Can Fam Physician. 1987 Jul;33:1617-21.
The management of a seemingly simple and common ailment, the sore throat, is shrouded in considerable controversy. At present, authoritarian opinion, stressing prevention of acute rheumatic fever (ARF), is in conflict with the practices of a large segment of the profession, whose members seem to treat primarily for symptom relief. Recent developments, in fields as diverse as epidemiology of ARF, clinical decision making, laboratory tests for streptococcus, and clinical trials of penicillin, are in support of management that is directed primarily towards symptom relief and secondarily towards prevention of ARF.
看似简单常见的喉咙痛的治疗存在很大争议。目前,强调预防风湿热(ARF)的权威观点与大部分医生的做法相冲突,后者似乎主要治疗症状以缓解疼痛。最近在 ARF 流行病学、临床决策、链球菌实验室检测和青霉素临床研究等领域的发展,支持以缓解症状为主、预防 ARF 为辅的治疗方法。