A kind of intelligent bedsore-proof early warning device
Technical field
The invention belongs to medical instruments field, particularly relate to a kind of intelligent bedsore-proof early warning device.
Background technology
Pressure ulcer is clinically because disease needs one of modal complication of the patient of long-term bed, the topical ulcers caused mainly due to the long-term pressurized of body part causes tissue ischemia anoxia.Along with the aged tendency of population trend of society and the sickness rate of cardiovascular disease rise, nearly ten years, with regard to global range, the sickness rate of pressure ulcer also has the trend of rising.In China, the incidence rate of pressure ulcer is by the important indicator of the nursing quality as an evaluation hospital.Clinically, the method that medical personnel adopt stand up for patient usually for every 2 hours carrys out Bedsore prevention.But there is following problem in this traditional turn-over method:
(1) the defining of bedsore: China's medical quality managent guide proposes, and the patient of long-term bed should stand up once in every 2 hours, occurs with Bedsore prevention.This standard is continued to use in clinical care for many years always, Guiding Nursing work.But the formulation of this guide with experience guidance for main foundation, lack a large amount of clinical following and demonstrate,prove support, although occur that some patient stands up for every 2 hours clinically simultaneously, but still be difficult to avoid pressure ulcer to occur, even and if some patient prolongation interval of body-turning (3 hours or 4 hours) does not cause pressure ulcer generation phenomenon yet.
(2) heavy patient stands up inconvenience: for the critical patient of rib or patients with cervical vertebrae fracture, burn patients, Post operation whole body intubate, too much standing up is a kind of stimulation by force, what there is no need stands up the sleep having a strong impact on patient, increases patient painful; If there is no need to stand up once every 2 hours, so for individual patient, every how long being only the optimal spacing time.
(3) nurse job amount increases, and efficiency reduces: because individual patient is widely different, for some patient, stand up once there is no need every 2 hours, so by just increasing the work of nursing staff undoubtedly on foot, nurse job efficiency is reduced.
Therefore, conventional standing up every 2 hours just rests on the experience stage, can not the clinical effective Bedsore prevention of guidance of science.A kind of more scientific more effective means must be had to instruct medical personnel and point out.
Summary of the invention
The object of the present invention is to provide a kind of intelligent bedsore-proof early warning device, being intended to solve existing turn-over method clinically can not effective Bedsore prevention, the problem that nursing staff's workload is large.
The present invention is achieved in that a kind of intelligent bedsore-proof early warning device comprises a body, recovery mat, therapeutic apparatus, checkout gear, electronic health record device; Described recovery mat is arranged on a body, and described therapeutic apparatus is arranged on the below of the bed body of described recovery mat position, and described checkout gear is arranged on the side of described therapeutic apparatus, and described electronic health record device is arranged on head of a bed position;
Described bed body also comprises guardrail, handrail, bolster, lower limb pad, shelves plate, longitudinally adjusts handle, laterally adjusts handle, examining table; Described bed body comprises left bed body and right bed body, and described left bed body is arranged on right bed body by slot plug-in type, and left bed body can along right bed body left and right slippage, and described left bed body is connected with bed body by hinge with berth position with the head of a bed position of right bed body; Described guardrail is arranged on the both sides in the middle part of a body, described handrail is arranged on the both sides near the head of a bed, described lower limb pad is arranged on tailstock, the side of described bed body is provided with U-shaped opening, arrange below U-shaped opening and shelve plate, described bolster is arranged on the head of a bed, described guardrail and handrail are longitudinal folding formula structure, described bolster and lower limb pad are floating structure, described longitudinal direction adjustment handle and laterally adjustment handle are arranged on the afterbody of a body, and described examining table is arranged on a side for body head;
Described left bed body and right bed body are provided with slip accommodating body, described recovery mat, therapeutic apparatus, checkout gear are arranged on accommodating body, described left bed body and right bed body are provided with the back support plate of a tilt adjustable, be provided with driving cylinder on the downside of described back support plate, upside is provided with fine setting air bag; Described left bed body and the middle part of right bed body are provided with two auxiliary balloon of leaning to one side of left and right distribution; The bottom of described bed body is provided with the heater for heating bed board, described heater comprises the cavity for being connected with bed board, be provided with heater in cavity, the power input of heater is provided with the wire be electrically connected with city, and described wire is provided with temperature regulating switch;
Described recovery mat comprises the docking of two symmetrically arranged protection half pad and forms, the breach that the side connected respectively is provided with an arc is partly padded in two protection, the ventilation mouth against pressure that the breach docking of the upper setting of two protection half pads is formed is corresponding with the position of patient's buttocks, built-in pressure ulcer protection water cushion, connection tube and temperature and control pressurer system are partly padded in described protection, and human contact position and pressure ulcer are protected water cushion and fully contacted;
Described therapeutic apparatus comprises translucent cover, washer, sterilization device, baker, described translucent cover inside is provided with circular ring for fixing, multiple massage bar is provided with along ring for fixing circumferencial direction, described multiple massage bar one end is fixed on ring for fixing, translucent cover shell is provided with intensity adjustments device and washer and baker, the bottom of translucent cover shell is provided with sterilization device, and intensity adjustments device is provided with switch, described multiple massage bar terminals bonding strength adjusting device;
Described washer comprises main control unit, selector valve, medicine liquid tank, clear water pipeline, and medicine liquid tank and clear water pipeline are all connected to selector valve, and main control unit controls selector valve, and alternating current goes out the medicinal liquid in medicine liquid tank and the clear water in clear water pipeline;
Described sterilization device comprises:
Differential pressure injector;
For the mechanism making aqueous fluid cycle through described differential pressure injector;
PLC technology mechanism;
For via the ozonator of oxygen delivery tubes connection to source of oxygen;
Be arranged in the first valve system of described oxygen delivery conduit;
Described ozonator is fluidly connected to described differential pressure injector via ozone delivery conduit;
Be arranged in the second valve system of described ozone delivery conduit;
Pressure monitoring mechanism between described ozonator and described first valve system, described pressure monitoring mechanism is used for providing pressure measuring value to described controlling organization;
Described valve system and described fluid circulation mechanism can run to produce negative pressure in described oxygen delivery conduit and described ozone delivery conduit, and described pressure measuring value by described controlling organization for determining the integrity of described oxygen delivery conduit and described ozone delivery conduit;
Described baker comprises cabinet, one group of heating tube be parallel to each other is installed at the upper and lower two ends of cabinet inside respectively, one group of air outlet be parallel to each other is put respectively on described above heating tube and below lower heating tube, and described air outlet is towards cabinet inside, between the both sides of described cabinet inside, connect one shine net, aerator is equipped with in described cabinet outside, air delivery duct is connected with described aerator wind outlet, described air delivery duct and air outlet are connected, cabinet top connects air exhauster, described air exhauster is connected mutually by loopback pipe and one-level heater, described one-level heater is connected by carrier pipe with aerator,
Described checkout gear comprises at least one for gathering the pressure-sensing device of human body pressurized site pressure, for transmitting the signal transmission unit of the pressure signal of coming from pressure-sensing device, histanoxia degree monitoring device, data processing unit and alarm unit, described data processing unit inside is provided with pressure ulcer anthropometric dummy memory element and comparator, data processing unit is by analyzing the pressure signal of coming from pressure-sensing device and the histanoxia degree information that obtains from histanoxia degree monitoring device, and the data in analysis result and pressure ulcer anthropometric dummy memory element are compared, when result meets the condition of setting, exporting control signal makes alarm unit send warning signal,
Described electronic health record device, is inside provided with intelligent terminal and central server, and described intelligent terminal carries out wireless data by Wireless Telecom Equipment and central server and is connected;
Described intelligent mobile terminal comprises data acquisition module, MIM message input module, data decoder module and wireless data transfer module, and described central server comprises HIS hospital information system, EMR electronic health record device, PACS system and Mobile nursing data base.
Further, described washer also comprises the booster pump, ultrasound unit, the heat pump that are connected with medicine liquid tank and main control unit, main control unit controls the medicinal liquid supercharging that booster pump will flow out from medicine liquid tank, heat pump is positioned on clear water pipeline, and main control unit controls this heat pump and heats the clear water in clear water pipeline; Described ultrasound unit comprises controller, converter, pressure flow sensor, spray gun, supersonic generator;
Described controller is connected successively with converter, spray gun, and pressure flow sensor input is connected to spray gun, and outfan is connected to controller; The hydraulic pressure of pressure flow sensor sensing medicinal liquid and flow, and the hydraulic pressure sensed and flow value are sent to controller; Controller controls converter according to the pressure of this sensing and flow value; Described supersonic generator also comprises horn, and control ultrasonic frequency, described horn is manually or automatically.
Further, the side of described baker is provided with infrared temperature detection device, and this infrared temperature detection device comprises non-contact infrared temperature sensor, temperature-difference thermoelectric heap amplifying circuit, temperature-compensating and amplifying circuit, A/D convertor circuit, governor circuit, display circuit and warning circuit;
Described non-contact infrared temperature sensor is piled amplifying circuit and temperature-compensating and amplifying circuit with temperature-difference thermoelectric respectively and is connected, and temperature-difference thermoelectric heap amplifying circuit and temperature-compensating and amplifying circuit are connected and are connected respectively to A/D convertor circuit;
Described A/D convertor circuit is a multi-channel A/D change-over circuit, and A/D convertor circuit is connected with governor circuit, and governor circuit is connected with display circuit and warning circuit; Described non-contact infrared temperature sensor adopts thermopile IR temperature sensor to realize the non-contact detecting of the thermistor signal to temperature signals and ambient temperature signal and the faint voltage signal of temperature difference heat pile and electro-hot regulator.
Further, the heater of described heating bed board comprises lower hot plate, is fixedly installed in the casing of heater;
Described lower hot plate offers endless groove in the neighboring of heating region, elastic sealing element is embedded with in endless groove, when upper cover plate and lower hot plate cover, heating region seals by upper cover plate crimp by elastic sealing element, the lower surface of lower hot plate is provided with the first heater element for heating, the corresponding first heater element position, upper surface of lower hot plate is provided with heating region, some locating slots for placing heating object are provided with in heating region, the bottom surface of described locating slot one end is provided with convenient when this end pressing heating object heating object at the downward-sloping inclined-plane upper cover plate other end that should hold being deviate to locating slot, be hingedly mounted on one end of lower hot plate.
Left bed body of the present invention and right bed body are provided with slip accommodating body, described recovery mat, therapeutic apparatus, checkout gear are arranged on accommodating body, described left bed body and right bed body are provided with the back support plate of a tilt adjustable, be provided with driving cylinder on the downside of back support plate, upside is provided with fine setting air bag; The middle part of left bed body and right bed body is provided with two auxiliary balloon of leaning to one side of left and right distribution; Air bag can stand up by assisting patient, and the bottom of bed body is provided with the heater for heating bed board; Recovery mat can slide to adapt to different diseased regions on bed body, and therapeutic apparatus can rinse, sterilize, dry open sore part position;
Checkout gear is provided with pressure-sensing device, histanoxia degree monitoring device, data processing unit and alarm unit, during use, pressure-sensing device is affixed on pressure ulcer predilection site, this position pressure is monitored, in conjunction with the monitoring of instrument to histanoxia degree, just can grasp the actual degree of oxygen deficiency of patient's compression zone bit organization in time, when individual local organization pressurized exceedes certain limit and certain hour, when PtO2 being reduced and likely causes ischemic lesions, bedsore-proof early warning device will send early warning, prompting medical worker and caretaker watch out for patient has generation pressure ulcer dangerous, take measures in time, method as stood up for patient carrys out Bedsore prevention, greatly can alleviate the workload of nursing staff like this, reduce the misery of severe case.
Accompanying drawing explanation
Fig. 1 is the structural representation of the intelligent bedsore-proof early warning device that the embodiment of the present invention provides;
In figure: 1, bed body; 1-1, guardrail; 1-2, handrail; 1-3, bolster; 1-4, lower limb pad; 1-5, shelve plate; 1-6, longitudinally adjustment hands handle; 1-7, laterally adjustment hands handle; 1-8, examining table; 2, recovery mat; 3, therapeutic apparatus; 4, checkout gear; 5, electronic health record device.
Detailed description of the invention
For summary of the invention of the present invention, Characteristic can be understood further, hereby exemplify following examples, and coordinate accompanying drawing to be described in detail as follows: the present invention does not exist the innovation of software or method.
Refer to Fig. 1:
The present invention is achieved in that a kind of intelligent bedsore-proof early warning device comprises a body 1, recovery mat 2, therapeutic apparatus 3, checkout gear 4, electronic health record device 5; Described recovery mat 2 is arranged on a body 1, and described therapeutic apparatus 3 is arranged on the below of the bed body of described recovery mat 2 position, and described checkout gear 4 is arranged on the side of described therapeutic apparatus 3, and described electronic health record device 5 is arranged on head of a bed position;
Described bed body 1 also comprises guardrail 1-1, handrail 1-2, bolster 1-3, lower limb pad 1-4, shelves plate 1-5, longitudinally adjusts handle 1-6, laterally adjusts handle 1-7, examining table 1-8, described bed body 1 comprises left bed body and right bed body, and described left bed body is arranged on right bed body by slot plug-in type, and left bed body can along right bed body left and right slippage, and described left bed body is connected with bed body by hinge with berth position with the head of a bed position of right bed body, described guardrail 1-1 is arranged on the both sides in the middle part of a body 1, described handrail 1-2 is arranged on the both sides near the head of a bed, described lower limb pad 1-4 is arranged on tailstock, the side of described bed body 1 is provided with U-shaped opening, arrange below U-shaped opening and shelve plate 1-5, described bolster 1-3 is arranged on the head of a bed, described guardrail 1-1 and handrail 1-2 is longitudinal folding formula structure, described bolster 1-3 and lower limb pad 1-4 is floating structure, described longitudinal direction adjustment handle 1-6 and laterally adjustment handle 1-7 are arranged on the afterbody of a body 1, described examining table 1-8 is arranged on a side for body head,
Described left bed body and right bed body are provided with slip accommodating body, described recovery mat 2, therapeutic apparatus 3, checkout gear 4 are arranged on accommodating body, described left bed body and right bed body are provided with the back support plate of a tilt adjustable, be provided with driving cylinder on the downside of described back support plate, upside is provided with fine setting air bag; Described left bed body and the middle part of right bed body are provided with two auxiliary balloon of leaning to one side of left and right distribution; The bottom of described bed body is provided with the heater for heating bed board, described heater comprises the cavity for being connected with bed board, be provided with heater in cavity, the power input of heater is provided with the wire be electrically connected with city, and described wire is provided with temperature regulating switch;
Described recovery mat 2 comprises the docking of two symmetrically arranged protection half pad and forms, the breach that the side connected respectively is provided with an arc is partly padded in two protection, the ventilation mouth against pressure that the breach docking of the upper setting of two protection half pads is formed is corresponding with the position of patient's buttocks, built-in pressure ulcer protection water cushion, connection tube and temperature and control pressurer system are partly padded in described protection, and human contact position and pressure ulcer are protected water cushion and fully contacted;
Described therapeutic apparatus 3 comprises translucent cover, washer, sterilization device, baker, described translucent cover inside is provided with circular ring for fixing, multiple massage bar is provided with along ring for fixing circumferencial direction, described multiple massage bar one end is fixed on ring for fixing, translucent cover shell is provided with intensity adjustments device and washer and baker, the bottom of translucent cover shell is provided with sterilization device, and intensity adjustments device is provided with switch, described multiple massage bar terminals bonding strength adjusting device;
Described washer comprises main control unit, selector valve, medicine liquid tank, clear water pipeline, and medicine liquid tank and clear water pipeline are all connected to selector valve, and main control unit controls selector valve, and alternating current goes out the medicinal liquid in medicine liquid tank and the clear water in clear water pipeline;
Described sterilization device comprises:
Differential pressure injector;
For the mechanism making aqueous fluid cycle through described differential pressure injector;
PLC technology mechanism;
For via the ozonator of oxygen delivery tubes connection to source of oxygen;
Be arranged in the first valve system of described oxygen delivery conduit;
Described ozonator is fluidly connected to described differential pressure injector via ozone delivery conduit;
Be arranged in the second valve system of described ozone delivery conduit;
Pressure monitoring mechanism between described ozonator and described first valve system, described pressure monitoring mechanism is used for providing pressure measuring value to described controlling organization;
Described valve system and described fluid circulation mechanism can run to produce negative pressure in described oxygen delivery conduit and described ozone delivery conduit, and described pressure measuring value by described controlling organization for determining the integrity of described oxygen delivery conduit and described ozone delivery conduit;
Described baker comprises cabinet, one group of heating tube be parallel to each other is installed at the upper and lower two ends of cabinet inside respectively, one group of air outlet be parallel to each other is put respectively on described above heating tube and below lower heating tube, and described air outlet is towards cabinet inside, between the both sides of described cabinet inside, connect one shine net, aerator is equipped with in described cabinet outside, air delivery duct is connected with described aerator wind outlet, described air delivery duct and air outlet are connected, cabinet top connects air exhauster, described air exhauster is connected mutually by loopback pipe and one-level heater, described one-level heater is connected by carrier pipe with aerator,
Described checkout gear 4 comprises at least one for gathering the pressure-sensing device of human body pressurized site pressure, for transmitting the signal transmission unit of the pressure signal of coming from pressure-sensing device, histanoxia degree monitoring device, data processing unit and alarm unit, described data processing unit inside is provided with pressure ulcer anthropometric dummy memory element and comparator, data processing unit is by analyzing the pressure signal of coming from pressure-sensing device and the histanoxia degree information that obtains from histanoxia degree monitoring device, and the data in analysis result and pressure ulcer anthropometric dummy memory element are compared, when result meets the condition of setting, exporting control signal makes alarm unit send warning signal,
Described electronic health record device 5, is inside provided with intelligent terminal and central server, and described intelligent terminal carries out wireless data by Wireless Telecom Equipment and central server and is connected;
Described intelligent mobile terminal comprises data acquisition module, MIM message input module, data decoder module and wireless data transfer module, and described central server comprises HIS hospital information system, EMR electronic health record device, PACS system and Mobile nursing data base.
Further, described washer also comprises the booster pump, ultrasound unit, the heat pump that are connected with medicine liquid tank and main control unit, main control unit controls the medicinal liquid supercharging that booster pump will flow out from medicine liquid tank, heat pump is positioned on clear water pipeline, and main control unit controls this heat pump and heats the clear water in clear water pipeline; Described ultrasound unit comprises controller, converter, pressure flow sensor, spray gun, supersonic generator;
Described controller is connected successively with converter, spray gun, and pressure flow sensor input is connected to spray gun, and outfan is connected to controller; The hydraulic pressure of pressure flow sensor sensing medicinal liquid and flow, and the hydraulic pressure sensed and flow value are sent to controller; Controller controls converter according to the pressure of this sensing and flow value; Described supersonic generator also comprises horn, and control ultrasonic frequency, described horn is manually or automatically.
Further, the side of described baker is provided with infrared temperature detection device, and this infrared temperature detection device comprises non-contact infrared temperature sensor, temperature-difference thermoelectric heap amplifying circuit, temperature-compensating and amplifying circuit, A/D convertor circuit, governor circuit, display circuit and warning circuit;
Described non-contact infrared temperature sensor is piled amplifying circuit and temperature-compensating and amplifying circuit with temperature-difference thermoelectric respectively and is connected, and temperature-difference thermoelectric heap amplifying circuit and temperature-compensating and amplifying circuit are connected and are connected respectively to A/D convertor circuit;
Described A/D convertor circuit is a multi-channel A/D change-over circuit, and A/D convertor circuit is connected with governor circuit, and governor circuit is connected with display circuit and warning circuit; Described non-contact infrared temperature sensor adopts thermopile IR temperature sensor to realize the non-contact detecting of the thermistor signal to temperature signals and ambient temperature signal and the faint voltage signal of temperature difference heat pile and electro-hot regulator.
Further, the heater of described heating bed board comprises lower hot plate, is fixedly installed in the casing of heater;
Described lower hot plate offers endless groove in the neighboring of heating region, elastic sealing element is embedded with in endless groove, when upper cover plate and lower hot plate cover, heating region seals by upper cover plate crimp by elastic sealing element, the lower surface of lower hot plate is provided with the first heater element for heating, the corresponding first heater element position, upper surface of lower hot plate is provided with heating region, some locating slots for placing heating object are provided with in heating region, the bottom surface of described locating slot one end is provided with convenient when this end pressing heating object heating object at the downward-sloping inclined-plane upper cover plate other end that should hold being deviate to locating slot, be hingedly mounted on one end of lower hot plate.
Left bed body of the present invention and right bed body are provided with slip accommodating body, described recovery mat 2, therapeutic apparatus 3, checkout gear 4 are arranged on accommodating body, described left bed body and right bed body are provided with the back support plate of a tilt adjustable, be provided with driving cylinder on the downside of back support plate, upside is provided with fine setting air bag; The middle part of left bed body and right bed body is provided with two auxiliary balloon of leaning to one side of left and right distribution; Air bag can stand up by assisting patient, and the bottom of bed body is provided with the heater for heating bed board; Recovery mat 2 can slide to adapt to different diseased regions on bed body, and therapeutic apparatus can rinse, sterilize, dry open sore part position;
Checkout gear is provided with pressure-sensing device, histanoxia degree monitoring device, data processing unit and alarm unit, during use, pressure-sensing device is affixed on pressure ulcer predilection site, this position pressure is monitored, in conjunction with the monitoring of instrument to histanoxia degree, just can grasp the actual degree of oxygen deficiency of patient's compression zone bit organization in time, when individual local organization pressurized exceedes certain limit and certain hour, when PtO2 being reduced and likely causes ischemic lesions, bedsore-proof early warning device will send early warning, prompting medical worker and caretaker watch out for patient has generation pressure ulcer dangerous, take measures in time, method as stood up for patient carrys out Bedsore prevention, greatly can alleviate the workload of nursing staff like this, reduce the misery of severe case.
The above is only to preferred embodiment of the present invention, not any pro forma restriction is done to the present invention, every according to technical spirit of the present invention to any simple modification made for any of the above embodiments, equivalent variations and modification, all belong in the scope of technical solution of the present invention.