四子散热奄包联合关节活动度训练对PICC患者肢体功能的影响
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Effect of Hot Pack with Sizi Powder Combined with Joint Range of Motion Training on Limb Function in Patients with PICC
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    摘要:

    目的:观察四子散热奄包联合关节活动度训练对经外周静脉置入中心静脉导管(PICC)患者肢体 功能的影响。方法:将 98 例 PICC 患者按照随机数字表法分为观察组和对照组各 49 例。对照组给予 PICC 患 者常规维护管理措施,观察组在对照组治疗的基础上给予四子散热奄包联合关节活动度训练治疗。比较 2 组 治疗前后患肢握力、腋静脉血液流速、肢体功能、PICC 不良事件发生率。结果:治疗后,2 组握力、腋静 脉血液流速均较治疗前增加(P<0.05),且观察组握力、腋静脉血液流速均大于对照组(P<0.05)。治疗后, 2 组 Constant-Murley 肩关节评分均较治疗前升高(P<0.05),且观察组评分高于对照组(P<0.05);而 2 组 Cooney 腕关节、Mayo 肘关节功能评分与治疗前比较,差异无统计学意义(P>0.05)。观察组 PICC 置管不良事 件发生率为 6.12%,对照组为 20.41%,2 组比较,差异有统计学意义(P<0.05)。结论:四子散热奄包联合关 节活动度训练可改善 PICC 患者肢体血液循环,有效维持患者正常腕关节、肘关节功能,改善肩关节功能,降 低 PICC 不良事件发生率。

    Abstract:

    Abstract:Objective:To observe the effect of hot pack with Sizi Powder combined with joint range of motion training on limb function in patients with peripherally inserted central catheters (PICC). Methods:A total of 98 cases of patients with PICC were divided into the observation group and the control group according to the random number table method,with 49 cases in each group. The control group was given measures of routine care and maintenance of PICC,and the observation group was additionally treated with the hot pack with Sizi Powder combined with joint range of motion training based on the treatment of the control group. The grip strength of affected limbs,the blood flow rates of axillary vein,limb function,and the incidence of adverse events of PICC were compared between the two groups before and after treatment. Results:After treatment,the grip strength of affected limbs and the blood flow rates of axillary vein in the two groups were increased when compared with those before treatment (P<0.05),and the grip strength of affected limbs and the blood flow rate of axillary vein in the observation group were greater than those in the control group (P<0.05). After treatment,the scores of Constant-Murley for shoulder joint in the two groups were increased when compared with those before treatment (P<0.05),and the scores in the observation group were higher than those in the control group (P<0.05); there was no significant difference being found in the comparison of Cooney scores for wrist joints function and Mayo scores for elbow joint function in the two groups before treatment and after treatment (P>0.05). The incidence of adverse events of PICC was 6.12% in the observation group and 20.41% in the control group, the difference being significant (P<0.05). Conclusion:Hot pack with Sizi Powder combined with joint range of motion training can promote blood circulation in patients' limbs,effectively maintain normal wrist and elbow joint function of patients with PICC,improve shoulder joint function,and reduce the incidence of adverse events caused by PICC.

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莫浚浚,颜丽娜,阮菁芝.四子散热奄包联合关节活动度训练对PICC患者肢体功能的影响[J].新中医,2023,55(14):191-194

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  • 在线发布日期: 2023-07-24
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