握球运动对PICC置管肿瘤病人导管相关性并发症预防效果的网状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：通過网状Meta分析比较5种不同程度握球运动对PICC置管的肿瘤病人在腋静脉血液流速和上肢静脉血栓发生率2方面的临床效果。（剩余13688字）

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