CN102366325B - Dysphagia pressure measurement and treatment instrument - Google Patents
Dysphagia pressure measurement and treatment instrument Download PDFInfo
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- CN102366325B CN102366325B CN201110320912.3A CN201110320912A CN102366325B CN 102366325 B CN102366325 B CN 102366325B CN 201110320912 A CN201110320912 A CN 201110320912A CN 102366325 B CN102366325 B CN 102366325B
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- air bag
- single chamber
- position constraint
- dysphagia
- swelling gasbag
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Abstract
The invention relates to an instrument for clinical examination and treatment, particularly relates to a cricopharyngeal muscle pressure measurement and dysphagia rehabilitation instrument, and belongs to the field of medical appliances. According to the technical scheme, the dysphagia pressure measurement and treatment instrument comprises a conduit body with a sealed end, wherein an expansion air bag is packaged on the outer wall close to the sealed end of the conduit body; positioning and constraining air bags are separately arranged at two sides of the expansion air bag; three single-cavity branch pipes are independently arranged in the conduit body; and the three single-cavity branch pipes are separately communicated with external air charging equipment and pressure gage. The instrument has the advantages that: the simple is simple and the operation is convenient; repeated pulling is not needed, thus the pharyngeal portion mucosa injury caused by multiple pulling is avoided; and the purpose of targeted treatment can be achieved according to the pressure measurement value.
Description
Technical field
The present invention relates to the instrument of a kind of clinical examination and treatment, especially a kind of instrument for cricopharyngeus piezometry and rehabilitation therapy of dysphagia following treatment, belongs to medical instruments field.
Background technology
Dysphagia is complication common in nervous system disease, cricopharyngeus that post-stroke causes lose relax be the most commonly encountered diseases that causes dysphagia because of.In recent years, Cerebral Haemorrhage Invasion Rate is at China's Continued, and annual new cases exceed 2,000,000, and just have apoplexy new cases average every 15 seconds, and the incidence rate of apoplexy patient dysphagia is 30 ~ 50%, and inhale incidence rate is 40 ~ 70% by mistake.
At present, it is mainly to adopt catheter balloon dilatation that treatment cricopharyngeus mistake is both at home and abroad relaxed, but because the size of pharyngeal cricopharyngeus muscular tension cannot be measured, the water injection rate of dilating sacculus depends critically upon medical personnel's experience and reaction, to repeatedly do the action of extracting several times every day simultaneously, cause patient's pharyngeal mucosa damage.
Summary of the invention
The object of this invention is to provide one makes air bag in pharyngeal accurate location, replace catheter, avoid patient to damage because repeatedly extracting the pharyngeal mucosa causing in therapeutic process, and can measure in real time cricopharyngeus pressure, thereby carry out the Piezometry treatment instrument for dysphagia of accurate dilation therapy.
To achieve these goals, the present invention adopts following technical scheme: a kind of Piezometry treatment instrument for dysphagia, comprise the catheter body of one end sealing, be enclosed with swelling gasbag near on the outer wall of catheter body blind end, be respectively equipped with position constraint air bag in the both sides of described swelling gasbag, in described catheter body, be independently provided with 3 single chamber arms; Wherein arm one end, two single chambeies is communicated with position constraint air bag respectively, and the other end is connected with charger by the pipe joint of catheter body outside; Another arm one end, single chamber is communicated with swelling gasbag, and the other end is connected with charger by the pipe joint of catheter body outside.
In addition, the single chamber arm other end being connected with swelling gasbag one end can utilize three-way device to be connected with pipe joint and Pressure gauge respectively, and pipe joint is connected with charger.
Described swelling gasbag is approximately cylindrical under inflated condition, and according to the pharyngeal physiological structure of human body, requires swelling gasbag in 0 to 40mm diameter range when inflation, and balloon surface material does not produce contractility, in relaxed state.Swelling gasbag, in the time carrying out cricopharyngeus pressure measxurement, is synchronously realized the function of expanding pharyngeal cricopharyngeus, carrying out rehabilitation.
Air bag of the present invention adopts medical plastic or latex to make.
Operation principle of the present invention is: on the outer wall of catheter body blind end, be enclosed with swelling gasbag and 2 position constraint air bags, conduit is inserted into after distal esophagus cricopharyngeus from oral cavity (nasal cavity), first inject air to close end of conduit and away from the position constraint air bag of end of conduit successively by single chamber arm, thereby the swelling gasbag on conduit outer wall is fixed between cricopharyngeus hypomere and cricopharyngeus epimere; Middle swelling gasbag is all the time in relaxed state in the time of inflation, and to all directions expansion, the position constraint air bag after its both sides inflation will play the effect of confined expansion air bag longitudinal dilatation; Middle swelling gasbag contacts with pharyngeal after inflation, because balloon surface Material Relaxation is without contraction, therefore the pressure of the suffered pharyngeal muscle of swelling gasbag outer surface is identical with inside air bag force value, so can record corresponding force value by the Pressure gauge being connected with swelling gasbag inside, for the evaluation diagnosis of cricopharyngeus muscular tension; In center sleeve pressurizes whole process, power thrusts is that vertical cricopharyngeus direction is exerted oneself, and does not need to extract, and inflation is repeatedly bled and just can be played treatment, has avoided repeatedly extracting the pharyngeal mucosa damage causing, and reaches the object of dilation therapy.
Compared with prior art, tool has the following advantages in the present invention:
1, simple in structure, easy to operate.
2, swelling gasbag can be realized by the position constraint air bag of both sides in pharyngeal location, and swelling gasbag is because the restriction of both sides position constraint air bag can only be along vertical cricopharyngeus direction expansion muscle, do not need extracting repeatedly, avoid repeatedly extracting the pharyngeal mucosa damage causing, reached therapeutic purposes.
3, peripheral hardware Pressure gauge measurement ring pharynx in real time muscle tension size, and control targetedly gas charging degree according to real-time pressure value, to guarantee therapeutic effect and safety.
Accompanying drawing explanation
Fig. 1 is Piezometry treatment instrument for dysphagia structural design drawing;
Fig. 2 is Piezometry treatment instrument for dysphagia structural design profile.
The specific embodiment
Below in conjunction with accompanying drawing 1, the invention will be further described for accompanying drawing 2: the present invention adopts following technical scheme: a kind of Piezometry treatment instrument for dysphagia, comprise the catheter body 2 of one end sealing, be enclosed with swelling gasbag 6 near on the outer wall of catheter body 2 blind ends, be respectively equipped with the first position constraint air bag 7 and the second position constraint air bag 8 in the both sides of described swelling gasbag 6,6 longitudinal dilatations of described position constraint air bag confined expansion air bag, making swelling gasbag 6 power thrusts in the whole process of pressurization is vertical cricopharyngeus direction; Described catheter body 2 is interior is independently provided with 3 single chamber arms: first single chamber arm 3, second single chamber arm 4 and the 3rd single chamber arm 5; First arm 3 one end, single chamber is communicated with swelling gasbag 6, and the other end utilizes three-way device 9 to be connected with pipe joint 1 and Pressure gauge 10 respectively, and pipe joint 1 is connected with charger; Second arm 4 one end, single chamber is communicated with the first position constraint air bag 7, and the other end is connected with charger by the pipe joint 1 of catheter body 2 outsides; The 3rd arm 5 one end, single chamber is communicated with the second position constraint air bag 8, and the other end is connected with charger by the pipe joint 1 of catheter body 2 outsides.
When work, first by conduit, from oral cavity, (nasal cavity) is inserted into distal esophagus cricopharyngeus, then inject air by the 3rd single chamber arm 5 toward the second position constraint air bag 8 near end of conduit, then conduit is extracted slightly outward, until can not extract, the end of conduit is fixed on to cricopharyngeus hypomere; Inject air by second single chamber arm 4 toward the first position constraint air bag 7, A/C is in cricopharyngeus epimere, and the swelling gasbag 6 in the middle of making is fixed on cricopharyngeus place; Inject air by first single chamber arm 3 toward middle swelling gasbag 6 and carry out expanse, in whole process, swelling gasbag 6 is under the restriction of both sides the first position constraint air bag 7, the second position constraint air bag 8, along vertical cricopharyngeus direction expansion, measure pharynx flesh pressure by the Pressure gauge 10 being communicated with swelling gasbag 6 simultaneously.Process of expansion does not need to extract air bag, according to real-time pressure measuring value control gas charging degree, utilizes inflation pumping process repeatedly just can play treatment, has avoided repeatedly extracting the pharyngeal mucosa damage causing.
The invention is not restricted to above-described embodiment, according to the description of above-described embodiment, those of ordinary skill in the art also can do some apparent changes to above-described embodiment, but within these changes all should fall into the protection domain of the claims in the present invention.
Claims (2)
1. a Piezometry treatment instrument for dysphagia, comprise the catheter body (2) of one end sealing, be enclosed with swelling gasbag (6) near on the outer wall of catheter body (2) blind end, it is characterized in that: be respectively equipped with the first position constraint air bag (7) and the second position constraint air bag (8) in the both sides of described swelling gasbag (6), described position constraint air bag confined expansion air bag (6) longitudinal dilatation, making swelling gasbag (6) power thrusts in the whole process of pressurization is vertical cricopharyngeus direction; In described catheter body (2), be independently provided with 3 single chamber arms: first single chamber arm (3), second single chamber arm (4) and the 3rd single chamber arm (5); First single chamber arm (3) one end is communicated with swelling gasbag (6), and the other end utilizes three-way device (9) to be connected with pipe joint (1) and Pressure gauge (10) respectively, and pipe joint (1) is connected with charger; Second single chamber arm (4) one end is communicated with the first position constraint air bag (7), and the other end is connected with charger by the outside pipe joint (1) of catheter body (2); The 3rd single chamber arm (5) one end is communicated with the second position constraint air bag (8), and the other end is connected with charger by the outside pipe joint (1) of catheter body (2).
2. Piezometry treatment instrument for dysphagia according to claim 1, is characterized in that: described swelling gasbag (6), the first position constraint air bag (7) and the second position constraint air bag (8) adopt medical plastic or latex to make.
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CN201110320912.3A CN102366325B (en) | 2011-10-21 | 2011-10-21 | Dysphagia pressure measurement and treatment instrument |
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CN201110320912.3A CN102366325B (en) | 2011-10-21 | 2011-10-21 | Dysphagia pressure measurement and treatment instrument |
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CN102366325B true CN102366325B (en) | 2014-05-21 |
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Cited By (1)
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TWI593389B (en) * | 2015-06-30 | 2017-08-01 | 學校法人兵庫醫科大學 | Swallowing disorder examinating device, swallowing disorder treating device and method for setting stimulating current |
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CN102670216A (en) * | 2012-05-04 | 2012-09-19 | 江苏苏云医疗器材有限公司 | Swallowing determining and evaluating system |
CN103919548B (en) * | 2013-07-25 | 2017-02-08 | 中国科学院深圳先进技术研究院 | Detecting device and detecting equipment for swallowing muscle disorders |
CN104188673B (en) * | 2014-09-11 | 2016-08-17 | 厦门大学 | A kind of lingualis pressure transducer and facing model |
CN106492346A (en) * | 2016-12-18 | 2017-03-15 | 肖乐 | A kind of cricopharyngeus for the treatment of loses the electronic stimulation and pressure gauge for relaxing |
CN110801312A (en) * | 2019-10-21 | 2020-02-18 | 复旦大学附属中山医院 | Intervene valve release stop device |
CN113842154B (en) * | 2021-09-28 | 2024-03-05 | 山东大学齐鲁医院 | Esophageal upper sphincter achalasia section positioner |
CN116153501B (en) * | 2023-02-23 | 2023-08-18 | 广州医科大学附属第一医院(广州呼吸中心) | Method and apparatus for swallowing impairment detection |
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DE4140055C2 (en) * | 1990-11-30 | 1995-08-03 | Steindorf Susanne Ruth | Device for the functional diagnosis of the continental organ |
CN2439258Y (en) * | 2000-08-28 | 2001-07-18 | 赵连三 | Pelvic muscle physiological function medical instrument |
CN201418852Y (en) * | 2009-03-18 | 2010-03-10 | 邵伟波 | Dysphagia healing appliance |
CN202270030U (en) * | 2011-10-21 | 2012-06-13 | 南昌大学第一附属医院 | Piezometry treatment instrument for dysphagia |
Family Cites Families (1)
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CN1027130C (en) * | 1990-03-13 | 1994-12-28 | 国防科工委航天医学工程研究所科技开发部 | Detecting instrument for alimentary canal |
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Patent Citations (5)
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DE4140055C2 (en) * | 1990-11-30 | 1995-08-03 | Steindorf Susanne Ruth | Device for the functional diagnosis of the continental organ |
CN2101468U (en) * | 1991-09-14 | 1992-04-15 | 江西省高安县人民医院 | Styptic apparatus for nose cavity |
CN2439258Y (en) * | 2000-08-28 | 2001-07-18 | 赵连三 | Pelvic muscle physiological function medical instrument |
CN201418852Y (en) * | 2009-03-18 | 2010-03-10 | 邵伟波 | Dysphagia healing appliance |
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TWI593389B (en) * | 2015-06-30 | 2017-08-01 | 學校法人兵庫醫科大學 | Swallowing disorder examinating device, swallowing disorder treating device and method for setting stimulating current |
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