多功能可拆卸转运体外膜肺氧合专用支架的设计及应用  

Design and application of muli-functional detachable special transport bracket for extracorporeal membrane oxygenation

作　　者：杨湘英 彭俏俏 黄培 YANG Xiangying;PENG Qiaoqiao;HUANG Pei

机构地区：[1]浙江大学医学院附属杭州市第一人民医院重症医学科,杭州市310006

出　　处：《中华急危重症护理杂志》2023年第8期765-768,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2022PY015);浙江省医药卫生科技计划项目(2023KY945);2020-2024年杭州市医学重点学科建设项目(0020200265)。

摘　　要：目的设计多功能可拆卸转运体外膜肺氧合专用支架并探讨其在患者转运中的应用效果。方法多功能可拆卸转运体外膜肺氧合专用支架由输液杆、延伸部、抽屉、支撑腿、手摇泵、上层放置板、氧气桶架、下层放置板、脚轮、底板、支撑板等组成。选取杭州市某医院ICU使用体外膜肺氧合治疗的72例患者为研究对象,其中对照组采用转运床和体外膜肺氧合组件同步移动的方法进行转运;试验组采用多功能可拆卸转运体外膜肺氧合专用支架进行转运。比较两组患者转运耗时、转运所需人数及转运途中不良事件发生率的差异。结果试验组转运耗时为(21.37±6.93)min,短于对照组(33.24±7.84)min,差异有统计学意义(t=11.127,P<0.001);试验组转运所需人数(3.13±0.71)名,少于对照组(5.21±1.92)名,差异有统计学意义(t=-9.876,P<0.05);试验组转运途中不良事件发生率:患者相关、医护人员相关与对照组无差异(2=0.613,Х^(2)=0.001,P>0.05),而仪器相关不良事件发生率显著低于对照组(=8.218,P<0.05)。结论在体外膜肺氧合患者转运中应用多功能可拆卸转运体外膜肺氧合专用支架,有效提升了工作效率、降低了转运不良事件发生率。Objective To design a multifunetional detachable special transport bracket for extracorporeal membrane oxygenation and explore its application ffect in patient transport.Methods The multi-functional detachable extracorporeal membrane oxygenation special bracket was composed of infusion rod,extension part,drawer,support leg,hand pump,upper placement plate,oxygen barrel,lower placement plate,caster,bottom plate,support plate,etc.A total of 72 patients treated with extracorporeal membrane oxygenation in the ICU of a hospital in Hangxhou were selected as the study subjects.The control group was transported by the synchronows transtfer method of transfer bed and extracorporeal membrane oxygenation component,and the experimental group was transported by the multifunctional detachable extracorporeal membrane oxygenation special transport bracket.The differences in traunsport time,number of people required for transport,and incidence of adverse events during transport were compared between the two groups.Results The transport time of the experimental group was(21.37±6.93)s,which was shorter than that of the control group(33.24±7.84)s,and the difference was statistically significant(t=11.127,P<0.001).The number of people required for transport in the experimental group(3.13±0.71)was lower than that of the control group(5.21±1.92),and the diference was statically significant(t=-9.876.P0.001).There was no difference between patienl-related and personnel-related adverse events in the experimental group(Х^(2)=0.613.0.001,P>0.05),while the ineidence of instrument-related adverse events was significantly lower than that in the control group(2-8.218,P<0.05).Conclusion The application of mulifunctional detachable special transport bracket for extracorporeal membrane oxyenation in patients can efctively improve work eficiency,reduce the incidence of adverse events.

关 键 词：体外膜氧合作用 病人转送 支架 订设备设计 危重病护理 

分 类 号：R472[医药卫生—护理学]