握球运动配合水胶体敷料透明贴在肺癌经外周中心静脉导管置管化疗患者并发症预防中的应用

Application of ball grip exercise and hydrocolloid dressing transparent paste in the prevention of complications of lung cancer patients undergoing chemotherapy through peripherally inserted central catheter

目的探讨握球运动配合水胶体敷料透明贴对降低经外周中心静脉导管(PICC)化疗肺癌患者并发症的作用。方法选取2019年12月至2021年1月九江市第一人民医院呼吸内科收治的96例PICC置管化疗的肺癌患者作为研究对象,按照随机数字表法将其分为对照组与研究组,每组各48例。对照组患者采用50%的硫酸镁温敷,研究组患者采用水胶体敷料透明贴联合握球运动训练干预。比较两组患者置管3个月内的导管相关并发症发生率和置管前及置管后1、2、3个月置管肢体侧腋静脉最大血液流速(V_(max))、单位时间平均血液流速(TMFV)。结果研究组患者干预后的静脉炎和静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。两组患者的渗血和导管异位发生率比较,差异无统计学意义(P>0.05)。两组患者置管前的V_(max)、TMFV水平比较,差异无统计学意义(P>0.05);两组患者置管后1、2、3个月的V_(max)、TMFV水平低于置管前,差异有统计学意义(P<0.05);研究组患者置管后1、2、3个月的V_(max)、TMFV水平高于对照组,差异有统计学意义(P<0.05);且组别、交互中差异有统计学意义(P<0.05)。结论握球运动配合水胶体敷料透明贴可有效降低PICC置管化疗肺癌患者静脉炎和静脉血栓的发生,改善患者置管侧肢体血流状态,应用效果显著。

Objective To observe the application effect of ball grip exercise combined with Kanghuier transparent paste in the prevention of complications of lung cancer patients undergoing peripherally inserted central catheter(PICC)chemotherapy.Methods From December 2019 to January 2021,96 patients with lung cancer undergoing PICC intubation chemotherapy from the Department of Respiratory Medicine,Jiujiang First People′s Hospital were selected as the research objects,and they were divided into the control group and the study group by random number table method,woth 48 cases in each group.The control group was treated with 50%magnesium sulfate warm compress,and the study group was treated with hydrocolloid dressing Kanghuier transparent paste combined with ball grip training intervention.The maximum blood flow rate(V_(max))and mean blood flow rate per unit time(TMFV)of axillary vein side of limbs were compared before and 1,2 and 3 months after catheterization between the two groups.Results The incidence of phlebitis and venous thrombosis in the study group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of bleeding and catheter ectopic between the two groups(P>0.05).There were no significant differences in V_(max)and TMFV levels before catheterization between the two groups(P>0.05).V_(max)and TMFV levels in 1,2 and 3 months after catheterization were lower than those before catheterization,the differences were statistically significant(P<0.05).The V_(max)and TMFV levels of patients in the study group were higher than those in the control group at 1,2 and 3 months after catheterization,the differences were statistically significant(P<0.05).There were statistically significant differences in groups and interactions(P<0.05).Conclusion Holding the ball and Kanghuier transparent paste can effectively reduce the occurrence of complications in patients with lung cancer patients undergoing PICC intubation chemotherapy,and it is worthy of clinical application.