的药物(P<0.01)。结论 泌尿外科医师对CP的临床处理不一,因此,制定一个合理的CP处理指南是必要的。
Objective To determine urologists' present diagnostic and treatment practices for chronic prostatitis (CP). Methods 83 urologists in Wenzhou were surveyed by a questionnaire. Results In the diagnosis, 39.8% of urologists routinely did bacterial cultures. If bacterial cultures being done,42.9% of urologists in tertiary hospitals and 17.1% in secondary graded hospitals used the two-glass test or the four-glass test (P<0.05). In the treatment, 50.0% of urologists in tertiary hospitals and 73.2% in secondary graded hospitals used antibiotic treatment (P<0.05). More urologists in tertiary hospitals used quinolones and more urologists in secondary graded hospitals used macrolides when they chose antibiotics. Urologists who routinely did bacterial cultures did not differ in antibiotic use from those who did cultures less often (P>0.05), however, they were more likely to use treatment other than antibiotics (P<0.01). Conclusions There are wide variations in urologists' diagnostic and treatment practices for CP. It is necessary to make a rational guideline for the management of CP.
出处
《中国男科学杂志》
CAS
CSCD
2003年第5期331-333,共3页
Chinese Journal of Andrology
关键词
前列腺炎诊断
治疗
医师医疗模式
问卷
prostatitis diagnosis
therapy
physician's practice patterns
questionnaires
