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一种俯卧位通气用头部支撑架的设计与应用

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急性呼吸窘迫综合征及重症肺炎等引起的呼吸衰竭是重症医学科常见病,近年来,随着对治疗手段的不断更新,发现俯卧位通气在这类疾病中具有良好的治疗效果,现已广泛应用于临床.但俯卧位通气大大增加了医护人员的工作量及患者气管插管意外脱管、压力性损伤等的发生风险,严重影响了患者的诊疗安全.目前针对俯卧位通气,已有多种床垫等装置投入使用,但针对保护及固定头面部的装置甚少,为此,遵义医科大学附属医院医务人员设计并研发了一种俯卧位通气用头部支撑架,并获得了国家实用新型专利(专利号:ZL 2018 2 0056891.6).俯卧位通气用头部支撑架包括可移动底盘和滚轮,方便移动及固定;可收缩柱一垂直固定在可移动底盘上,根据患者位置可自由调节高度;横桥固定在可收缩柱一顶部,横桥两端设计有凸起,并将可旋转环固定在横桥上方,使可旋转环可沿横桥进行一定角度的转动;在可旋转环上方设计有充气囊,可提高患者舒适度,减少面部压力性损伤;在可旋转环上设计有内圈和可通过管道的进出口;在可收缩柱一上部垂直设计有滑杆,其远端有可收缩柱二,将可收缩柱二与可旋转环相连接,使可旋转环随可收缩柱二收缩沿横桥调整角度;在滑杆中间设置可收缩柱三,在其远端设置导管夹,便于固定人工气道及机械通气管路.该支撑架实用、方便,能保护患者俯卧位时头部安全,并大大减少医护人员的工作量.
Design and application of a head support frame for prone position ventilation
Respiratory failure caused by acute respiratory distress syndrome and severe pneumonia is common diseases in intensive care medicine.In recent years,with the continuous updating of treatment methods,prone position ventilation has been found to have a good therapeutic effect on such diseases,and has been widely used in clinical practice.However,prone position ventilation significantly increases the workload of medical staff and the risk of accidental extubation and pressure injuries to patients,seriously affecting the safety of diagnosis and treatment.At present,various devices such as mattresses have been used for prone position ventilation,but there are few devices specifically designed to protect and fix the head and face.Therefore,the medical staff of Affiliated Hospital of Zunyi Medical University designed and developed a head support frame for prone position ventilation,and obtained a National Utility Model Patent of China(patent number:ZL 2018 2 0056891.6).The head support frame for prone position ventilation includes a movable chassis and rollers for easy movement and fixation.The retractable column 1 is vertically fixed on the movable chassis,and its height can be freely adjusted according to the position of the patient.A transverse bridge is fixed at the top of the retractable column 1,the two ends of the bridge are designed a bulge,and the rotating ring is fixed above the transverse bridge,so that the rotating ring can rotate along the bridge at a certain angle.The rotating ring is designed with an inner ring and an inlet and outlet which can pass through the tube is designed on the rotating ring.The inflatable air bag is designed above the rotating ring to improve the comfort of patients and reduce the pressure injury of facial skin.A sliding rod is vertically designed on the upper part of the retractable column 1,and there is a retractable column 2 at the distal end of the slide rod,and the retractable column 2 is connected with the rotating ring,so that the rotating ring adjusts the angle along the cross bridge with the contraction of the collapsible column 2.A retractable column 3 is arranged in the middle of the slide rod,and a catheter clamp is arranged at its far end to facilitate the fixation of the artificial airway and the mechanical ventilation tube.The support frame is practical and convenient,which can protect the patient's head safely in the prone position,and greatly reduce the workload of medical staff.

Prone position ventilationHead support frameDesignApply

王勇、吴瑾、李晓娟、陈淼

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遵义医科大学附属医院重症医学科,贵州遵义 563000

遵义医科大学附属口腔医院口腔颌面外科,贵州遵义 563000

俯卧位通气 头部支撑架 设计 应用

国家实用新型专利

ZL 2018 2 0056891.6

2024

中华危重病急救医学
中华医学会

中华危重病急救医学

CSTPCD北大核心
影响因子:3.049
ISSN:2095-4352
年,卷(期):2024.36(8)