围术期心理干预对减轻胸交感神经切断术后代偿性多汗的意义  

Significance ofperioperative psychological intervention on compensatory hyperhidrosis after thoracoscopic sympathectomy

作　　者：阳仁美[1] 袁文秀[1] 江跃全[1] 

机构地区：[1]重庆市肿瘤研究所胸外科,400030

出　　处：《检验医学与临床》2016年第7期909-910,共2页Laboratory Medicine and Clinic

摘　　要：目的探讨围术期心理干预对减轻胸交感神经切断术后严重代偿性多汗的效果。方法分析2007年7月至2012年8月253例成功手术的因手多汗症行胸交感神经切断术患者,比较切断T3或T4不同平面胸交感神经及围术期心理干预后,代偿性多汗严重程度的发生率。结果 143例未进行特殊心理干预的手术患者,T3手术平面患者术后重度代偿性多汗发生率为15.15%(10/66),T4手术平面为9.1%(7/77),差异有统计学意义(P<0.01)。110例经心理干预的患者手术后均未出现重度代偿性多汗,未进行心理干预的143例手术患者术后总的重度代偿性多汗发病率为11.89%(17/143),两组比较差异有统计学意义(P<0.01)。结论围术期的心理干预可以从心理方面避免及克服患者对出汗的焦虑,对减轻术后严重代偿性多汗有显著效果。Objective To investigate the effect of perioperative psychological intervention on alleviating severe compensatory hyperhidrosis（CH）after bilateral thoracoscopic sympathectomy.Methods The patients with palmar hyperhidrosis（PH）successfully performing bilateral thoracoscopic sympathectomy in our hospital from July 2007 to August 2012 were retrospectively analyzed.The incidence rates of severe CH were compared between T3 or T4different planes of thoracic sympathectomy and between with or without psychological intervention.Results In 143 operative cases without specific psychological intervention,the incidence rate of severe CH in the patients with T3 operative plane sympathectomy was 15.15%（10/66）,which in the patients with T4 plane sympathectomy was 9.1/%（7/77）,the difference was statistically significant（P〈0.01）.110 patients with psychological intervention had no severe CH,while other 143 cases without conducting the psychological intervention had the severe CH incidence rate of11.89%（17/143）,the difference between them was statistically significant（P〈0.01）.Conclusion The perioperative psychological intervention can avoid and overcome the patient′s anxiety on sweating,and has significant effect for reducing the occurrence of severe CH.

关 键 词：手多汗症 交感神经切断术 代偿性多汗 心理干预 

分 类 号：R758.743[医药卫生—皮肤病学与性病学]