一种保护型的上肢约束衣在儿童洗胃中的应用

doi:10.20223/j.cnki.1000-8535.2025.12.012

摘要/Abstract

摘要： 目的探讨一种保护型的上肢约束衣在儿童洗胃中的应用。方法自制并获得实用新型专利“一种保护型的上肢约束衣”,包括背单和两条前襟连接单,三条可调节性约束带,以及下肢延伸固定。选取2023年1月—2023年12月在我院急诊科因急性中毒施行洗胃的患儿为研究对象,依据住院时间,将2023年1月—2023年6月收治患儿为对照组（58例）,将2023年7月一2023年12月收治患儿为观察组（58例）。观察组使用本研究发明的保护型上肢约束衣进行约束,对照组则采用传统的约束方法。对两组患儿的洗胃时间、协助人员数量和重复置管次数进行了记录和比较。结果观察组协助洗胃人数、洗胃时间、重复置管次数分别为1.00（1.00,1.00）人、28.00（26.00,32.00）min、0.00（0.00,0.00）次,均低于对照组的3.00（3.00,3.00）人、32.00（29.00,35.25）min、0.00（0.00,0.00）次,差异有统计学意义（P<0.05）。结论儿童洗胃中应用保护型上肢约束衣,能显著减少协助洗胃人数和重复置管次数,缩短洗胃时间,提高了洗胃效率。

关键词: 中毒, 洗胃, 约束

Abstract: Objective To explore the application of a protective upper extremity restraint in gastric lavage in children．Methods A new patent for“A protective upper extremity restraint garment” was designed,which includes a back sheet and two front-flap connecting sheets,three adjustable restraint bands,and an extension fixation of lower extremity．From January 2023 to December 2023,children who underwent acute gastric lavage due to accidental ingestion in the emergency department of a hospital were selected as the research subjects,according to the admission date,the control group（58 cases）was selected from January 2023 to June 2023,and the observation group（58 cases）was selected from July 2023 to December 2023．The observation group was restrained by the protective upper extremity restraint garment,while the control group was restrained by the traditional restraint method．The time of gastric lavage,the number of assistants and the times of repeated intubation were recorded and compared between the two groups．Results The gastric lavage assistance,lavage time,and number of repeated intubations in the observation group were 1.00[1.00,1.00]person,28.00[26.00,32.00]min,and 0.00[0.00,0.00]times,lower than in the control group（3.00[3.00,3.00]person,32.00[29.00,35.25]min,0.00[0.00,0.00]times）,the differences were statistically significant（P<0.05）．Conclusions The application of a protective upper extremity restraint suit during pediatric gastric lavage significantly reduces the number of required assistants,decreases repeated intubation attempts,shortens lavage time,and enhances procedural efficiency．

Key words: poisoning, gastric lavage, restraint

黄建梅, 李翠娥, 王宝虹, 赖玲凤. 一种保护型的上肢约束衣在儿童洗胃中的应用[J]. 广州医药, 2025, 56(12): 1700-1704.

HUANG Jianmei, LI Cui'e, WANG Baohong, LAI Lingfeng. Application of a protective upper extremity restraint garment in children's gastric lavage[J]. Guangzhou Medical Journal, 2025, 56(12): 1700-1704.

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