2月13日，联合整治“保健”市场乱象百日行动联合工作组在市场监管总局召开工作组会议。医用一次性采血护理包市场监管总局副局长甘霖同志出席会议并讲话，市场监管总局、工业和信息化部、公安部、民政部、住房和城乡建设部、农业农村部、商务部、文化和旅游部、一次性采血护理包价格卫(wei)生健康委员(yuan)会(hui)(hui)、广播电(dian)视总局(ju)、中(zhong)医药管(guan)(guan)理局(ju)、药品监督管(guan)(guan)理局(ju)、网信办等13部门(men)成(cheng)员(yuan)单位负(fu)(fu)责(ze)同(tong)志及(ji)联络员(yuan)和市场(chang)监管(guan)(guan)总局(ju)“百日(ri)行(xing)(xing)动(dong)”工作组成(cheng)员(yuan)单位负(fu)(fu)责(ze)同(tong)志及(ji)联络员(yuan)参加会(hui)(hui)议(yi)。“百日(ri)行(xing)(xing)动(dong)”开(kai)展(zhan)以来，各部门(men)积极落实(shi)《关于开(kai)展(zhan)联合整(zheng)治“保(bao)健”市场(chang)乱象百日(ri)行(xing)(xing)动(dong)的通(tong)知》要求，立足(zu)自身职能，迅(xun)速部署落实(shi)，在相(xiang)关领域和行(xing)(xing)业(ye)内开(kai)展(zhan)行(xing)(xing)动(dong)。市场(chang)监管(guan)(guan)总局(ju)切实(shi)履行(xing)(xing)监管(guan)(guan)执法(fa)、联络调度(du)、汇集信息、服务(wu)保(bao)障等职责(ze)，通(tong)过建立工作协调机(ji)制(zhi)、建立工作台账、召开(kai)调度(du)会(hui)(hui)议(yi)、加强新(xin)闻宣传等方式，组织(zhi)各部门(men)、市场(chang)监管(guan)(guan)系统迅(xun)速深入开(kai)展(zhan)“百日(ri)行(xing)(xing)动(dong)”。

一次性使(shi)(shi)用(yong)(yong)(yong)导(dao)(dao)(dao)尿(niao)包(bao)(bao)的(de)(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法(fa)1、导(dao)(dao)(dao)尿(niao)包(bao)(bao)的(de)(de)(de)配(pei)置(zhi)和(he)包(bao)(bao)装设计是根(gen)据《中华护理大全》中关(guan)于导(dao)(dao)(dao)尿(niao)部分(fen)的(de)(de)(de)操(cao)作(zuo)程(cheng)序和(he)各医院(yuan)实(shi)际导(dao)(dao)(dao)尿(niao)操(cao)作(zuo)过程(cheng)中的(de)(de)(de)要求设计制(zhi)定。2 导(dao)(dao)(dao)尿(niao)包(bao)(bao)的(de)(de)(de)使(shi)(shi)用(yong)(yong)(yong)方法(fa)可按(an)各医院(yuan)规定的(de)(de)(de)导(dao)(dao)(dao)尿(niao)操(cao)作(zuo)规程(cheng)进(jin)(jin)行操(cao)作(zuo)。3如在使(shi)(shi)用(yong)(yong)(yong)过程(cheng)中导(dao)(dao)(dao)尿(niao)包(bao)(bao)内的(de)(de)(de)配(pei)置(zhi)和(he)包(bao)(bao)装顺序与(yu)贵医院(yuan)的(de)(de)(de)导(dao)(dao)(dao)尿(niao)操(cao)作(zuo)规程(cheng)有不相符的(de)(de)(de)情(qing)况请(qing)(qing)向供应商提(ti)出(chu)改(gai)进(jin)(jin)建议(yi)。4在使(shi)(shi)用(yong)(yong)(yong)导(dao)(dao)(dao)尿(niao)包(bao)(bao)前(qian)请(qing)(qing)确认(ren)您(nin)所使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)导(dao)(dao)(dao)尿(niao)包(bao)(bao)是否(fou)是您(nin)选用(yong)(yong)(yong)的(de)(de)(de)型(xing)号，并确认(ren)导(dao)(dao)(dao)尿(niao)包(bao)(bao)包(bao)(bao)装完好(hao)无破损。5 在操(cao)作(zuo)前(qian)请(qing)(qing)做好(hao)准备工作(zuo)，安(an)排(pai)患(huan)者(zhe)正确体(ti)位铺好(hao)洞巾。并对(dui)患(huan)者(zhe)进(jin)(jin)行安(an)慰。6、请(qing)(qing)按(an)医院(yuan)的(de)(de)(de)导(dao)(dao)(dao)尿(niao)操(cao)作(zuo)规程(cheng)进(jin)(jin)行外(wai)消(xiao)(xiao)毒(du)和(he)内消(xiao)(xiao)毒(du)两次消(xiao)(xiao)毒(du)。消(xiao)(xiao)毒(du)时不能(neng)选择对(dui)皮肤有较强刺(ci)激的(de)(de)(de)消(xiao)(xiao)毒(du)剂，建议(yi)使(shi)(shi)用(yong)(yong)(yong)0.5％的(de)(de)(de)碘伏的(de)(de)(de)消(xiao)(xiao)毒(du)剂或其他低刺(ci)激的(de)(de)(de)消(xiao)(xiao)毒(du)剂。7、使(shi)(shi)用(yong)(yong)(yong)前(qian)请(qing)(qing)将导(dao)(dao)(dao)尿(niao)管球(qiu)(qiu)囊进(jin)(jin)行充(chong)(chong)水试(shi)验，确认(ren)导(dao)(dao)(dao)尿(niao)管球(qiu)(qiu)囊是否(fou)正常。充(chong)(chong)水后的(de)(de)(de)球(qiu)(qiu)囊应在球(qiu)(qiu)囊中留2－3ml蒸(zheng)馏水，用(yong)(yong)(yong)于保障球(qiu)(qiu)囊外(wai)表(biao)光(guang)滑。

插(cha)(cha)管(guan)时(shi)(shi)的(de)(de)护(hu)(hu)(hu)理(li)⑴清(qing)醒患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)：操纵中(zhong)应鼓(gu)励其增强(qiang)(qiang)决心(xin)信念，调动(dong)自我控制能力(li)，从而按(an)捺(na)不(bu)(bu)良(liang)情绪(xu)，配合插(cha)(cha)管(guan)。插(cha)(cha)管(guan)时(shi)(shi)如(ru)碰(peng)到(dao)阻力(li)，切勿强(qiang)(qiang)行置入，应查明发生原因，如(ru)管(guan)腔内有堵塞(sai)，可(ke)(ke)向(xiang)胃(wei)(wei)管(guan)内注入空(kong)气，若(ruo)泛(fan)(fan)起(qi)(qi)呃(e)逆，说明管(guan)腔启齿部(bu)位(wei)在食管(guan)内，可(ke)(ke)将(jiang)(jiang)胃(wei)(wei)管(guan)向(xiang)下试(shi)插(cha)(cha)。⑵意识障(zhang)(zhang)碍(ai)患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)：可(ke)(ke)采用(yong)(yong)(yong)诱导吞咽法插(cha)(cha)胃(wei)(wei)管(guan)：患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)取平(ping)卧或头(tou)高位(wei)，操纵者(zhe)(zhe)两(liang)人分站两(liang)侧(ce)(ce)，左侧(ce)(ce)操纵者(zhe)(zhe)按(an)传统方法将(jiang)(jiang)胃(wei)(wei)管(guan)轻(qing)插(cha)(cha)至14～16cm休止(zhi)，待患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)不(bu)(bu)适症状消失后，左侧(ce)(ce)操纵者(zhe)(zhe)用(yong)(yong)(yong)木帛(bo)签蘸水，轻(qing)擦患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)唇部(bu)及(ji)舌面，见患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)泛(fan)(fan)起(qi)(qi)吞咽动(dong)作，右侧(ce)(ce)操纵者(zhe)(zhe)即将(jiang)(jiang)胃(wei)(wei)管(guan)向(xiang)前推(tui)进送(song)入食道再插(cha)(cha)至胃(wei)(wei)部(bu)。插(cha)(cha)管(guan)后护(hu)(hu)(hu)理(li)（1）胃(wei)(wei)管(guan)留(liu)(liu)置时(shi)(shi)间(jian)：长期(qi)(qi)鼻饲患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)7天更(geng)换1次胃(wei)(wei)管(guan)，一次性使用(yong)(yong)(yong)灌(guan)肠(chang)包，改插(cha)(cha)另一侧(ce)(ce)鼻孔，以预防鼻咽黏膜---性损伤；若(ruo)为硅(gui)胶胃(wei)(wei)管(guan)则(ze)每月更(geng)换1次。（2）保持胃(wei)(wei)管(guan)通畅：逐(zhu)日用(yong)(yong)(yong)20ml生理(li)盐水冲(chong)刷(shua)2次，防止(zhi)胃(wei)(wei)管(guan)因堵塞(sai)或胃(wei)(wei)液黏稠而引流(liu)不(bu)(bu)畅。（3）口腔护(hu)(hu)(hu)理(li)：住院患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)在留(liu)(liu)置胃(wei)(wei)管(guan)期(qi)(qi)间(jian)机体抵挡力(li)降低，导致口腔的(de)(de)自洁作用(yong)(yong)(yong)减(jian)弱。因此，留(liu)(liu)置胃(wei)(wei)管(guan)期(qi)(qi)间(jian)，对意识障(zhang)(zhang)碍(ai)患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)进行口腔护(hu)(hu)(hu)理(li)，对清(qing)醒患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)嘱定时(shi)(shi)刷(shua)牙。（4）心(xin)理(li)护(hu)(hu)(hu)理(li)：清(qing)醒患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)留(liu)(liu)置胃(wei)(wei)管(guan)时(shi)(shi)护(hu)(hu)(hu)士(shi)应多与其沟通，加强(qiang)(qiang)胃(wei)(wei)管(guan)护(hu)(hu)(hu)理(li)知识的(de)(de)宣教，定时(shi)(shi)匡助(zhu)患(huan)(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)翻(fan)身，推(tui)拿背部(bu)、肩颈部(bu)，以减(jian)轻(qing)因头(tou)颈部(bu)制动(dong)及(ji)被动(dong)---带来的(de)(de)不(bu)(bu)适。

一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)的(de)(de)具(ju)体(ti)操(cao)作(zuo)方法(fa)(fa)是(shi)怎(zen)样(yang)。温(wen)馨提示：为避免(mian)病人吸(xi)(xi)(xi)入的(de)(de)空气干(gan)(gan)燥(zao)(因无鼻(bi)(bi)腔(qiang)的(de)(de)湿(shi)(shi)化(hua)作(zuo)用(yong))，可(ke)用(yong)单(dan)层或双(shuang)层盐水(shui)浸湿(shi)(shi)的(de)(de)纱布覆盖(gai)一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)管(guan)(guan)(guan)口(kou)，干(gan)(gan)后随时更换。那么，一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)的(de)(de)具(ju)体(ti)操(cao)作(zuo)方法(fa)(fa)是(shi)怎(zen)样(yang)? 一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)为无菌(jun)产品，经环氧乙烷灭(mie)菌(jun)，灭(mie)菌(jun)有效(xiao)期2年;一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)限一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)，用(yong)后销毁，禁止重复使(shi)(shi)(shi)(shi)用(yong);一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)应存放在通(tong)风、干(gan)(gan)燥(zao)、无腐蚀性(xing)(xing)(xing)(xing)物体(ti)的(de)(de)室内。 一(yi)次(ci)性(xing)(xing)(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)的(de)(de)具(ju)体(ti)操(cao)作(zuo)方法(fa)(fa)如(ru)下： 吸(xi)(xi)(xi)引前先检查(cha)吸(xi)(xi)(xi)引器效(xiao)能是(shi)否良好，吸(xi)(xi)(xi)引导(dao)管(guan)(guan)(guan)是(shi)否通(tong)畅。2.备齐用(yong)物，置(zhi)床头(tou)柜，向(xiang)患(huan)(huan)(huan)者(zhe)解(jie)释。3.将(jiang)患(huan)(huan)(huan)者(zhe)头(tou)偏(pian)向(xiang)一(yi)侧，并略向(xiang)后仰。昏迷患(huan)(huan)(huan)者(zhe)可(ke)用(yong)压舌板(ban)将(jiang)口(kou)启开，夹持吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)由(you)(you)口(kou)腔(qiang)颊部插(cha)(cha)至咽(yan)喉部，乘患(huan)(huan)(huan)者(zhe)吸(xi)(xi)(xi)气时将(jiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)插(cha)(cha)入气管(guan)(guan)(guan)。如(ru)口(kou)腔(qiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)有困难(nan)时，可(ke)由(you)(you)鼻(bi)(bi)腔(qiang)插(cha)(cha)入(颅底骨折(zhe)患(huan)(huan)(huan)者(zhe)禁用(yong));气管(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)或气管(guan)(guan)(guan)切开患(huan)(huan)(huan)者(zhe)，可(ke)由(you)(you)插(cha)(cha)管(guan)(guan)(guan)或套管(guan)(guan)(guan)内插(cha)(cha)入。