日间手术治疗手汗症的病例对照研究  

Day Surgery for Palmar Hyperhidrosis:A Case Control Study

作　　者：曹守强[1] 董庆[1,2] 韩敬泉[1] 赵桂彬[1] 崔键[1] 张瑞[2] 徐万海[2] 李雅杰[2] 

机构地区：[1]哈尔滨医科大学第四临床医学院胸外科,哈尔滨150001 [2]哈尔滨医科大学第四临床医学院医学信息中心,哈尔滨150001

出　　处：《中国胸心血管外科临床杂志》2016年第6期537-541,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家高技术研究发展计划(863计划)项目(2012AA02A616;2012AA02A601);黑龙江省应用技术研究与开发计划项目(GA14C101)~~

摘　　要：目的评价基于医疗数据信息集成系统创建的临床路径指导日间手术模式下双侧交感神经切断术治疗手汗症的可行性。方法回顾性分析2012年3月至2015年6月哈尔滨医科大学附属第四医院106例手汗症患者的临床资料,其中男42例、女64例,年龄14-45（22.3±5.5）岁。按手术径路将患者分为日间手术组（52例）和传统手术组（54例）两组。日间手术组患者应用医学数字化平台创建的临床路径完成了日间手术,传统手术组患者住院时间2-3 d。比较两组患者术前一般情况、术后疗效及住院费用等。结果仅1例患者手汗症状缓解不明显,其他患者术后手汗症状均消失,无严重并发症发生。术后视觉模拟评分（visual analogue scale,VAS）均低于2分。日间手术组住院费用明显低于传统手术组。随访时间2.5（0.5-4.0）个月,全组患者症状均无复发,未发现有患者出现代偿性多汗。结论基于医学数字化平台创建的临床路径指导日间手术模式下双侧交感神经切断术治疗手汗症安全可行,可加速患者术后康复,节约住院费用。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.

关 键 词：手汗症 日间手术 医疗数据信息 临床路径 

分 类 号：R655[医药卫生—外科学]