握力训练预防PICC相关性血栓形成的研究进展

doi:10.3761/j.issn.1672-9234.2023.11.019

摘要/Abstract

摘要：

导管相关性血栓形成是外周置入中心静脉导管（peripherally inserted central catheter，PICC）留置期间最常见的并发症之一，严重时可导致非计划性拔管而影响患者的治疗进程，甚至威胁患者的生命安全。握力训练作为预防PICC相关性血栓形成的常用干预方法之一，具有有效性和实用性，但在临床实践中由于缺乏科学化、规范化、精准化训练方案的指导，患者训练依从性及其干预效果参差不齐。该文对PICC相关性血栓形成的发生机制、常用握力训练方法及局限性进行总结分析，以期为临床更好地实施握力训练干预提供参考。

关键词: 握力, 导管插入术, 外周, 静脉血栓形成, 一级预防, 综述

Abstract:

Catheter-related thrombosis is one of the most common complications for patients with peripherally inserted central catheter（PICC），which can lead to unplanned extubation，affect the treatment process and even threaten the patient’s life safety in severe cases. As one of the common intervention methods for the prevention of PICC related thrombosis，grip strength training has good effectiveness and practicability. However，due to the lack of scientific，standardized and precise training program guidance in clinical practice，training compliance of patients and the effect of intervention were varied. This article summarized and analyzed the mechanism of PICC-related thrombosis，as well as commonly used grip strength training methods and limitations. Hopefully，this paper can provide a reference for better implementation of grip strength training intervention in clinical practice.

Key words: Hand Strength, Catheterization, Peripheral, Venous Thrombosis, Primary Prevention, Review

王旭, 乔远静, 赵军燕, 夏玉雪, 梁文娜, 秦光雅, 冯梦轩. 握力训练预防PICC相关性血栓形成的研究进展[J]. 中华护理教育, 2023, 20(11): 1398-1402.

WANG Xu, QIAO Yuanjing, ZHAO Junyan, XIA Yuxue, LIANG Wenna, QIN Guangya, FENG Mengxuan. Research progress of grip strength training in prevention of peripherally inserted central venous catheter-related thrombosis[J]. Chinese Journal of Nursing Education, 2023, 20(11): 1398-1402.

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