一种医用引流管防牵拉装置的设计与应用  

Design and application of an anti-pull device for medical drainage tube

作　　者：王冠宇 李雪阳 李帅帅 陈云霞 张玲玲 霍晓冉 张驰 李娟 冯英璞 Wang Guanyu;Li Xueyang;Li Shuaishuai;Chen Yunxia;Zhang Lingling;Huo Xiaoran;Zhang Chi;Li Juan;Feng Yingpu(ICU of Neurology,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital,Zhengzhou 450003,Henan,China;School of Nursing,Henan University of Science and Technology,Luoyang 471003,Henan,China;Department of Nursing,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,Henan,China;Department of Nursing,Cerebrovascular Disease Hospital of Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,People's Hospital of Zhengzhou University,Zhengzhou 450003,Henan,China;International Medical Center,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,People's Hospital of Zhengzhou University,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省人民医院神经内科ICU,河南省护理医学重点实验室,郑州大学人民医院,郑州450003 [2]河南科技大学护理学院,河南洛阳471003 [3]河南科技大学第一附属医院护理部,河南洛阳471003 [4]河南省人民医院脑血管病医院护理部,河南省护理医学重点实验室,郑州大学人民医院,郑州450003 [5]河南省人民医院国际医疗中心,河南省护理医学重点实验室,郑州大学人民医院,郑州450003

出　　处：《中华危重病急救医学》2022年第6期653-654,共2页Chinese Critical Care Medicine

基　　金：国家实用新型专利(ZL 202022843025.1)。

摘　　要：引流管的管理是护理工作的重要环节。当引流管受到意外暴力牵拉时,患者的约束与引流管的固定并不能有效避免非计划性拔管(UEX)的发生。河南省人民医院护理创新团队为改变以约束和固定等传统手段防止引流管脱管的现有技术,针对引流管脱出的根本原因进行干预,设计了一种医用引流管防牵拉装置,并获得了国家实用新型专利(专利号:ZL 202022843025.1)。卡套与卡环的设计在引流管受到意外暴力牵拉时摩擦夹紧件通过机械闭合的方法夹闭引流管,达到引流管制动的目的,防止引流管的脱出。卡套和卡环的断口设计可适用于不同管径的引流管,且蜂鸣装置在卡环进入卡套的瞬间启动,可警示医务人员脱管风险事件的发生,进而使护士在第一时间进行有效处理,是医用引流管的"保险丝",旨在及时、有效地预防UEX发生。The management of drainage tube is an important part of nursing work.Patient restraint and tube fixation cannot effectively prevent unplanned extubation(UEX)when the tube is accidentally pulled by violence.The nursing innovation team of Henan Provincial People's Hospital designed a medical drainage tube anti-pull device in order to change the existing technology of preventing drainage tube disconnecting by means of restraint and fixation,and to interfere with the basic cause of drainage tube disconnection,and obtained the national utility model patent(patent number:ZL 202022843025.1).The design of sleeve and clasp is that when the drainage tube is pulled by accidental violence,the friction fastener clamps the drainage tube mechanically to achieve the purpose of braking the drainage tube and prevent the drainage tube from coming out.Card sleeve ring fracture design can be applied to drainage tubes of different diameters,and the buzzer device at the instant of the snap ring into the card set warning medical staff to the occurrence of risk events,so that the nurse can come in the first place for effective treatment,which is a fuse for surgical drainage tubes and is to timely and effectively prevent UEX.

关 键 词：引流管 非计划性脱管 防牵拉装置 设计 

分 类 号：R472[医药卫生—护理学]