CN103932893B - Clinical enteral nutrition attemperating unit and method - Google Patents
Clinical enteral nutrition attemperating unit and method Download PDFInfo
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- CN103932893B CN103932893B CN201410195799.4A CN201410195799A CN103932893B CN 103932893 B CN103932893 B CN 103932893B CN 201410195799 A CN201410195799 A CN 201410195799A CN 103932893 B CN103932893 B CN 103932893B
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Abstract
The invention discloses a kind of clinical enteral nutrition attemperating unit and method, respectively the nutritional solution in nutritional solution bag and tube for transfusion is heated by heating bag and heating tube, and by first, second temperature sensor carries out thermometric to the nutritional solution in bag and in pipe respectively, respectively temperature control is carried out to heating bag and heating tube by automatic thermostat according to recording actual temperature again, solution temperature in bag is made to remain at 22 ~ 24 DEG C, nutritional solution is avoided to go bad, and make the solution temperature flowed through into nose place reach 39 DEG C, thus make intestinal nutrient solution in the non-destructive situation of guarantee nutritional labeling, the temperature entering patient's intranasal is in the temperature of clinical demand all the time, comfortable when making patient treatment, reduce untoward reaction, promote the absorption of Patients with Enteral Nutrition liquid.
Description
Technical field
The present invention relates to intestinal nutrient solution temperature control technology, more particularly, relate to a kind of clinical enteral nutrition attemperating unit and method.
Background technology
Enteral nutrition (enteralnutrition, EN) be that nasal feeding tube is inserted stomach or enteral through side nasal cavity, oral cavity or Gastroenteritic mouth etc., instillation elemental diet or liquid diet in pipe, to ensure that patient can take in the clinical treatment of enough protein and heat.Because old people tissue repairing ability reduces, rear gastrointestinal peristalsis corresponding prolongation recovery time of postoperative or damage, therefore, the gerontal patient that acute stage of being in hospital carries out EN support gets more and more.Studies have reported that enteral nutrition gastrointestinal reaction is relevant with the temperature of nutritional solution, particularly for compatriots' body constitution, when nutritional solution does not heat or temperature is too low, the words of direct infusion, easily cause the complication such as patient's abdominal distention, stomachache, nausea and vomiting and diarrhoea, if temperature is too high, then not only can cause inefficacy to nutritional solution, also can impact enzymatic activity various in intestinal.Therefore, need to carry out rationally, effectively controlling to the temperature of nutritional solution before infusion, to reach best infusion temperature.
At present, existing a kind of enteral nutrition mode of heating adopts the patent No. to be the transfusion heater in patients undergoing of the automatic temp limit of ZL94243716.0 clinically, as shown in Figure 1, clamp the tube for transfusion 3 of intestinal nutrient solution bag 2 by heating pipe clamp 1 and the nutritional solution in pipe is heated, and can automatic temp limit, be unlikely to heating-up temperature too high.But, due to this heat booster can only be folded in certain of tube for transfusion a bit of on, can only heat this sandwiched section, and the length of tube for transfusion is longer, therefore, can there is following defect in the heating only in certain a bit of position:
1, the suitable temperature entering intranasal nutritional solution cannot effectively be controlled, namely when sandwiched heats the words of position away from nostril place, turn cold etc. entering intranarial nutritional solution, when sandwiched heats the words of position near nostril place, entering intranarial nutritional solution again may be too boiling hot, and the high risk that can increase patient skin and scald of heat booster own temperature;
2, only have the heating-up temperature of heat booster is limited, and without the actual measurement to solution temperature, cannot nutritional solution actual temperature effectively be manipulated;
3, in pipe, nutritional solution is flow regime, and only to the heating that tube for transfusion is a bit of, its heats is not good, cannot arrive temperature required;
4, sandwiched heats position entirely with artificial experiential operating, comparatively arbitrarily, make the solution temperature entering intranasal more cannot obtain unified, reasonably control.
Summary of the invention
For the above-mentioned shortcoming existed in prior art, the object of this invention is to provide a kind of clinical enteral nutrition attemperating unit and method, rationally can heat nutritional solution, when making it to enter human body, reach a preference temperature.
For achieving the above object, the present invention adopts following technical scheme:
On the one hand, a kind of clinical enteral nutrition attemperating unit, comprise for the heating bag of accommodating intestinal nutrient solution bag, for wearing heating tube and the automatic thermostat of the tube for transfusion of nutritional solution bag lower end, heating bag upper end is provided with closeable loading port, heating bag is designed to two-layer, internal layer is zone of heating, and skin is heat-insulation layer, and heating bag is also provided with the first temperature sensor detecting solution temperature in nutritional solution bag in real time; Heating tube is connected to heating bag lower end, and heating tube is also designed to two-layer, and internal layer is zone of heating, and skin is heat-insulation layer, heating tube is also provided with the second temperature sensor detecting solution temperature in tube for transfusion in real time; The input of automatic thermostat is electrically connected with first, second temperature sensor respectively, in order to the temperature signal that first, second temperature sensor of real-time reception exports, the outfan of automatic thermostat is electrically connected with the zone of heating of heating bag and heating tube respectively, in order to carry out temperature automatically controlled to the zone of heating of heating bag and heating tube respectively.
Described heating tube tail end has a chute vertically, and described second temperature sensor is slided and is located in this chute, by sliding axially to detect in real time solution temperature in the pipe entering 20cm place, nose position.
The second described temperature sensor is also provided with the insulation catch covering chute.
Heater strip or heated solution is equipped with in described zone of heating.
Described loading port adopts the closing structure of snapper or slide fastener.
On the other hand, a kind of clinical enteral nutrition Temp. control method, comprises the following steps:
A. intestinal nutrient solution bag is placed in the heating bag of clinical enteral nutrition attemperating unit, and by the tube for transfusion of nutritional solution bag through heating tube, inserts in patient nostril after connecing gastrointestinal tract;
B. make attemperating unit be energized, respectively the intestinal nutrient solution in nutritional solution bag and tube for transfusion is heated by the zone of heating of heating bag and heating tube, and detected in real time by the temperature of the first temperature sensor to the nutritional solution in nutritional solution bag;
C. the second temperature sensor is moved axially along chute and is adjusted to and enter 20cm place, nose position apart from tube for transfusion, and real time temperature measurement is carried out to the nutritional solution flowing through this place;
D. receive temperature measured by first, second temperature sensor by automatic thermostat, and respectively computer heating control is carried out to heating bag, heating according to recording temperature.
In step D, the computer heating control of described automatic thermostat comprises:
When the temperature that the first temperature sensor records reaches 24 DEG C, control heating bag and stop heating; When the temperature that the first temperature sensor records is lower than 22 DEG C, controls heating bag and heat, thus the solution temperature in nutritional solution bag is controlled within the scope of 22 ~ 24 DEG C.
When the temperature that the second temperature sensor records reaches 80 DEG C, control heating bag and stop heating; When the temperature that the second temperature sensor records is lower than 80 DEG C, control heating bag and stop heating, thus temperature when making nutritional solution flow to naris position is down to about 39 DEG C.
In technique scheme, clinical enteral nutrition attemperating unit of the present invention and method, respectively the nutritional solution in nutritional solution bag and tube for transfusion is heated by heating bag and heating tube, and by first, second temperature sensor carries out thermometric to the nutritional solution in bag and in pipe respectively, respectively temperature control is carried out to heating bag and heating tube by automatic thermostat according to recording actual temperature again, solution temperature in bag is made to remain at 22 ~ 24 DEG C, nutritional solution is avoided to go bad, and make the solution temperature flowed through into nose place reach 39 DEG C, thus make intestinal nutrient solution in the non-destructive situation of guarantee nutritional labeling, the temperature entering patient's intranasal is in the temperature of clinical demand all the time, comfortable when making patient treatment, reduce untoward reaction, promote the absorption of Patients with Enteral Nutrition liquid, there is structure simple, the plurality of advantages such as easy to use and temperature-controllable.
Accompanying drawing explanation
Fig. 1 is the using state schematic diagram of the transfusion heater in patients undergoing of the automatic temp limit of prior art;
Fig. 2 is the using state schematic diagram of clinical enteral nutrition attemperating unit of the present invention;
Fig. 3 is the structural representation of the second temperature sensor of the present invention;
Fig. 4 is the axial sectional view of Fig. 3.
Detailed description of the invention
Technical scheme of the present invention is further illustrated below in conjunction with drawings and Examples.
Refer to shown in Fig. 2, clinical enteral nutrition attemperating unit of the present invention mainly comprises one for the heating bag 10, of accommodating intestinal nutrient solution bag 2 for wearing heating tube 20 and an automatic thermostat 30 of the tube for transfusion 3 of nutritional solution bag 2 lower end, heating bag 10 upper end is provided with closeable loading port 11, heating bag 10 can be designed to two-layer, internal layer is zone of heating 12, skin is heat-insulation layer 13, and heating bag 10 is also provided with the first temperature sensor 14 detecting solution temperature in nutritional solution bag 2 in real time; Heating tube 20 is connected to heating bag 10 lower end, and heating tube 20 is also designed to two-layer, and internal layer is zone of heating 22, and skin is heat-insulation layer 23, heating tube 20 is also provided with the second temperature sensor 21 detecting solution temperature in tube for transfusion 3 in real time; The input of automatic thermostat 30 is electrically connected with first, second temperature sensor 21 respectively, in order to the temperature signal that first, second temperature sensor 21 of real-time reception exports, the outfan of automatic thermostat 30 is electrically connected with the zone of heating 12,22 of heating bag 10 and heating tube 20 respectively, in order to carry out temperature automatically controlled to the zone of heating 12,22 of heating bag 10 and heating tube 20 respectively, nutritional solution and the interior nutritional solution of pipe in bag is made to reach required temperature respectively.
Shown in Fig. 3 ~ Fig. 4, described heating tube 20 tail end has a chute 24 vertically, described second temperature sensor 21 is slided and is located in this chute 24, by sliding axially to detect in real time solution temperature (L=20cm) in the pipe entering 20cm place, nose position.And the second described temperature sensor 21 is also provided with the insulation catch 25 covering chute 24, when the second temperature sensor 21 is slided, can covers this chute 24 all the time thus play the effect of insulation.And the first temperature sensor 14 can be arranged at bottom or other positions of heating bag 10.
Be equipped with the heating facility such as heater strip or heated solution (as supersaturated solution sodium acetate) in described zone of heating 12,22, controlled by automatic thermostat 30, electrified regulation.Described heat-insulation layer 13 can adopt the organic materials such as aluminium foil to make, and plays good thermal insulation function.
In addition, described loading port 11 can adopt the closing structures such as snapper 15 (shown in Fig. 2) or slide fastener, conveniently loads closing seam.
The Temp. control method adopting clinical enteral nutrition attemperating unit of the present invention to carry out, comprises the following steps:
A. intestinal nutrient solution bag 2 is placed in the heating bag 10 of clinical enteral nutrition attemperating unit, and by the tube for transfusion 3 of nutritional solution bag 2 through heating tube 20, inserts after connecing gastrointestinal tract 4 in patient nostril;
B. attemperating unit is made to be energized, respectively the intestinal nutrient solution in nutritional solution bag 2 and tube for transfusion 3 is heated by the zone of heating 12,22 of heating bag 10 and heating tube 20, and detected in real time by the temperature of the nutritional solution in the first temperature sensor 14 pairs of nutritional solution bags 2;
C. the second temperature sensor 21 moved axially along chute 24 and be adjusted to apart from entering 20cm place, nose position, and real time temperature measurement is carried out to the nutritional solution flowing through this place;
D. receive temperature measured by first, second temperature sensor 21 by automatic thermostat 30, and respectively computer heating control is carried out to heating bag 10, heating according to recording temperature.
In step D, the concrete computer heating control of described automatic thermostat 30 comprises:
When the temperature that the first temperature sensor 14 records reaches 24 DEG C, control heating bag 10 and stop heating; When the temperature that the first temperature sensor 14 records is lower than 22 DEG C, controls heating bag 10 and heat, thus the solution temperature in nutritional solution bag 2 is controlled within the scope of 22 ~ 24 DEG C.So, solution temperature in bag can be remained at 22 ~ 24 DEG C, avoid too high or too low for temperature and cause the component damages of nutritional solution, even losing efficacy.
When the temperature that the second temperature sensor 21 records reaches 80 DEG C, control heating bag 10 and stop heating; When the temperature that the second temperature sensor 21 records is lower than 80 DEG C, control heating bag 10 and stop heating, thus temperature when making nutritional solution flow to naris position is down to about 39 DEG C.Principle: by repeatedly repeatedly clinical trial acquire, when flowing to the solution temperature entering 20cm place, nose position apart from tube for transfusion 3 and reaching 80 DEG C, during by flowing to again into nose position, solution temperature can be down to about 39 DEG C naturally, this temperature is verified is the optimum temperature entered in patient body, when can ensure nutrient composition not loss, enter comfort level the best after in patient body, untoward reaction is minimum, and effectively can promote the absorption of intestinal nutrient solution.In addition, due to human body difference, gastrointestinal tract 4 inserts the intranarial length of each patient and differs, the length stayed outside nose also differs, therefore, count adjustable mode by being installed by the second temperature sensor 21 detecting position, thus can ensure that the second temperature sensor 21 can adjust all the time and carrying out thermometric apart from entering 20cm place, nose position.
In addition, it should be noted that, because the nutritional solution in tube for transfusion 3 is in the state of flowing fast, therefore its time reaching 80 DEG C is not long, and can lower the temperature 20cm position before nose very soon, therefore can not damage its nutritional labeling, impact is little.And for the nutritional solution in heating bag 10, because it is in the state of long-time geo-stationary all the time, therefore temperature must control within the scope of lower and suitable 22 ~ 24 DEG C, otherwise can impact nutritional solution.
In sum, adopt clinical enteral nutrition attemperating unit of the present invention and method, there is following advantage:
1, simple, easy to use, automatic accurate, the temperature-controllable of attemperating unit structure;
2, can when ensureing nutritional labeling not loss, the temperature entering patient's intranasal is in the temperature of clinical demand all the time;
Comfortable when 3, making patient treatment, reduce untoward reaction, promote effective absorption of Patients with Enteral Nutrition liquid.
Those of ordinary skill in the art will be appreciated that, above embodiment is only used to the present invention is described, and be not used as limitation of the invention, as long as in spirit of the present invention, all will drop in Claims scope of the present invention the change of the above embodiment, modification.
Claims (6)
1. a clinical enteral nutrition attemperating unit, is characterized in that:
Comprise for the heating bag of accommodating intestinal nutrient solution bag, for wearing heating tube and the automatic thermostat of the tube for transfusion of nutritional solution bag lower end, heating bag upper end is provided with closeable loading port, heating bag is designed to two-layer, internal layer is zone of heating, skin is heat-insulation layer, and heating bag is also provided with the first temperature sensor detecting solution temperature in nutritional solution bag in real time; Heating tube is connected to heating bag lower end, and heating tube is also designed to two-layer, and internal layer is zone of heating, and skin is heat-insulation layer, heating tube is also provided with the second temperature sensor detecting solution temperature in tube for transfusion in real time; The input of automatic thermostat is electrically connected with first, second temperature sensor respectively, in order to the temperature signal that first, second temperature sensor of real-time reception exports, the outfan of automatic thermostat is electrically connected with the zone of heating of heating bag and heating tube respectively, in order to carry out temperature automatically controlled to the zone of heating of heating bag and heating tube respectively.
Described heating tube tail end has a chute vertically, and described second temperature sensor is slided and is located in this chute, by sliding axially to detect in real time solution temperature in the pipe entering 20cm place, nose position.
2. clinical enteral nutrition attemperating unit as claimed in claim 1, is characterized in that:
The second described temperature sensor is also provided with the insulation catch covering chute.
3. clinical enteral nutrition attemperating unit as claimed in claim 1, is characterized in that:
Heater strip or heated solution is equipped with in described zone of heating.
4. clinical enteral nutrition attemperating unit as claimed in claim 1, is characterized in that:
Described loading port adopts the closing structure of snapper or slide fastener.
5. a clinical enteral nutrition Temp. control method, is characterized in that, comprise the following steps:
A. intestinal nutrient solution bag is placed in the heating bag of clinical enteral nutrition attemperating unit, and by the tube for transfusion of nutritional solution bag through heating tube, inserts in patient nostril after connecing gastrointestinal tract;
B. make attemperating unit be energized, respectively the intestinal nutrient solution in nutritional solution bag and tube for transfusion is heated by the zone of heating of heating bag and heating tube, and detected in real time by the temperature of the first temperature sensor to the nutritional solution in nutritional solution bag;
C. the second temperature sensor is moved axially along chute and is adjusted to and enter 20cm place, nose position apart from tube for transfusion, and real time temperature measurement is carried out to the nutritional solution flowing through this place;
D. receive temperature measured by first, second temperature sensor by automatic thermostat, and respectively computer heating control is carried out to heating bag, heating according to recording temperature.
6. clinical enteral nutrition Temp. control method as claimed in claim 5, is characterized in that,
In step D, the computer heating control of described automatic thermostat comprises:
When the temperature that the first temperature sensor records reaches 24 DEG C, control heating bag and stop heating; When the temperature that the first temperature sensor records is lower than 22 DEG C, controls heating bag and heat, thus the solution temperature in nutritional solution bag is controlled within the scope of 22 ~ 24 DEG C;
When the temperature that the second temperature sensor records reaches 80 DEG C, control heating bag and stop heating; When the temperature that the second temperature sensor records is lower than 80 DEG C, control heating bag and stop heating, thus temperature when making nutritional solution flow to naris position is down to about 39 DEG C.
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| CN201410195799.4A CN103932893B (en) | 2014-05-09 | 2014-05-09 | Clinical enteral nutrition attemperating unit and method |
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| CN201410195799.4A CN103932893B (en) | 2014-05-09 | 2014-05-09 | Clinical enteral nutrition attemperating unit and method |
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| CN103932893B true CN103932893B (en) | 2015-12-16 |
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Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104228654A (en) * | 2014-09-16 | 2014-12-24 | 昆山超强光电设备有限公司 | Vehicle-mounted electric heat insulation device |
| CN104257507A (en) * | 2014-09-26 | 2015-01-07 | 河南科技大学第一附属医院 | Constant temperature thermal insulation device for liquid diet infusion bag |
| CN106924051A (en) * | 2017-04-07 | 2017-07-07 | 王敬东 | GI Medicine special-purpose multifunctional stomach tube |
| CN108042369B (en) * | 2018-02-11 | 2023-09-12 | 蒋华荣 | Special safe and convenient heating device for enteral nutrient solution |
| CN108338929A (en) * | 2018-03-12 | 2018-07-31 | 四川省肿瘤医院 | Portable enteral nutrition conveying device |
| CN113599274B (en) * | 2021-09-13 | 2023-11-03 | 郑州大学第一附属医院 | Nutrient solution conveying device for esophageal cancer |
| CN114469746A (en) * | 2022-01-16 | 2022-05-13 | 王剑桥 | Heater for nutrient solution in intestines |
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| CN2815389Y (en) * | 2005-09-16 | 2006-09-13 | 乔荣霞 | Transfusion constant temperature heater |
| CN201375678Y (en) * | 2009-04-04 | 2010-01-06 | 姚传斌 | Nasal feeding bag warmer for mental patient |
| CN201591907U (en) * | 2010-02-10 | 2010-09-29 | 李环 | Medical intestinal nutrition liquid temperature control device |
| CN203436623U (en) * | 2013-08-26 | 2014-02-19 | 邢美玲 | Constant temperature pressurizing blood transfusion device |
| CN203898752U (en) * | 2014-05-09 | 2014-10-29 | 上海市普陀区人民医院 | Clinical enteral nutrition temperature control device |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US8663161B2 (en) * | 2011-04-22 | 2014-03-04 | Acacia, Inc. | Neonatal fluid tubing heater |
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Patent Citations (5)
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|---|---|---|---|---|
| CN2815389Y (en) * | 2005-09-16 | 2006-09-13 | 乔荣霞 | Transfusion constant temperature heater |
| CN201375678Y (en) * | 2009-04-04 | 2010-01-06 | 姚传斌 | Nasal feeding bag warmer for mental patient |
| CN201591907U (en) * | 2010-02-10 | 2010-09-29 | 李环 | Medical intestinal nutrition liquid temperature control device |
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