JP2005052615A - Perforated gauze pad and perforated bandage for fixing this pad - Google Patents

Perforated gauze pad and perforated bandage for fixing this pad Download PDF

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JP2005052615A
JP2005052615A JP2003317526A JP2003317526A JP2005052615A JP 2005052615 A JP2005052615 A JP 2005052615A JP 2003317526 A JP2003317526 A JP 2003317526A JP 2003317526 A JP2003317526 A JP 2003317526A JP 2005052615 A JP2005052615 A JP 2005052615A
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gauze
perforated
bandage
cannula
pad
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Yukiko Saito
行子 斉藤
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Abstract

<P>PROBLEM TO BE SOLVED: To easily perform protective treatment; and to reduce a burden of a patient and a care giver, by using a bandage as a fixing means by imparting waterproofness by enhancing absorptivity of a leaking-out object from a diseased part in protecting a cannula peripheral diseased part. <P>SOLUTION: In protecting the peripheral diseased part including a cannula projecting part, lead-in is formed in a central part of one perforated absorptive gauze pad and an expandable bandage so as not to block up the cannula projecting part being a column. A gauze exchanging, replacing and cleaning-wiping frequency is reduced by applying waterproofness by enhancing the protection, a fixation and absorptivity such as bleeding and phlegm by taking out the projecting part from there. A burden of the patient and the care giver is reduced by facilitating the protective treatment to the diseased part. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

本発明は気管切開時に挿入されたカニューレ周辺患部の保護処置に関する。  The present invention relates to a protective treatment for an affected area around a cannula inserted at the time of tracheotomy.

周辺患部の保護は滅菌処理されたガーゼ2枚(商品名:滅菌ハイディアーY)を患部に充て、バンソウコウで固定するが、ガーゼ交換時バンソウコウを剥すときに痛みを伴い、気管より体外に出ているにカニューレ突出部は円柱になっており、カニューレ挿入場所が首である為、ガーゼがしっかり固定されない。  To protect the surrounding affected area, sterilized two pieces of gauze (product name: Sterilized Hydeer Y) are applied to the affected area and fixed with bansoukou. On the other hand, the cannula protrusion is a cylinder, and the gauze is not firmly fixed because the cannula is inserted into the neck.

ガーゼで保護を行なうことは吸収性があり出血などの保護には効果的であり、多量の血液、及び粘性のある痰などや多量の分泌物などは、ガーゼを厚くして保護を行っている。  Protecting with gauze is absorbable and effective in protecting against bleeding, etc. Large amounts of blood, viscous sputum, and large amounts of secretions are protected by thickening the gauze. .

粘性のある痰においては吸収性が悪くガーゼと皮膚の隙間から漏出することで首周辺の汚れ衣服への付着があり、着替えを行なう回数が多く、バンソウコウは濡れて剥れ、漏出物により悪臭を伴うこともある。漏出物による皮膚の汚れを清浄し衛生的に保っている。  In viscous wrinkles, it absorbs poorly and leaks from the gap between the gauze and the skin, so it adheres to dirty clothes around the neck, and there are many changes in clothes. Sometimes accompanied. Cleans and keeps the skin dirty with spilled material.

上記により、患部保護と悪臭除去の為、ガーゼの交換と衣類の着替え、清拭の頻度が多くなる。  As described above, the frequency of gauze replacement, clothing change, and wiping increases to protect the affected area and remove malodor.

以上のような漏出物が見られる場合、ガーゼを厚くして保護を行っているが、防水加工がない事、又、ガーゼと皮膚の隙間からの漏出物による汚れの為、ガーゼの交換と衣類の着替え、清拭の頻度が増す。ガーゼを固定しているバンソウコウは剥すときに痛みを伴い、カニューレ挿入場所が首であることでガーゼがしっかり固定されない。患者、及び介護者の負担が大きい。  If the above leakage is observed, the gauze is thickened to protect it, but there is no waterproofing, and due to contamination from the gap between the gauze and the skin, gauze replacement and clothing The frequency of changing clothes and wiping increases. The bandage that holds the gauze is painful when it is peeled off, and the gauze is not fixed firmly because the cannula is inserted into the neck. The burden on patients and caregivers is large.

本発明は、カニューレ周辺患部の保護において患部からの漏出物の吸収性を高め防水性を持たすこと、更に固定する手段として包帯を用いることで、容易に保護処置ができる。患者、及び介護者の負担を少なくすることを目的とする。  In the present invention, in protecting the affected area around the cannula, the absorbability of the leaked substance from the affected area is increased and the waterproof property is provided, and further, the bandage is used as a fixing means, and thus the protective treatment can be easily performed. The purpose is to reduce the burden on patients and caregivers.

課題を解決する為の手段Means to solve the problem

カニューレ突出部を含めた周辺患部の保護をするため、吸収性のある1枚のガーゼパッドを使用し、カニューレ突出部がふさがることのないよう穴をあけて突出部をそこから出し、固定する為に、同様に穴のあいた包帯を首に巻き固定する。  To protect the affected area including the cannula protrusion, use a single absorbent gauze pad, and make a hole so that the cannula protrusion will not be blocked. Similarly, a bandage with a hole is wound around the neck and fixed.

ガーゼパッドは吸収性をよくする素材であり、柔軟性を持たせることで皮膚面に密着できるものとする。  The gauze pad is a material that improves the absorbability, and it can be adhered to the skin surface by providing flexibility.

患部周辺の衣服への漏出物の付着を防止するための防水処理を行ない、吸収された漏出物がガーゼパッドから漏れないようにガーゼパッドの周りを防水シートでパイピング処理を行なう。  Waterproofing is performed to prevent leakage from adhering to the clothes around the affected area, and piping around the gauze pad is performed with a waterproof sheet so that the absorbed leakage does not leak from the gauze pad.

ガーゼパッドからカニューレ突出部を出す穴は切り込みの方法をとり、30〜35ミリの範囲とし、固定する包帯は、伸縮性のあるもので首周りと同じ長さにし、中央部に2センチの切り込みを入れる。The hole for the cannula protrusion from the gauze pad is cut in the range of 30-35mm, the bandage to be fixed is the same length as the neck around the stretch, and the center part is cut 2cm Insert.

発明の効果The invention's effect

カニューレ突出部の周辺患部を1枚の穴のあいたガーゼパッドで覆い、1本の穴のあいた包帯でガーゼパッドを固定できる為、患部への保護処置が容易になる。包帯は伸縮性があることで固定する強さを調整できる。  Since the surrounding affected area of the cannula protrusion can be covered with a gauze pad with a single hole and the gauze pad can be fixed with a bandage with a single hole, the protective treatment to the affected area becomes easy. The bandage can be adjusted to adjust its strength.

吸収性があり、防水加工が施されていることは、長時間にわたって保護の状態を保つことができ、皮膚との隙間からの漏出物の減少と衣類への付着が減少することで、ガーゼの交換と衣類の着替え、清拭の回数が少なくなる。  Absorptive and waterproofed can keep protected for a long time, reducing leakage from the skin and reducing adhesion to clothing. The number of exchanges, changing clothes and cleaning is reduced.

上記の効果により患者、及び介護者の負担が少なくなる。  The above effects reduce the burden on the patient and caregiver.

以下、本発明の実施の形態を図1から図2までに基づいて説明する。  Hereinafter, embodiments of the present invention will be described with reference to FIGS.

図1は、穴あきガーゼパッドと穴あき包帯の完成品である。穴あきガーゼパッドは皮膚に直接接触する表面層1、血液・分泌物を吸収する吸収層2、吸収された物をしみ出させないための防水層3を重ねた構造で、防水層に使用しているシートによるパッド周りのパイピング加工4を施し漏出を防ぐ。中央部切り込み部分5は幅30〜35ミリの幅で切り込みを入れカニューレ先端の筒部分が入る。カニューレ先端の筒部分が通るとき切り込みの三角部分が押し開かれ筒部分を覆う。穴あき包帯は伸縮性のある包帯6を首周りと同じ長さ37センチとし、中央部に切り込み7を2センチ入れる。切り込み部はほつれ止め加工8を施しカニューレ内部に切り込みのほつれが入らないようにする。  FIG. 1 is a finished product of a perforated gauze pad and a perforated bandage. The perforated gauze pad has a structure in which a surface layer 1 that comes into direct contact with the skin, an absorption layer 2 that absorbs blood and secretions, and a waterproof layer 3 that prevents the absorbed matter from oozing out are stacked. Piping processing 4 around the pad with a sheet is applied to prevent leakage. The central incision portion 5 is cut with a width of 30 to 35 mm, and the tube portion at the tip of the cannula enters. When the tube portion at the tip of the cannula passes, the triangular portion of the cut is pushed open to cover the tube portion. In the perforated bandage, the elastic bandage 6 is 37 cm in length, which is the same as the circumference of the neck. The cut portion is subjected to fraying prevention processing 8 so that the fray of the cut does not enter the cannula.

図2においては、穴あきガーゼパッドの構造である表面層1はガーゼを使用し、吸収層2は綿、もしくはポリマーを2〜3ミリ程度の厚さとし、防水層3、パイピング加工4は紙オムツ等に使用しているポリエチレンフィルムを使用する。  In FIG. 2, the surface layer 1 having a perforated gauze pad structure uses gauze, the absorbent layer 2 is made of cotton or polymer with a thickness of about 2 to 3 mm, the waterproof layer 3 and the piping process 4 are paper diapers. Polyethylene film used for etc. is used.

喉頭がんを原因とする呼吸困難を脱する為に、気管切開を施した。以後、気管に挿入されたカニューレ周辺患部の保護処置である。切開当初はカニューレから痰の吸引のみの処置であったが、カニューレ挿入場所上部の放射線治療痕より痰の流出が始まり開口部が徐々に拡大し多量の痰等の分泌物が漏出するようになった。初期のうちは患部の保護を滅菌処理されたガーゼを患部に充てバンソウコウで固定していた。開口部が徐々に拡大するにつれて漏出物が増加、ガーゼ2枚(商品名:滅菌ハイディアーY)を充て、厚くすることで対応していた。しかし、カニューレ挿入場所が首である為、ガーゼがしっかり固定されないうえ剥すときに痛みがあった。痛みの除去対策と固定にカニューレ突出部がふさがることのないよう穴の開いた包帯(図3の7部分)で突出部をそこから出し使用を実施したところ、ガーゼの固定がずれることなくしっかりと固定されることが確認できた。  A tracheotomy was performed to eliminate dyspnea caused by laryngeal cancer. Thereafter, it is a protective treatment for the affected area around the cannula inserted into the trachea. At the beginning of the incision, only the sputum was sucked from the cannula, but the sputum began to flow out from the radiation treatment mark at the top of the cannula insertion site, and the opening gradually expanded, and a large amount of secretions such as sputum leaked It was. Initially, gauze that had been sterilized to protect the affected area was applied to the affected area and fixed with bankoukou. As the opening gradually expanded, the leakage increased, and two gauze pieces (trade name: Sterilized Hydeer Y) were filled and made thicker. However, because the cannula was inserted into the neck, the gauze was not firmly fixed and there was pain when it was peeled off. When removing and using the bandage (7 part in Fig. 3) with a hole so that the cannula protrusion does not block the pain removal measures and fixation, the gauze is firmly fixed without shifting. It was confirmed that it was fixed.

開口部が徐々に拡大するにつれて漏出物が増加し、保護しているガーゼと固定している包帯への滲出、ガーゼと皮膚の隙間から漏出が増え、首周辺の汚れ、衣服への付着、着替えを行なう回数が多く、漏出物により悪臭を伴うこともあった。厚くした1枚のガーゼにカニューレ突出部を出す穴を開け覆うようにしたが防水性がないことで首周辺の汚れ、衣服への付着、着替え等の回数を減らすことはできなかった。吸収性と防水性を兼ねた素材を考えた結果、パッドとして紙オムツの使用を思いついた。パッドを適当な大きさにしガーゼで包んだ。中央部に切り込み(図1の5の部分)をいれカニューレ突出部をだし、穴のあいた包帯で固定を実施したところ、長時間にわたっての保護の状態を保つことが確認できた。  As the opening gradually expands, the amount of spillage increases, oozing into the protective gauze and the fixed bandage, leakage from the gap between the gauze and the skin increases, dirt around the neck, attachment to clothes, change of clothes Many times, the odor was sometimes caused by the leaked material. A thickened sheet of gauze was opened and covered with a hole for protruding the cannula, but due to lack of water resistance, the number of stains around the neck, attachment to clothes, changing clothes, etc. could not be reduced. As a result of considering a material that has both absorption and waterproofing, I came up with the use of paper diapers as pads. The pad was sized appropriately and wrapped with gauze. An incision (part 5 in FIG. 1) was inserted in the center, the cannula protrusion was taken out, and fixation was performed with a bandage with a hole, and it was confirmed that the state of protection for a long time was maintained.

産業上の利用方法Industrial usage

医療現場において、上記のように体内から体外へ医療器具の突出があった場合の周辺患部の保護処置に適応可能と考える。  In the medical field, it is considered that it can be applied to the protective treatment of the peripheral affected area when the medical device protrudes from the body to the outside as described above.

生産方法及び使用方法Production method and usage

穴あきガーゼパッドは吸水性、柔軟性、防水性が必要な為、それらを満足するための素材の選択が必要となる。簡易的に紙オムツで対応していたが、それに準じた素材が適当であると思う。
厚さ、大きさ、切り込みの長さを適宜に変え種類を増やすことにより、首以外の体内から体外へ突出している医療器具の周辺患部の保護処置に適応が可能と考える。
Since perforated gauze pads need water absorption, flexibility, and waterproof properties, it is necessary to select materials that satisfy them. Although it was handled with paper diapers in a simple way, I think that the material according to it is appropriate.
By appropriately changing the thickness, size, and length of the incision, the number of types can be increased, so that it can be applied to the protective treatment of the affected area around the medical device protruding from the body other than the neck.

穴あき包帯は伸縮性のある包帯を標準的な首周りの長さ37センチに切り、中央部に切り込みを2センチ入れる。ほつれ止め加工が必要ではあるが、切り込み部も伸縮性が必要なので、包帯の上下と同じ加工が望ましい。しかし切り込みからのほつれは少ないので、切りこみだけでも対応は十分である。伸縮性があることで固定する強さの加減が可能であり、長さ、幅、及び切りこみの大きさを適宜に変え種類を増やすことにより、首以外の患部(腕、足、胴体等)での使用が可能と考える。  For perforated bandages, cut an elastic bandage to a standard neck length of 37 cm and a 2 cm cut at the center. Although fraying prevention processing is necessary, the cut portion also needs to be stretchable, so the same processing as the upper and lower portions of the bandage is desirable. However, since fraying from the incision is small, it is sufficient to handle only by cutting. It is possible to adjust the strength of fixing with elasticity, and by changing the length, width, and size of the cut appropriately and increasing the type, it can be applied to affected areas other than the neck (arms, legs, torso, etc.) Is considered possible.

本発明の実施形態を示す穴あきガーゼパッドと穴あき包帯の完成品Complete product of perforated gauze pad and perforated bandage showing an embodiment of the present invention 穴あきガーゼパッドの構造Structure of perforated gauze pad

符号の説明Explanation of symbols

1 表面層
2 吸収層
3 防水層
4 パイピング加工
5 中央部切り込み
6 伸縮性のある包帯
7 切り込み部
8 ほつれ止め加工
DESCRIPTION OF SYMBOLS 1 Surface layer 2 Absorbing layer 3 Waterproofing layer 4 Piping process 5 Center part notch 6 Elastic bandage 7 Notch part 8 Anti-fraying process

Claims (2)

呼吸困難を脱するために処置された気管切開時に挿入されたカニューレ周辺患部の保護において、気管より体外に出ているにカニューレ突出部を含む、周辺患部の保護と、出血、痰等の汚れの吸収を行う為に使用する穴あきガーゼパッド。  In the protection of the affected area around the cannula inserted at the time of tracheotomy treated to escape dyspnea, protection of the surrounding affected area including the cannula protrusion outside the trachea and the contamination of bleeding, sputum, etc. A perforated gauze pad used for absorption. 請求項1記載の穴あきガーゼパッドを固定するために使用する穴あき包帯。  A perforated bandage used for fixing the perforated gauze pad according to claim 1.
JP2003317526A 2003-08-06 2003-08-06 Perforated gauze pad and perforated bandage for fixing this pad Withdrawn JP2005052615A (en)

Priority Applications (1)

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JP2003317526A JP2005052615A (en) 2003-08-06 2003-08-06 Perforated gauze pad and perforated bandage for fixing this pad

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JP2003317526A JP2005052615A (en) 2003-08-06 2003-08-06 Perforated gauze pad and perforated bandage for fixing this pad

Publications (1)

Publication Number Publication Date
JP2005052615A true JP2005052615A (en) 2005-03-03

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