上肢运动操在预防PICC置管患者静脉血栓形成的效果及对凝血功能和置管侧肢静脉流速的影响

Effect of upper limb exercise on prevention of venous thrombosis in patients with PICC catheterization and its effect on coagulation function and venous flow velocity on the side of catheterization

【目的】探究上肢运动操在预防经外周静脉置入中心静脉导管(PICC)置管患者静脉血栓形成的效果及对凝血功能和置管侧肢静脉流速的影响。【方法】选取我院收治的PICC置管患者200例,采用随机数字表法分为两组,各100例,对照组接受常规护理干预,研究组在此基础上行上肢运动操干预,分析两组患者静脉血栓发生情况、治疗满意度以及干预前后凝血功能[凝血酶时间(TT)、凝血酶原时间(PT)、纤维蛋白原(FIB)、活化部分凝血活酶(APTT)、D-二聚体(D-D)]和置管侧肢静脉流速变化。【结果】干预后两组患者TT、PT、FIB、D-D水平均下降且研究组低于对照组,APTT水平上升且研究组高于对照组(P<0.05);干预后两组患者置管侧肢静脉流速均上升且研究组显著高于对照组(P<0.05);研究组静脉血栓发生率低于对照组,研究组治疗满意度高于对照组(P<0.05)。【结论】PICC置管过程中通过上肢运动操能够有效预防静脉血栓形成,改善患者凝血功能及提高置管侧肢静脉流速,提升治疗满意度。

【Objective】To explore the effect of upper limb exercise on the prevention of venous thrombosis in patients with peripherally inserted central catheters(PICC)and its effect on coagulation function and venous flow velocity on the side of catheterization.【Methods】The 200 patients with PICC catheterization in our hospital were randomly divided into two groups,with 100 cases in each group.The control group received routine nursing intervention,and the study group received upper limb exercise intervention on this basis.The occurrence of venous thrombosis,treatment satisfaction and coagulation function[thrombin time(TT),prothrombin time(PT),fibrinogen(FIB),activated partial thromboplastin(APTT)and D-Dimer(D-D)]before and after intervention and changes of venous velocity of lateral limb after catheterization were analyzed.【Results】After the intervention,TT,PT,FIB and D-D in the two groups decreased,and the level of APTT in the study group was lower than that in the control group,and the level of APTT in the study group was higher than that in the control group(P<0.05);After the intervention,the venous velocity of the lateral limb of the two groups increased,and the study group was significantly higher than that of the control group(P<0.05);The incidence of venous thrombosis in the study group was lower than that in the control group,and the treatment satisfaction in the study group was higher than that in the control group(P<0.05).【Conclusion】In the process of PICC catheterization,upper limb exercise can effectively prevent venous thrombosis,improve patients'coagulation function,improve the venous flow velocity of the lateral limb of PICC catheterization,and improve treatment satisfaction.