Abstract:

Objective To investigate the effect of different exercise modes （handgrip exercise,grip functional exercise,finger exercise） on preventing catheter related thrombosis（CRT） after the PICC placement in cancer patients.Methods The cancer patients with PICC in our tumor ward from November 2015 to December 2016 were divided into three groups-the handgrip exercise group,the grip functional exercise group,the finger exercise group. The incidence and severity of CRT were observed and compared among the three groups within three months after catheterization.Results Within three months after catheterization,the incidence of CRT in the three groups was 31.44%,21.28%,12.05%,respectively. The total incidence and the incidence in first week after PICC catheterization of CRT in three groups were statistically significant（ χ ²=15.357,P<0.001; χ ²=7.700,P=0.021）. The incidence and severity of CRT in finger exercise group was lower than the other two groups.Conclusion Finger exercise in cancer patients with PICC catheterization can reduce the incidence and ease the severity of CRT. The finger exercise method is simple and easy to implement without increasing costs,and patients are willing to accept it.

Key words: Grip Functional Exercise, Finger Exercise Group, Catheter Related Thrombosis, Peripherally Inserted Central Catheter, Chemotherapy

摘要：

目的 探讨握拳活动、握力器锻炼、手指操活动对预防PICC相关性血栓的效果。方法 将2015年11月—2016年12月在肿瘤科行PICC置管的肿瘤化疗患者分为握拳活动组、握力器锻炼组、手指操组,观察比较3组置管后3个月内导管相关性血栓（catheter related thrombosis,CRT）发生情况。结果 3组置管后3个月内CRT发生率分别为31.44%,21.28%,12.05%。CRT总发生率及第1周CRT发生率比较,差异有统计学意义（ χ ²=15.357,P<0.001; χ=7.700, P=0.021）,手指操组CRT发生率以及严重程度均低于其他两组。结论 PICC置管的肿瘤化疗患者进行手指操活动有助于降低CRT发生率,减轻CRT的严重程度,方法简单易于实施,患者乐于接受。

关键词: 握力器锻炼, 手指操, 导管相关性血栓, 经外周置入中心静脉导管, 化学疗法