Koskenkorva T, Koivunen P, Alho O-P
Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Finland; PEDEGO Research Unit, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland; Medical Research Center Oulu, Finland.
Int J Otolaryngol. 2016;2016:6095689. doi: 10.1155/2016/6095689. Epub 2016 Apr 28.
Objects. To seek patient- and episode-related factors that associate with medical consultation for acute sore throat because these factors may affect the patient being referred to specialist care and tonsillectomy for recurrent pharyngotonsillitis. Methods. In a secondary analysis of two prior randomised controlled trials, sore throat episodes and medical visits were explored among 156 adult patients referred for tonsillectomy because of recurrent pharyngotonsillitis. Results. The 156 patients (104 females, mean age of 26 years) suffered from 208 acute pharyngotonsillitis episodes during 5-6 months of follow-up. Forty (25%) patients visited a physician, and female gender (adjusted hazard ratio, HR, 3.3; 95% confidence interval 1.4-8.0) and finding of chronically infected tonsils (HR 2.7; 1.2-6.1) were associated with medical consultation. Thirty-six (17%) episodes led to medical consultation during the first 7 days of symptoms. Presence of severe throat pain was related to medical visit (HR 4.3; 1.0-18.5). Conclusions. Even among patients with recurrent pharyngotonsillitis, the acute sore throat episodes were usually mild and only few resulted in medical consultation, with female gender, chronically infected tonsils, and having severe throat pain increasing the consultation rate.
目的。探寻与急性咽痛就诊相关的患者及发作相关因素，因为这些因素可能影响患者被转诊至专科治疗以及因复发性咽扁桃体炎而进行扁桃体切除术。方法。在对两项先前的随机对照试验进行二次分析时，对156例因复发性咽扁桃体炎而被转诊进行扁桃体切除术的成年患者的咽痛发作情况和就诊情况进行了探究。结果。156例患者（104名女性，平均年龄26岁）在5至6个月的随访期间共经历了208次急性咽扁桃体炎发作。40例（25%）患者就医，女性（调整后的风险比，HR，3.3；95%置信区间1.4 - 8.0）以及发现扁桃体存在慢性感染（HR 2.7；1.2 - 6.1）与就医相关。36次（17%）发作在症状出现的前7天内导致就医。严重咽痛的出现与就医相关（HR 4.3；1.0 - 18.5）。结论。即使在复发性咽扁桃体炎患者中，急性咽痛发作通常也较为轻微，只有少数导致就医，女性、扁桃体慢性感染以及严重咽痛会增加就诊率。
