CN114534066A

CN114534066A - External fixing nursing device for percutaneous gastrostomy tube body

Info

Publication number: CN114534066A
Application number: CN202210253694.4A
Authority: CN
Inventors: 卢颖; 唐莺莺; 晏锦胜; 毛燕青; 王翎; 付婷
Original assignee: Suzhou Dushuhu Hospital Dushuhu Hospital Affiliated To Suzhou University
Current assignee: Suzhou Dushuhu Hospital Dushuhu Hospital Affiliated To Suzhou University
Priority date: 2022-03-15
Filing date: 2022-03-15
Publication date: 2022-05-27

Abstract

The invention relates to the technical field of medical care, in particular to an external fixation nursing device for a percutaneous gastrostomy tube body. The fixing plate is made of transparent materials, and the fistulization opening condition can be visually seen through the transparent circular fixing plate, so that medical workers can conveniently observe the fistulization opening condition at any time, and the fistulization opening is prevented from being diseased; the fixed plate is firmly arranged in the foam dressing layer, so that the leakage of the fistulization opening caused by the movement of the catheter is prevented, the later maintenance work is reduced, and the use effect is improved; the PU film is arranged on the surface of the foam dressing layer, so that the contact of an external source can be reduced, and the infection is avoided; the used foam dressing layer is soft in texture, is attached to the skin, can change along with the change of the shape of the skin when in use, and improves the comfort level of a user.

Description

External fixing nursing device for percutaneous gastrostomy tube body

Technical Field

The invention relates to the technical field of medical care, in particular to an external fixing and nursing device for a percutaneous gastrostomy tube body.

Background

Currently, percutaneous gastrostomy (PEG) is often used clinically to maintain or improve nutritional support in patients with eating difficulties due to various causes but with normal gastrointestinal digestive function. The operation has the characteristics of simple and safe operation, long retention time of the fistulization tube, low price, few complications and the like; the catheter is convenient to clean and easy to care at home, and is more comfortable and beautiful compared with a nasogastric tube, and medical instruments required by a gastric fistulization operation generally comprise a gastric fistula catheter, a holding sleeve (or a PS needle with a sheath) with a puncture needle and a stomach wall fixer according to operation steps. The whole process of the operation steps is as follows: it is accurate before the art, select abdominal wall point of puncture, disinfect, drape, local anesthesia, then use the fixed abdominal wall stomach wall of stomach wall fixer ligature, puncture with the PS needle of taking the sheath cover, extract the PS needle, insert the stomach fistula pipe along the sheath cover, expand the sacculus on the stomach fistula pipe, tear the sheath cover of T type again left and right sides and withdraw from, push down the fixed plate of establishing on the stomach fistula pipe at last and fix in order to accomplish keeping somewhere of stomach fistula pipe.

The skin external fixation of the existing gastric fistula catheter mostly adopts circular plate suture skin fixation, if the abdominal wall skin at the circumference of the gastric fistula is completely covered, the skin comfort around the stoma is affected, and the fistula seepage is difficult to treat. The comfort requirement is improved by a method of keeping the margin of about 0.5cm to 1cm between the fixing plate and the skin clinically, but the fixing effect of the gastric fistula catheter is poor, and the gastric fistula catheter is easy to fall off and slide. In the daily nursing process, a large amount of gauze dressings are often used to cover the stoma so as to fix the catheter, so that the peripheral condition of the stoma can not be observed in time, and the catheter is easy to fix and infect.

Disclosure of Invention

The invention aims to provide an external fixing nursing device for a percutaneous gastrostomy tube body, which aims to solve the problems in the background technology. In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a percutaneous gastrostomy body external fixation nursing device, includes the foam dressing layer, first opening has been seted up to the central point of foam dressing layer, the top one side laminating PU tectorial membrane one side of foam dressing layer, the second opening has been seted up to the central point of PU tectorial membrane, the laminating of bottom edge of foam dressing layer has the double faced adhesive tape, the embedded fixed plate of installing of first opening, the sleeve pipe has been cup jointed in the fixed plate, the pipe has been cup jointed in the sleeve pipe.

Preferably, a first pre-cut seam is arranged on the foam dressing layer, a second pre-cut seam is arranged on the PU film, the first pre-cut seam is of a fold line structure, the second pre-cut seam is of a linear structure, and the first pre-cut seam and the second pre-cut seam are arranged in a superposed mode.

Preferably, the first opening and the second opening have the same diameter, and the central axes of the first opening and the second opening in the vertical direction coincide with each other.

Preferably, the fixing plate is of an inverted T-shaped structure, and the fixing plate is located at the center of the first opening.

Specifically, the fixing plate is made of a transparent material.

Preferably, the bottom end of the sleeve is in the same plane as the bottom of the foam dressing layer.

Preferably, the PU covering film and the foam dressing layer are of similar structures, and the central axes of the PU covering film and the foam dressing layer in the vertical direction are superposed.

Preferably, the PU covering film is provided with an adhesive layer at one side close to the foam dressing layer.

Preferably, the use method of the external fixation nursing device for the percutaneous gastrostomy tube body comprises the following steps:

firstly, puncturing, namely inserting the lower end of a catheter into a fistula on the skin of a patient;

fixing, tearing off the protective film of the double-sided adhesive tape, and adhering the foam dressing layer to the skin of the patient through the double-sided adhesive tape;

and thirdly, laminating, namely tearing off the protective film of the adhesive layer, and bonding the PU laminated film on the foam dressing layer through the adhesive layer.

Compared with the prior art, the invention has the beneficial effects that:

the fixing plate is made of transparent materials, and the fistulization opening condition can be visually observed through the transparent circular fixing plate, so that medical workers can conveniently observe the fistulization opening condition at any time, and the fistulization opening is prevented from being diseased.

The fixing plate is firmly arranged in the foam dressing layer, so that the leakage of the fistulization opening caused by the movement of the catheter is prevented, the later maintenance work is reduced, and the use effect is improved.

According to the invention, the PU film is arranged on the surface of the foam dressing layer, so that the contact of an external source can be reduced, and the infection is avoided.

The foam dressing layer used by the invention is soft in texture, is attached to the skin, and can change along with the change of the shape of the skin when in use, so that the comfort of a user is improved.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a second schematic view of the overall structure of the present invention;

FIG. 3 is a schematic cross-sectional view of the present invention;

FIG. 4 is a schematic view of the connection structure of the fixing plate, the sleeve and the catheter of the present invention;

FIG. 5 is a schematic structural view of the PU covering film of the present invention bonded to the foam dressing layer.

In the figure: 1. a foam dressing layer; 2. a first opening; 3. coating a PU film; 301. an adhesive layer; 4. a second opening; 5. a fixing plate; 6. a sleeve; 7. a conduit; 8. double-sided adhesive tape; 9. first pre-trimming seams; 10. and (5) second pre-shearing seams.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.

Referring to fig. 1 to 5, the present invention provides a technical solution: the utility model provides a percutaneous gastrostomy body external fixation nursing device, first opening 2 has been seted up to the central position of foam dressing layer 1, and one side of laminating PU tectorial membrane 3 in top one side of foam dressing layer 1, second opening 4 has been seted up to the central position of PU tectorial membrane 3, and the laminating of bottom edge of foam dressing layer 1 has double faced adhesive tape 8, and the embedded fixed plate 5 of installing of first opening 2, has cup jointed sleeve pipe 6 in the fixed plate 5, has cup jointed pipe 7 in the sleeve pipe 6.

In this embodiment, the foam dressing layer 1 is provided with a first pre-cut seam 9, the PU film 3 is provided with a second pre-cut seam 10, the first pre-cut seam 9 is of a fold line structure, the second pre-cut seam 10 is of a linear structure, and the first pre-cut seam 9 and the second pre-cut seam 10 are arranged in a superposed manner.

In this embodiment, the first opening 2 and the second opening 4 have the same diameter, and the central axes of the first opening 2 and the second opening 4 in the vertical direction coincide with each other.

In this embodiment, the fixing plate 5 is an inverted T-shaped structure, and the fixing plate 5 is located at the center of the first opening 2.

Specifically, the fixing plate 5 is made of a transparent material.

In this embodiment, the bottom end of the sleeve 6 is in the same plane as the bottom of the foam dressing layer 1.

In this embodiment, the PU film 3 and the foam dressing layer 1 have similar structures, and the central axes of the PU film 3 and the foam dressing layer 1 in the vertical direction coincide with each other.

In this embodiment, the PU film 3 is provided with an adhesive layer 301 on one side close to the foam dressing layer 1.

The embodiment also discloses a using method of the external fixing nursing device for the percutaneous gastrostomy tube body, which comprises the following steps:

firstly, puncturing, namely inserting the lower end of a catheter 7 into a fistula on the skin of a patient;

fixing, tearing off the protective film of the double-sided adhesive tape 8, and adhering the foam dressing layer 1 to the skin of a patient through the double-sided adhesive tape 8;

and thirdly, laminating, namely tearing off the protective film of the adhesive layer 301, and adhering the PU laminating film 3 on the foam dressing layer 1 through the adhesive layer 301.

The use method and the advantages of the invention are as follows: when the external fixing nursing device for the percutaneous gastrostomy tube body is used, the working process is as follows:

as shown in fig. 1 to 5, the catheter 7 is inserted into the fistula, and after the protective film of the double-sided adhesive tape 8 is torn off, the foam dressing layer 1 is fixed on the skin of a patient through the double-sided adhesive tape 8, then the protective film of the adhesive layer 301 of the PU covering film 3 is torn off, the PU covering film 3 is adhered on the foam dressing layer 1, the PU covering film 3 is a nontoxic and harmless environment-friendly material, has no harm to the skin of the human body, can avoid external source contact and prevent infection, the fixing plate 5 is made of transparent material, medical workers can see the condition of the fistula through the fixing plate 5, thereby the condition of the fistula of the patient can be checked at any time, the lesion of the fistula is prevented, the foam dressing layer 1 has soft texture and can be attached to the skin, the patient is prevented from moving, due to the blocking effect of the foam dressing layer 1, a quick removal can be achieved by the precut seams 9 during the removal.

The foregoing shows and describes the general principles, essential features, and advantages of the invention. It should be understood by those skilled in the art that the present invention is not limited to the above-described embodiments, and the above-described embodiments and descriptions are only preferred examples of the present invention and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims

1. The utility model provides a percutaneous gastrostomy body external fixation nursing device, includes foam dressing layer (1), its characterized in that: first opening (2) have been seted up to the central point of foam dressing layer (1), one side of top one side laminating PU tectorial membrane (3) of foam dressing layer (1), second opening (4) have been seted up to the central point of PU tectorial membrane (3) position, the laminating of bottom edge of foam dressing layer (1) has double faced adhesive tape (8), embedded fixed plate (5) of installing of first opening (2), sleeve pipe (6) have been cup jointed in fixed plate (5), pipe (7) have been cup jointed in sleeve pipe (6).

2. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: the PU laminating film is characterized in that a first pre-shearing seam (9) is arranged on the foam dressing layer (1), a second pre-shearing seam (10) is arranged on the PU laminating film (3), the first pre-shearing seam (9) is of a fold line structure, the second pre-shearing seam (10) is of a linear structure, and the first pre-shearing seam (9) and the second pre-shearing seam (10) are arranged in a superposed mode.

3. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: the diameters of the first opening (2) and the second opening (4) are equal, and the central axes of the first opening (2) and the second opening (4) in the vertical direction coincide.

4. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: the fixing plate (5) is of an inverted T-shaped structure, and the fixing plate (5) is located in the center of the first opening (2).

5. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: the bottom end of the sleeve (6) and the bottom of the foam dressing layer (1) are positioned in the same plane.

6. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: the PU laminating film (3) and the foam dressing layer (1) are of similar structures, and the central axes of the PU laminating film (3) and the foam dressing layer (1) in the vertical direction are superposed.

7. The external fixation nursing device of percutaneous gastrostomy tube body of claim 1, characterized in that: an adhesive layer (301) is arranged on one side of the PU covering film (3) close to the foam dressing layer (1).

8. A method for using the external fixation nursing device of the percutaneous gastrostomy tube body according to any one of claims 1 to 7, which is characterized in that: the using method comprises the following steps:

firstly, puncturing, namely inserting the lower end of a catheter (7) into a fistula on the skin of a patient;

fixing, tearing off the protective film of the double-sided adhesive tape (8), and adhering the foam dressing layer (1) to the skin of a patient through the double-sided adhesive tape (8);

thirdly, laminating, namely tearing off the protective film of the adhesive layer (301), and adhering the PU laminating film (3) on the foam dressing layer (1) through the adhesive layer (301).