[俯卧位通气头部支撑架的设计与应用]。

Q3 Medicine
Yong Wang, Jin Wu, Xiaojuan Li, Miao Chen
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引用次数: 0

摘要

急性呼吸窘迫综合征和重症肺炎引起的呼吸衰竭是重症医学科的常见疾病。近年来,随着治疗方法的不断更新,发现俯卧位通气对此类疾病具有良好的治疗效果,并已广泛应用于临床。然而,俯卧位通气大大增加了医护人员的工作量,也增加了患者意外拔管和压伤的风险,严重影响了诊疗的安全性。目前,用于俯卧位通气的床垫等装置多种多样,但专门用于保护和固定头面部的装置却很少。为此,遵义医学院附属医院医务人员设计研发了一种用于俯卧位通气的头部支撑架,并获得了中国国家实用新型专利(专利号:ZL 2018 2 0056891.6)。俯卧位通气用头部支撑架包括活动底盘和滚轮,便于移动和固定。可伸缩立柱1垂直固定在活动底盘上,其高度可根据患者体位自由调节。可伸缩立柱 1 的顶部固定有横向桥架,桥架的两端设计有凸起,旋转环固定在横向桥架的上方,使旋转环可以沿着桥架旋转一定的角度。旋转环上设计有内环,旋转环上设计有可穿过管子的进气口和出气口。旋转环上方设计有充气气囊,以提高患者的舒适度,减少对面部皮肤的压力损伤。在可伸缩立柱1的上部垂直设计有滑动杆,滑动杆的远端设计有可伸缩立柱2,可伸缩立柱2与旋转环连接,使旋转环随着可折叠立柱2的收缩沿横桥调整角度。滑杆中部设置有可伸缩立柱 3,其远端设置有导管夹,便于固定人工气道和机械通气管。该支撑架实用方便,可在患者俯卧位时安全地保护其头部,大大减轻了医护人员的工作量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Design and application of a head support frame for prone position ventilation].

Respiratory failure caused by acute respiratory distress syndrome and severe pneumonia is common diseases in intensive care medicine. In recent years, with the continuous updating of treatment methods, prone position ventilation has been found to have a good therapeutic effect on such diseases, and has been widely used in clinical practice. However, prone position ventilation significantly increases the workload of medical staff and the risk of accidental extubation and pressure injuries to patients, seriously affecting the safety of diagnosis and treatment. At present, various devices such as mattresses have been used for prone position ventilation, but there are few devices specifically designed to protect and fix the head and face. Therefore, the medical staff of Affiliated Hospital of Zunyi Medical University designed and developed a head support frame for prone position ventilation, and obtained a National Utility Model Patent of China (patent number: ZL 2018 2 0056891.6). The head support frame for prone position ventilation includes a movable chassis and rollers for easy movement and fixation. The retractable column 1 is vertically fixed on the movable chassis, and its height can be freely adjusted according to the position of the patient. A transverse bridge is fixed at the top of the retractable column 1, the two ends of the bridge are designed a bulge, and the rotating ring is fixed above the transverse bridge, so that the rotating ring can rotate along the bridge at a certain angle. The rotating ring is designed with an inner ring and an inlet and outlet which can pass through the tube is designed on the rotating ring. The inflatable air bag is designed above the rotating ring to improve the comfort of patients and reduce the pressure injury of facial skin. A sliding rod is vertically designed on the upper part of the retractable column 1, and there is a retractable column 2 at the distal end of the slide rod, and the retractable column 2 is connected with the rotating ring, so that the rotating ring adjusts the angle along the cross bridge with the contraction of the collapsible column 2. A retractable column 3 is arranged in the middle of the slide rod, and a catheter clamp is arranged at its far end to facilitate the fixation of the artificial airway and the mechanical ventilation tube. The support frame is practical and convenient, which can protect the patient's head safely in the prone position, and greatly reduce the workload of medical staff.

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来源期刊
Zhonghua wei zhong bing ji jiu yi xue
Zhonghua wei zhong bing ji jiu yi xue Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.00
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