Day Surgery for Palmar Hyperhidrosis: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAOShou-qiang ¹ , DONGQing ^1,2 , HANJing-quan ¹ , ZHAOGui-bin ¹ , CUIJian ¹ , ZHANGRui ² , XUWan-hai ² ,  LIYa-jie ²

1. Department of Thoracic Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, P.R.China;
2. Medical Information Center, The Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, P.R.China;

Corresponding?author：

LIYa-jie, Email: csqrock@hotmail.com

Keywords：

Palmar hyperhidrosis; Day surgery; Medical data information; Clinical pathway

DOI：

10.7507/1007-4848.20160129

Video：

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Objective To evaluate the feasibility of the clinical pathway based on the medical data information integration system to guide the treatment of palmar hyperhidrosis (PHH). Methods We retrospectively analyzed the clinical data of 106 PHH patients in the Fourth Affiliated Hospital of Harbin Medical University from March 2012 through June 2015. The patients were divided into two groups including a day surgery group (52 patients) and a traditional group (54 patients). The patients in the day surgery group underwent day surgery guided by clinical pathway of PHH based on medical data information integration system. The patients in the traditional group stayed in hospital for 2-3 days. The pre-surgical situation, post-surgical effect of patients and cost of hospitalization were compared between the two groups. Results Only one patient of PPH suffered from insufficient relief of symptoms. The other patients’ symptom of PPH disappeared. No serious complication occurred. The postoperative visual analogue scale (VAS) pain score of patients was lower than 2 points. The hospitalization expense of the day surgery group was significantly lower than that of the traditional operation group. The average follow-up time was 2.5 months (0.5 to 4 months). The symptoms of the whole group had no recurrence. All of the patients were not found with compensatory hyperhidrosis. Conclusion Day-surgery clinical pathway of PHH based on medical data information integration system is safe and feasible. Day-surgery clinical pathway of PPH can accelerate the recovery of patients and save the cost of hospitalization.

Citation： CAOShou-qiang, DONGQing, HANJing-quan, ZHAOGui-bin, CUIJian, ZHANGRui, XUWan-hai, LIYa-jie. Day Surgery for Palmar Hyperhidrosis: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(6): 537-541. doi: 10.7507/1007-4848.20160129 Copy

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2.	趙晨暉, 薛萬國, 史鴻飛, 等. 醫療信息系統集成研究與實踐. 中國數字醫學, 2009, 4(1): 22-26.
3.	Strutton DR, Kowalski JW, Glaser DA, et al. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey. J Am Acad Dermatol, 2004, 51(2): 241-248.
4.	涂遠榮, 李旭, 林敏, 等. 福州市大中學生手汗癥患病情況及其相關因素. 福建醫科大學學報, 2005, 39(4): 465-466.
5.	凌靜, 肖藹杰, 楊柳, 等. 心理干預對手汗癥患者圍手術期焦慮狀況與臨床療效的觀察. 醫學理論與實踐, 2015, 14: 1941-1943.
6.	White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380-1396.
7.	Skilton M. Post-operative pain management in day surgery. Nurs Stand, 2003, 17(38): 39-44.
8.	Gramke HF, de Rijke JM, van Kleef M, et al. Predictive factors of postoperative pain after day-case surgery. Clin J Pain, 2009, 25(6): 455-60.
9.	Chaparro LE, Gallo T, Gonzalez NJ, et al. Effectiveness of combined haloperidol and dexamethasone versus dexamethasone only for postoperative nausea and vomiting in high-risk day surgery patients: a randomized blinded trial. Eur J Anaesthesiol, 2010, 27(2): 192-195.
10.	White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380-1396.
11.	White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast- track surgery:From multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380.
12.	Gan TJ, Meyer T, Apfel C, et al. Consensus guideline for managing postoperative nausea and vomiting. Anesth Analg, 2003, 979(1): 62-71.
13.	涂遠榮, 李旭, 林敏, 等. 電視胸腔鏡胸交感神經干切斷術治療手汗癥588例療效分析. 中華外科雜志, 2007, 45(22): 1527-1529.
14.	陶顯東, 吳彬, 仇明, 等. 胸腔鏡下雙側交感神經鏈T3加旁路神經切斷術治療原發性手汗癥.中國胸心血管外科臨床雜志, 2010, 17(4): 325.
15.	涂遠榮, 楊劼, 劉彥國. 中國手汗癥微創治療專家共識. 中華胸心血管外科雜志, 2011, 27(8): 449-451.
16.	Li X, Tu YR, Lin M, et al. Endoscopic thoracic sympathectomy for palmar hyperhidrosis：a randomized control trial comparing T3 and T2-4 ablation. Ann Thorac Surg, 2008, 85(5): 1747-1751.
17.	Liu YG, Yang J, Yang F, et al. Surgical treatment of primanry palmar hyperhidmsis: a prospective randomized study comparing T3 and T4 sympathicotomy. Eur J Cardiothorae Surg, 2009, 35(3): 398-402．.
18.	姚成才, 涂遠榮, 柯孫葵, 等. 原發性手汗癥并腋窩多汗患者腋窩汗腺中鈣離子通道α1的表達及意義. 福建醫藥雜志, 2014, 36(1): 1-4.
19.	陳劍鋒, 涂遠榮, 杜泉, 等. 原發性手汗癥伴腋窩多汗患者腋窩汗腺中水通道蛋白5的表達及意義. 中華實驗外科雜志, 2012, 29(4): 769.
20.	Lenz R, Blaser R, Beyer M, et al. IT support for clinical pathways-lessons learned. Int J Med Inform, 2007, 76(S3): 397-402.

1. Walling HW, Swick BL. Treatment options for hyperhidrosis. Am J Clin Dermatol, 2011, 12(5): 285-295.
2. 趙晨暉, 薛萬國, 史鴻飛, 等. 醫療信息系統集成研究與實踐. 中國數字醫學, 2009, 4(1): 22-26.
3. Strutton DR, Kowalski JW, Glaser DA, et al. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey. J Am Acad Dermatol, 2004, 51(2): 241-248.
4. 涂遠榮, 李旭, 林敏, 等. 福州市大中學生手汗癥患病情況及其相關因素. 福建醫科大學學報, 2005, 39(4): 465-466.
5. 凌靜, 肖藹杰, 楊柳, 等. 心理干預對手汗癥患者圍手術期焦慮狀況與臨床療效的觀察. 醫學理論與實踐, 2015, 14: 1941-1943.
6. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380-1396.
7. Skilton M. Post-operative pain management in day surgery. Nurs Stand, 2003, 17(38): 39-44.
8. Gramke HF, de Rijke JM, van Kleef M, et al. Predictive factors of postoperative pain after day-case surgery. Clin J Pain, 2009, 25(6): 455-60.
9. Chaparro LE, Gallo T, Gonzalez NJ, et al. Effectiveness of combined haloperidol and dexamethasone versus dexamethasone only for postoperative nausea and vomiting in high-risk day surgery patients: a randomized blinded trial. Eur J Anaesthesiol, 2010, 27(2): 192-195.
10. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380-1396.
11. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast- track surgery:From multimodal analgesia to perioperative medical care. Anesth Analg, 2007, 104(6): 1380.
12. Gan TJ, Meyer T, Apfel C, et al. Consensus guideline for managing postoperative nausea and vomiting. Anesth Analg, 2003, 979(1): 62-71.
13. 涂遠榮, 李旭, 林敏, 等. 電視胸腔鏡胸交感神經干切斷術治療手汗癥588例療效分析. 中華外科雜志, 2007, 45(22): 1527-1529.
14. 陶顯東, 吳彬, 仇明, 等. 胸腔鏡下雙側交感神經鏈T3加旁路神經切斷術治療原發性手汗癥.中國胸心血管外科臨床雜志, 2010, 17(4): 325.
15. 涂遠榮, 楊劼, 劉彥國. 中國手汗癥微創治療專家共識. 中華胸心血管外科雜志, 2011, 27(8): 449-451.
16. Li X, Tu YR, Lin M, et al. Endoscopic thoracic sympathectomy for palmar hyperhidrosis：a randomized control trial comparing T3 and T2-4 ablation. Ann Thorac Surg, 2008, 85(5): 1747-1751.
17. Liu YG, Yang J, Yang F, et al. Surgical treatment of primanry palmar hyperhidmsis: a prospective randomized study comparing T3 and T4 sympathicotomy. Eur J Cardiothorae Surg, 2009, 35(3): 398-402．.
18. 姚成才, 涂遠榮, 柯孫葵, 等. 原發性手汗癥并腋窩多汗患者腋窩汗腺中鈣離子通道α1的表達及意義. 福建醫藥雜志, 2014, 36(1): 1-4.
19. 陳劍鋒, 涂遠榮, 杜泉, 等. 原發性手汗癥伴腋窩多汗患者腋窩汗腺中水通道蛋白5的表達及意義. 中華實驗外科雜志, 2012, 29(4): 769.
20. Lenz R, Blaser R, Beyer M, et al. IT support for clinical pathways-lessons learned. Int J Med Inform, 2007, 76(S3): 397-402.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Day Surgery for Palmar Hyperhidrosis: A Case Control Study

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