A kind of stomach tube fixture
Technical field
This utility model relates to a kind of medical care device, is specially a kind of device that is used for fixing stomach tube.
Background technology
Stomach tube is very general in clinical practice, and nasal feeding, gastrointestinal decompression etc. all need be carried out inserting stomach tube for the patient.Nasal feeding be primarily aimed at can not oral feeding the patient, pour into spoon meat from stomach tube, guarantee that patient takes in enough nutrition, moisture and medicine, in order to early recovery.Gastrointestinal decompression operation main purpose is the symptom due to releasing or the alleviation intestinal obstruction, carries out preceding preparation of art of gastrointestinal surgery, with gas and gastric content in minimizing flatulence or the postoperative sucking-off gastrointestinal, alleviates abdominal distention, the facilitating digestion functional rehabilitation.In the clinical nursing activity, preparation and intestinal obstruction, pancreatitis patient expectant treatment etc. all need indwelling gastric tube before the nutritional support of critical patient, the operation of surgery gastroenteropathy, and indwelling time is longer relatively.
Clinical stomach tube fixing means commonly used: (1) conventional immobilization with adhesive tape method that adopts, select for use adhesive plaster to be about 20 centimetres, conventional insert put pipe after, wipe the liquid paraffin of the nearly nose of stomach tube with gauze, get adhesive plaster outside nasal cavity stomach tube place, stomach tube place cross fixation in wing of nose both sides.In addition, clinical normal employing trident immobilization with adhesive tape method, " Y " molded breadth immobilization with adhesive tape method, 3M high strength surgical tape fixation, ventilatively be prone to tear immobilization with adhesive tape method, butterfly " stomach tube subsides " fixation etc.(2) in addition.Clinical non-immobilization with adhesive tape method comprises cotton fixation, cotton yarn tape fixation, tourniquet fixation, very little band fixation, lace cord fixation, bottle stopper fixation, Portuguese bowline fixation, disposal sputum collecting cannula fixation etc.
Clinical the most frequently used fixing means is the immobilization with adhesive tape method at present, and the shortcoming of this method comprises: deviate from easily (1).1. because adhesive plaster viscosity receives the influence of temperature humidity easily; Perspiration that temperature is too high or too low, the patient generates heat; Indwelling catheter time is long, and adhesive plaster and wing of nose contact surface are little, is easy to be dampened and factor such as get loose can cause adhesive plaster viscosity to descend; The upper limb of adhesive plaster is not easy to cling stomach tube and only clings stomach tube by lower edge, thereby not firm.2. put pipe back patient's respiratory secretions and increase that (particularly bronchia mucosal is stimulated by foreign body), patient's buccal portion perspire, smegma, cause immobilization with adhesive tape insecure, cause displacement even deviate from.3. between adhesive plaster and the skin slit is arranged, fixed effect is undesirable.4. stomach tube causes buccal side adhesive plaster in the bending of nose place and is prone to come off.(2) cause that the patient is uncomfortable, the influence that patients ' psychological is produced: 1. traditional method is fixed, and crooked about 90 ° at the nose place of stomach tubes make nasal cavity receive the side pressure of stomach tube to cause the nose discomfort, and the immobilization with adhesive tape of buccal portion influences the comfort level that the patient lies on one's side; Adhesive plaster influences patient's ventilation before being close to nasal cavity; 2. immobilization with adhesive tape makes the patient's face muscular tone uncomfortable in buccal portion.3. most of conscious patients, nose, buccal portion adhesive plaster, stomach tube etc. directly influence patient's mental change, often cause Body Image Disturbance.4. the adhesive plaster that uses of conventional fixed method has the individual patient can be irritated, causes and redness, blister etc. appear in portion, and pressure ulcer takes place easily.Too much use rubberized fabric adhere, sticky again in using, the patient is not felt well, can cause that also adhesive plaster is close to position tissue injury, patient's sense of discomfort is obvious when tearing adhesive plaster open.(3) intubate will cause suffering and damage the patient repeatedly, influence the conditions of patients rehabilitation.1. it is good to seem immobilization with adhesive tape sometimes, and actual more owing to patient's buccal smegma, adhesive plaster is not bonded on the stomach tube, causes stomach tube to skid off and difficult the discovery, and generation is potentially dangerous.2. to the patient of long-term nasal feeding, esophageal carcinoma postoperative especially, fixing insecure like stomach tube, stomach tube slides up and down easily, will increase the stimulation to anastomotic stoma; Deviate from like stomach tube, must insert stomach tube again, also can increase stimulation simultaneously, be prone to fistula of operative incision takes place, make the anti-thoracic cavity that flow to of gastric content, cause infection, increase dangerous probability anastomotic stoma.(4) influence is attractive in appearance, influence patient's facial cleansing, adhesive plaster service time long will will stick juice sticks at patient skin easily, the adhesive plaster vestige is difficult for cleaning, and influences patient's face and cleans, and influence attractive in appearance.(5) the conventional fixed method needs the nursing staff to repeat fixing or inserts stomach tube repeatedly, and is more loaded down with trivial details, increased the weight of nursing work load.
The utility model content
The technical problem that this utility model solved is to provide a kind of stomach tube fixture, and it is simple in structure, and is fixing reliable, easy to use, thereby solves the problem in the above-mentioned background technology.
The technical problem that this utility model solved adopts following technical scheme to realize:
A kind of stomach tube fixture comprises fixing band, it is characterized in that, said fixing band is provided with the climbing type clamp that is used for fixing stomach tube, and an end of said fixing band is provided with at least one snap fastener, and an other end is provided with the buttonhole with said snap-fit.
As a kind of improvement, the buttonhole that is provided with on the said fixing band is intervally arranged, and with said snap-fit.Based on this structure, fixing band can be adjusted according to patient's head circumference size, thereby can stomach tube be fixed preferably, has stopped the shakiness of immobilization with adhesive tape in the past, and the chance that gets loose easily and cause stomach tube to be deviate from also makes whole fixing band standard more attractive in appearance.This fixing band can use repeatedly.
As a kind of improvement, said fixing band comprises the silica gel plastics flexible pipe.This silica gel plastics flexible pipe pours into monolithic silica gel.Simple to operate, high efficiency, fixed, easy to use.
As a kind of further improvement, the long 60~70cm of said silica gel plastics flexible pipe, wide 1cm.
As a kind of improvement, said climbing type clamp utilizes three-back-shaped joint to encircle and is arranged on the said silica gel plastics flexible pipe.
As a kind of further improvement, said climbing type clamp is the arc card that is provided with opening.The internal diameter of this arc card is 0.8cm, and external diameter is 1.2cm.
Owing to adopted above structure, the utlity model has following beneficial effect:
(1) fixedly stomach tube is more firm for this kind method, is particularly suitable for getting half and sits clinostatism/sit up straight the patient of position and out-of-bed activity, is taken off by bob to prevent stomach tube.
(2) this method can be improved patient's comfort level, and appearance looks elegant is generous, and does not influence patient's facial cleansing, no rubberized fabric adhere on the face tight sense, when tearing pain, to the excitement of bronchia mucosal.
(3) this method is simple to operate, and is cheap, gets and wears conveniently.And can adjust elasticity at any time, not obvious to the constriction of patient face.
(4) use flexibly, in clinical use, widened the scope of application, be not only applicable to indwelling gastric tube, also be applicable to the patient of nasal obstruction oxygen uptake, particularly anesthesia is regained consciousness or is realized restless patient.
(5) reduce the discomfort of patient's local skin and the generation of pressure ulcer; The adhesive plaster of having avoided the conventional fixed method to use has individual patient meeting phenomenon hypersensitive; Cause the facial rubber hose such as redness, blister, pressure ulcer that occur that very big elasticity is arranged; Use has no adverse reaction patient on the face, is convenient to observe patient's skin of nose situation.
(6) alleviate patient's physical and mental burden.The patient need not to worry that stomach tube deviates from, and mood is loosened healthy; Do not repeat to put the misery of pipe racks, or the painful experience when putting for the first time pipe makes it to be reluctant to cooperate and influences prognosis.
(7) alleviate the nurse job amount.Again put pipe and bring the extra work amount to the nurse, and a kind of sense of defeat is arranged, this negative feeling has influence on later similar operation, is unfavorable for physical and mental health.And new method is fixed, reduced nurse's repeated workload, and that has also avoided therefore causing protects trouble contradiction.
Description of drawings
Fig. 1 is this utility model structural representation;
Fig. 2 is the structural representation of the climbing type clamp of this utility model;
Among the figure: 1. fixing band, 2. climbing type clamp, 3. snap fastener, 4. buttonhole, 5. three-back-shaped joint, 6. opening.
The specific embodiment
For technological means, creation characteristic that this utility model is realized, reach purpose and be easy to understand understanding with effect, below in conjunction with concrete diagram, further set forth this utility model.
Referring to Fig. 1, a kind of stomach tube fixture comprises fixing band 1, in the present embodiment; This fixing band 1 adopts long 60~70cm, the silica gel plastics flexible pipe of wide 1cm, and this silica gel plastics flexible pipe pours into monolithic silica gel, and is simple to operate; High efficiency, fixed, easy to use; Said fixing band 1 is provided with the climbing type clamp 2 that is used for fixing stomach tube; And an end of said fixing band 1 is provided with at least one snap fastener 3, and an other end is provided with the buttonhole 4 that cooperates with said snap fastener 3, in the present embodiment; Said fixing band 1 is provided with three snap fasteners 3, is provided with 4, five buttonholes 4 of five buttonholes simultaneously and is intervally arranged; And cooperate with said snap fastener 3, based on this structure, fixing band 1 can be adjusted according to patient's head circumference size; Thereby can stomach tube be fixed preferably; It is unstable to have stopped immobilization with adhesive tape in the past, and the chance that gets loose easily and cause stomach tube to be deviate from also makes whole fixing band standard more attractive in appearance; This fixing band 1 can use repeatedly.
Referring to Fig. 2, said climbing type clamp 2 utilizes three-back-shaped joint 5 to encircle and is arranged on the said silica gel plastics flexible pipe, and said climbing type clamp 2 is for being provided with the arc card of opening 6, and the internal diameter of this arc card is 0.8cm, and external diameter is 1.2cm.
The method for using of this utility model is following: put behind the stomach tube earlier fixing band 1 along patient's two ears top around patient's head one circle; Climbing type clamp 2 is moved to stomach tube indwelling place of patient's nasal cavity portion; Fill in the climbing type clamp 2 stomach tube fixing; Fixing band 1 is regulated size, and snap fastener 3 is positioned at patient's head side position of taking back, and avoids being positioned at back side of head place and causes that patient's head pressed discomforts such as pressure by foreign body; Fix to appropriate length according to patient's head circumference size, degree of tightness is suitable, and excessive portion is cut short.
More than show and described ultimate principle of this utility model and the advantage of principal character and this utility model.The technical staff of the industry should understand; This utility model is not restricted to the described embodiments; The principle of describing in the foregoing description and the description that this utility model just is described; Under the prerequisite that does not break away from this utility model spirit and scope, this utility model also has various changes and modifications, and these variations and improvement all fall in this utility model scope that requires protection.This utility model requires protection domain to be defined by appending claims and equivalent thereof.