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.	赵晨晖, 薛万国, 史鸿飞, 等. 医疗信息系统集成研究与实践. 中国数字医学, 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.	涂远荣, 李旭, 林敏, 等. 福州市大中学生手汗症患病情况及其相关因素. 福建医科大学学报, 2005, 39(4): 465-466.
5.	凌静, 肖蔼杰, 杨柳, 等. 心理干预对手汗症患者围手术期焦虑状况与临床疗效的观察. 医学理论与实践, 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.
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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.	涂远荣, 李旭, 林敏, 等. 电视胸腔镜胸交感神经干切断术治疗手汗症588例疗效分析. 中华外科杂志, 2007, 45(22): 1527-1529.
14.	陶显东, 吴彬, 仇明, 等. 胸腔镜下双侧交感神经链T3加旁路神经切断术治疗原发性手汗症.中国胸心血管外科临床杂志, 2010, 17(4): 325.
15.	涂远荣, 杨劼, 刘彦国. 中国手汗症微创治疗专家共识. 中华胸心血管外科杂志, 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, 涂远荣, 柯孙葵, 等. 原发性手汗症并腋窝多汗患者腋窝汗腺中钙离子通道α1的表达及意义. 福建医药杂志, 2014, 36(1): 1-4.
19.	陈剑锋, 涂远荣, 杜泉, 等. 原发性手汗症伴腋窝多汗患者腋窝汗腺中水通道蛋白5的表达及意义. 中华实验外科杂志, 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. 赵晨晖, 薛万国, 史鸿飞, 等. 医疗信息系统集成研究与实践. 中国数字医学, 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. 涂远荣, 李旭, 林敏, 等. 福州市大中学生手汗症患病情况及其相关因素. 福建医科大学学报, 2005, 39(4): 465-466.
5. 凌静, 肖蔼杰, 杨柳, 等. 心理干预对手汗症患者围手术期焦虑状况与临床疗效的观察. 医学理论与实践, 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. 涂远荣, 李旭, 林敏, 等. 电视胸腔镜胸交感神经干切断术治疗手汗症588例疗效分析. 中华外科杂志, 2007, 45(22): 1527-1529.
14. 陶显东, 吴彬, 仇明, 等. 胸腔镜下双侧交感神经链T3加旁路神经切断术治疗原发性手汗症.中国胸心血管外科临床杂志, 2010, 17(4): 325.
15. 涂远荣, 杨劼, 刘彦国. 中国手汗症微创治疗专家共识. 中华胸心血管外科杂志, 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, 涂远荣, 柯孙葵, 等. 原发性手汗症并腋窝多汗患者腋窝汗腺中钙离子通道α1的表达及意义. 福建医药杂志, 2014, 36(1): 1-4.
19. 陈剑锋, 涂远荣, 杜泉, 等. 原发性手汗症伴腋窝多汗患者腋窝汗腺中水通道蛋白5的表达及意义. 中华实验外科杂志, 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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