早期功能锻炼预防PICC置管后肢体肿胀效果观察  

Effect of Early Functional Exercise on Prevention of Limb Swelling Caused By PICC

作　　者：邹勤 杜晓红 陈民宵 张惠 张仙爱 郭晓东 张洁 杨志华 戴晓玲 

机构地区：[1]陕西省肿瘤医院护理部,陕西西安710061

出　　处：《护理学杂志》2008年第9期49-50,共2页

基　　金：陕西省卫生厅2004年卫生科研基金项目(04004)

摘　　要：目的观察早期功能锻炼预防经外周静脉置入中心静脉导管(PICC)后致肢体肿胀的效果。方法将86例PICC患者随机分为对照组(50例)和观察组(36例)。观察组置管后24 h指导患者进行功能锻炼,对照组仅给予一般指导。结果对照组肿胀发生率22.0%,观察组为2.8%,两组比较,差异有显著性意义(P<0.05)。两组渗血发生率及置管后4周与置管初始置入导管长度比较,差异无显著性意义(均P>0.05)。结论早期指导PICC患者进行功能锻炼,能有效预防肢体肿胀的发生,且不引起渗血及导管脱出或进入,具有安全、操作简便等优点。Objective To investigate the effect of early functional exercise on preventing limb swelling caused by PICC. Methods Eighty-six patients subject to PICC were randomly divided into an observation group （n =36） and a control group （n=50）. The control group was given regular nursing after PICC and common instruction, while those in the observation group, functional exercise was performed besides regular nursing after PICC and common instruction. Re- suits The incidence of swelling in the control group and the observation group was 22.0% and 2.8% respectively, with the difference being very significant （P〈0. 05）; the rate of leakage and the length of PICC after 4 months in both groups showed no significant difference （P〉 0. 05 for all）. Conclusion Early functional exercise can alleviate limb swelling effectively in patients subject to PICC.

关 键 词：经外周静脉置入中心静脉导管 功能锻炼 肢体肿胀 渗血 导管脱出 导管进入 

分 类 号：R471[医药卫生—护理学]