老年女性检查

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1、AbstractObjectives:Tounderstandobstetrician-gynecologistperceptionsc)l'the；ilucofexternalgenitaliainspectionandspeculumexaminationsinolderandyoungerhealthywomenacrossthelifespan.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:NationalsurveyfromMay2010toJanuary2

2、011askingobstetrician-gynecologistsabouttheneedforandimportanceofexternalinspectionandspeculumexaminationinfourscenariosofasymptomatichealthywomenaged70,55,35,and18whopresentforroutinehealthvisits.Separatequestionsaskedabouttheimportanceofvariousreasonsfortheseexami

3、nations・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-insurveyofanationalsampleofobstetrician-gynecologists.设置：Participants:Probabilitysampleofobstetrician-gynecologistsfromtheAmericanMedi

4、calAssociationPhysicianMasterfile(N=521).参与者：来自于美国医学组织医师文件的概率样本Measurements:Proportionofobstetrician-gynecologistswhowouldperformexternalinspectionandspeculumexaminationsandconsidertheseexaminationstobeveryimportant.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:Theresponser

5、atewas62%.Inahealthy70-year-oldwoman,98%ofjspoiulcntswouldperformexternalinspection,and86%wouldperformaspeculumexamination.Ninetypercentwouldperformaspeculumexaminationinahealthy55-year-oldwomanafterremovalofheruterus,cervix,andovaries・Respondentsmoreoftenindicatedt

6、hattheexternalexaminationwasveryimportantinthe70-year-old(63%)thaninyoungerwomen(46-53%)・Reasonsratedasveryimportantincludedidentifyingcancersandbenignlesions,reassuringwomenoftheirhealth,andadheringtostandardofcare・结果：反应率是62%o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。

7、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。受访者更表示外生荊器检查对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-gynecologistswouldcommonlyperformexternalandspeculumexaminationsinasymptomaticwomenandbelievetheexternalexaminationtobeparticularlyimportantinolderwo

8、menforcancerdetection.Cliniciansshoulddiscusslimitationsofscreeningpelvicexaminationguidelinesandelicithealthgoalsfromolderwomentoprovidem