窦腔冲洗引流管的研发及在窦腔性压疮微创治疗中的临床应用  

Research and invention of sinus cavity flushing drainage tube and clinical application in the minimally invasivetreatment of sinus cavity pressure ulcer

作　　者：王淑娟 陈红玉 徐晓琴 田耿家 张利 Wang Shujuan;Chen Hongyu;Xu Xiaoqin;Tian Gengjia;Zhang Li(Wound Clinic of the People＇s Hospital of Longyou County,Quzhou 324400,Zhejiang,Chin;Center of Diagnosis and Treatment of Chronic Wounds,Geriatric Hospital of Hangzhou,Hangzhou 320000,Zhefiang,China)

机构地区：[1]龙游县人民医院伤口门诊,浙江衢州324400 [2]杭州市老年病医院慢性创面诊治中心,浙江杭州320000

出　　处：《中华危重病急救医学》2018年第6期613-615,共3页Chinese Critical Care Medicine

摘　　要：目的研发一种用于窦腔性压疮微创治疗的冲洗管，并观察其临床应用效果。方法采用透明的无毒PU塑料制成窦腔冲洗引流管，入窦端为浑网的半球形钝头，人窦腔冲洗端的管体上设计有出水孔（3排、每排5个）；尾端可接肝素帽进行封堵。将发明研制的窦腔冲洗引流管用于临床并观察其使用效果。使用时，将窦腔冲洗引流管置于患者窦道最深处，创面上覆以PU海绵，用无菌等渗冲洗液通过负压进行主动抽吸引流，彻底清除窦腔内的细菌、液化的坏死组织、脓性分泌物、细菌产生的内外毒素及含有炎性介质的渗出液等有害物质。结果对于窦腔型和混合型压疮，使用研制的窦腔冲洗引流管进行冲洗负压引流微创治疗，可明显减轻患者医源性创伤，大大缩短了治疗周期，并提高了窦腔性压疮的治愈率，取得了较好的临床效果。窦腔冲洗引流管对软组织无损伤、操作简单、患者易于耐受；价格低廉，为一次性耗材，可避免交叉感染；可进行窦腔内给氧负压引流治疗，对厌氧菌感染的窦腔性压疮有治疗作用；可制成不同规格、不同型号，广泛用于不同的专业领域。结论窦腔冲洗引流管结合负压治疗是一种温和无损伤的洁净疮面的新技术，它弥补了皮瓣手术的不足，对窦腔性压疮来说是非常理想的微创治疗方法。Objective To develop a washing tube for minimally invasive treatment of sinus cavity pressure ulcer, and to observe its clinical effect. Methods Using transparent non-toxic PU plastic to make sinus cavity flushing and drainage tube, and with rounded hemispherical blunt head for the entry of the sinus, the perforated tube in the sinus cavity was designed with perforated holes （3 rows, 5 for each row）; the end of the tube is blocked with heparin cap. The invented sinus cavity flushing tube was used for clinical observation and its use effect was observed. When used, the sinus cavity flushing drainage tube must be placed in the deepest antrum. The wounds were covered with PU sponge. By the active aspiration drainage of the negative pressure with sterile isotonic flushing fluid, bacteria, liquefied necrotic tissue, purulent secretion, internal and external toxins produced by bacteria, and the harmful material such as exudate of inflammatory medium in the sinus cavity was thoroughly removed. Results When treating sinus cavity and mixed pressure ulcer, minimally invasive treatment using the developed sinus cavity flushing drainage tube for irrigation and negative pressure drainage can significantly reduce patients＇ iatrogenic trauma, observably reduce the pain of the patients, shorten the treatment cycle, improve the cure rate of sinus pressure ulcers, and achieve good clinical effect. The sinus cavity flushing drainage tube has no damage to soft tissue, with simple operation and easy tolerance of patients. It is low price and using disposable materials, which can avoid cross-infection; It can he used to treat oxygen negative pressure in sinus cavity, and it has therapeutic effect on the sinus cavity pressure sore infected by anaerobic bacteria. It can be made into different specifications, different models, and widely used in different professional fields. Conclusion The sinus cavity flushing drainage tube combined with negative pressure treatment is a new technique of mild and undamaged cleansing wound, which m

关 键 词：窦腔冲洗引流管 窦腔性压疮 微创治疗 

分 类 号：R472[医药卫生—护理学]