基于气囊加压原理颌面包扎止血巾的设计与应用

doi:10.3761/j.issn.0254-1769.2026.12.019

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (12): 1724-1728.DOI: 10.3761/j.issn.0254-1769.2026.12.019

• 护理工具革新 • 上一篇

基于气囊加压原理颌面包扎止血巾的设计与应用

毕梦婕(), 李冰^*(), 刘焱, 尹燕珂, 赵娜, 杨永丽

中国人民解放军第一医学中心口腔科北京市 100853

收稿日期:2025-06-16 出版日期:2026-06-20 发布日期:2026-06-12
*通讯作者: 李冰，E-mail：crysallibing@126.com
作者简介:毕梦婕：女，本科，护师，E-mail：775746996@qq.com
第一联系人：作者贡献声明
毕梦婕：研究推进与实施、论文撰写；李冰：研究设计与指导、论文审阅与修改、基金支持；刘焱：方案推进、数据检查；尹燕珂、赵娜、杨永丽：方案实施、数据收集
基金资助:
军队护理创新项目(2021HL074)

Design and application of a maxillofacial dressing hemostatic bandage based on the principle of airbag pressurization

BI Mengjie(), LI Bing^*(), LIU Yan, YIN Yanke, ZHAO Na, YANG Yongli

Department of Stomatology， First Medical Center of the People’s Liberation Army of China， Beijing 100853， China

Received:2025-06-16 Online:2026-06-20 Published:2026-06-12
* Corresponding author: LI Bing，E-mail：crysallibing@126.com
Funding program:
Military Nursing Innovation Project(2021HL074)

摘要/Abstract

摘要： 目的基于气囊加压原理设计一种颌面包扎止血巾，并探讨其在颌面部损伤患者中的应用效果。方法采用随机对照试验设计，2024年9月—2025年3月北京市某三级甲等综合医院口腔颌面外科收治的40例需进行颌面部围手术期出血的患者作为应用对象。通过随机数字表法，按照1∶1的比例将纳入研究的患者随机分为试验组与对照组，每组各20例。试验组采用颌面包扎止血巾对颌面部伤口进行包扎，对照组采用弹力绷带包扎。比较两组的包扎时间、非计划重复包扎次数以及舒适状况量表评分的差异。结果两组无样本脱落。两组包扎时间比较，试验组包扎时间低于对照组，但差异无统计学意义（t=2.016，P=0.051）；两组非计划重复包扎次数比较，试验组低于对照组，差异有统计学意义（Z=-5.029，P<0.001）；两组舒适状况量表评分比较，试验组舒适度高于对照组，差异有统计学意义（Z=-2.456，P=0.014）。结论使用基于气囊加压原理的颌面包扎止血巾对颌面部损伤患者进行包扎止血，有助于减少非计划重复包扎次数，提高患者舒适度，具有较好的临床应用效果。

关键词: 颌面损伤, 止血, 包扎固定疗法, 急救, 护理

Abstract:

Objective To design a maxillofacial dressing hemostatic bandage based on the airbag pressurization principle and evaluate its clinical efficacy in patients with maxillofacial injuries. Methods A randomized controlled trial was conducted involving 40 patients requiring maxillofacial bandaging and hemostasis who were admitted to the Department of Oral and Maxillofacial Surgery at a tertiary general hospital in Beijing from November 2024 to March 2025. Using a random number table method，patients were randomly allocated to an experimental group and a control group in a 1∶1 ratio. Each group consists of 20 cases. The experimental group received bandaging with the maxillofacial compression hemostatic bandage，while the control group was treated with elastic bandages. Bandaging time，frequency of unplanned rebandaging，and General Comfort Questionnaire（GCQ） scores were recorded for both groups. Results There were no dropouts in either of the 2 groups. Regarding bandaging time，the experimental group showed shorter duration compared to the control group，though the difference was not statistically significant（t=2.016，P=0.051）. For unplanned rebandaging frequency，the experimental group demonstrated significant-ly fewer instances than the control group，with a statistically significant difference（Z=-5.029，P<0.001）. In terms of GCQ scores，patients in the experimental group showed significantly higher comfort levels compared to the control group，with a statistically significant difference（Z=-2.456，P=0.014）. Conclusion The use of maxillofacial dressing hemostatic bandages based on airbag pressurization principle for bandaging and hemostasis in patients with maxillofacial injuries effectively reduces unplanned rebandaging frequency and improves patient comfort，demonstrating favorable clinical application outcomes.

Key words: Maxillofacial Injury, Hemostasis, Bandage Fixing Therapy, First Aid, Nursing Care

毕梦婕, 李冰, 刘焱, 尹燕珂, 赵娜, 杨永丽. 基于气囊加压原理颌面包扎止血巾的设计与应用[J]. 中华护理杂志, 2026, 61(12): 1724-1728.

BI Mengjie, LI Bing, LIU Yan, YIN Yanke, ZHAO Na, YANG Yongli. Design and application of a maxillofacial dressing hemostatic bandage based on the principle of airbag pressurization[J]. Chinese Journal of Nursing, 2026, 61(12): 1724-1728.

图/表 4

图1 A型颌面包扎止血巾气囊分布示意图注：①左侧耳后，②左侧颞区，③左侧颌下，④右侧颌下，⑤右侧耳后，⑥右侧颞区。

Figure 1 Schematic diagram of airbag distribution in type A jaw pressure dressing

图2 B型颌面包扎止血巾气囊分布示意图注：①左侧颅顶，②右侧颅顶，③左侧枕后，④右侧枕后，⑤左侧面中，⑥右侧面中，⑦额部。

Figure 2 Schematic diagram of airbag distribution in type B jaw pressure dressing

表1 两组基线资料的比较

Table 1 Comparison of baseline characteristics between groups

表2 两组包扎时间、非计划重复包扎次数及舒适度的比较

Table 2 Comparison of bandaging time，frequency of bandage displacement，and comfort scores between groups

参考文献 14

[1]	胡鹏伟, 张磊, 解宏伟, 等. 现代战争爆炸伤特点系统评价[J]. 第二军医大学学报, 2021, 42(6):681-687.
	Hu PW, Zhang L, Xie HW, et al. Characteristics of blast inju-ries in modern warfare:a systematic review[J]. Acad J Second Mil Med Univ, 2021, 42(6):681-687.
[2]	袁卫军, 寿宇燕. 口腔颅颌面创伤的急救护理[J]. 上海护理, 2020, 20(5):65-68.
	Yuan WJ, Shou YY. Emergency nursing of oral cavity cranio-maxillofacial trauma[J]. Shanghai Nurs, 2020, 20(5):65-68.
[3]	冒山林. 院前创伤急救止血专家共识(2025年版)[J]. 中国急救医学, 2025, 45(4):287-295.
	Mao SL. Expert consensus on pre-hospital trauma emergency hemostasis(2025 edition)[J]. Chin J Crit Care Med, 2025, 45(4):287-295.
[4]	Stallwood-Hall C, Anderson J, Ebeid A. Systematic review and meta-analysis of arterial embolization compared with traditional management on outcomes of traumatic massive facial haemo-rrhage[J]. ANZ J Surg, 2022, 92(5):988-993. DOI PMID
[5]	王欢, 胡苗苗, 王慧敏, 等. 新型加压止血弹力绷带在全脑血管造影术后患者中的应用[J]. 中华现代护理杂志, 2021, 27(29):3994-3997.
	Wang H, Hu MM, Wang HM, et al. Application of a new type of pressure hemostatic elastic bandage in patients undergoing digital subtract angiography[J]. Chin J Mod Nurs, 2021, 27(29):3994-3997.
[6]	Neubauer DC, Lance S, Martin MJ, et al. Craniofacial trauma on the modern battlefield:initial management and techniques[J]. Curr Trauma Rep, 2021, 7(2):44-51. DOI
[7]	徐凯航, 秦升, 赫荣智, 等. 军事背景下止血材料及止血方法的研究进展[J]. 海军医学杂志, 2020, 41(4):482-486.
	Xu KH, Qin S, He RZ, et al. Research progress of hemostatic materials and methods under military background[J]. J Navy Med, 2020, 41(4):482-486.
[8]	王亮, 柏骏, 聂少杰, 等. 一种新型快速智能气压式止血带的研发及基本性能试验[J]. 海军军医大学学报, 2022, 43(5):581-585.
	Wang L, Bai J, Nie SJ, et al. Development and basic perfor-mance test of a new fast intelligent pneumatic tourniquet[J]. Acad J Nav Med Univ, 2022, 43(5):581-585.
[9]	Kolcaba KY. A theory of holistic comfort for nursing[J]. J Adv Nurs, 1994, 19(6):1178-1184. PMID
[10]	朱丽霞, 高凤莉, 罗虹辉, 等. 舒适状况量表的信效度测试研究[J]. 中国实用护理杂志, 2006, 22(13):57-59.
	Zhu LX, Gao FL, Luo HH, et al. The study of testing the content validity and the internal consistency of general com-fort questionnaire[J]. Chin J Pract Nurs, 2006, 22(13):57-59.
[11]	Adebusoye FT, Awuah WA, Alshareefy Y, et al. Craniomaxillo-facial trauma in war-torn nations:incidence,management gaps,and recommendations[J]. Acute Med Surg, 2023, 10(1):e877. DOI URL
[12]	蒋锦源, 张济来, 李响, 等. 中美战伤急救止血器材现状及思考[J]. 创伤外科杂志, 2021, 23(2):148-151.
	Jiang JY, Zhang JL, Li X, et al. Current situation and thinking of first aid hemostatic equipment for war wound between Chinese and American militaries[J]. J Trauma Surg, 2021, 23(2):148-151.
[13]	Liu JJW, Nazarov A, Ein N, et al. Treating posttraumatic stress disorder in military populations:a meta-analysis[J]. J Clin Psy-chiatry, 2025, 86(2):24r15571.
[14]	冉凌霄, 王东敏, 许珂, 等. 基于人体三维模型的生物力学仿真在压力性损伤预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(8):1012-1018. DOI
	Ran LX, Wang DM, Xu K, et al. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers:a scoping review[J]. Chin J Nurs, 2025, 60(8):1012-1018.

[1]	中华护理学会静脉输液治疗专业委员会, 北京护理学会, （执笔：李佳, 李旭英, 覃惠英, 陈利芬, 吴珍明, 胡泽吟, 罗梦娜, 范育英, 吴嘉慧, 林宇萍, 王蕾, 孙文彦, 冯毕龙, 高伟, 李亚南, 侯罗娅, 李春燕. 中心静脉通路装置拔除护理专家共识[J]. 中华护理杂志, 2026, 61(9): 1157-1162.
[2]	周霞, 马艳艳, 师正坤, 于海霞, 周艳, 胡红玲, 李莜, 陈思思, 张京慧. 隧道式经股静脉PICC置入术在困难静脉通路婴幼儿中的应用研究[J]. 中华护理杂志, 2026, 61(9): 1163-1170.
[3]	黄萍, 李黎, 郭骊莉, 徐莹, 叶赟, 江淑芳. 与无针输液接头相关的导管相关性血流感染风险评估工具的构建与初步应用[J]. 中华护理杂志, 2026, 61(9): 1171-1179.
[4]	李佳, 张玉玲, 邢乐, 张利峰, 牛秀峰, 许莉. 早产儿经上肢置入PICC尖端继发性异位风险预测模型的建立与验证[J]. 中华护理杂志, 2026, 61(9): 1180-1186.
[5]	何娟, 赵蕾蕾, 叶冠军, 余艳芬, 傅晓君, 周琴. 1例双侧无名静脉及上腔静脉人工血管置换术后患者经上肢置入PICC的护理[J]. 中华护理杂志, 2026, 61(9): 1187-1191.
[6]	梁江淑渊, 曾妃, 何鹏, 谢梦珊, 江悦, 蒋宗恒, 王建茗. 静脉-静脉体外膜肺氧合患者早期活动风险等级评估系统的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1192-1199.
[7]	陈晨, 顾肖, 郭凡, 王敏, 倪兴梅, 黄琴, 程念开. 3种衰弱评估工具对急诊老年创伤患者不良结局的预测价值[J]. 中华护理杂志, 2026, 61(9): 1200-1207.
[8]	郑煜琳, 刘晋宁, 张静, 郭会敏, 谷艳梅, 张莉莉. 酒精性肝病患者肝移植术后再饮酒现状及其影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1208-1214.
[9]	叶俊霜, 沈丽佳, 孟霞靓, 张玉姣, 蔡根莲, 邵碧云, 周亚辉, 张柳倩, 应金萍. 维持性血液透析患者对口腔衰弱认知和体验的质性研究[J]. 中华护理杂志, 2026, 61(9): 1215-1220.
[10]	王芸姣, 杨玉金, 郑春艳, 彭菲津, 王淑贞, 蒋喜露, 周为民, 王薇, 张娜. 糖尿病下肢动脉硬化闭塞症患者介入术后康复护理方案的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1221-1229.
[11]	杨明霞, 安冉, 臧金凤, 李春梅. 老年慢性病共病患者及照护者老老照护能力与自我忽视的相关性分析[J]. 中华护理杂志, 2026, 61(9): 1230-1236.
[12]	梁和静, 许鹊, 史云霞, 祖金美, 黄文静, 杨春旭, 郭明华, 王磊. 颈动脉内膜剥脱术围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2026, 61(9): 1237-1244.
[13]	韩媛媛, 石玉竹, 尚文涵, 么莉. 870所三级甲等医院老年住院患者跌倒伤害发生现状与影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1245-1252.
[14]	夏云芳, 王洪, 崔岱, 付真真, 朱敏. 1例弥漫性毒性甲状腺肿合并超敏反应综合征青少年患者的护理[J]. 中华护理杂志, 2026, 61(9): 1253-1256.
[15]	周益飞, 王海苹, 胡益环, 应莉, 罗松娜. 1例氢氟酸中毒并发呼吸心搏骤停患者的急救护理[J]. 中华护理杂志, 2026, 61(9): 1257-1260.

基于气囊加压原理颌面包扎止血巾的设计与应用

Design and application of a maxillofacial dressing hemostatic bandage based on the principle of airbag pressurization

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

图/表 4

参考文献 14

相关文章 15

编辑推荐

Metrics