Ramos R, Moya J, Turón V, Pérez J, Villalonga R, Morera R, Perna V, Ferrer G
Servicio de Cirugía Torácica, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Arch Bronconeumol. 2005 Feb;41(2):88-92. doi: 10.1016/s1579-2129(06)60403-5.
To determine the location of hyperhidrosis, the accompanying signs and symptoms, and patient anxiety assessed on 2 scales and standardized psychometric instruments.
A prospective study of patients with hyperhidrosis was carried out between September 1, 2001 and June 30, 2003 with a self-administered preoperative questionnaire. The variables studied included the location of hyperhidrosis, the accompanying signs and symptoms, and the self-reported degree of anxiety and perception of its effect on daily life assessed by the State-Trait Anxiety Inventory (STAI) and a questionnaire designed in our department.
Palmar hyperhidrosis was reported by 93.6% of patients, plantar by 70.2%, axillary by 66.4%, facial by 12.1%, groin by 8.2%, chest by 5%, and abdominal by 2%. While more than 50% of the patients reported facial blushing and palpitations as accompanying signs and symptoms, approximately 30% experienced epigastric pain, trembling, and headaches. Over half of the patients reported that their anxiety was incapacitating, and a mere 1.2% experienced none at all. STAI scores were similar to those of the general population whereas scores on our department's questionnaire reflected those of the self-reported anxiety ratings.
Primary hyperhidrosis is a disorder in which excessive sweating occurs mainly, but not exclusively, on the palms. The condition is accompanied by signs and symptoms typical of autonomic nervous system hyperactivity and by a degree of anxiety that has an incapacitating effect on normal life, although that anxiety is not detected by the STAI questionnaire alone.
确定多汗症的部位、伴随的体征和症状，以及通过两种量表和标准化心理测量工具评估的患者焦虑情况。
2001年9月1日至2003年6月30日，对多汗症患者进行了一项前瞻性研究，采用术前自填问卷。研究变量包括多汗症的部位、伴随的体征和症状，以及通过状态-特质焦虑量表（STAI）和我们科室设计的问卷评估的自我报告焦虑程度及其对日常生活影响的感知。
93.6%的患者报告有掌部多汗症，70.2%有跖部多汗症，66.4%有腋部多汗症，12.1%有面部多汗症，8.2%有腹股沟部多汗症，5%有胸部多汗症，2%有腹部多汗症。超过50%的患者报告面部潮红和心悸为伴随的体征和症状，约30%的患者有上腹部疼痛、颤抖和头痛。超过一半的患者报告他们的焦虑使其丧失能力，只有1.2%的患者完全没有焦虑。STAI评分与普通人群相似，而我们科室问卷的评分反映了自我报告的焦虑评级。
原发性多汗症是一种主要（但不仅限于）手掌过度出汗的疾病。该病症伴有自主神经系统功能亢进的典型体征和症状，以及一定程度的焦虑，这种焦虑对正常生活有使患者丧失能力的影响，尽管仅通过STAI问卷无法检测到这种焦虑。
