摘要
目的探讨康复操锻炼结合上肢加压与握拳对乳腺癌经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)患者的干预效果.方法选取该院2019年11月—2020年9月收治的80例乳腺癌行PICC置管患者为对象,采用随机数字表法将研究对象分为对照组与观察组,各40例.对照组实施常规护理,观察组开展康复操锻炼结合上肢加压与握拳,均干预2个月后进行效果评价.比较两组干预前后的血液流变学水平、并发症发生情况及患者满意度.结果干预前,两组的各项血液流变学水平比较,组间差异无统计学意义(P>0.05);干预后,观察组的血浆黏度(1.63±0.12)mpa?s、高切全血黏度(5.24±0.29)mpa?s、低切全血黏度(8.77±0.53)mpa?s、纤维蛋白原(3.25±0.33)g/L,均低于对照组的(1.75±0.14)m?pas、(5.83±0.34)m?pas、(9.15±0.57)m?pas、(3.66±0.38)g/L,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05).观察组患者的总满意率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05).结论康复操锻炼结合上肢加压与握拳能够有效改善乳腺癌PICC置管患者的血液流变学水平,降低并发症发生率,值得临床应用.
Objective To investigate the effect of rehabilitation exercises combined with upper limb compression and fist clenching on patients with breast cancer who have a peripherally inserted central catheter(PICC).Methods 80 patients admitted to the hospital with PICC placement for breast cancer from November 2019 to September 2020 were selected.The random number table method was used to divide the study subjects into a control group and an observation group,with 40 cases each.The control group implemented conventional care and the observation group carried out rehabilitation exercises combined with upper limb compression and fist clenching,the two groups were evaluated for effect after 2 months of intervention.The blood rheology levels before and after the intervention,complications and patient satisfaction were compared between the two groups.Results Before the intervention,there was no statistically significant difference between the two groups when comparing all blood rheological levels(P>0.05);after the intervention,plasma viscosity(1.63±0.12)mpa•s,high cut whole blood viscosity(5.24±0.29)mpa•s,low cut whole blood viscosity(8.77±0.53)mpa•s,and fibrinogen(3.25±0.33)g/L in the observation group were lower than(1.75±0.14)m•pas,(5.83±0.34)m•pas,(9.15±0.57)m•pas,and(3.66±0.38)g/L in the control group,and the differences between groups were statistically significant(P<0.05).The complication rate in the observation group was 5.00%,which was lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).The overall satisfaction rate of patients in the observation group was 97.50%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation exercise combined with upper limb compression and fist clenching can effectively improve the blood rheology level and reduce the complication rate in patients with PICC placement for breast cancer,which is worthy of clinical application.
作者
刘红
王宁
LIU Hong;WANG Ning(Department of General Surgery,Chongqing North Kuanren Hospital,Chongqing,400000,China)
出处
《反射疗法与康复医学》
2021年第7期137-140,共4页
Reflexology And Rehabilitation Medicine
关键词
经外周静脉置入中心静脉导管
康复操
血液流变学
并发症
Peripherally inserted central catheters
Rehabilitation exercise
Hemorheology
Complications
作者简介
刘红(1983-),女,重庆永川人,大专,主管护师,研究方向:护理学;通信作者:王宁(1981-),男,内蒙古乌兰察布人,硕士研究生,主治医师,研究方向:乳腺外科临床,邮箱:157334376@qq.com。
