一次性使用中心静脉留置导管护理敷贴-口袋的研制  

Disposable nursing applicator-pocket of indwelling central venous catheter

作　　者：魏从丽 马春园[1] 

机构地区：[1]沭阳县人民医院肾内科,江苏宿迁223600

出　　处：《中华危重病急救医学》2017年第11期1030-1031,共2页Chinese Critical Care Medicine

摘　　要：中心静脉留置导管最常见的并发症是导管相关性感染.中心静脉导管相关性感染的病原菌主要来源于导管接头以及穿刺部位周围皮肤表面定植的病原菌.如何做好中心静脉留置导管体外部分的防护工作,有效预防导管相关性菌血症的发生,成为临床护理工作的重要课题.通过研制一次性使用中心静脉留置导管护理敷贴-口袋,用于中心静脉留置导管使用后的固定和防护.敷贴-口袋的主要构造包含保护皮肤穿刺点的医用敷贴和保护导管体外接头部分的纱布口袋.使用时将导管接头装进口袋内,然后将敷贴覆盖于皮肤穿刺点上即可.敷贴与口袋为一体设计,实现了固定与保护的双重功能.该敷贴-口袋材料选用单层医用脱脂纱布（外表层）和多层高效过滤熔喷无纺布（内衬层）,具备舒适、透气、滤尘、滤菌、防水、防汗、防污染的特性,且结构简单、成本低廉、操作简便,可用于预防导管相关性感染,易于实现和推广.Catheter related infection is the most common complication of central venous catheter, which pathogen mainly originate from the pipe joint and the skin around puncture site. How to prevent catheter infection is an important issue in clinical nursing. The utility model disclosed a ＂disposable nursing applicator-pocket of indwelling central venous catheter＂, which is mainly used for the fixation and the protection. The main structure consists of two parts, one is medical applicator to protect the skin around puncture site, and the other is gauze pocket to protect the catheter external connector. When in use, the catheter connector is fitted into the pocket, and then the applicator is applied to cover the puncture point of the skin. Integrated design of medical applicator and gauze pocket was designed to realize double functions of fixation and protection. The disposable nursing applicator-pocket is made of medical absorbent gauze （outer layer） and non-woven fabric （inner layer）, which has the characteristics of comfortable, breathable, dust filtered, bacteria filtered, waterproof, antiperspirant and anti-pollution. The utility model has the advantages of simple structure, low cost, simple operation, effective protection, easy realization and popularization.

关 键 词：中心静脉留置导管 导管相关性感染 血液透析 护理 

分 类 号：R472[医药卫生—护理学]