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一种自制气管插管固定带的设计和应用OA

Design and application of a tracheal intubation fixing belt

中文摘要英文摘要

气管插管是抢救呼吸衰竭与呼吸道梗阻患者的重要措施,气管插管后的固定方法是预防非计划拔管的关键.若固定不牢,可导致气管插管稳定性下降、移位甚至脱出.反复气管插管易造成患者咽喉部水肿、口腔黏膜破损,增加插管难度,贻误抢救时间甚至危及生命.现有的气管插管患者多有不舒适,易发生过敏;3M 胶布提前取材裁剪,使用时稍不注意就会发生粘连,导致材料浪费,需重新准备.市场上现有的气管插管固定器多因材质偏硬影响患者舒适度.为解决上述问题,河北医科大学附属哈励逊国际和平医院医护人员联合张家口学院护理学院师生研制了一种新型气管插管固定带,并获得了国家实用新型专利(专利号:ZL 2018 20508681.6).该装置由主体结构、内部调节导轨模块及固定带构成,内衬海绵体可有效吸附口周分泌物,降低对皮肤潮湿刺激.固定带设有卡槽与铰链结构,能稳固固定导管,在提高患者安全性与舒适度的同时,能降低气管插管不良事件的发生风险,有良好的推广价值.

As a critical measure for rescuing patients with respiratory failure and airway obstruction,endotracheal intubation requires proper fixation after insertion to prevent unplanned extubation.If the fixation is not secure,it can lead to reduced stability of the endotracheal tube,displacement,or even accidental removal.Repeated intubation can cause swelling of the throat and damage to the oral mucosa,increasing the difficulty of intubation,delaying rescue time,and even threatening life.Currently,many intubated patients experience discomfort and are prone to allergic reactions;3M adhesive tape requires pre-cutting,and slight carelessness during use can cause sticking,resulting in material waste and the need for re-preparation.Most existing endotracheal tube fixators on the market are too rigid,affecting patient comfort.To address this clinical challenge,Medical staff at Harrison International Peace Hospital Affiliated to Hebei Medical University,in collaboration with faculty and students from School of Nursing,Zhangjiakou University,have developed a novel endotracheal tube fixation strap and obtained a national utility model patent(patent number:ZL 2018 20508681.6).This device consists of a main structure,an internal adjustment rail module,and a fixation strap.Its inner sponge lining effectively absorbs perioral secretions,reducing skin irritation from moisture.The fixation strap features slots and hinge structures,which can securely hold the tube,improving patient safety and comfort while reducing the risk of adverse intubation events,making it highly valuable for broader application.

吕金凤;陈晓洁;姚新宇;梅议坤

张家口学院护理学院,河北 张家口 075000河北医科大学附属哈励逊国际和平医院社区综合门诊部,河北 衡水 053000河北省人民医院康复医学科,河北 石家庄 050000河北医科大学,河北 石家庄 050000

气管插管固定呼吸衰竭设计应用

Tracheal intubation fixationTespiratory failureDesignApply

《中国中西医结合急救杂志》 2026 (1)

114-116,3

国家实用新型专利(ZL 2018 20508681.6)河北省医学科学研究课题计划项目(20241412) National Utility Model Patent of China(ZL 2018 20508681.6)Hebei Medical Science Research Project(20241412)

10.3969/j.issn.1008-9691.2026.01.020

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