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["河南省工伤保险辅助器具配置目录（2022年修订）"]
["辅  具 编  号","辅  具  名  称","单  位","主要部件或材料要求","功   能","适   用     范   围","工伤保险最高支付限额","最低使用年限","备  注"]
[null,null,null,"一、假    肢（38项）"]
[10001," 假手指","只","硅胶，定制仿真手指 ","弥补外观缺损 ","适用于单个手指缺损者或多个手指缺损 ",900,1]
[10002," 部分手假肢","只","硅胶，仿真定制，内带填充物 ","弥补外观缺损、辅助持物 ","适用于掌骨截肢 　",5700,1]
[10003,"硅胶假手皮","只","硅胶成品","外观装饰","适用于各部位的上肢假肢，手头的保护与美观",2200,2]
[10004,"半掌肌电手","只","单自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭","适用于掌骨截肢 　",20500,4]
[10005,"装饰性腕离断假肢","具","装饰手或被动手、硅胶手套，定制接受腔 ","弥补外观缺损、辅助持物等被动功能  ","适用于不选择穿戴功能性假肢的腕部截肢者  ",9000,3]
[10006,"索控式腕离断假肢","具","标准机械手、硅胶手套，定制双层接受腔及肩背带 ","自身力源，利用牵引索控制假手开、闭，能主动持物 ","适用于腕关节离断或前臂长残肢的截肢者 ",11610,3]
[10007,"腕离断肌电假肢","具","单自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手的开、闭 ","适用于双侧截肢且残肢肌电信号达标的腕部或半掌截肢者 ",16200,4]
[10008,"腕离断肌电假肢","具","单自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手的开、闭 ","适用于腕部和半掌截肢者且肌电信号达标的",18000,4]
[10009,"装饰性前臂假肢","具","定制接受腔、腕关节、装饰手或被动手、硅胶手套 ","弥补外观缺损、辅助持物等被动功能 ","适用于不选择穿戴功能性假肢的前臂截肢者 ",7125,3]
[10010,"索控式前臂假肢","具","标准机械手、硅胶手套，被动式腕关节，定制接受腔及肩背带 ","自身力源，利用牵引索控制假手开、闭，腕关节可被动屈伸、旋转 ","适用于前臂截肢者 ",10440,3]
[10011,"前臂肌电假肢","具","单自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，腕关节被动屈曲或旋转 ","适用于双侧截肢且肌电信号达标的前臂截肢者 ",16200,4]
[10013,"前臂肌电假肢（双自由度）","具","双自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，腕关节的屈曲或旋转 ","适用于前臂截肢且肌电信号达标的前臂截肢者 ",25500,4]
[10014,"装饰性肘离断假肢","具","定制接受腔、装饰性假肢组件、装饰手或被动手、硅胶手套 ","弥补外观缺损、辅助持物等被动功能 ","适用于不选择穿戴功能性假肢的肘部、前臂极短残肢截肢者 ",11250,3]
[10015,"索控式肘离断假肢","具","标准机械手、硅胶手套，铰链式肘关节，定制接受腔及肩背带 ","牵引索控制假手开、闭，肘关节被动屈、伸 ","适用于肘关节离断或上臂残肢过长的、前臂极短残肢截肢者 ",14400,3]
[10016,"肘离断肌电假肢","具","单自由度肌电手、机械肘关节、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，腕关节被动屈曲或旋转，肘关节被动屈伸 ","适用于双侧截肢且肌电信号达标的肘离断、前臂极短残肢截肢者 ",27000,4]
[10018,"肘离断肌电假肢（双自由度）","具","双自由度肌电手、电动肘关节、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭、肘关节屈伸，腕关节被动屈曲或旋转，","适用于肘关节截肢且肌电信号达标的肘离断、前臂极短残肢截肢者 ",33150,4]
[10019,"装饰性上臂假肢","具","全接触接受腔、装饰性假肢组件、装饰手或被动手、硅胶手套 ","弥补外观缺损、辅助持物等被动功能 　","适用于不选择穿戴功能性假肢的上臂截肢者 ",12330,3]
[10020,"索控式上臂假肢","具","标准机械手、硅胶手套，机械肘关节，定制树脂接受腔及肩背带 ","牵引索控制假手开、闭和肘屈、伸功能 ","适用上臂截肢者 ",15300,3]
[10021,"上臂肌电假肢","具","单自由度肌电手、机械肘关节、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，腕关节被动屈曲或旋转，肘关节被动屈伸 ","适用于双侧截肢且肌电信号达标的上臂截肢者 ",26350,4]
[10022,"上臂肌电假肢（单自由度）","具","单自由度肌电手、机械肘关节、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，腕关节被动屈曲或旋转，肘关节被动屈伸","适用于上臂截肢且肌电信号达标的上臂截肢者 ",27200,4]
[10023,"上臂肌电假肢（双自由度）","具","双自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭、肘关节屈伸，腕关节被动屈曲或旋转","适用于上臂截肢且肌电信号达标的上臂截肢者 ",30770,4]
[10024,"装饰性肩离断假肢","具","骨骼式装饰性假肢组件，硅胶手套 ","弥补外观缺损、具有被动开、闭手和屈、伸肘功能，肩关节自由摆动 ","适用于肩关节离断或上臂残肢过短的截肢者 ",16200,3]
[10025,"肩离断肌电假肢","具","双自由度肌电手、硅胶手套，定制双层接受腔 ","电动力源，肌电信号控制假手开、闭，电动控制肘关节屈伸，腕关节被动屈曲或旋转","适用于肩关节离断或上臂残肢过短的截肢者 ",34000,3]
[10026,"上肢假肢硅凝胶套","个","带增强织物凝胶残肢套 ","软化瘢痕、保护残肢，悬吊和控制假肢 ","适用于大面积植皮、皮肤粘连、疤痕皮质、极短残肢的截肢者 ",5500,2]
[10027," 上肢假肢硅凝胶套锁具","个","铝合金 ","锁住带锁具的硅凝胶套，实现硅凝胶套的悬吊作用 ","适用于大面积植皮、皮肤粘连、疤痕皮质、极短残肢的截肢者 ",2500,2]
[10028,"电池","块","锂电成品","帮助机电假肢正常使用所需要的能源","适用于上肢各类机电假肢的电池更换",500,1.5]
[10029," 部分足假肢","具","定制硅胶制作足套式假半脚 ","补缺并改善行走功能 ","适用于跗骨近端截肢者 ",12000,3]
[10030,"赛姆假肢","具","定制接受腔、低踝假脚 ","代偿行走和站立功能 ","适用于踝部截肢、赛姆截肢或小腿残肢过长的截肢者 ",16200,3]
[10031,"组件式小腿假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择适宜内衬、关节及假脚  ","代偿行走和站立功能 ","适用于小腿截肢者 ",15000,3]
[10032,"组件式膝离断假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择内衬、关节及假脚  ","代偿行走和站立功能 ","适用于膝关节离断、小腿极短残肢截肢者 ",21675,3]
[10033,"组件式大腿假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择内衬、关节及假脚  ","代偿行走和站立功能 ","适用于大腿截肢者 ",21600,3]
[10034,"组件式髋离断假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择内衬、关节及假脚  ","代偿行走和站立功能 ","适用于髋关节离断或大腿残肢过短的截肢者 ",30600,3]
[100351,"大腿假肢硅凝胶套","只","带增强织物凝胶残肢套 ","软化瘢痕、保护残肢，悬吊和控制假肢 (带锁定装备）","适用于大面积植皮、皮肤粘连、疤痕皮质、大腿极短残肢的截肢者 ",6460,1]
[100352,"小腿假肢硅凝胶套","只","带增强织物凝胶残肢套 ","软化瘢痕、保护残肢，悬吊和控制假肢 (带锁定装备）","适用于大面积植皮、皮肤粘连、疤痕皮质、小腿极短残肢的截肢者 ",4800,1]
[10037,"残肢袜（易耗品，每人每年每一条小腿假肢配发不低于10只）","只","织物，成品，全棉料","帮助保护残肢皮肤","大小腿截肢患者，适用于保护小腿残肢，填充软组织收缩的空隙",30,1]
[10038,"小腿临时假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择内衬、关节及假脚 ","代偿行走和站立功能，便于初装截肢者残肢定型及安装假肢前的康复训练 ","适用于初次截肢的患者，用于小腿截肢 EVA内衬套 树脂（或PP)全面接触式PTK接受腔。",4000,1.5]
[10039,"临时大腿假肢","具","定制接受腔、根据残肢部位皮肤和身体功能经评估后，选择内衬、关节及假脚 ","代偿行走和站立功能，便于初装截肢者残肢定型及安装假肢前的康复训练 ","适用于初次截肢的患者，用于大腿截肢 EVA内衬套 树脂（或PP)全面接触式PTK接受腔。",7600,0.5]
[10040,"组件式半骨盆切除假肢","具","定制接受腔、单轴髋关节、气压膝关节及假脚，钛合金零部件","适用于半骨盆切除的截肢患者，代偿行走、站立，辅助坐位平衡","代偿行走和站立功能.辅助坐位平衡",33000,3]
[null,null,null,"二、矫 形 器（45项）"]
[20001," 静态型手指矫形器","具","聚乙烯高温板材、低温板材、金属或织物 ","单指或五指的矫正（含展开指蹼）与固定 ","适用于指骨骨折及韧带损伤术后固定 ",120,2]
[20002,"动态型手指矫形器","具","聚乙烯板材、金属条、弹性装置 ","手指畸形矫正及手指功能恢复锻炼 ","适用于并指畸形，矫正手指槌状、鹅颈、扣眼等畸形及术后 ",580,2]
[20003,"静态型掌指矫形器","具","聚乙烯高温板材、低温板材、金属或织物 ","掌指关节固定保护 ","适用于指骨近节骨折及术后固定 ",750,2]
[20004,"动态型掌指矫形器","具","热塑板材、金属条、弹性装置 ","手指展开及手指功能恢复锻炼 ","适用于指骨近节骨折、手指挛缩畸形、尺神经、正中神经麻痹引起手指内在肌的麻痹及术后功能恢复锻炼 ",1500,2]
[20005,"静态型腕手矫形器","具","热塑板材，固定带 ","腕部损伤固定，保持功能位或中立位 ","适用于腕部骨折、单纯性脱位及术后 ",830,2]
[20006,"动态型腕手矫形器","具","热塑板材，金属条，弹性装置 ","辅助掌指关节与拇指的伸展，功能恢复与锻炼 ","适用于桡神经损伤及术后的功能恢复 ",1500,2]
[20007,"对掌矫形器","具","热塑板材，金属条及软衬材","使拇指与四指保持在对掌位","适用于因正中神经麻痹、臂丛神经麻痹等引起的手指不能主动保持在对掌位者",4200,2]
[20008,"护腕","只","弹性针织成品","预防、治疗腕关节损伤","适用于腕关节损伤者及术后 ",300,0.5]
[20009,"上臂吊带","个","针织成品","上臂辅助固定","适用于上臂损伤及术后",216,1]
[20010,"前臂（肘腕手）矫形器","具","聚乙烯高温板材或低温板材，可以带或不带肘关节铰链 ","限制前臂旋前旋后，前臂保护固定 ","适用于前臂骨折及术后 ",850,1]
[20011,"前臂（肘腕手）矫形器","具","聚乙烯高温板材或低温板材，带肘关节铰链 ","限制前臂旋前旋后，前臂保护固定 ,功能训练","适用于前臂骨折及术后 ",2200,2]
[20012,"上臂（肩肘）矫形器","具","热塑板材，可以带或不带肩关节、肘关节铰链 ","上臂固定   ","适用于上臂骨折及术后   ",1600,1]
[20013,"上臂（肩肘腕手）矫形器","具","热塑板材，带肘关节铰链 ","上臂功能为固定、锻炼   ","适用于上臂骨折及术后   ",2600,2]
[20014,"肩外展矫形器","具","成品，热塑板,泡沫衬材，金属件","肩关节及肱骨固定（可调式） ","适用于肩关节及肱骨骨折、肩棘韧带损伤、臂丛神经损伤及术后固定   ",2500,1]
[20015,"颈托","具","成品，EVA泡沫塑料 ","减轻颈椎的负荷，控制颈椎活动 ","适用于颈椎病或颈椎轻度损伤及术后 ",500,1]
[20016,"颈胸矫形器","具","定制，热塑板材","起支撑、固定、减荷、保护、矫正的作用 ","适用于颈椎单纯性脱位、损伤术后 ",2300,1]
[20017,"头颈胸矫形器","具","定制，热塑板材","起支撑、固定、减荷、保护、矫正的作用 ","适用于颈椎单纯性脱位、骨折、损伤术后 ",2800,2]
[20018,"胸腰骶矫形器","具","定制，热塑板材","起支撑、固定、减荷、保护、矫正的作用 ","适用于胸腰椎损伤的康复和术后 ",1900,1]
[20019,"腰骶矫形器","具","定制，热塑板材","起支撑、固定、减荷、保护、矫正的作用 ","适用于腰椎损伤的康复和术后 ",1600,2]
[20020,"头颈胸腰骶矫形器","具","定制，热塑板材","起支撑、固定、减荷、保护、矫正的作用 ","适用于颈胸腰椎损伤的康复和术后 ",4000,2]
[20021," 脊柱过伸矫形器","具","金属支条或高强度热塑板材，框架式结构 ","控制或矫正胸腰椎后凸畸形 ","适用于腰椎和低位胸椎压缩性骨折的保守治疗或术后固定，胸腰椎后凸畸形及术后，老年人的退行性病变 ",1320,1]
[20022,"硬性围腰","具","背部采用半硬性塑料制成的框架式背托，腹部采用宽大的软垫式腹压垫，两侧采用弹性束紧带 ","加强胸腰部支撑，稳定脊柱；增强腹压，减轻脊柱负担 ","适用于胸腰部软组织损伤、椎间盘突出、轻度滑脱等，腰椎轻度骨性损伤的保守治疗及术后固定  ",400,1]
[20023,"弹性围腰","具","成品，弹性针织材料 ","增强腹压以减轻腰骶椎负担，对腰椎起支撑、保护作用 ","适用于腰骶部软组织损伤、腰肌劳损、 腰椎间盘突出等引起的疼痛，以及软骨骨性损伤的预防和保守治疗 ",240,1]
[20024," 矫形鞋","双","定制，牛皮","补高或补缺或矫治 ","适用于下肢不等长及足部缺损、畸形   ",800,1]
[20025," 矫形鞋（单鞋）","双","定制，牛皮（单鞋）","补高或补缺或矫治 ","适用于下肢不等长及足部缺损、畸形   ",620,1.5]
[20026," 矫形鞋（棉鞋）","双","定制，牛皮（棉鞋）","补高或补缺或矫治 ","适用于下肢不等长及足部缺损、畸形   ",780,1.5]
[20027,"足垫","只","定制、硅胶","矫正、改善疼痛","足部畸形、病变、骨刺",240,1]
[20028,"足弓垫","双","硅胶成品或EVA定制","支撑足纵或横弓","适用于外伤引起的纵弓塌陷",260,1]
[20029,"固定式踝足矫形器","只","成品，由热塑板制成（泡沫软衬）带拉带和固定带 ","将踝关节固定在功能位，稳定和保护踝关节 ","适用于踝足损伤，卧床病人预防足下垂及跟腱挛缩 ",700,2]
[20030,"功能式踝足矫形器","具","热塑板材定制或由踝铰链支条等构成 ","限制踝关节运动，矫正足内、外翻，保持足内外侧的稳定 ","适用于矫治足下垂、足内外翻、足内外旋及踝关节不稳定等 ",900,1]
[20031,"免荷式踝足矫形器","具","定制，热塑板材，髌韧带承重式 ","限制踝关节活动，减轻足部和小腿负重 ","适用于小腿外伤、胫腓骨远端骨折及术后 ",1500,3]
[20032," 膝踝足矫形器","具","定制，热塑板材，铝合金或不锈钢支条 ","固定膝关节、踝关节或矫正畸形 ","适用于大腿、小腿骨折或神经损伤及术前、术后 ",1500,1]
[20033," 膝踝足矫形器","具","定制，热塑板材，铝合金或不锈钢，可调膝铰链、可调踝铰链","可调膝关节、踝关节或矫正畸形 ","适用于大腿、小腿骨折或神经损伤及术前、术后 ",7125,2]
[20034," 膝矫形器","只","定制，热塑板材 ","固定下肢，矫正畸形，帮助恢复膝关节功能 ","适用于大腿、小腿骨折或神经韧带损伤及畸形和术后 ",1200,1]
[20035," 膝矫形器","只","定制，热塑板材 ，铝合金或不锈钢可调膝铰链","固定下肢，矫正畸形，帮助恢复膝关节功能 ","适用于大腿、小腿骨折或神经韧带损伤及畸形和术后 ",2300,2]
[20036,"膝关节限位矫形器","只","弹性针织品，金属或工程塑料卡盘，成品","控制膝关节活动范围","适用于大腿、小腿骨折或神经损伤恢复期功能锻炼及术后",2300,2]
[20037," 髋膝踝足免荷式矫形器","只","定制，热塑板材，金属支条，由腰骶矫形器和大腿矫形器用髋铰链连接组成 ","用坐骨支撑体重，腰骶部辅助固定 ","适用于大腿骨折、下肢肌力比较弱，大腿、小腿骨折或神经损伤及术前、术后需要坐骨负重的 ",4500,1]
[20038,"髋膝踝足矫形器","只","定制，热塑板材，金属支条，由腰骶矫形器和大腿矫形器用髋铰链连接组成 ","辅助行走、站立","适用于大腿骨折、下肢肌力比较弱，大腿、小腿骨折或神经损伤及术前",8075,2]
[20039,"单侧髋人字矫形器","只","定制高温热塑板、低温板","固定大腿或膝关节","大腿股骨、近端或远端骨折固定",3700,2]
[20040,"双侧髋人字矫形器","只","定制高温热塑板、低温板","固定大腿或膝关节","大腿股骨、近端或远端骨折固定",4900,2]
[20041," 截瘫行走矫形器","副","定制，热塑板材，机械组件 ","帮助截瘫病人站立或近距离行走 ","适用于第四胸椎以下截瘫，上肢功能良好的伤残者 ",45000,2]
[20042," 截瘫站立行走器","副","定制，热塑板材，机械组件 ","帮助截瘫病人站立或近距离行走 ","适用于第十胸椎以下截瘫，上肢功能良好的伤残者 ",25000,2]
[20043,"医用矫形鞋垫（含3D）","只","定制，热塑板材、聚氨酯材料","适用于下肢不等长及足部缺损、畸形","平衡足底压力分布，缓解疼痛，改善步态",800,1]
[20044,"压力袜/手套","只","弹力布、拉链、摩术贴等，量身定制","抑制瘢痕增生、减轻肢体肿胀、预防深静脉血栓，促进残端塑形","适用于深度烧伤Ⅲ及以上，预防疤痕增生、减轻肢体肿胀、预防静脉血栓，促进残端塑形",400,0.5]
[20045,"压力上衣/裤","件","弹力布、拉链、摩术贴等，量身定制","抑制瘢痕增生、减轻肢体肿胀、预防深静脉血栓，促进残端塑形","适用于深度烧伤Ⅲ及以上，预防疤痕增生、减轻肢体肿胀、预防静脉血栓，促进残端塑形",1000,0.5,{"$nulls":4},","]
["                 三、生活类辅助器具（19项）"]
[30001,"防褥疮床垫","个","内胆为橡塑气道型：双通道自动程控气囊换气，具有压力调节旋钮；全包覆式床罩，采用PVC面料或其它具有良好的防水透气性和吸湿功能的材质，且不产生滑动 ","增加接触面积和分散压力，可每天24小时连续使用 ","适用于长期卧床的重度伤残者 ",3000,3]
[30002,"防褥疮坐（靠）垫","个","内胆包括橡塑气囊，外材料具有防水、防霉、抗菌性能，坐垫与轮椅适配 ","增加接触面积和分散压力 ","适用于需长时间乘坐轮椅者 ",900,2]
[30003,"供氧机（制氧机）","台","呼吸罩：由硅胶制的鼻口呼吸面罩、导管、气囊及气阀、氧气袋构成（使用年限1年）。供氧机：由储氧瓶（袋）或氧气发生器（包括从周围空气浓缩氧气的装置）、流量调节阀、压力表、导管和鼻塞等构成","提供较高浓度的氧气。通过建立人工气道达到和医疗用氧一样的效果。","适用于肺功能中度损伤或中度及以上低氧血症伤残者(肺功能损伤及低氧血症标准参照《职工工伤与职业病致残等级（GB/T 16180-2014）A.5职业病内科门》",4500,5]
[30004,"坐便椅","只","铝合金材料，坐便部分为塑料材质，并配有可拆卸坐垫和马桶 ","辅助如厕，可折叠、可调节高度 ","适用于行动不便者 ",320,3]
[30005,"腋杖","副","木质、不锈钢或铝合金材质 ","可调节高度，减轻下肢承重，获得辅助支撑力，提高行走的稳定性 ","适用于下肢支撑能力较差的伤残者 ",220,4]
[30006,"肘杖","只","铝合金材料，可调节高度；肘托为塑料材质 ","减轻下肢和腋下承重，获得辅助支撑力，提高行走的稳定性 ","适用于下肢支撑能力较差的伤残者 ",160,4]
[30007,"手杖","只","铝合金材料，可调节高度 ","提高行走的稳定性 ","适用于平衡能力较差者 ",80,4]
[30008,"框式助行器","个","铝合金材质 ","稳定性优于各类拐杖，适合下肢伤残者辅助行走 ","适用于平衡能力较差的下肢伤残者 ",800,4]
[30009,"轮式助行器","个","铝合金材质 ","稳定性优于各类拐杖，适合下肢伤残者辅助行走 ","适用于平衡能力较好的下肢伤残者 ",1000,4]
[30010,"普通轮椅","辆","铝合金车架 ","代偿步行 ","适用于具备自行站立功能，但需借助轮椅代步的伤残者 ",1200,3]
[30011,"坐便轮椅","辆","铝合金车架、硬座，带坐便桶 ","代偿步行及如厕 ","适用于长期借助轮椅代步的重度伤残者 ",1500,4]
[30012,"高靠背轮椅","辆","铝合金车架，配备头枕、身体固定带、腿托等配件 ","代偿步行，靠背可在全躺位、半躺位、直立之间调整 ","适用于需较长时间借助轮椅活动的重度伤残者 ",1600,3]
[30013,"手摇三轮车","辆","包括双手前摇和单手平摇两种方式操控三轮车，设有倒档，车架为钢质 ","由使用者依靠自身力量手动驱动 ","适用于下肢残疾但上肢健全具有相应体力的伤残者 ",1500,3]
[30014,"盲杖","个","成品，塑料，碳纤或金属等，分为直杖及折叠杖 ","辅助行走 ","适用于盲人 ",60,3]
[30015,"护理床","个","钢制，海绵床垫","辅助护理长期卧床大小便失禁病人","适用于四肢瘫或高位截瘫患",2600,4]
[30016,"电动轮椅","辆","铝合金车架，轮椅结构，电池驱动，单手指可操作的控制装置，设有安全带及防后倾装置","有较好的通过性，适合外出活动","适用于下肢重度残疾且上肢功能受限，需长期借助轮椅代步的重度伤残患者",6000,4]
[30017,"电动轮椅电池","组","铅酸或锂电池","24V","电动轮椅",800,2]
[30018,"电动护理床","张","含电动侧翻、背升降、腿升降功能","辅助完全性四肢瘫、植物状态患者进行翻身、体位转换，预防压疮","适用于长期卧床，翻身及起床困难需大量及完全辅助者（大于50%）",3500,4]
[30019,"一次性护理垫（纸尿垫/纸尿片/纸尿裤）",null,"纸及吸水材料，成品","辅助尿失禁患者排便管理","适用于大小便失禁，经鉴定生活完全或大部分不能自理者（非在院期间）",300,"1/12","纸尿垫、纸尿片、纸尿裤择一使用"]
[null,null,null,"四、其他辅助器具（13项）"]
[40001," 耳背式助听器","台","电子产品，综合材料 ","用于听力伤残人员补偿听力 ","适用于听力损失大于90 dB（HL)的听力伤残人员 ",2000,6]
[40002," 耳内式助听器","台","电子产品，综合材料 ","用于听力伤残人员补偿听力 ","适用于听力损失小于90dB（HL)的听力伤残人员 ",4000,6]
[40003," 耳道式助听器","台","电子产品，综合材料 ","用于听力残疾人补偿听力 ","适用于听力损失小于81dB（HL)的听力伤残人员 ",2000,6]
[40004,"光学助视器","个","眼镜式或台式，光学镜片 ","放大功能，放大倍数固定 ","适用于低视力者 ",500,3]
[40005," 假眼","只","定制，新型高分子材料","弥补眼球缺陷 ","适用于眼球缺损者 ",2800,4]
[40006," 假鼻","只","定制，硅胶","弥补鼻部缺陷 ","适用于鼻部缺损者 ",2600,3]
[40007," 假耳","只","定制，硅胶","弥补耳部缺陷 ","适用于耳部缺损者 ",2500,3]
[40008," 假乳房","只","成品，硅胶","弥补乳房缺陷 ","适用于乳房缺损者 ",1300,3]
[40009,"假发","只","人造假发 ","弥补缺发或无发缺陷 ","适用于整体毛发缺损者 ",700,3]
[40010,"全口假牙","件","复合树脂牙、塑料基托（甲基丙烯酸甲酯）、铸造金属基托（钴铬合金、钛） ","代替缺失牙齿及相关组织，恢复咀嚼、发音、美观功能，需摘下清洗 ","适用于上颌或下颌牙齿的全部缺失者 ",4800,4]
[40011,"半口假牙","件","复合树脂牙、塑料基托（甲基丙烯酸甲酯）、金属弯制卡环 铸造金属基托及卡环（钴铬合金、钛） ","代替缺失牙齿及相关组织，恢复咀嚼、发音、美观功能，需摘下清洗 ","适用于上颌或下颌牙列从缺失一颗牙齿到仅剩一颗牙齿 ",2600,4]
[40012,"单颗牙","颗","复合树脂或烤瓷牙、塑料或铸造金属基托、金属卡环","代替缺失牙齿及相关组织，恢复咀嚼、发音、美观功能，需摘下清洗 ","适用于上颌或下颌牙齿的不连续缺失 ",1000,5]
[40013,"固定义齿","颗","复合树脂或烤瓷牙、金属桩核","代替缺失牙齿及相关组织，恢复咀嚼、发音、美观功能","适用于上颌或下颌牙齿缺失",1000,5]
["备注：","1、安装编号为10005、10008、10011、10014的肌电假肢时，一侧安装肌电假肢，另一侧则安装装饰性假肢或索控式假肢。"]
[null,"2、工伤保险最高支付限额包含使用训练费、使用期维修费和耗材费。"]
[null,"3、原安装编号为10012前臂肌电假肢（单自由度）、10017肘离断肌电假肢（单自由度）、10035大小腿假肢硅凝胶套删除。其中10035大小腿假肢硅凝胶套修改为100351大腿假肢硅凝胶套和100352小腿假肢硅凝胶套。"]

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