一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)的(de)具(ju)体(ti)(ti)操(cao)作(zuo)方(fang)(fang)法(fa)是怎(zen)样(yang)。温馨提示：为避免(mian)病人吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)的(de)空气(qi)(qi)(qi)干燥(因无鼻(bi)腔(qiang)的(de)湿化作(zuo)用(yong)(yong)(yong))，可(ke)用(yong)(yong)(yong)单层(ceng)或双层(ceng)盐水浸湿的(de)纱布覆盖(gai)一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)管(guan)(guan)(guan)(guan)(guan)口，干后随时更换。那么，一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)的(de)具(ju)体(ti)(ti)操(cao)作(zuo)方(fang)(fang)法(fa)是怎(zen)样(yang)? 一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)为无菌产品(pin)，经(jing)环氧乙烷灭菌，灭菌有(you)效(xiao)期2年;一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)限一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)，用(yong)(yong)(yong)后销毁，禁止重复使(shi)(shi)用(yong)(yong)(yong);一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)应存放在通风(feng)、干燥、无腐(fu)蚀(shi)性(xing)(xing)(xing)物(wu)体(ti)(ti)的(de)室内。 一(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)的(de)具(ju)体(ti)(ti)操(cao)作(zuo)方(fang)(fang)法(fa)如(ru)下： 吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引前先(xian)检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引器效(xiao)能是否良好，吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引导管(guan)(guan)(guan)(guan)(guan)是否通畅。2.备齐(qi)用(yong)(yong)(yong)物(wu)，置床头柜，向患者(zhe)解(jie)释。3.将(jiang)患者(zhe)头偏向一(yi)侧(ce)，并略向后仰。昏(hun)迷患者(zhe)可(ke)用(yong)(yong)(yong)压舌板将(jiang)口启开，夹(jia)持吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)由(you)口腔(qiang)颊部插至咽喉部，乘患者(zhe)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)气(qi)(qi)(qi)时将(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)(guan)插入(ru)气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)。如(ru)口腔(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)有(you)困(kun)难时，可(ke)由(you)鼻(bi)腔(qiang)插入(ru)(颅底骨(gu)折患者(zhe)禁用(yong)(yong)(yong));气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)插管(guan)(guan)(guan)(guan)(guan)或气(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)切开患者(zhe)，可(ke)由(you)插管(guan)(guan)(guan)(guan)(guan)或套管(guan)(guan)(guan)(guan)(guan)内插入(ru)。

一(yi)(yi)次(ci)(ci)(ci)性(xing)使用阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi)是(shi)一(yi)(yi)种一(yi)(yi)次(ci)(ci)(ci)性(xing)无(wu)(wu)菌(jun)阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi)，供妇科查(cha)看用，分推(tui)拉式、调理式和(he)钩(gou)扣式三(san)种。性(xing)能结构：一(yi)(yi)次(ci)(ci)(ci)性(xing)无(wu)(wu)菌(jun)阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi) 由上(shang)叶、下(xia)叶和(he)手柄组成，分推(tui)拉式、调理式和(he)钩(gou)扣式三(san)种，按尺度(du)不(bu)同(tong)分三(san)个规(gui)格。一(yi)(yi)次(ci)(ci)(ci)性(xing)无(wu)(wu)菌(jun)阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi) 应无(wu)(wu)菌(jun)；适(shi)用范围：供妇科查(cha)看用；规(gui)格型号：大号、中号、小号；一(yi)(yi)次(ci)(ci)(ci)性(xing)照明阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi)在(zai)为(wei)妇科病人检(jian)查(cha)、治疗时，我(wo)们常会(hui)用到阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi)，现在(zai)常用的(de)阴(yin)(yin)道(dao)扩(kuo)(kuo)(kuo)张(zhang)(zhang)(zhang)器(qi)(qi)，在(zai)灯(deng)光较暗的(de)情形下(xia)，插入阴(yin)(yin)道(dao)后，无(wu)(wu)法看清阴(yin)(yin)道(dao)内(nei)的(de)具(ju)体情形，以致于无(wu)(wu)法进(jin)行有(you)效检(jian)查(cha)和(he)治疗。

2月(yue)13日，联(lian)(lian)合整(zheng)治“保健(jian)(jian)”市(shi)场乱象百(bai)日行(xing)(xing)(xing)动(dong)(dong)(dong)联(lian)(lian)合工(gong)(gong)作(zuo)组(zu)在市(shi)场监(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)召开(kai)(kai)工(gong)(gong)作(zuo)组(zu)会议。市(shi)场监(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)副局(ju)长甘霖同志出席会议并讲话，市(shi)场监(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)、工(gong)(gong)业(ye)(ye)和信息化部(bu)、公安(an)部(bu)、民政(zheng)部(bu)、住房和城乡建设部(bu)、农业(ye)(ye)农村部(bu)、商务部(bu)、文化和旅游部(bu)、卫生健(jian)(jian)康委员(yuan)(yuan)会、广播电视总(zong)(zong)(zong)局(ju)、中医药(yao)管(guan)(guan)理局(ju)、药(yao)品监(jian)(jian)(jian)督管(guan)(guan)理局(ju)、网(wang)信办等13部(bu)门(men)成(cheng)员(yuan)(yuan)单(dan)位(wei)负责同志及联(lian)(lian)络(luo)(luo)员(yuan)(yuan)和市(shi)场监(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)“百(bai)日行(xing)(xing)(xing)动(dong)(dong)(dong)”工(gong)(gong)作(zuo)组(zu)成(cheng)员(yuan)(yuan)单(dan)位(wei)负责同志及联(lian)(lian)络(luo)(luo)员(yuan)(yuan)参加(jia)会议。“百(bai)日行(xing)(xing)(xing)动(dong)(dong)(dong)”开(kai)(kai)展(zhan)以来，各部(bu)门(men)积极落实(shi)《关于开(kai)(kai)展(zhan)联(lian)(lian)合整(zheng)治“保健(jian)(jian)”市(shi)场乱象百(bai)日行(xing)(xing)(xing)动(dong)(dong)(dong)的通知》要求，立(li)足自身职能(neng)，迅(xun)速部(bu)署落实(shi)，在相关领域和行(xing)(xing)(xing)业(ye)(ye)内开(kai)(kai)展(zhan)行(xing)(xing)(xing)动(dong)(dong)(dong)。市(shi)场监(jian)(jian)(jian)管(guan)(guan)总(zong)(zong)(zong)局(ju)切实(shi)履(lv)行(xing)(xing)(xing)监(jian)(jian)(jian)管(guan)(guan)执法、联(lian)(lian)络(luo)(luo)调(diao)度、汇集信息、服务保障等职责，通过建立(li)工(gong)(gong)作(zuo)协调(diao)机制、建立(li)工(gong)(gong)作(zuo)台账、召开(kai)(kai)调(diao)度会议、加(jia)强新闻宣传(chuan)等方式，组(zu)织各部(bu)门(men)、市(shi)场监(jian)(jian)(jian)管(guan)(guan)系统(tong)迅(xun)速深入开(kai)(kai)展(zhan)“百(bai)日行(xing)(xing)(xing)动(dong)(dong)(dong)”。

插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)时(shi)(shi)(shi)的(de)护(hu)理(li)(li)⑴清醒(xing)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)：操(cao)纵(zong)(zong)(zong)中应鼓励其增强决(jue)心信念，调动(dong)自我控制能(neng)力(li)(li)，从而按(an)捺不良情绪，配(pei)合(he)插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)。插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)时(shi)(shi)(shi)如(ru)碰到阻力(li)(li)，切勿强行(xing)置入(ru)，应查明(ming)(ming)发生(sheng)原因，如(ru)管(guan)(guan)(guan)(guan)(guan)(guan)腔(qiang)(qiang)内(nei)有堵塞，可向胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)内(nei)注入(ru)空气，若泛起呃逆，说明(ming)(ming)管(guan)(guan)(guan)(guan)(guan)(guan)腔(qiang)(qiang)启齿部(bu)位在食管(guan)(guan)(guan)(guan)(guan)(guan)内(nei)，可将(jiang)胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)向下试插(cha)(cha)(cha)。⑵意识(shi)障碍患(huan)(huan)(huan)者(zhe)(zhe)(zhe)：可采(cai)用(yong)诱导吞咽法插(cha)(cha)(cha)胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)：患(huan)(huan)(huan)者(zhe)(zhe)(zhe)取平卧或(huo)头高位，操(cao)纵(zong)(zong)(zong)者(zhe)(zhe)(zhe)两(liang)人分站两(liang)侧，左侧操(cao)纵(zong)(zong)(zong)者(zhe)(zhe)(zhe)按(an)传统方法将(jiang)胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)轻(qing)插(cha)(cha)(cha)至14～16cm休止，待患(huan)(huan)(huan)者(zhe)(zhe)(zhe)不适症状消(xiao)失后，左侧操(cao)纵(zong)(zong)(zong)者(zhe)(zhe)(zhe)用(yong)木帛(bo)签蘸(zhan)水，轻(qing)擦患(huan)(huan)(huan)者(zhe)(zhe)(zhe)唇部(bu)及舌面，见(jian)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)泛起吞咽动(dong)作，右侧操(cao)纵(zong)(zong)(zong)者(zhe)(zhe)(zhe)即将(jiang)胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)向前推(tui)进送入(ru)食道再插(cha)(cha)(cha)至胃(wei)(wei)部(bu)。插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)(guan)(guan)后护(hu)理(li)(li)（1）胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)留(liu)(liu)置时(shi)(shi)(shi)间：长期鼻(bi)(bi)饲患(huan)(huan)(huan)者(zhe)(zhe)(zhe)7天更(geng)换1次(ci)胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)，一(yi)次(ci)性使用(yong)灌肠(chang)包，改插(cha)(cha)(cha)另(ling)一(yi)侧鼻(bi)(bi)孔(kong)，以(yi)预(yu)防鼻(bi)(bi)咽黏(nian)膜---性损伤；若为(wei)硅(gui)胶胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)则每(mei)月更(geng)换1次(ci)。（2）保(bao)持胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)通(tong)畅(chang)：逐日(ri)用(yong)20ml生(sheng)理(li)(li)盐(yan)水冲刷(shua)2次(ci)，防止胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)因堵塞或(huo)胃(wei)(wei)液黏(nian)稠而引流(liu)不畅(chang)。（3）口腔(qiang)(qiang)护(hu)理(li)(li)：住院患(huan)(huan)(huan)者(zhe)(zhe)(zhe)在留(liu)(liu)置胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)期间机体抵挡力(li)(li)降(jiang)低，导致口腔(qiang)(qiang)的(de)自洁作用(yong)减(jian)弱。因此，留(liu)(liu)置胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)期间，对意识(shi)障碍患(huan)(huan)(huan)者(zhe)(zhe)(zhe)进行(xing)口腔(qiang)(qiang)护(hu)理(li)(li)，对清醒(xing)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)嘱定(ding)时(shi)(shi)(shi)刷(shua)牙(ya)。（4）心理(li)(li)护(hu)理(li)(li)：清醒(xing)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)留(liu)(liu)置胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)时(shi)(shi)(shi)护(hu)士应多与其沟(gou)通(tong)，加强胃(wei)(wei)管(guan)(guan)(guan)(guan)(guan)(guan)护(hu)理(li)(li)知识(shi)的(de)宣教(jiao)，定(ding)时(shi)(shi)(shi)匡助患(huan)(huan)(huan)者(zhe)(zhe)(zhe)翻身，推(tui)拿背部(bu)、肩颈部(bu)，以(yi)减(jian)轻(qing)因头颈部(bu)制动(dong)及被动(dong)---带来的(de)不适。

这个市场的现状到底怎么样?在国家医疗改革诸如分级诊疗等大的浪潮冲击下，未来的机会和趋势如何?对于一些想在这块市场有所行动的企业来说，推荐一次性使用医用吸痰包又如何下手呢?带着这些问题，绿豹医疗经过与医械圈、医药圈里多年从事营销工作的同道沟通和交流；同时，也深入部分乡镇卫生院及社区卫生医疗机构，一次性使用医用吸痰包厂家与(yu)相关领导了解信息(xi)；最终结(jie)合(he)笔者(zhe)自身(shen)营(ying)销经验，经过梳(shu)理后，希望抛砖引玉，为部分企业的低(di)值耗材(cai)推广提供(gong)一(yi)(yi)些思路和(he)借鉴。1、采购(gou)目(mu)前在(zai)乡(xiang)镇卫生(sheng)院(yuan)及社区医疗(liao)机构，大型医疗(liao)器(qi)械(xie)设(she)备由医院(yuan)提出需(xu)求(qiu)（如有(you)具体参数也要附上），卫计委负责采购(gou)并配发(fa)给卫生(sheng)院(yuan)；而小(xiao)型设(she)备及一(yi)(yi)次(ci)性使用的低(di)值耗材(cai)类(lei)，具有(you)最终端决策权的就基本上是院(yuan)长(zhang)一(yi)(yi)个人了，当然一(yi)(yi)般由化验室提出需(xu)求(qiu)，供(gong)货商多数是多年与(yu)该(gai)院(yuan)合(he)作器(qi)械(xie)经营(ying)或原(yuan)药品(pin)营(ying)销关系转行(xing)从事(shi)器(qi)械(xie)耗材(cai)推广的公(gong)司，亦或和(he)卫计委有(you)一(yi)(yi)定(ding)的业务关系。

接(jie)近(jin)医(yi)(yi)(yi)生(sheng)(sheng)，与(yu)医(yi)(yi)(yi)生(sheng)(sheng)的(de)(de)(de)(de)(de)(de)第一(yi)(yi)(yi)(yi)(yi)次接(jie)触(chu)对于医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)来说(shuo)，是一(yi)(yi)(yi)(yi)(yi)个(ge)(ge)很(hen)(hen)高的(de)(de)(de)(de)(de)(de)门(men)(men)槛。最容(rong)易被(bei)(bei)医(yi)(yi)(yi)生(sheng)(sheng)拒绝(jue)的(de)(de)(de)(de)(de)(de)时候(hou)也在这个(ge)(ge)时候(hou)，没(mei)有(you)一(yi)(yi)(yi)(yi)(yi)定的(de)(de)(de)(de)(de)(de)接(jie)近(jin)方(fang)法(fa)，新(xin)(xin)的(de)(de)(de)(de)(de)(de)医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)很(hen)(hen)难(nan)获(huo)得(de)与(yu)医(yi)(yi)(yi)生(sheng)(sheng)交谈的(de)(de)(de)(de)(de)(de)机(ji)会。 因(yin)为陌生(sheng)(sheng)人相识，压(ya)力极(ji)大。再说(shuo)销售(shou)(shou)工作被(bei)(bei)很(hen)(hen)多(duo)人误解，也被(bei)(bei)一(yi)(yi)(yi)(yi)(yi)些(xie)不良的(de)(de)(de)(de)(de)(de)医(yi)(yi)(yi)接(jie)近(jin)医(yi)(yi)(yi)生(sheng)(sheng)，与(yu)医(yi)(yi)(yi)生(sheng)(sheng)的(de)(de)(de)(de)(de)(de)第一(yi)(yi)(yi)(yi)(yi)次接(jie)触(chu)对于医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)来说(shuo)，是一(yi)(yi)(yi)(yi)(yi)个(ge)(ge)很(hen)(hen)高的(de)(de)(de)(de)(de)(de)门(men)(men)槛。最容(rong)易被(bei)(bei)医(yi)(yi)(yi)生(sheng)(sheng)拒绝(jue)的(de)(de)(de)(de)(de)(de)时候(hou)也在这个(ge)(ge)时候(hou)，没(mei)有(you)一(yi)(yi)(yi)(yi)(yi)定的(de)(de)(de)(de)(de)(de)接(jie)近(jin)方(fang)法(fa)，新(xin)(xin)的(de)(de)(de)(de)(de)(de)医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)很(hen)(hen)难(nan)获(huo)得(de)与(yu)医(yi)(yi)(yi)生(sheng)(sheng)交谈的(de)(de)(de)(de)(de)(de)机(ji)会。因(yin)为陌生(sheng)(sheng)人相识，压(ya)力极(ji)大。再说(shuo)销售(shou)(shou)工作被(bei)(bei)很(hen)(hen)多(duo)人误解，也被(bei)(bei)一(yi)(yi)(yi)(yi)(yi)些(xie)不良的(de)(de)(de)(de)(de)(de)医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)做(zuo)坏了名声，医(yi)(yi)(yi)生(sheng)(sheng)一(yi)(yi)(yi)(yi)(yi)般对医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)都有(you)拒绝(jue)心态。医(yi)(yi)(yi)疗(liao)器(qi)械(xie)销售(shou)(shou)员(yuan)除了需(xu)要(yao)(yao)在接(jie)近(jin)医(yi)(yi)(yi)生(sheng)(sheng)前，做(zuo)好(hao)医(yi)(yi)(yi)生(sheng)(sheng)资(zi)料分析、选择拜访(fang)路线、熟练产品知识外(wai)，还要(yao)(yao)决定使用什么接(jie)近(jin)医(yi)(yi)(yi)生(sheng)(sheng)的(de)(de)(de)(de)(de)(de)方(fang)法(fa)。给予医(yi)(yi)(yi)生(sheng)(sheng)一(yi)(yi)(yi)(yi)(yi)个(ge)(ge)见面的(de)(de)(de)(de)(de)(de)理由，是获(huo)得(de)交谈机(ji)会的(de)(de)(de)(de)(de)(de)敲门(men)(men)砖。