俯卧位托臂头架的研制
|
摘要
目的为解决临床安置俯卧位时现用支撑设备难以方便地同时承托头部、手臂的缺陷,满足临床和应急情况下一线医疗救治机构使用的俯卧位托架。方法设计一种新型的能同时承托头部、手臂的托架,由头部托架、手臂托架、基座、底座组成。头部托架可调节适用于不同体型、体重患者与面部舒适吻合,减少局部受压。手臂托架包括上层的托手板和下层支架;托手板由两段组成,满足对前臂、上臂不同角度、位置的安置,支架则扩大托手板安置的范围。结果提供一种能同时承托头部、手臂,且使用方便的体位设备。结论该托架安全稳固,暴露充分,操作简便,能与现用各类手术床配套,适用于各级医疗机构,更为公共突发事件或一线救治成批患者紧急手术处理时提供实用的体位设备。
Objective To solve the problem that current clinical equipment could not easily support both head and arms at the same time in setting up prone position, and to satisfy the usage by clinics and first-aid institutions under emergency. Methods The framework consisted of the head support, the arm support, the base, and the stand. The head support could be adjusted for patients of diverse sizes and weights, and it fit the face comfortably to reduce local pressure. The arm support included the arm bracer at the top and the stand at the bottom. The arm bracer had two components to fulfill different configurations of the forearm and the upper arm in various angles and positions, while the stand extended the placement range of the arm bracer. Results The authors provided a convenient body position equipment that simultaneously supported both head and arms. Conclusion The framework is safe and stable, adequately exposed, easy to operate, and is suitable for each level of medical agencies, even in urgent surgeries in the event of public emergencies or massive front-line treatments.
Objective To solve the problem that current clinical equipment could not easily support both head and arms at the same time in setting up prone position, and to satisfy the usage by clinics and first-aid institutions under emergency. Methods The framework consisted of the head support, the arm support, the base, and the stand. The head support could be adjusted for patients of diverse sizes and weights, and it fit the face comfortably to reduce local pressure. The arm support included the arm bracer at the top and the stand at the bottom. The arm bracer had two components to fulfill different configurations of the forearm and the upper arm in various angles and positions, while the stand extended the placement range of the arm bracer. Results The authors provided a convenient body position equipment that simultaneously supported both head and arms. Conclusion The framework is safe and stable, adequately exposed, easy to operate, and is suitable for each level of medical agencies, even in urgent surgeries in the event of public emergencies or massive front-line treatments.
引文
[1]郭莉,钱倩健,陈肖敏,等.手术室护理实践指南[M].北京:人民卫生出版社,2017:42-65.
[2]王文君.两种体位安置方法在俯卧位脊柱手术中的应用[J].护理实践与研究,2013,10(22):l14-l15.
[3]陶静娟.脊柱外科后路手术中俯卧位的护理[J].中国临床护理,2012,4(3):241-243.
[4]陈大军,夏菱,余琦,等.一种能承托手臂的俯卧位头架:中国,201621464585.3[P].2016.12.29.
[5]薛亮,田黎明.合理的手术体位安置在手术安全管理中的作用[J].探讨医学信息,2015,28(4):302-303.
[6]夏菱,刘珍春,黄怡之.战伤救治肢体托架的研制及应用[J].医疗卫生装备,2017,38(10):30-32.
[7]叶菊花,鲁燕飞.滚动法轴线翻身安置俯卧位法在俯卧位脊柱手术体位护理中的应用[J].实用临床医药杂志,2016,20(12):95-97.
[8]李秀文,王莉梅,林美芳,等.不同俯卧位安置法在脊柱外科手术中的应用[J].上海护理,2015,15(6):8-10.
[9]吕科琼,许瑛,孙红华,等.可调节式俯卧位头架:中国,201620111595.2[P].2016.
[10]王灵英.一种可调式俯卧位头架:中国,201620075558.0[P].2016.
[11]庄敏.俯卧位头架:中国,201420558843.9[P].2015.
[12]段虎成,李燕如.一种俯卧位头架:中国,201420215228.8[P].2014.
[13]谢小玲,祝妍华,黄小珊.移动式俯卧位头架:中国,201320842129.8[P].2014.
[14]方素娟,李亮锐,游建帆.腰椎手术头颈部中立功能位与偏向一侧体位安置比较[J].实用医志,2016,32(22):3788-3789.
[15]张石红,戴红霞,毛晓萍,等.围术期患者舒适护理的管理[J].护理学杂志,2005,20(8):53-55.
[16]Emery SE,Daffner SD,France JC,et al.Effect of head position on intraocular pressure during lumbar spine fusion[J].J Bone Joint Surg Am,2015,97(22):18-23.
[17]鲁琳.不同俯卧位摆放方法在脊柱手术中的比较研究[J].护士进修杂志,2014,29(22):2099-2100.
[18]钱玉秀,何金爱.手术中发生急性Ⅱ期压疮8例原因分析与护理体会[J].广东医学,2012,33(3):436-437.
[19]许翠龙.老年卧床患者压疮的综合护理[J].中国实用护理杂志,2011,27(27):13-14.
[20]Shriver MF,Zeer V,Alentado VJ,et al.Lumbar spine surgery positioning complications:a systematic review[J].Neuros Focus,2015,39(4):E16.
[2]王文君.两种体位安置方法在俯卧位脊柱手术中的应用[J].护理实践与研究,2013,10(22):l14-l15.
[3]陶静娟.脊柱外科后路手术中俯卧位的护理[J].中国临床护理,2012,4(3):241-243.
[4]陈大军,夏菱,余琦,等.一种能承托手臂的俯卧位头架:中国,201621464585.3[P].2016.12.29.
[5]薛亮,田黎明.合理的手术体位安置在手术安全管理中的作用[J].探讨医学信息,2015,28(4):302-303.
[6]夏菱,刘珍春,黄怡之.战伤救治肢体托架的研制及应用[J].医疗卫生装备,2017,38(10):30-32.
[7]叶菊花,鲁燕飞.滚动法轴线翻身安置俯卧位法在俯卧位脊柱手术体位护理中的应用[J].实用临床医药杂志,2016,20(12):95-97.
[8]李秀文,王莉梅,林美芳,等.不同俯卧位安置法在脊柱外科手术中的应用[J].上海护理,2015,15(6):8-10.
[9]吕科琼,许瑛,孙红华,等.可调节式俯卧位头架:中国,201620111595.2[P].2016.
[10]王灵英.一种可调式俯卧位头架:中国,201620075558.0[P].2016.
[11]庄敏.俯卧位头架:中国,201420558843.9[P].2015.
[12]段虎成,李燕如.一种俯卧位头架:中国,201420215228.8[P].2014.
[13]谢小玲,祝妍华,黄小珊.移动式俯卧位头架:中国,201320842129.8[P].2014.
[14]方素娟,李亮锐,游建帆.腰椎手术头颈部中立功能位与偏向一侧体位安置比较[J].实用医志,2016,32(22):3788-3789.
[15]张石红,戴红霞,毛晓萍,等.围术期患者舒适护理的管理[J].护理学杂志,2005,20(8):53-55.
[16]Emery SE,Daffner SD,France JC,et al.Effect of head position on intraocular pressure during lumbar spine fusion[J].J Bone Joint Surg Am,2015,97(22):18-23.
[17]鲁琳.不同俯卧位摆放方法在脊柱手术中的比较研究[J].护士进修杂志,2014,29(22):2099-2100.
[18]钱玉秀,何金爱.手术中发生急性Ⅱ期压疮8例原因分析与护理体会[J].广东医学,2012,33(3):436-437.
[19]许翠龙.老年卧床患者压疮的综合护理[J].中国实用护理杂志,2011,27(27):13-14.
[20]Shriver MF,Zeer V,Alentado VJ,et al.Lumbar spine surgery positioning complications:a systematic review[J].Neuros Focus,2015,39(4):E16.