规律握球运动对肿瘤患者PICC置管腋静脉血液流速及并发症的影响

Influence of regular ball squeeze exercise on axillary venous flow velocity and complications in patients after PICC placement

目的探讨规律握球运动对PICC置管患者腋静脉血液流速及并发症的影响。方法将PICC置管患者110例随机分为两组各55例。对照组行常规握球运动,每日握球500次,分早、中、晚3次完成;观察组每日三餐后握球25~30次,每次握紧10 s后,再松开10 s。结果观察组置管后21 d、28 d的腋静脉最大血液流速、腋静脉单位时间平均血液流速显著优于对照组(均P<0.01);观察组置管后28 d内上肢静脉血栓发生率显著低于对照组(P<0.05),导管相关并发症发生率相对低于对照组,但差异无统计学意义(均P>0.05)。结论规律握球可有效改善腋静脉血液流速,降低上肢静脉血栓发生率。

Objective To investigate the effects of regular ball squeeze exercise on axillary venous flow velocity and complications in patients with a PICC line.Methods A total of 110 patients after PICC placement were randomized into two groups of 55 cases each.The control group was asked to complete a daily total of 500 ball squeezes,which could be splitted to perform in the morning,at noon,and in the evening.The intervention group was asked to do the same hand ball exercise after 3 meals,at 25-30 squeeze cycles(a cycle=squeeze for 10 s,and relax for 10 s)each time.Results The maximum velocity(Vmax)and the time average velocity(TAV)of the axillary vein were higher in the intervention group than in the control group at 21 and 28 days after PICC placement(P<0.01 for both).The incidence rate of venous thrombosis of upper extremity and catheter-related complications 28 days into placement in the intervention group was lower than in the control group,though the former indicator had statistical difference(P<0.05)and the latter without between the 2 groups(P>0.05).Conclusion Regular ball squeeze exercise can effectively improve axillary venous blood flow and reduce the incidence rate of venous thrombosis of upper extremity.