CN208096085U - A kind of johnny suitable for Peripherally inserted central catheter - Google Patents

A kind of johnny suitable for Peripherally inserted central catheter Download PDF

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CN208096085U
CN208096085U CN201820436017.5U CN201820436017U CN208096085U CN 208096085 U CN208096085 U CN 208096085U CN 201820436017 U CN201820436017 U CN 201820436017U CN 208096085 U CN208096085 U CN 208096085U
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sleeve
gap
johnny
coat
shaped gap
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何芸娴
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Chinese People's Liberation Army (pla) Third 0 Two Hospital
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Chinese People's Liberation Army (pla) Third 0 Two Hospital
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Abstract

本实用新型涉及一种适用于外周穿刺中心静脉导管的病号服,其特征在于:它包括病号服本体,在所述病号服本体的至少一衣袖的上臂前侧开设观察窗口,在与所述衣袖长度方向平齐的所述观察窗口两侧分别枢接一盖片,两所述盖片对向盖合在所述观察窗口上,所述观察窗口与所述盖片之间的边缘通过魔术贴贴合,两所述盖片之间的边缘通过纽扣和扣眼固定连接。

The utility model relates to a patient gown suitable for peripheral puncture central venous catheters. The two sides of the observation window, which are flush with the length direction of the sleeve, are respectively pivotally connected with a cover piece, and the two cover pieces are oppositely covered and closed on the observation window, and the gap between the observation window and the cover piece The edges of the covers are attached by Velcro, and the edges between the two covers are fixedly connected by buttons and buttonholes.

Description

一种适用于外周穿刺中心静脉导管的病号服A patient gown suitable for peripherally punctured central venous catheters

技术领域technical field

本实用新型涉及一种PICC(peripherally Inserted central catheter,外周穿刺中心静脉导管,简称外周导管)病号服,属于医疗设备技备技术领域。The utility model relates to a PICC (peripherally Inserted central catheter, peripherally inserted central catheter, referred to as a peripheral catheter) patient suit, which belongs to the technical field of medical equipment.

背景技术Background technique

PICC是目前临床上公认的一条方便、安全、快捷、有效的静脉通路。其不仅仅应用于危重及化疗患者,也广泛应用于慢性疾病需长期输液、血管条件差、输液怕疼且经济实力较好的患者,医院患者选用PICC技术的占比逐年增加。PICC is currently clinically recognized as a convenient, safe, fast and effective venous access. It is not only used in critically ill and chemotherapy patients, but also widely used in patients with chronic diseases who need long-term infusion, poor blood vessel conditions, fear of pain in infusion, and good economic strength. The proportion of hospital patients using PICC technology is increasing year by year.

随着临床的不断实践,目前在超声引导下肘上穿刺可提高PICC置管成功率,减少穿刺点渗血、减少感染、静脉炎、导管意外等并发症,此穿刺点大约在上臂内侧肘上4cm处,但因身体解剖位置存在差异,穿刺点准确位置并不确定,需在超声引导下选择最佳位置,故PICC置管位于上臂内侧。当PICC置管置入后需要使用透明敷料贴膜外固定,透明敷料贴膜临床上使用IV3000固定较多,该种透明敷料贴膜的规格为10×12cm。With continuous clinical practice, ultrasound-guided supracubital puncture can improve the success rate of PICC catheterization, reduce bleeding at the puncture point, reduce infection, phlebitis, catheter accidents and other complications. The puncture point is approximately on the inner elbow of the upper arm. However, due to differences in the anatomical position of the body, the exact position of the puncture point is uncertain, and the best position needs to be selected under ultrasound guidance, so the PICC catheter is placed on the inner side of the upper arm. When the PICC catheter is inserted, it is necessary to use a transparent dressing for external fixation. The transparent dressing is mostly used for clinical fixation with IV3000. The specification of this transparent dressing is 10×12cm.

目前传统病号服类似宽大柔软面料的衬衫,不方便置管患者穿脱,也不方便临床护士观察导管情况及输液治疗,具体存在以下不足:①临床护士交接班时需要缓慢且小心翼翼卷起患者袖子至置管上方,暴露出导管及贴膜,观察导管穿刺处有无渗血、渗液,导管有无移位、脱出及透明敷料贴膜有无卷边、松弛及皱褶等问题,观察完后再缓慢且小心翼翼将袖子卷至合适的位置,花费时间较多,不适用于紧张且繁琐的临床工作;临床护士在进行输液治疗时亦需要进行上述繁琐的动作,大大降低了临床护士的工作效率;②由于病号服袖子长不方便固定输液管路,只能将输液管路用胶布固定在袖子内,此举增加了患者身体及心理上的不适感,患者因担心输液管路从袖子内脱出而不敢使用置管侧手臂拿取物品,同时,输液管路置于袖子内不利于医务人员随时观察输液导管情况,更不利于抢救时连接多条管路;③PICC置管顺利后无异常时平均一周更换一次透明敷料贴膜,此时为了充分暴露置管,患者一般会脱掉置管侧袖子,此举易暴露患者隐私部位,冬天亦不利于保暖;④在治疗过程中,为配合治疗来回多次的脱衣卷袖易使患者感到不适。At present, the traditional patient gown is similar to a shirt of large and soft fabric, which is inconvenient for the patient to put on and take off the catheter, and it is also not convenient for the clinical nurse to observe the condition of the catheter and the infusion treatment. The specific shortcomings are as follows: ①Clinical nurses need to roll up the patient slowly and carefully when handing over shifts The sleeve is above the catheter, exposing the catheter and the film. Observe whether there is bleeding and exudate at the puncture site of the catheter, whether the catheter is displaced, prolapsed, and whether the transparent dressing is curled, loose, or wrinkled. Slowly and carefully rolling the sleeves to the proper position takes more time and is not suitable for tense and tedious clinical work; clinical nurses also need to perform the above-mentioned tedious actions when performing infusion therapy, which greatly reduces the work efficiency of clinical nurses ;②Because the long sleeves of the patient gown are inconvenient to fix the infusion line, the infusion line can only be fixed in the sleeve with adhesive tape, which increases the physical and psychological discomfort of the patient. The infusion tube is placed in the sleeve, which is not conducive to the medical staff to observe the situation of the infusion tube at any time, and it is not conducive to connecting multiple tubes during rescue; ③There is no abnormality after the PICC tube is successfully inserted Change the transparent dressing once a week on average. At this time, in order to fully expose the catheter, the patient usually takes off the sleeve on the side of the catheter, which easily exposes the patient’s private parts, and is not conducive to keeping warm in winter; ④During the treatment process, in order to cooperate with the treatment Undressing and rolling sleeves back and forth many times can easily make patients feel uncomfortable.

发明内容Contents of the invention

针对上述问题,本实用新型的目的是提供一种适用于外周穿刺中心静脉导管的病号服,该病号服能够方便医护人员进行PICC置管维护,提高医务人员的工作效率,增进患者舒适度,为患者提供优质护理服务。In view of the above problems, the purpose of this utility model is to provide a patient gown suitable for peripheral puncture central venous catheters, which can facilitate the maintenance of PICC catheters for medical staff, improve the work efficiency of medical staff, and improve the comfort of patients to provide quality care to patients.

为实现上述目的,本实用新型采用以下技术方案:一种适用于外周穿刺中心静脉导管的病号服,其特征在于:它包括病号服本体,在所述病号服本体的至少一衣袖的上臂前侧开设观察窗口,在与所述衣袖长度方向平齐的所述观察窗口两侧分别枢接一盖片,两所述盖片对向盖合在所述观察窗口上,所述观察窗口与所述盖片之间的边缘通过魔术贴贴合,两所述盖片之间的边缘通过纽扣和扣眼固定连接。In order to achieve the above purpose, the utility model adopts the following technical solutions: a patient gown suitable for peripheral puncture central venous catheters, characterized in that it includes a patient gown body, at least one sleeve of the patient gown body An observation window is set on the front side of the upper arm of the upper arm, and a cover piece is pivoted on both sides of the observation window that is flush with the length direction of the sleeve, and the two cover pieces are oppositely covered and closed on the observation window. The edges between the observation window and the cover sheets are pasted by Velcro, and the edges between the two cover sheets are fixedly connected by buttons and buttonholes.

在所述衣袖上臂前侧开设工字形缝隙,且所述工字形缝隙沿所述衣袖长度方向布设,使所述工字形缝隙的竖向缝隙位于所述衣袖的前侧中部,在所述工字形缝隙的所述竖向缝隙的两边设有多组相互配合的纽扣和扣眼,在所述工字形缝隙的每一横向缝隙的两边设有相互配合的魔术贴。Set up an I-shaped slit on the front side of the upper arm of the sleeve, and the I-shaped slit is arranged along the length direction of the sleeve, so that the vertical slit of the I-shaped slit is located in the front middle of the sleeve, The two sides of the vertical slot of the I-shaped slot are provided with multiple groups of buttons and buttonholes that cooperate with each other, and the two sides of each horizontal slot of the I-shaped slot are provided with Velcro that cooperates with each other.

所述工字形缝隙的所述横向缝隙到腋窝的垂直距离为2cm,所述工字形缝隙的所述竖向缝隙长度为15cm,每一横向缝隙的长度为16cm。The vertical distance from the transverse slit of the I-shaped slit to the armpit is 2 cm, the length of the vertical slit of the I-shaped slit is 15 cm, and the length of each transverse slit is 16 cm.

本实用新型由于采取以上技术方案,其具有以下优点:1、本实用新型在病号服的至少一衣袖的上臂前侧开设观察窗口,在与衣袖长度方向平齐的观察窗口两侧分别枢接一盖片,两盖片对向盖合在观察窗口上,观察窗口与盖片之间的边缘通过魔术贴贴合,两盖片之间及的边缘通过纽扣和扣眼固定连接,因两纽扣之间具有较长缝隙,能够方便输液管路从衣袖内引出并有足够活动区域进行外固定,降低患者身体和心理上的不适感,局部揭开盖片即可观察到导管的连接情况,方便医护人员进行置管维护,提高医务人员的工作效率,为患者提供优质护理服务。2、本实用新型在病号服的至少一衣袖的上臂前侧开设工字形缝隙,工字形缝隙沿衣袖长度方向布设,工字形缝隙沿衣袖宽度方向揭开,形成与衣袖一体成型的观察窗口和盖片,使整个病号服的制作工艺简单易行,成本低廉;工字形缝隙的横竖向缝隙通过魔术贴和纽扣连接,保证整个病号服的完整性和平整度,使病号服既美观又舒适。Because the utility model adopts the above technical scheme, it has the following advantages: 1. The utility model provides an observation window on the upper arm front side of at least one sleeve of the patient gown, and the two sides of the observation window that are flush with the length direction of the sleeve are respectively A cover is pivotally connected, and the two covers are closed on the observation window. The edges between the observation window and the cover are attached by Velcro, and the edges between the two covers are fixedly connected by buttons and buttonholes. There is a long gap between the buttons, which can facilitate the infusion pipeline to lead out from the sleeve and have enough movable area for external fixation, reducing the patient's physical and psychological discomfort. The connection of the catheter can be observed by partially uncovering the cover , It is convenient for medical staff to perform catheter maintenance, improve the work efficiency of medical staff, and provide high-quality nursing services for patients. 2. The utility model provides an I-shaped gap on the front side of at least one sleeve of the patient gown. The I-shaped gap is arranged along the length direction of the sleeve, and the I-shaped gap is opened along the width direction of the sleeve to form an integral shape with the sleeve. The observation window and cover sheet make the manufacturing process of the entire patient gown simple and easy, and the cost is low; the horizontal and vertical gaps of the I-shaped gaps are connected by Velcro and buttons to ensure the integrity and flatness of the entire patient gown, making the patient The uniform is both beautiful and comfortable.

附图说明Description of drawings

图1是本实用新型的整体结构示意图;Fig. 1 is the overall structural representation of the utility model;

图2是本实用新型的局部放大图;Fig. 2 is a partial enlarged view of the utility model;

图3是本实用新型的另一整体结构示意图。Fig. 3 is another overall structural diagram of the utility model.

具体实施方式Detailed ways

下面结合附图和实施例对本实用新型进行详细的描述。Below in conjunction with accompanying drawing and embodiment the utility model is described in detail.

如图1、图2所示,本实用新型提供了一种适用于外周穿刺中心静脉导管的病号服,它包括病号服本体1,在病号服本体1的至少一衣袖11的上臂前侧开设观察窗口12,在与衣袖11长度方向平齐的观察窗口12两侧分别枢接一盖片13,两盖片13对向盖合在观察窗口12上,观察窗口12与盖片13之间的边缘通过魔术贴贴合,两盖片13之间的边缘通过纽扣和扣眼固定连接。As shown in Figures 1 and 2, the utility model provides a patient gown suitable for peripheral puncture central venous catheters, which includes a patient gown body 1, an upper arm of at least one sleeve 11 of the patient gown body 1 An observation window 12 is provided on the front side, and a cover piece 13 is respectively pivoted on both sides of the observation window 12 that is flush with the length direction of the sleeve 11. The edges between 13 are pasted by Velcro, and the edges between the two covers 13 are fixedly connected by buttons and buttonholes.

上述实施例中,如图3所示,在衣袖12上臂前侧开设工字形缝隙2,且工字形缝隙2沿衣袖11长度方向布设,使工字形缝隙2的竖向缝隙21位于衣袖11的前侧中部,在工字形缝隙2的竖向缝隙21的两边设有多组相互配合的纽扣和扣眼,在工字形缝隙2的横向缝隙22、23的两边均设有相互配合的魔术贴;这样,沿衣袖12的宽度方向揭开工字形缝隙2,即可形成衣袖11上的观察窗口12以及盖片13,不需额外增加材料,使整个病号服本体的制造工艺简单易行;完成PICC置管后,通过魔术贴和纽扣连接将工字形缝隙2横竖缝隙连接,保证病号服本体1的平整度,使病号服既美观又舒适度,同时,竖向缝隙21上的两纽扣之间留有较长缝隙,能够方便将输液管路从衣袖11内引出并有足够活动区域进行外固定,降低患者身体和心理上的不适感;医务人员进行置管后的维护时,局部揭开盖片13即可看到衣袖11内PICC导管的情况,能够大大提高医护人员的工作效率,降低置管维护给患者带来的不适感。In the above-mentioned embodiment, as shown in Figure 3, an I-shaped slit 2 is provided on the front side of the upper arm of the sleeve 12, and the I-shaped slit 2 is arranged along the length direction of the sleeve 11, so that the vertical slit 21 of the I-shaped slit 2 is located in the sleeve. The front middle part of 11 is provided with multiple groups of buttons and buttonholes that cooperate with each other on both sides of the vertical slit 21 of the I-shaped slit 2, and on both sides of the horizontal slits 22 and 23 of the I-shaped slit 2, there are mutually matched magic stickers. In this way, the I-shaped gap 2 can be opened along the width direction of the sleeve 12, and the observation window 12 and the cover sheet 13 on the sleeve 11 can be formed without adding additional materials, so that the manufacturing process of the whole patient gown body is simple and easy. OK; after the PICC tube is placed, connect the horizontal and vertical gaps of the I-shaped gap 2 through Velcro and buttons to ensure the flatness of the patient gown body 1, so that the patient gown is both beautiful and comfortable. At the same time, the vertical gap 21 There is a long gap between the two buttons of the sleeve, which can facilitate the infusion tube to be drawn out from the sleeve 11 and has enough movable area for external fixation, reducing the patient's physical and psychological discomfort; medical staff perform maintenance after tube placement At this time, the situation of the PICC catheter in the sleeve 11 can be seen by partially uncovering the cover sheet 13, which can greatly improve the work efficiency of the medical staff and reduce the discomfort brought by the catheter maintenance to the patient.

上述实施例中,工字形缝隙2的横向缝隙22到腋窝的垂直距离为2cm,工字形缝隙2的竖向缝隙21长度为15cm,横向缝隙22、23的长度均为16cm。In the above embodiment, the vertical distance from the horizontal slit 22 of the I-shaped slit 2 to the armpit is 2 cm, the length of the vertical slit 21 of the I-shaped slit 2 is 15 cm, and the lengths of the horizontal slits 22 and 23 are both 16 cm.

在本实施例中,工字形缝隙2的横向缝隙22、23采用魔术贴贴合,竖向缝隙21采用纽扣连接,其原因如下:In this embodiment, the horizontal slits 22 and 23 of the I-shaped slit 2 are attached by Velcro, and the vertical slit 21 is connected by buttons. The reasons are as follows:

在竖向缝隙21两边设计多组相互配合的扣眼和纽扣,具有以下优点:①方便输液管路从衣袖11内引出并进行固定,②竖向缝隙21位于衣袖11前侧中部,无论病人是平躺、侧卧或俯卧该位置的纽扣都不会咯到患者,③方便医护人员查看袖内导管及贴膜情况;Design multiple groups of buttonholes and buttons that cooperate with each other on both sides of the vertical slit 21, which has the following advantages: 1. It is convenient for the infusion pipeline to be drawn out from the sleeve 11 and fixed; 2. The vertical slit 21 is located in the middle of the front side of the sleeve 11. The button in this position will not hit the patient if lying flat, side lying or prone, ③It is convenient for medical staff to check the condition of the catheter and film in the sleeve;

横向缝隙22、23的两边设有相互配合的魔术贴,具有以下优点:①在方便操作的同时还原病号服的完整性,避免衣服意外出现缝隙给患者带来不适,②魔术贴质软可减少不适感。Both sides of the horizontal gaps 22 and 23 are provided with Velcro that cooperates with each other, which has the following advantages: ①It is convenient to operate while restoring the integrity of the patient gown, avoiding the unexpected gaps in the clothes and causing discomfort to the patient; ②The Velcro is soft and can be Less discomfort.

工字形缝隙2的横竖缝隙排除采用拉链连接的原因:①拉链较为粗糙,易出现磨损皮肤的问题;②质量较好的拉链多为金属制成,患者做相关检查时明确规定避免穿戴金属物件,如核磁共振检查;③不方便导管的引出,若拉链不全拉完,留有小口引出导管有磨损导管的危险。The horizontal and vertical gaps of I-shaped gap 2 exclude the reasons for using zipper connection: ①The zipper is relatively rough, which is prone to wear and tear on the skin; ②The zipper with good quality is mostly made of metal, and the patient clearly stipulates to avoid wearing metal objects during the relevant examination. Such as nuclear magnetic resonance examination; ③ It is inconvenient to lead out the catheter. If the zipper is not completely pulled out, leaving a small opening to lead out the catheter may cause wear and tear on the catheter.

工字形缝隙2的横竖缝隙排除采用系带连接的原因:①衣服不平整,降低病号服的舒适度;②造成病号服不美观。The horizontal and vertical gaps of the I-shaped gap 2 eliminate the reasons for using laces to connect: 1. the clothes are not flat, which reduces the comfort of the patient gown; 2. the patient gown is not beautiful.

本实用新型仅以上述实施例进行说明,各部件的结构、设置位置及其连接都是可以有所变化的。在本实用新型技术方案的基础上,凡根据本实用新型原理对个别部件进行的改进或等同变换,均不应排除在本实用新型的保护范围之外。The utility model is only described with the above-mentioned embodiment, and the structure, installation position and connection of each component can be changed to some extent. On the basis of the technical solution of the utility model, any improvement or equivalent transformation of individual components according to the principles of the utility model shall not be excluded from the protection scope of the utility model.

Claims (3)

1. a kind of johnny suitable for Peripherally inserted central catheter, it is characterised in that:It includes johnny ontology, in institute It states and opens up watch window on front side of the upper arm of an at least coat-sleeve for johnny ontology, described in concordant with the coat-sleeve length direction Watch window two sides are pivotally connected a cover plate respectively, and the two cover plate opposite direction lids close on the watch window, the watch window with Edge between the cover plate is bonded by velcro, and the edge between two cover plates is fixedly connected by button with buttonhole.
2. a kind of johnny suitable for Peripherally inserted central catheter as described in claim 1, it is characterised in that:Institute It states and opens up I-shaped gap on front side of coat-sleeve upper arm, and the I-shaped gap is laid along the coat-sleeve length direction, makes the work The vertical gap in font gap is located in the middle part of the front side of the coat-sleeve, on the both sides in the vertical gap in the I-shaped gap Equipped with the mutually matched button of multiple groups and buttonhole, it is equipped with and cooperates on the both sides of each transverse slot in the I-shaped gap Velcro.
3. a kind of johnny suitable for Peripherally inserted central catheter as claimed in claim 2, it is characterised in that:It is described The vertical range of the transverse slot in I-shaped gap to armpit is 2cm, and the vertical gap in the I-shaped gap is long Degree is 15cm, and the length of each transverse slot is 16cm.
CN201820436017.5U 2018-03-29 2018-03-29 A kind of johnny suitable for Peripherally inserted central catheter Expired - Fee Related CN208096085U (en)

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Application Number Priority Date Filing Date Title
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