一种俯卧位通气可调式面部支撑垫的设计和应用  

Design and application of an adjustable facial support pad for prone position ventilation

作　　者：张志敏[1] 陈晓洁 姚新宇 李彬 王亚芳 张琳 Zhang Zhimin;Chen Xiaojie;Yao Xinyu;Li Bin;Wang Yafang;Zhang Lin(Department of Critical Care Medicine,the Second People's Hospital of Hengshui,Hengshui 053000,Hebei,China;Department of Nursing,Harrison International Peace Hospital Affiliated to Hebei Medical University,Hengshui 053000,Hebei,China;Major of Rehabilitation Therapy,Zhangjiakou University,Zhangjiakou 075000,Hebei,China;Department of Critical Care Medicine,Harrison International Peace Hospital Affiliated to Hebei Medical University,Hengshui 053000,Hebei,China)

机构地区：[1]衡水市第二人民医院重症医学科,河北衡水053000 [2]河北医科大学附属哈励逊国际和平医院护理部,河北衡水053000 [3]张家口学院康复治疗专业,河北张家口075000 [4]河北医科大学附属哈励逊国际和平医院重症医学科,河北衡水053000

出　　处：《中华危重病急救医学》2025年第1期70-72,共3页Chinese Critical Care Medicine

基　　金：国家实用新型专利(ZL 202223295294.4);河北省医学科学研究课题计划项目(20241412)。

摘　　要：近年来,俯卧位机械通气在改善危重症患者氧合功能障碍中的临床应用非常广泛。俯卧位机械通气时,患者的面部受压时间较长,在俯卧位通气过程中较难变换体位,以面部压力性损伤及眼部并发症较多且严重,一旦发生会增加患者痛苦,导致患者对俯卧位通气的耐受性和依从性均下降,甚至造成气管导管移位脱出,给临床俯卧位通气带来很大困扰。为改变这种现状,衡水市第二人民医院重症医学科联合哈励逊国际和平医院重症医学科的医护人员研制了一种俯卧位通气可调式面部支撑垫,并获得了国家实用新型专利(专利号:ZL 202223295294.4)。该装置由面部支撑平台、支撑伸缩脚架等结构组成。支撑平台下方设有可前后左右调节的轨道,能够调节成适合患者脸型的最佳状态,从而缓解因患者脸型不同造成的面部及眼部挤压情况,提高了患者的舒适度,降低了患者面部压力性损伤及眼部并发症的发生率;支撑伸缩脚架能够调节平台高度,下方设有挂钩组件,可对呼吸机管路进行卡箍固定,以防止呼吸机管路因冷凝水重力作用牵拉气管导管,导致气管导管移位甚至脱出,从而减少气管导管不良事件的发生,值得在临床推广。In recent years,prone mechanical ventilation has been widely used to improve oxygenation dysfunction in critically ill patients.During prone mechanical ventilation,the patient's face is compressed for a long time,and due to the difficulty in changing,facial pressure injuries and ocular complications are common and severe.These complications increase patient discomfort,reduce their tolerance and compliance with prone ventilation,and even cause tracheal tube displacement or dislodgement,leading to significant clinical challenges.In order to change this situation,the medical staff of the department of critical care medicine of the Second People's Hospital of Hengshui and the department of critical care medicine of Harrison International Peace Hospital had developed an adjustable facial support pad for prone ventilation,and obtained a National Utility Model Patent of China(ZL 202223295294.4).The device is composed of a facial support platform,a supporting telescopic foot frame and so on.There are front,back,left and right adjustable tracks below the support cushion platform,which can be adjusted to the best state suitable for the patient's face shape,which can alleviate the facial pressure injuries and ocular complications caused by the different sizes of each patient's face,improve the patient's comfort,and reduce the incidence of facial pressure injury and the occurrence of ocular complications of the patient.The height of the platform is adjusted by the telescopic feet,and there is a hook assembly below,which can be fixed by the clamp of the ventilator tubing,so as to prevent the ventilator tubing from pulling the endotracheal intubation due to the gravity of condensation,resulting in the displacement or even prolapse of the tracheal intubation,and reducing the occurrence of adverse events of tracheal intubation.It is worth promoting in the clinic.

关 键 词：面部支撑垫 俯卧位机械通气 应用 

分 类 号：R47[医药卫生—护理学]