医用悬浮床在烧伤治疗中的应用及发展展望
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摘要
介绍了医用悬浮床在国内外的发展历程以及当前市场的产品现状,详细阐述了其在大面积烧伤患者临床治疗中起到的积极作用,并论述了可能由此产生的负面伤害、并发症与不良反应。分析了医用悬浮床的未来发展方向,指出了只有对现有的医用悬浮床进行设计改进或使用替代产品,才能将其可能对患者的潜在危害进一步降低。
Medical air-fluidized bed had its history and present situation in foreign countries and China introduced at first,and its application, possible complications and adverse events were described in detail when used for clinical treatment of extensive burn patients. The future development of medical air-fluidized bed was analyzed, and it's suggested that the bed be improved or replaced to decrease the hidden risks to the patient.
Medical air-fluidized bed had its history and present situation in foreign countries and China introduced at first,and its application, possible complications and adverse events were described in detail when used for clinical treatment of extensive burn patients. The future development of medical air-fluidized bed was analyzed, and it's suggested that the bed be improved or replaced to decrease the hidden risks to the patient.
引文
[1]陈平,蔡显晟.CLINITRONⅡ气动悬浮烧伤治疗床原理及故障检修[J].医疗卫生装备,2009,30(2):124.
[2]曾召利,屈学民,龙开平,等.烧伤深度诊断技术的研究进展[J].医疗卫生装备,2009,30(5):32-33.
[3]刁永力,陈濛,王书军.悬浮床在大面积烧伤患者救治中的应用价值[J].东南大学学报(医学版),2012,31(6):708-710.
[4]HARGEST T S,ARTZ C P.A new concept in patient care:the air-fluidized bed[J].AORN J,1969,10(3):50-53.
[5]HARVIN J S,HARGEST T S.The air-fluidized bed:a new concept in the treatment of decubitus ulcers[J].Nurs Clin North Am,1970,5(1):181-187.
[6]NEWSOME T W,JOHNS L A,PRUITT B A.Use of an airfluidized bed in the care of patients with extensive burns[J].Am J Surg,1972,124(1):52.
[7]LIEBERMAN A D,HARGEST T S.A ten year case history of air fluidized support[J].JSC Med Assoc,1980,76(6):283-284.
[8]VANGILDER C,LACHENBRUCH C A.Air-fluidized therapy:physical properties and clinical uses[J].Ann Plas Surg,2010,65(3):364-370.
[9]吴向晶,任海玲.悬浮床的应用及其对创面蒸发量的影响[J].人民军医,1988(5):51-52.
[10]解伟光,姜会庆,胡心宝,等.悬浮床治疗大面积烧伤的临床研究[J].医学研究生学报,2008,21(3):331-332.
[11]曹颜丽,王新玲,杨希平,等.大面积烧伤患者悬浮床的应用及护理[J].实用护理学杂志,2010,20(5):57-58.
[12]黄书润,王浩,刘江涛,等.悬浮床在治疗成批烧伤复合伤中的应用[J].中华损伤与修复杂志,2013,8(3):36-38.
[13]张明旭.医用悬浮床质量控制研究[J].中国医疗设备,2017,32(7):38-40.
[14]SHARBAUGH R J,HARGEST T S,WRIGHT F A.Further studies on the bactericidal effect of the air-fluidized bed[J].Am Surgeon,1973,39(5):253-256.
[15]潘丽沁,张涛,李叶扬,等.烧伤重症监护病房悬浮床床单细菌量调查[J].中华医院感染学杂志,2008,18(9):1 282-1 283.
[16]张亮,郭金龙,高涛,等.Meek植皮术联合悬浮床治疗大面积烧伤的临床研究[J].青岛医药卫生,2015,47(3):161-163.
[17]ASTROZHNIKOVA S P,BULETOVA A,VASILJEVA L A.Management of extensive burns in children[J].Acta Chir Plast,1990,32(4):205-209.
[18]唐贯文,利金彩,周取英,等.悬浮床不同温度对烧伤患儿创面愈合的影响[J].护理学杂志,2009,24(14):4-5.
[19]STILL J M,WILSON J,RINKER C,et al.A retrospective study to determine the incidence of pressure ulcers in burn patients using a low air loss pressure relieving mattress[J].Burns,2003,29(4):363-365.
[20]TIMSIT J F,MION G,GULLUCHE L Y,et al.Severe hypothermia occurring during the course of toxic epidermal necrolysis in patients treated with air-fluidized beds[J].Arch Dermatol,1991,27(5):739-740.
[21]SCHEIDT A,DRUSIN L M.Bacteriologic contamination in an air-fluidized bed[J].J Trauma,1983,23(3):241-242.
[22]潘文东,陈永新,吴婷,等.大面积烧伤后应用悬浮床治疗出现不适三例[J].中华烧伤杂志,2010,26(2):132.
[23]周莉萍,张文浩,储海函,等.流体式悬浮床沙粒诱发烫伤患者支气管哮喘一例[J].中华烧伤杂志,2010,26(3):303.
[24]THEFENNE L,DE BRIER G,LECLERC T,et al.Two new risk factors for heterotopic ossification development after severe burns[J].PLo S One,2017,12(8):e0182303.
[25]PELTIER G L,POPPE S R,TWOMEY J A.Controlled air suspension:an advantage in burn care[J].J Burn Care Rehabil,1987,8(6):558-560.
[26]张明旭,江满发,许海树.基于变频控制的医用悬浮床改造设计[J].中国医疗设备,2017,32(3):35-38.
[27]林虹,张明旭.医用悬浮床臭氧消毒装置设计[J].中国医疗设备,2017,32(10):44-47.
[28]张明旭.分体式医用悬浮床设计[J].中国医疗设备,2017,32(9):44-48.
[29]周树仁,彭幼林,王建莉,等.烧伤病房空气消毒洁净度的质量控制[J].医疗卫生装备,2011,32(9):111-112.
[2]曾召利,屈学民,龙开平,等.烧伤深度诊断技术的研究进展[J].医疗卫生装备,2009,30(5):32-33.
[3]刁永力,陈濛,王书军.悬浮床在大面积烧伤患者救治中的应用价值[J].东南大学学报(医学版),2012,31(6):708-710.
[4]HARGEST T S,ARTZ C P.A new concept in patient care:the air-fluidized bed[J].AORN J,1969,10(3):50-53.
[5]HARVIN J S,HARGEST T S.The air-fluidized bed:a new concept in the treatment of decubitus ulcers[J].Nurs Clin North Am,1970,5(1):181-187.
[6]NEWSOME T W,JOHNS L A,PRUITT B A.Use of an airfluidized bed in the care of patients with extensive burns[J].Am J Surg,1972,124(1):52.
[7]LIEBERMAN A D,HARGEST T S.A ten year case history of air fluidized support[J].JSC Med Assoc,1980,76(6):283-284.
[8]VANGILDER C,LACHENBRUCH C A.Air-fluidized therapy:physical properties and clinical uses[J].Ann Plas Surg,2010,65(3):364-370.
[9]吴向晶,任海玲.悬浮床的应用及其对创面蒸发量的影响[J].人民军医,1988(5):51-52.
[10]解伟光,姜会庆,胡心宝,等.悬浮床治疗大面积烧伤的临床研究[J].医学研究生学报,2008,21(3):331-332.
[11]曹颜丽,王新玲,杨希平,等.大面积烧伤患者悬浮床的应用及护理[J].实用护理学杂志,2010,20(5):57-58.
[12]黄书润,王浩,刘江涛,等.悬浮床在治疗成批烧伤复合伤中的应用[J].中华损伤与修复杂志,2013,8(3):36-38.
[13]张明旭.医用悬浮床质量控制研究[J].中国医疗设备,2017,32(7):38-40.
[14]SHARBAUGH R J,HARGEST T S,WRIGHT F A.Further studies on the bactericidal effect of the air-fluidized bed[J].Am Surgeon,1973,39(5):253-256.
[15]潘丽沁,张涛,李叶扬,等.烧伤重症监护病房悬浮床床单细菌量调查[J].中华医院感染学杂志,2008,18(9):1 282-1 283.
[16]张亮,郭金龙,高涛,等.Meek植皮术联合悬浮床治疗大面积烧伤的临床研究[J].青岛医药卫生,2015,47(3):161-163.
[17]ASTROZHNIKOVA S P,BULETOVA A,VASILJEVA L A.Management of extensive burns in children[J].Acta Chir Plast,1990,32(4):205-209.
[18]唐贯文,利金彩,周取英,等.悬浮床不同温度对烧伤患儿创面愈合的影响[J].护理学杂志,2009,24(14):4-5.
[19]STILL J M,WILSON J,RINKER C,et al.A retrospective study to determine the incidence of pressure ulcers in burn patients using a low air loss pressure relieving mattress[J].Burns,2003,29(4):363-365.
[20]TIMSIT J F,MION G,GULLUCHE L Y,et al.Severe hypothermia occurring during the course of toxic epidermal necrolysis in patients treated with air-fluidized beds[J].Arch Dermatol,1991,27(5):739-740.
[21]SCHEIDT A,DRUSIN L M.Bacteriologic contamination in an air-fluidized bed[J].J Trauma,1983,23(3):241-242.
[22]潘文东,陈永新,吴婷,等.大面积烧伤后应用悬浮床治疗出现不适三例[J].中华烧伤杂志,2010,26(2):132.
[23]周莉萍,张文浩,储海函,等.流体式悬浮床沙粒诱发烫伤患者支气管哮喘一例[J].中华烧伤杂志,2010,26(3):303.
[24]THEFENNE L,DE BRIER G,LECLERC T,et al.Two new risk factors for heterotopic ossification development after severe burns[J].PLo S One,2017,12(8):e0182303.
[25]PELTIER G L,POPPE S R,TWOMEY J A.Controlled air suspension:an advantage in burn care[J].J Burn Care Rehabil,1987,8(6):558-560.
[26]张明旭,江满发,许海树.基于变频控制的医用悬浮床改造设计[J].中国医疗设备,2017,32(3):35-38.
[27]林虹,张明旭.医用悬浮床臭氧消毒装置设计[J].中国医疗设备,2017,32(10):44-47.
[28]张明旭.分体式医用悬浮床设计[J].中国医疗设备,2017,32(9):44-48.
[29]周树仁,彭幼林,王建莉,等.烧伤病房空气消毒洁净度的质量控制[J].医疗卫生装备,2011,32(9):111-112.