一种用于CRRT/ECMO血路管的多功能可视固定装置的设计与应用

Design and application of a multifunctional visual fixation device for CRRT/ECMO blood circuit tubing

摘要:

目的 探讨一种用于连续性肾脏替代治疗/体外膜肺氧合（CRRT/ECMO）血路管的多功能可视固定装置在治疗过程中的应用效果。方法 将2024年1月至5月进行连续性肾脏替代（CRRT）治疗和（或）体外膜肺氧合（ECMO）治疗的156例患者随机分为对照组和观察组，每组78例。对照组采用弹力绷带和胶布固定体外循环管路，观察组使用多功能可视固定装置对血路管进行固定，比较两组患者留置导管发生移位的例次、患者舒适度和医患满意度。结果 观察组留置导管发生扭曲或移位、置管处有渗出、辅料污染需要更换发生率均低于对照组（P<0.05），观察组满意度及护士满意度均高于对照组。结论 用于CRRT/ECMO血路管的多功能可视固定装置能提高管路固定效果，有效降低患者治疗过程中意外事件的发生率，提高患者舒适度和护患满意度，值得在临床推广应用。

Abstract:

Objective To explore the application effect of a multifunctional visual fixation device for continuous renal replacement therapy/extracorporeal membrane pulmonary oxygenation (CRRT/ECMO) blood circuit tubes in the treatment process.Methods A total of 156 patients who underwent continuous renal replacement therapy (CRRT) and/or extracorporeal membrane pulmonary oxygenation (ECMO) from January to May 2024 were divided into a control group and an observation group, with 78 cases in each group. The control group was treated with elastic bandages and adhesive tape to fix the extracorporeal circulation tubing. In contrast, the observation group was treated with a multifunctional visual fixation device to fix the bloodline tubing. Then the number of cases of displacement of indwelling catheters, patient comfort, and doctor-patient satisfaction between the two groups were compared.Results The incidence of twisting or displacement of the indwelling catheter, oozing at the place of placement, and contamination of auxiliary materials requiring replacement in the observation group was lower than that in the control group (P<0.05), and the satisfaction level of the observation group and the satisfaction level of the nurses was higher than that of the control group.Conclusion Multi-functional visual fixation device for CRRT/ECMO blood line tube can improve the effect of tube fixation, effectively reduce the incidence of accidents in the process of patient treatment, and improve patient comfort and nurse-patient satisfaction, which is worthy of popularization and application in the clinic.