一种新型气管套管固定带的设计与创新  

Design and innovation of a utility model patent for tracheal cannula fixation belt

作　　者：刘好 冯长乐 杨孟丽 谢海燕[4] 梁欠欠 Liu Hao;Feng Changle;Yang Mengli;Xie Haiyan;Liang Qianqian(Department of Neurology Intensive Care Unit,Henan Provincial People's Hospital(Zhengzhou University People's Hospital),Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou 450003,Henan,China;Department of Nursing,Henan Provincial People's Hospital(Zhengzhou University People's Hospital),Zhengzhou 450003,Henan,China;Department of Neurology,Henan Provincial People's Hospital(Zhengzhou University People's Hospital),Zhengzhou 450003,Henan,China;Blood Purification Center,Zhengzhou Seventh People's Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]河南省人民医院(郑州大学人民医院)神经内科ICU,河南省护理医学重点实验室,郑州450003 [2]河南省人民医院(郑州大学人民医院)护理部,郑州450003 [3]河南省人民医院(郑州大学人民医院)神经内科,郑州1450003 [4]郑州市第七人民医院血液净化中心,河南郑州450000

出　　处：《中华危重病急救医学》2024年第1期90-92,共3页Chinese Critical Care Medicine

基　　金：国家实用新型专利(ZL202220855188.8);河南省医学科技攻关计划项目(LHGJ20220074)。

摘　　要：在神经重症患者救治中,气管切开是常见的气道手术。目前使用的传统气管套管固定带易污染,且不易消毒,需要定期更换,易发生感染、皮肤损伤、非计划拔管等不良事件,无法满足临床治疗效果及患者的安全管理。为克服上述问题,河南省人民医院神经重症监护病房医护人员设计了一种可增加患者舒适度且能减少并发症的新型气管套管固定带,获得了国家实用新型专利(专利号:ZL 202220855188.8)。该装置的主要结构包括随行弯板、紧固带、锁定销和调距孔。随形弯板左右两侧均设置有附有透气防磨垫的紧固带,左侧紧固带的内侧面设有两组锁定销,右侧紧固带和透气防磨垫的外表面均开设有多组调距孔,且随形弯板的背面设有透气缓冲垫。通过紧固带可带动随形弯板与患者颈部贴紧,操作人员可根据"退一原则"将锁定销卡装到调距孔内,两侧紧固带在锁定销的配合下将装置固定,极大降低了气管套管在使用过程中出现过大位移的概率,有效提高了装置的固定效果,加强了装置对不同人员的适应性,从而增强了装置的实用性。新型气管套管固定带使用方便、安全、高效,能增加患者的舒适度,减少并发症的发生,有一定临床价值,适合在临床推广。Tracheostomy is a very common airway procedure in the treatment of critically ill neurological patients.At present,the traditional tracheal cannula fixation belt is easy to be contaminated,difficult to disinfect,and needs to be replaced regularly.It is prone to infection,skin injury,unplanned extubation and other adverse events,which cannot meet the clinical treatment effect and patient safety management.In order to overcome the above problems,the medical staff of the neurology intensive care unit of Henan Provincial People's Hospital designed a new type of tracheal cannula fixation belt to increase patient comfort and reduce complications,and obtained a National Utility Model Patent of China(ZL 202220855188.8).The main structure of the device includes a following shaped bending plate,a fastening belt,a locking pin,and a distance adjustment hole.The left and right sides of the shaped bending plate are equipped with fastening belts with breathable and anti-wear pads.The inner side of the left fastening belt is equipped with two sets of locking pins,and the outer surface of the right fastening belt and breathable and anti-wear pad is equipped with multiple sets of distance adjustment holes.Additionally,the back of the shaped bending plate is equipped with breathable buffer pads.The fastening belt can drive the following bending plate to stick tightly to the patient's neck.The operator installs the locking pin card into the distance adjustment hole according to the"one back"principle,and the fastening belts on both sides fix the device with the cooperation of the locking pin,greatly reducing the probability of excessive displacement of the tracheal tube during use,effectively improving the fixation effect of the device,strengthening the adaptability of the device to different personnel,and thus enhancing the practicality of the device.The new type of tracheal cannula fixation band is convenient,safe and efficient,which can increase patient comfort,reduce complications.It has certain clinical value and is suitable fo

关 键 词：气管套管固定带 人工气道 护理 并发症 

分 类 号：R472[医药卫生—护理学]