上肢加压治疗在预防无运动能力患者经外周静脉穿刺的中心静脉导管相关血栓形成中的作用

doi:10.20047/j.issn1673-7210.2023.23.29

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Abstract Objective To observe the effect of upper limb compression therapy on the prevention of peripherally inserted central venous catheter (PICC) related thrombosis in patients with inability to exercise. Methods A total of 84 patients with inability to exercise underwent upper limb PICC catheterization and catheter maintenance in the Second Affiliated Hospital of Xi’an Jiaotong University from January 2020 to August 2022 were selected. They were divided into control group and compression group by random number table method, with 42 cases in each group. The control group was given passive activity intervention, and the compression group was given air pressure wave intervention. Color Doppler ultrasound was used to monitor the blood flow velocity of axillary vein and subclavian vein before intervention and 30 minutes after intervention in the two groups. The levels of fibrinogen, prothrombin time, and D-dimer were measured before catheterization and two weeks after catheterization. The incidence of PICC related thrombosis in the two groups was recorded. Results After 30 minutes of intervention, the blood flow velocity of axillary vein and subclavian vein in the two groups were faster than those before intervention, and that in the compression group was faster than that in the control group, and the differences were statistically significant (P＜0.05). After two weeks of catheterization, the levels of fibrinogen, prothrombin time, and D-dimer in the control group were higher than those before catheterization, and higher than those in the compression group, and the differences were statistically significant (P＜0.05). There were no significant differences in fibrinogen, prothrombin time, and D-dimer before and two weeks after catheterization in the compression group (P＞0.05). During the observation period of two weeks, the incidence of PICC related thrombosis in the compression group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Air pressure wave therapeutic instrument can effectively prevent upper extremity PICC related thrombosis in patients without exercise ability by increasing the venous blood flow velocity on the catheterization side.

Key words： Air pressure wave intervention Passive activity Blood flow velocity Peripherally inserted central venous catheter related thrombosis

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	XU Suiyun1 WANG Wenxu2 HAN Yan1 GAO Yang1 GUO Lei1 YAN Xianxia1

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XU Suiyun1 WANG Wenxu2 HAN Yan1 GAO Yang1 GUO Lei1 YAN Xianxia1. Effect of upper limb compression therapy on the prevention of peripherally inserted central venous catheter related thrombosis in patients with inability to exercise[J]. 中国医药导报, 2023, 20(23): 135-138,181.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.23.29 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I23/135

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