一种俯卧位通气患者护理套装枕的设计与应用  

Design and application of a prone position ventilation patient care pillow set

作　　者：李晓青[1,2] 陈管洁 翟怀香[3] 顾德玉 徐翠荣[2] Li Xiaoqing;Chen Guanjie;Zhai Huaixiang;Gu Deyu;Xu Cuirong(Department of Critical Care Medicine,Zhongda Hospital,Southeast University,Nanjing 210009,Jiangsu,China;Department of Nursing,Zhongda Hospital,Southeast University,Nanjing 210009,Jiangsu,China;Department of Critical Care Medicine,the First People's Hospital of Lianyungang,Lianyungang 222001,Jiangsu,China)

机构地区：[1]东南大学附属中大医院重症医学科,江苏南京210009 [2]东南大学附属中大医院护理部,江苏南京210009 [3]连云港市第一人民医院重症医学科,江苏连云港222001

出　　处：《中国中西医结合急救杂志》2024年第6期743-745,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家实用新型专利(ZL 202221128961.7);江苏省卫生健康委医学科研重点项目(ZD2022057);东南大学附属中大医院江苏省高水平医院结对帮扶建设经费资助项目(zdlyg27);江苏省南京市卫生科技发展专项资金项目(YKK22273)。

摘　　要：俯卧位通气(PPV)是一种在急性呼吸窘迫综合征(ARDS)患者中广泛应用的肺保护性通气策略,通过改变患者的体位来改善肺部的通气和氧合功能。但在进行PPV治疗期间,患者可能会面临多种并发症和风险,如压力性损伤、臂丛神经受损、角膜损伤以及非计划性拔管等,加剧患者的痛苦,增加医疗费用,影响疾病预后。为此,东南大学附属中大医院医护人员联合设计了一种PPV患者护理套装枕,并获得了国家实用新型专利(专利号:ZL 202221128961.7)。该PPV患者护理套装枕由头部垫、胸部垫、髋部垫和下肢垫组成,其表面设有凝胶,可降低摩擦力和剪切力;在头部垫中部、胸部垫上方两侧、胸部垫中部、髋部垫中部和下肢垫上均设有凹槽,可有效避免相应部位受压,减少压力性损伤的风险;且头部垫、髋部垫和下肢垫下方两侧均设有气囊,可单侧或两侧同时充气,用于偏转或抬高身体;此外,在头部垫外侧设有管路限位槽,可有效固定气管插管,减少管道移位和非计划性拔管的风险。本PPV患者护理套装枕整体构造符合人体力学角度,通用性强,能提高患者PPV治疗的舒适度、安全性及有效性,减轻医护人员的工作负担,具有良好的应用价值。Prone position ventilation(PPV)is a lung protective ventilation strategy widely used in patients with acute respiratory distress syndrome(ARDS)to improve ventilation and oxygenation of the lungs by changing the patient's position.During PPV treatment,patients may face a variety of complications and risks,such as pressure injury,brachial plexus injury,corneal injury and unplanned extubation,which aggravate the patient's pain,increase medical costs and affect the prognosis of the disease.To this end,medical staff at Zhongda Hospital Southeast University jointly designed a PPV patient care kit pillow and obtained a National Utility Model Patent of China(patent number:ZL 202221128961.7).The PPV patient care kit pillow is composed of head pad,chest pad,hip pad and lower limb pad,with gel on its surface,which can reduce friction force and shear force;grooves are set on the middle of head pad,two sides above chest pad,middle of chest pad,middle of hip pad and lower limb pad,which can effectively avoid compression of corresponding parts and reduce the risk of pressure injury;and air bags are set on both sides below head pad,hip pad and lower limb pad,which can be inflated unilaterally or bilaterally at the same time and used for deflecting or elevating the body;in addition,a tube limiting groove is set on the outside of head pad,which can effectively fix the tracheal tube and reduce the risk of tube displacement and unplanned extubation.The overall structure of the pillow of this PPV patient care kit conforms to the angle of human mechanics and has strong versatility,which can improve the comfort,safety and effectiveness of PPV therapy for patients and reduce the work burden of medical staff,and has good application value.

关 键 词：俯卧位 套装枕 设计 专利 

分 类 号：R197.39[医药卫生—卫生事业管理] R47[医药卫生—公共卫生与预防医学]