武警医学2024，Vol.35Issue(9)：749-753,5.
手汗症日间胸腔镜手术实施加速康复外科管理的临床效果
Clinical effect of enhanced recovery after surgery(ERAS)management in daytime thora-coscopic sympathectomy for palmar hyperhidrosis
摘要
Abstract
Objective To investigate the clinical effect of enhanced recovery after surgery(ERAS)management in daytime thoracoscopic sympathectomy for palmar hyperhidrosis.Methods A total of 164 patients with palmar hyperhidrosis who underwent tho-racoscopic sympathectomy were selected under day-care surgery,and 78 patients treated from June 2022 to April 2023 were included in the control group and received conventional management.A total of 86 patients treated from May 2023 to December 2023 were included in the intervention group and received ERAS management.Surgical indicators,pain scores,complication rates,and patient satisfaction were recorded and compared between the two groups.Results There were no statistically significant differences between the two groups(P>0.05).The VAS pain scores at 24 h[4(4,4)points],3 d[3(3,4)points],and 7 d[2(2,2)points]in the intervention group were lower than those in the control group at 24 h[5(4,5)points],3 d[4(4,5)points],and 7 d[4(4,4)points],with statistically significant differences(P<0.05).The overall complication rate in the intervention group(18.6%)was lower than that in the control group(35.9%),with statistically significant difference(P<0.05).The patient satisfaction score in the intervention group(95.69±2.192)was higher than that in the control group(93.31±3.732)(P<0.05).Conclusions ERAS management in daytime thoracoscopic sympathectomy for palmar hyperhidrosis can alleviate pain,reduce complications,and improve patient satisfaction,which is worthy of popularization and application.关键词
ERAS理念/日间模式手术/胸腔镜下交感神经切断术/手汗症/并发症/护理管理Key words
ERAS concept/daytime mode surgery/thoracoscopic sympathectomy/palmar hyperhidrosis/complication/nurs-ing management分类
临床医学引用本文复制引用
把赛君,王忠月,宋萍萍,许华晔..手汗症日间胸腔镜手术实施加速康复外科管理的临床效果[J].武警医学,2024,35(9):749-753,5.基金项目
2020年度南京市卫生科技发展专项资金重点项目(ZKX20017) （ZKX20017）
