老年女性检查.docVIP

Abstract Objectives: To understand obstetrician–gynecologist perceptions of the value of external genitalia inspection and speculum examinations in older and younger healthy women across the life span. 目标：为了了解妇产科医生关于老年女性和健康年轻女性一生中外生殖器检查和窥器检查的认知观念。 Design: National survey from May 2010 to January 2011 asking obstetrician–gynecologists about the need for and importance of external inspection and speculum examination in four scenarios of asymptomatic healthy women aged 70, 55, 35, and 18 who present for routine health visits. Separate questions asked about the importance of various reasons for these examinations. 设计：从2010年5月到2011年1月在国内调查了妇产科医生关于外生殖器检查和窥器检查对于四个年龄段在70，55,35, 和18岁的周期性体验的无症状的健康女性的需要和重要性。 单独的问题被问到关于这些检查的不同原因的重要性。 Setting: Mail-in survey of a national sample of obstetrician–gynecologists. 设置： Participants: Probability sample of obstetrician–gynecologists from the American Medical Association Physician Masterfile (N = 521). 参与者：来自于美国医学组织医师文件的概率样本 Measurements: Proportion of obstetrician–gynecologists who would perform external inspection and speculum examinations and consider these examinations to be very important. 测量值：认为外生殖器检查和窥器检查非常重要的妇产科医生的比例 Results: The response rate was 62%. In a healthy 70-year-old woman, 98% of respondents would perform external inspection, and 86% would perform a speculum examination. Ninety percent would perform a speculum examination in a healthy 55-year-old woman after removal of her uterus, cervix, and ovaries. Respondents more often indicated that the external examination was very important in the 70-year-old (63%) than in younger women (46–53%). Reasons rated as very important included identifying cancers and benign lesions, reassuring women of their health, and adhering to standard of care. 结果：反应率是62%。在健康的70岁女性中，98%的调查者会完成外生殖器检查，86%会完成窥器检查。99%的健康的55岁女性在移除阴道，子宫和卵巢后会完成窥镜检查。受访者更表示外生殖器检查对70岁女性比年轻的女性重要。原因很明显，包括证实癌症和良性肿瘤，确保女性健康不，和坚持标准护理。 Conclusion: Obstetrician–gynecologists would commonly perform external and speculum examinati