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植入式静脉输液港肩关节受限患者的康复训练

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目的 探讨康复训练方案在植入式静脉输液港肩关节受限患者中的应用效果.方法 选取植入式静脉输液港肩部活动受限患者,按入院时间先后将69例设为对照组,采用常规握力球进行训练;72例设为干预组,采用康复训练方案进行干预.3个月后,比较两组患者肩关节活动度、日常生活活动能力及并发症发生情况.结果 两组干预后肩关节活动度前屈、外展、外旋、内旋、后伸活动度及日常生活活动能力评分显著优于本组干预前,干预后干预组关节活动度及日常生活活动能力评分显著优于对照组,血栓发生率显著低于对照组(均P<0.05);两组导管堵塞、异位发生率比较,差异无统计学意义(均P>0.05).结论 康复训练方案简单易学,容易掌握,不受场地与时间限制,能改善静脉输液港肩关节受限患者肩关节活动度、日常生活活动能力,降低患者血栓发生率.
Rehabilitation training for patients with limited shoulder joint mobility due to im-plantable venous access port
Objective To explore the application effect of rehabilitation training program in patients with limited shoulder joint mobility due to implantable venous access port(IVAP).Methods Patients with limited shoulder joint mobility due to IVAP was se-lected as the study subjects.Sixty-nine patients were assigned to the control group and received conventional grip strength ball training,while 72 patients were assigned to the intervention group and received rehabilitation training.After 3 months,shoulder joint mobility,activities of daily living(ADL)ability,and the incidence of complications were compared between the two groups.Results After intervention,the scores for shoulder joint mobility(flexion,abduction,external rotation,internal rotation,exten-sion)and ADL ability in both groups improved significantly compared to the scores before intervention.The intervention group showed significantly better scores than the control group after intervention,and the incidence of thrombosis was significantly lower than that of the control group(all P<0.05).There was no significant difference in the occurrence of catheter blockage and dis-placement between the two groups(all P>0.05).Conclusion The rehabilitation training program is simple,easy to learn and mas-ter,without limitations on location and time.It can improve the shoulder joint range of motion and ADL ability in patients with limited shoulder joint mobility due to IVAP and reduce the incidence of thrombosis.

implantable venous access portlimited shoulder jointshoulder joint mobilityactivities of daily livingthrom-bosisrehabilitation exercisecatheter blockagecatheter displacement

张丽敏、高媛、宋冰冰、刘洋、韩玉香

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哈尔滨医科大学附属肿瘤医院胃肠外科(黑龙江哈尔滨,150040)

静脉输液港 肩关节受限 肩关节活动度 日常生活活动能力 血栓 康复运动 导管堵塞 导管异位

哈尔滨医科大学附属肿瘤医院海燕科研基金

JJQN2022-17

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(6)
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