握球運動對PICC置管腫瘤病人導管相關(guān)性并發(fā)癥預防效果的網(wǎng)狀Meta分析

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Effect of ball holding exercise on the prevention of catheter－related complications in patients with PICC catheterized tumor：a network Meta－analysis

LIU Yuting，SHAN Yuanyuan，DENG Yuxin，CHEN Yu，HUANG JialiSchool of Nursing，Anhui University of Chinese Medicine，Anhui 230012 ChinaCorresponding Author HUANG Jiali，E－mail：2573114749@qq.com

Abstract Objective：To compare the clinical effects of 5 different degrees of ball holding exercises on axillary vein blood flow and upper limb venous thrombosis in tumor patients with PICC catheterization by network Meta－analysis.Methods：PubMed，Web of Science，the Cochrane Library，EMbase，CNKI，WanFang Database，VIP database and CBM were searched，and the references of the included literatures were tracked.The search deadline was from database establishment to February 2023.RevMan 5.4 software and Stata 16 were used for statistical analysis.Results：6 articles were included，including 5 randomized controlled trials and 1 self－controlled before and after trial，involving 620 patients and 5 different exercise interventions.The maximum grip strength of ≥5 s per time had the best effect on increasing the axillary vein blood flow velocity，and the partial grip strength of ≥5 s per time had the best effect on reducing the incidence of upper limb venous thrombosis.Conclusion：The available evidence suggests that the intervention measures of more than 5 s per grip are recommended，and the dynamic adjustment of each grip strength is combined with different outcome indicators and the patient′s own situation.

Keywords ball holding exercise;peripherally inserted central catheter，PICC;tumor patients;network Meta－analysis;evidence－based nursing

摘要 目的：通過網(wǎng)狀Meta分析比較5種不同程度握球運動對PICC置管的腫瘤病人在腋靜脈血液流速和上肢靜脈血栓發(fā)生率2方面的臨床效果。（剩余13688字）