Different modes of ankle pump exercise to prevent PICC-related thrombosis through femoral vein.

Jianyu Liao, Zhoupeng Wu
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Abstract

Objective: To explore the preventive effect of different modes of ankle pump exercise on femoral vein PICC catheter-related thrombosis.

Method: Convenient sampling method was used to select 172 patients with lung cancer with PICC catheterization through femoral vein admitted to West China Hospital of Sichuan University as the observation group and control group. Comfort angle ankle pump exercise mode and maximum angle ankle pump exercise mode were adopted. We have compared the differences in the incidence of catheter-related thrombosis, unplanned catheter removal, fatigue score, and catheter retention time between two groups of patients.

Results: The incidence of catheter-related thrombosis, unplanned catheter removal, fatigue score, and catheter retention time were statistically significant (p < .05) in both groups of patients.

Conclusion: The maximum angle ankle pump exercise mode can reduce the incidence of catheter-related thrombosis and unplanned catheter removal in patients with lung cancer with PICC catheterization through femoral vein, increase catheter retention time, but it can easily cause patient fatigue. In clinical practice, patient tolerance should be considered.

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采用不同的踝泵运动模式来预防经股静脉与 PICC 相关的血栓形成。
目的:探讨不同模式的踝泵运动对股静脉PICC导管相关血栓形成的预防效果:探讨不同模式的踝泵运动对股静脉PICC导管相关血栓形成的预防效果:方法:采用方便抽样法,选取四川大学华西医院收治的172例股静脉PICC导管肺癌患者作为观察组和对照组。观察组采用舒适角踝泵运动模式,对照组采用最大角踝泵运动模式。比较两组患者导管相关血栓发生率、导管意外拔出率、疲劳评分和导管留置时间的差异:结果:两组患者导管相关血栓的发生率、非计划性导管拔除、疲劳评分和导管保留时间差异均有统计学意义(P < .05):结论:最大角度踝泵运动模式可降低肺癌患者经股静脉PICC导管置管的导管相关血栓形成和导管意外拔除的发生率,增加导管留置时间,但易引起患者疲劳。在临床实践中,应考虑患者的耐受性。
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