CN106063756A - A kind of Combined Operation formula posture pad - Google Patents

A kind of Combined Operation formula posture pad Download PDF

Info

Publication number
CN106063756A
CN106063756A CN201610351800.7A CN201610351800A CN106063756A CN 106063756 A CN106063756 A CN 106063756A CN 201610351800 A CN201610351800 A CN 201610351800A CN 106063756 A CN106063756 A CN 106063756A
Authority
CN
China
Prior art keywords
cervical vertebra
torr
pad
weight portion
combined operation
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201610351800.7A
Other languages
Chinese (zh)
Other versions
CN106063756B (en
Inventor
严晓云
李飞
李玉伟
赵磊
崔巍
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
FIRST HOSPITAL AFFILIATED TO LUOHE MEDICAL COLLEGE
Original Assignee
FIRST HOSPITAL AFFILIATED TO LUOHE MEDICAL COLLEGE
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by FIRST HOSPITAL AFFILIATED TO LUOHE MEDICAL COLLEGE filed Critical FIRST HOSPITAL AFFILIATED TO LUOHE MEDICAL COLLEGE
Priority to CN201610351800.7A priority Critical patent/CN106063756B/en
Publication of CN106063756A publication Critical patent/CN106063756A/en
Application granted granted Critical
Publication of CN106063756B publication Critical patent/CN106063756B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/30Specific positions of the patient
    • A61G2200/32Specific positions of the patient lying

Landscapes

  • Health & Medical Sciences (AREA)
  • Neurosurgery (AREA)
  • Otolaryngology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention provides a kind of Combined Operation formula posture pad, belong to body position fixing device.A kind of Combined Operation formula posture pad, including head mount, cervical vertebra torr and shoulder pad, described head mount, cervical vertebra torr and shoulder pad are polyurethane gle product, and described head mount is circular ring type, its hollow part correspondence cranium occipitalia;The bottom of described cervical vertebra torr is plane, and top is cabochon, and the centrally disposed concave support face at top;Described shoulder pad is column type, and the outside of described head mount, cervical vertebra torr and shoulder pad is respectively provided with sterile sleeve.The Combined body position pad of the present invention is easy to use during anterior cervical operation position support, cervical region fixation, light to skin compression, the comfort level of patient the operation of beneficially patient can be improved.

Description

A kind of Combined Operation formula posture pad
Technical field
The invention belongs to body position fixing device technical field, be specifically related to a kind of Combined Operation formula posture pad.
Background technology
Putting of operation position is one of relation one whether smooth key of operation, and operation position should ensure that position is consolidated Determine well, fully to expose operating field, avoid the complication that the pressurized such as skin, tissue causes again.Anterior cervical operation is treatment Effective art formula of cervical spondylotic myelopathy, cervical vertebral body is neighbouring with esophagus trachea, periphery nervus vasculairs are abundant, organizational structure is complicated, Therefore anterior cervical operation requires that surgical field of view exposure is abundant, Postural immobilization is firm, and it is higher to the requirement of position.Anterior cervical operation Putting of position, tradition application sponge cushion, sandbag, head circle fix, and foam-rubber cushion is the most soft, and fixed performance is poor, and sandbag is padded on Patient's cervical region would generally occur that liner does not sternly need auxiliary cushion to reinforce, and easily occurring slides relatively makes position change, and leads Cause operating field and expose not good enough.
In the last few years, along with the development of materialogy, occur in that silica gel and the posture pad of gel material, body position pad for surgery Divide by material at present and can be divided into 6 kinds: sponge material, foam beads, foam material, inflated type, silica gel material, gel material.Shen Please number be 201320065209.7 patent disclose the fixing pad of a kind of Medical body, described Medical body is fixed pad and is included one Depression health fixes groove and the protective pad of left and right two halves adjustment, and it is outside polymer that described Medical body fixes the material structure of pad Layer and set high-molecular gel packed layer in the inner.The fixing groove of this utility model has controllability, uses gel-filled, There is the advantage that pressure sensitivity is soft, damping property is good and good with the human body soft tissue compatibility.But pressure dissipation is relatively poor, And other object that in use also needs to jump a queue coordinates, and extends the time of whole fixing operation.
Polyurethane gle is the gel rubber material of a kind of excellent performance, has the two-fold advantage of gel and polyurethane concurrently, has good Good blood compatibility and biocompatibility.It is alternately made up of soft chain segment and hard segment, thereby through selecting suitable chain soft, hard Segment structure and ratio thereof, can synthesize and have good physical and mechanical properties, such as excellent toughness and elastic macromolecule material Material, is the preferred material making all kinds of elastomeric articles.Traditional polymer hydrogel is due to the unordered appearance of crosslinking points distribution in system Easily cause stress concentrate, cause its mechanical strength the most relatively low (typically can only resist about 20~the compressive strength of 100kPa and And the most crushed, and hot strength is only 8~14kPa, elongation at break is 20~50%), have a strong impact on its actual application. The patent of application number 201210325796.9 provides a kind of polyurethane elastomer gel and preparation method thereof, is polymerized by hydroxyl Thing, being divided into A, B two component containing isocyanate-based compound, catalyst and auxiliary agent, component A is containing isocyanate-based compound, B group It is divided into hydroxyl polymer-containing, catalyst and auxiliary agent, according to mass fraction than for component A 90-160 part, B component 200-1800 part Ratio is uniformly mixed, and moulding by casting obtains polyurethane elastomer gel.Polyurethane elastomer gel tool prepared by the method The advantages such as having life-time service without the migration of plasticizer and to ooze out, compressed shape diminishes, and curing rate is fast.But, prepared by this invention Though the compressive deformation of polyurethane elastomer gel is little, but comprcssive strength is relatively low, and antibacterial ability is the lowest, is unsuitable for making and human body The material of tissue directly contact.
Summary of the invention
In view of this, it is an object of the invention to provide a kind of Combined Operation formula posture pad, it is adaptable to anterior cervical operation makes With, to improve cervical region fixing-stable rate and head and neck skin serviceability rate.
For achieving the above object, the technical solution adopted in the present invention is: a kind of Combined Operation formula posture pad, including: head Portion's fixture, cervical vertebra torr and shoulder pad, described head mount, cervical vertebra torr and shoulder pad be prepared from by polyurethane gle,
Described head mount is circular ring type, and hollow part adapts with human body head;
Described cervical vertebra torr includes that supporter, the bottom of described supporter are plane, and top arranges concave support face;
Described shoulder pad is column type;
The outside of described head mount, cervical vertebra torr and shoulder pad is respectively provided with sterile sleeve.
Further, described polyurethane gle is obtained by following preparation method:
1) polyether polyol 30 ~ 45 weight portion is dissolved in foaming agent 3 ~ 5 weight portion, add carboxymethyl chitosan 0.05 ~ 0.2 weight portion, isocyanates 60 ~ 100 weight portion and catalyst 0.5 ~ 1 weight portion, at 22 ~ 30 DEG C, stir 15 ~ 20 minutes;
Described foaming agent is acetone or dichloroethanes, and described catalyst is stannous octoate, dibutyl tin laurate or 2-ethyl Caproic acid stannous;
2) adding triethylamine 15 ~ 20 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 0.5 ~ 1 hour;Add Bacterial cellulose Solution 10 ~ 20 weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2 ~ 3wt%, 50 ~ 60 DEG C, stirring reaction 1.5 ~ 2 hours, stand, lyophilization, to obtain final product.
Further, described polyether polyol is hydrophilic polyether polyhydric alcohol.
Further, the purification process of described Bacterial cellulose is: the Bacterial cellulose mechanical activation comminution being dried by 1 ~ 2g, adds Enter mix homogeneously in 100mL distilled water, obtain mixture;By gained mixture and 100mL1.8 ~ 2moL/L sodium hydroxide solution Mixing, 70 ~ 80 DEG C of shaking baths 1.5 ~ 2 hours, stand, after natural cooling, filtering and washing is to neutral, and the antibacterial obtaining purification is fine Dimension element.
Further, the width in described cervical vertebra backing portion and length are respectively greater than width and the length at top.
Further, described concave support face and the intersecting lens of described cervical vertebra jacking portion cambered surface are away from described supporter edge Minimum range is 8 ~ 12 centimetres.
Further, the centering angle of described cervical vertebra jacking portion cambered surface is 60 ~ 120 °.
Further, the bottom even of described cervical vertebra torr arranges circular salient point or linear strip raised line.
Further, the bottom of described head mount connects flat board, the sky of the corresponding described head mount of described flat board Heart position arranges through hole.
Compared with prior art, beneficial effects of the present invention is as follows:
1) combination type anterior cervical vertebrae posture pad of the present invention is applicable to anterior cervical operation and uses, by head mount, cervical vertebra torr and Shoulder pad forms, and according to putting after requirement places, patient lies supine position is directly placed on posture pad, it is not necessary to fill out again The operations such as plug, method is simple, saves operating time.Secondly, after cervical vertebra torr fixes cervical vertebra, it is beneficial to wide drop-down pair of upper limb of adhesive tape and body Position will not shift, therefore can have an X-rayed and see Cervical vertebra, beneficially quick Fluoroscopy location in art, thus increases the satisfaction of patient.This Outward, posture pad post surgery treatment is simple, direct ethanol etc. can clean sterilization, only need to change sterile sleeve when again applying, Can effectively avoid the generation of cross-contamination, infection.
2) head mount of the present invention, cervical vertebra torr and shoulder pad all use polyurethane gle material, have good flexibility With damping compression-resistant performance, there is good histocompatibility with tissue is similar, avoid skin and soft tissue pressurized to greatest extent; And can be good through x-ray, do not affect the definition of fluoroscopic image.The present invention by the component of existing polyurethane gle and Technique is optimized, with polyether polyol and isocyanates as primary raw material, foaming agent, carboxymethyl chitosan, catalyst and Under the common effect of triethylamine, preparing polyurethane gle, then immerse bacterial cellulose solution, there is compound reaction in both, with Strengthen the mechanical performance of polyurethane gle, especially mechanical strength, deformation recovery capability and resume speed;And the poly-ammonia of the present invention The antibacterial ability of gels is strong, and service life is long, and more existing polyurethane gle is much more desirable as making head mount, cervical vertebra Torr and the material of shoulder pad.
3) cervical vertebra backing portion is roomy compared with top, and top is narrow and to have concave support face, crystallized ability and support effect more existing Some cervical vertebra torr are excellent, it is possible to lift nape, to greatest extent dispersive pressure on Jun Yun, after lower jaw forward downward being fixed simultaneously, Cervical stability is good.
The using method of present invention application anterior cervical vertebrae Combined body position pad is: after posture pad outer layer is wrapped up in set sterile sleeve, Shoulder pad is placed on shoulder position, cervical vertebra torr is placed on nape, Tou Quan is placed on cranium occipitalia position, puts complete, Huan Zhezhi Connect and lie on the back on posture pad.After operation terminates, Combined body position pad only need to be by overcoat cleaning-sterilizing, in case reusing.
The Combined body position pad of the present invention is easy to use during anterior cervical operation position support, and fixation is right Skin compression is light, and rebound performance is good, and service life is long, can improve the comfort level of patient the operation of beneficially patient.
Accompanying drawing explanation
Below in conjunction with the accompanying drawings the present invention is the most north Min.
The structural representation of head mount in Fig. 1: the embodiment of the present invention 1;
Fig. 2: the left/right view of cervical vertebra torr of the present invention;
Fig. 3: the front/rear view of cervical vertebra torr of the present invention;
Fig. 4: the top view of cervical vertebra torr of the present invention;
Fig. 5: the structural representation of shoulder pad of the present invention;
The structural representation of head mount in Fig. 6: the embodiment of the present invention 2;
Wherein, 1-head mount, 2-cervical vertebra torr, 3-shoulder pad, 4-concave support face, 5-flat board, 6-through hole.
Detailed description of the invention
In order to be more fully understood that the present invention, fairly set out present disclosure further below in conjunction with embodiment, but this Bright protection content is not limited solely to the following examples.In the following description, give a large amount of concrete details so that More thorough understanding of the invention is provided.It will be apparent, however, to one skilled in the art that the present invention is permissible It is carried out without these details one or more.
Embodiment 1
Refering to Fig. 1 ~ Fig. 5, one Combined Operation formula posture pad of the present invention, including: head mount, cervical vertebra torr and shoulder pad, described Head mount 1, cervical vertebra torr 2 and shoulder pad 3 are polyurethane gle product, described head mount 1 in circular ring type, its hollow part Position 1-1 correspondence cranium occipitalia;The bottom 2-1 of described cervical vertebra torr 2 is plane, and top 2-2 is cabochon, and top is centrally disposed recessed Shape supporting surface 4;Described shoulder pad 3 is in column type.The outside of described head mount 1, cervical vertebra torr 2 and shoulder pad 3 is respectively provided with sterile sleeve.
Postoperative disinfecting is easy in the setting of sterile sleeve, directly with ethanol etc., it can be cleaned sterilization, again apply Time only need to change sterile sleeve, can effectively avoid the generation of cross-contamination, infection.
In the present embodiment, width bottom described cervical vertebra torr 2 and length are respectively greater than width and the length at top.So Design makes bottom cervical vertebra torr 2 roomy compared with top, and top is narrow and has concave support face 4, for fixable type gel mat, it is possible to all Lifting nape, to greatest extent dispersive pressure on even, after being fixed by lower jaw forward downward, cervical stability is good simultaneously.
The intersecting lens 2-3 of described concave support face 4 and described cervical vertebra torr 2 top 2-2 cambered surface is away from described supporter edge 2-4 Minimum range d(Fig. 4) be 8 ~ 12 centimetres, in practical operation, for patient profiles, in selecting 8,9,10,11,12 centimetres Arbitrary model, the so two ends in concave support face 4 are respectively symmetrically reserved shoulder, to increase the lifting surface area of cervical vertebra torr 2, and dispersion Stress.
The centering angle α (Fig. 3) of described cervical vertebra torr 2 top cambered surface is 60 ~ 120 °, so that top cambered surface is at an appropriate model In enclosing, it was unlikely to flat or excess convexity, it is to avoid the discomfort of cervical region when causing patient lies supine, and useful to dispersion stress.In actual system During work, any value in 60 ~ 120 ° can be selected, such as, 75 °, 90 °, 105 ° etc., so that this cervical vertebra torr 2 possesses more Various selection is with the most applicable.
Described head mount 1, cervical vertebra torr 2 and shoulder pad 3 are polyurethane gle product, and this material class product has good Flexibility and damping compression-resistant performance, have good histocompatibility with tissue is similar, avoids skin and soft group to greatest extent Knit pressurized;And can be good through x-ray, do not affect the definition of fluoroscopic image.The concrete preparation method ginseng of polyurethane gle Read embodiment 3 ~ 8.
Embodiment 2
Refering to Fig. 1 ~ Fig. 6, the Combined Operation formula posture pad described by the present embodiment 2, as different from Example 1:
The bottom even of described cervical vertebra torr 2 arranges circular salient point or linear strip raised line, to increase rubbing of cervical vertebra torr 2 and placed side Wiping power.
Refering to Fig. 6, the bottom of described head mount 1 connects flat board 5, the corresponding described head mount 1 of described flat board 5 Hollow part arranges through hole 6, so can effectively dissipation of ferees, the stability of increase head mount 1, the setting of through hole 6 The ventilation being easy to cranium occipitalia dissipates gas.
The using method of present invention application anterior cervical vertebrae Combined body position pad is: after posture pad outer layer is wrapped up in set sterile sleeve, Shoulder pad is placed on shoulder position, cervical vertebra torr is placed on nape, Tou Quan is placed on cranium occipitalia position, puts complete, Huan Zhezhi Connect and lie on the back on posture pad.After operation terminates, Combined body position pad only need to be by overcoat cleaning-sterilizing, in case reusing.
Embodiment 3
The preparation method of polyurethane gle of the present invention, comprises the following steps:
1) polyether polyol 40 weight portion is dissolved in foaming agent 4 weight portion, add carboxymethyl chitosan 0.12 weight portion, Isocyanates 80 weight portion and catalyst 0.6 weight portion, at 25 DEG C, stir 18 minutes;
Described foaming agent is acetone, and described catalyst is dibutyl tin laurate;
2) adding triethylamine 18 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 45 minutes;Add bacterial cellulose solution 20 Weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2.5wt%, 50 ~ 60 DEG C, stirring reaction 105 minutes, quiet Put, lyophilization, to obtain final product.
In the present embodiment, described polyether polyol is hydrophilic polyether polyhydric alcohol.
In the present embodiment, the purification process of described Bacterial cellulose is: the Bacterial cellulose mechanical activation comminution being dried by 1 ~ 2g, Add mix homogeneously in 100mL distilled water, obtain mixture;By molten with 100mL1.8 ~ 2moL/L sodium hydroxide for gained mixture Liquid mixes, 70 ~ 80 DEG C of shaking baths 1.5 ~ 2 hours, stands, and after natural cooling, filtering and washing, to neutral, obtains the antibacterial of purification Cellulose.
Embodiment 4
The preparation method of polyurethane gle of the present invention, comprises the following steps:
1) polyether polyol 30 weight portion is dissolved in foaming agent 3 weight portion, add carboxymethyl chitosan 0.08 weight portion, Isocyanates 60 weight portion and catalyst 0.5 weight portion, at 25 DEG C, stir 15 minutes;
Described foaming agent is acetone, and described catalyst is stannous octoate;
2) adding triethylamine 15 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 0.5 hour;Add bacterial cellulose solution 10 weight portions, in described bacterial cellulose solution, bacterial fibers cellulose content is 3wt%, 50 ~ 60 DEG C, stirring reaction 1.5 hours, quiet Put, lyophilization, to obtain final product.
In the present embodiment, described polyether polyol is hydrophilic polyether polyhydric alcohol alcohol.
In the present embodiment, the purification process of described Bacterial cellulose refers to embodiment 3.
Embodiment 5
The preparation method of polyurethane gle of the present invention, comprises the following steps:
1) polyether polyol 45 weight portion is dissolved in foaming agent 5 weight portion, add carboxymethyl chitosan 0.2 weight portion, Isocyanates 100 weight portion and catalyst 1 weight portion, at 25 DEG C, stir 20 minutes;
Described foaming agent is dichloroethanes, and described catalyst is stannous 2-ethylhexoate;
2) adding triethylamine 20 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 1 hour;Add bacterial cellulose solution 20 Weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2wt%, 50 ~ 60 DEG C, stirring reaction 2 hours, stands, cold Lyophilizing is dry, to obtain final product.
In the present embodiment, described polyether polyol is hydrophilic polyether polyhydric alcohol.
In the present embodiment, the purification process of described Bacterial cellulose refers to embodiment 3.
Embodiment 6
The preparation method of polyurethane gle of the present invention, comprises the following steps:
1) polyether polyol 35 weight portion is dissolved in foaming agent 3.5 weight portion, adds carboxymethyl chitosan 0.15 weight Part, isocyanates 75 weight portion and catalyst 0.6 weight portion, at 30 DEG C, stir 15 minutes;
Described foaming agent is dichloroethanes, and described catalyst is dibutyl tin laurate;
2) adding triethylamine 15 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 45 minutes;Add bacterial cellulose solution 10 Weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2.5wt%, 50 ~ 60 DEG C, stirring reaction 1.8 hours, quiet Put, lyophilization, to obtain final product.
In the present embodiment, described polyether polyol is hydrophilic polyether polyhydric alcohol.
In the present embodiment, the purification process of described Bacterial cellulose refers to embodiment 3.
Embodiment 7
The preparation method of the polyurethane gle described by the present embodiment, comprises the following steps:
1) polyether polyol 40 weight portion is dissolved in foaming agent 4 weight portion, add carboxymethyl chitosan 0.12 weight portion, Isocyanates 80 weight portion, catalyst 0.6 weight portion and plants essential oil 1 weight portion, stir 20 minutes by 25 DEG C;
Described polyether polyol is hydrophilic polyether polyhydric alcohol;
Described foaming agent is acetone, and described catalyst is dibutyl tin laurate;Plants essential oil is Herba Cymbopogonis Citrari quintessence oil and Cortex Cinnamomi The mixture of quintessence oil, mixed weight is than for 1:0.5;
2) adding triethylamine 18 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 45 minutes;Add bacterial cellulose solution 20 Weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2.5wt%, 50 ~ 60 DEG C, stirring reaction 105 minutes, quiet Put, lyophilization, obtain polyurethane gle;
3) polyurethane gle of preparation being carried out plasma surface modification process, working gas is the gaseous mixture of argon and hydrogen Body, mixing mol ratio is 1:4, and process power is 120w, and the process time is 2 minutes.
In the present embodiment, step 1) with the addition of plants essential oil, i.e. Herba Cymbopogonis Citrari quintessence oil and cinnamon essential oil with weight ratio 1: The mixture of 0.5 mixing, is mixed into above two derived essential oil in reaction mixture, mixes with other composition and react, Make polyurethane gle can distribute slight delicate fragrance, it is often more important that to have calmness and bacteriostasis concurrently;Furthermore, Bacterial cellulose Reaction with polyurethane initial set body so that the cross-linked network intensity of polyurethane gle is higher, and resilience is more preferable;Binding plasma Surface modification, on the one hand, antipathogenic composition and effect that polyurethane gle itself has can slowly be discharged, and make polyurethane coagulate Glue can be the most antibacterial;On the other hand, through surface modification, can effectively prevent the infiltration of external element, keep poly- The cleanliness factor of urethane gel body, the most contaminated and destruction.Above-mentioned factor synergism, makes polyurethane gel material general performance Go out high intensity, excellent resilience and excellent biocompatibility, it is possible to meet the demand of reality application.
Embodiment 8
The preparation method of the polyurethane gle described by the present embodiment, comprises the following steps:
1) polyether polyol 40 weight portion is dissolved in foaming agent 4 weight portion, add carboxymethyl chitosan 0.12 weight portion, Isocyanates 80 weight portion, catalyst 0.6 weight portion and plants essential oil 1 weight portion, stir 20 minutes by 25 DEG C;
Described polyether polyol is hydrophilic polyether polyhydric alcohol;
Described foaming agent is acetone, and described catalyst is dibutyl tin laurate;Plants essential oil is Herba Cymbopogonis Citrari quintessence oil and Cortex Cinnamomi The mixture of quintessence oil, mixed weight is than for 1:0.6;
3) adding triethylamine 18 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 45 minutes;Add bacterial cellulose solution 20 Weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2.5wt%, 50 ~ 60 DEG C, stirring reaction 105 minutes, quiet Put, lyophilization, obtain polyurethane gle;
3) polyurethane gle of preparation being carried out plasma surface modification process, working gas is the gaseous mixture of argon and hydrogen Body, mixing mol ratio is 1:3, and process power is 130w, and the process time is 1 minute.
Comparative example 1
The preparation method of the polyurethane gle described by the present embodiment, comprises the following steps:
1) polyether polyol 40 weight portion is dissolved in foaming agent 4 weight portion, add carboxymethyl chitosan 0.12 weight portion, Isocyanates 80 weight portion and catalyst 0.6 weight portion, at 25 DEG C, stir 18 minutes;
2) adding triethylamine 18 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 60 minutes;Stand 30 minutes, lyophilization, Obtain polyurethane gle.
In the present embodiment, described foaming agent is acetone, and described catalyst is dibutyl tin laurate;Described polyether polyols Alcohol is hydrophilic polyether polyhydric alcohol.
Comparative example 2
The preparation method of the polyurethane gle described by the present embodiment, comprises the following steps:
1) polyether polyol 40 weight portion is dissolved in foaming agent 4 weight portion, add carboxymethyl chitosan 0.12 weight portion, Isocyanates 80 weight portion and catalyst 0.6 weight portion, at 25 DEG C, stir 18 minutes;
2) adding triethylamine 18 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 60 minutes;Stand 30 minutes, lyophilization, Obtain polyurethane gle;
3) polyurethane gle of preparation being carried out plasma surface modification process, working gas is the gaseous mixture of argon and hydrogen Body, mixing mol ratio is 1:4, and process power is 120w, and the process time is 2 minutes.
In the present embodiment, described foaming agent is acetone, and described catalyst is dibutyl tin laurate;Described polyether polyols Alcohol is hydrophilic polyether polyhydric alcohol.
The present invention is to embodiment 3 ~ embodiment 8, and the compressive strength of the polyurethane gle of comparative example 1 ~ 2 preparation, stretching are by force Degree, elongation at break and antibiotic rate are measured, and test result is as shown in Table 1 and Table 2.
Table 1 test result
Wherein, compression strain A%/recovery rate B% refers to, when the compression strain of testee reaches A%, revert to the ratio of original state For B%.
Table 1 data show, the compressive strength of polyurethane gle prepared by the present invention is 4.7 ~ 6.7MPa;In compression strain it is In the case of 150%, recovery rate can reach 95.2 ~ 100%;Hot strength is 865 ~ 1250kPa;Elongation at break is 549 ~ 920%;The contrast present invention, the properties of comparative example 1 is decreased obviously, whether resistance to compression or tensile property, and recovers deformation energy Power is the most weak;Comparative example 2 relatively comparative example 1 increases, but can differ greatly with the present invention;The above results is further characterized by Present invention composition and the cooperative effect of preparation method, achieve unforeseeable technique effect.
Antibacterial experiment operates with reference to following steps: Example 3 ~ embodiment 8, and the poly-ammonia of comparative example 1 ~ 2 preparation Ester hydrogel, is cut into 11 centimetre of size of cm x 1 cm x, is precisely weighed and is placed in aseptic conical flask as sample sets, and Prepare the matched group being not added with polyurethane hydrogel as stated above, 8 groups are separately added into the phosphate buffer of 70 milliliters (0.03moL/L) with 5mL escherichia coli, staphylococcus aureus, Candida albicans, Pseudomonas aeruginosa and bacillus subtilis The bacterium solution of bacterium, 25 DEG C, under the conditions of 200rpm/min, shaken cultivation, after 1 hour, stands, and respectively at sampling in 96 hours, calculates thin Bacterium number change.Every batch of experiment is repeated 4 times, and calculates average bacteriostasis rate.
The calculating of bacteriostasis rate: according to formula X=(A-B)/A × 100%, X is bacteriostasis rate;A is that test specimen vibration is front average Clump count;B is average colony number after test specimen vibration.Criterion: be not added with the clump count difference before and after sample sets vibration and want Within 10, test specimen bacteriostasis rate and difference > 26% of control sample bacteriostasis rate, can determine that this product has antibacterial action.
Table 2 antibiotic rate test result
Table 2 data it can be seen that for escherichia coli and staphylococcus aureus, the bacteriostasis rate of sample sets and matched group sample The difference of product bacteriostasis rate is all higher than 26%, illustrates that the polyurethane gle of sample sets all has inhibitory action to escherichia coli, but also may be used simultaneously To see, embodiment 1,7 and 8 has all reached 100% to colibacillary bacteriostasis rate, is far longer than comparative example 1 and 2, and difference is bright Aobvious.For Candida albicans, Pseudomonas aeruginosa and bacillus subtilis, after 96 hours, the bacteriostasis rate of comparative example 1 ~ 2 is with right Difference according to group sample bacteriostasis rate is respectively less than 26%, and without fungistatic effect, and embodiment 3 ~ 8 fungistatic effect is still it is obvious that the most real The fungistatic effect executing example 8 is especially pronounced.
The present invention illustrates the progressive of Combined Operation formula posture pad of the present invention by clinical experiment.
Experimental group
A1 group: make head mount, cervical vertebra torr and shoulder pad with the polyurethane gle of embodiment 3 preparation;
A2 group: make head mount, cervical vertebra torr and shoulder pad with the polyurethane gle of embodiment 7 preparation;
Matched group
D1 group: make head mount, cervical vertebra torr and shoulder pad with the polyurethane gle of comparative example 1 preparation;
D2 group: make head mount, cervical vertebra torr and shoulder pad with the polyurethane gle of comparative example 2 preparation;
One, to above-mentioned four groups of the operative doctor satisfactions of Combined Operation formula posture pad obtained, cervical region fixing-stable rate, incidence Skin serviceability rate compares
1) inclusion criteria of clinical experiment personnel: 1. single segmental cervical spondylotic myelopathy, needs row anterior cervical operation, art formula to be disease Section discectomy of switching political loyalty reduces pressure, fusion device inserts internal fixation;2. the adult patient at age 20~75 years old;3. Clear consciousness, Judgment is normal;4. diseased region is between C3/4~C6/7.
In March ,-2015 in March, 2013, including 240 examples altogether in, operation all has my institute same operation group doctor to complete, often organizes 60 Example.The sex of four groups of patients, age, body weight, the course of disease, function of nervous system 17 of association of orthopedics of preoperative JOA(Japan point system) comment Divide and lesion segment number compares, no significant difference (P > 0.05), there is comparability.
2) observational technique
Operative doctor satisfaction.Investigation table of satisfaction degree divide three (position help to appearing, position to the comfortable help of operation, The help that fluoroscopy during operation is positioned by position), each score value 0~10 points, totally 30 points.Stood after operation terminates by operator surgical doctor I.e. give a mark.
Cervical region fixing-stable rate.After operation position puts end, on sheet and operation scene-affinity walk crosswise and two sides of stringer To drawing the position of posture pad, operation terminates to measure immediately to draw the distance that line moves, and is good stability less than 5mm, is more than It is unstable in 5mm.
Head and neck skin serviceability rate.After operation terminates, when patient is lifted to transport vehicle, rounding nurse in operating room check head Skin of neck is red with or without pressure, skin have the red and finger pressure skin of pressure do not fade be considered as the most intact.For getting rid of because of the skilled journey of operative doctor Degree difference causes the impact of operating time factor different in size, and Operation is same operation group doctor and completes.
3) result
The operative doctor satisfaction of A1 group, A2 group, D1 group and D2 group, cervical region fixing-stable rate, postoperative head and neck skin serviceability rate Be relatively shown in Table 3.Four groups of data are carried out statistical analysis, A1 group, D1 group and D2 group, and A2 group, D1 group and the operation of D2 group Doctors'satisfactory degree, cervical region fixing-stable rate, postoperative head and neck skin serviceability rate contrast difference the most statistically significant (P < 0.05). The operative doctor satisfaction of A1 group, cervical region fixing-stable rate, postoperative head and neck skin serviceability rate are obviously higher than matched group;With Time, the operative doctor satisfaction of A2 group, cervical region fixing-stable rate, postoperative head and neck skin serviceability rate are better than A1 group.
3 four groups of operative doctor satisfactions of table, cervical region fixing-stable degree, the comparison of postoperative head and neck skin serviceability rate
By above-mentioned clinical experiment, it was demonstrated that the Combined Operation formula posture pad of the present invention can be effectively increased stablizing of operation position Property, light to skin soft tissue compressing, the comfort level of patient the operation of beneficially patient can be improved, it is thus possible to carry for patient with operation For good, comfortable, stable Postural immobilization.
Although the foregoing describing the detailed description of the invention of the present invention, but those familiar with the art should managing Solving, our described specific embodiment is merely exemplary rather than for the restriction to the scope of the present invention, is familiar with this The technical staff in field, in the equivalent modification made according to the spirit of the present invention and change, should be contained the present invention's In scope of the claimed protection.

Claims (9)

1. a Combined Operation formula posture pad, it is characterised in that: including head mount, cervical vertebra torr and shoulder pad, described head is solid Locking member, cervical vertebra torr and shoulder pad are prepared from by polyurethane gle,
Described head mount is circular ring type, and hollow part adapts with human body head;
Described cervical vertebra torr includes that supporter, the bottom of described supporter are plane, and top arranges concave support face;
Described shoulder pad is column type;
The outside of described head mount, cervical vertebra torr and shoulder pad is respectively provided with sterile sleeve.
2. Combined Operation formula posture pad as claimed in claim 1, it is characterised in that: described polyurethane gle is by following preparation Method obtains:
1) polyether polyol 30 ~ 45 weight portion is dissolved in foaming agent 3 ~ 5 weight portion, add carboxymethyl chitosan 0.05 ~ 0.2 weight portion, isocyanates 60 ~ 100 weight portion and catalyst 0.5 ~ 1 weight portion, at 22 ~ 30 DEG C, stir 15 ~ 20 minutes;
Described foaming agent is acetone or dichloroethanes, and described catalyst is stannous octoate, dibutyl tin laurate or 2-ethyl Caproic acid stannous;
2) adding triethylamine 15 ~ 20 weight portion, 35 ~ 40 DEG C, nitrogen is protected, stirring reaction 0.5 ~ 1 hour;Add Bacterial cellulose Solution 10 ~ 20 weight portion, in described bacterial cellulose solution, bacterial fibers cellulose content is 2 ~ 3wt%, 50 ~ 60 DEG C, stirring reaction 1.5 ~ 2 hours, stand, lyophilization, to obtain final product.
3. Combined Operation formula posture pad as claimed in claim 2, it is characterised in that: described polyether polyol is that hydrophilic polyether is many Unit's alcohol.
4. Combined Operation formula posture pad as claimed in claim 2, it is characterised in that: the purification process of described Bacterial cellulose For: the Bacterial cellulose mechanical activation comminution that 1 ~ 2g is dried, add mix homogeneously in 100mL distilled water, obtain mixture;By gained Mixture mixes with 100mL1.8 ~ 2moL/L sodium hydroxide solution, 70 ~ 80 DEG C of shaking baths 1.5 ~ 2 hours, stands, the coldest But, after, filtering and washing, to neutral, obtains the Bacterial cellulose of purification.
5. the Combined Operation formula posture pad as described in claim 1 ~ 4, it is characterised in that: the width in described cervical vertebra backing portion and length Degree is respectively greater than width and the length at top.
6. Combined Operation formula posture pad as claimed in claim 5, it is characterised in that: described concave support face and described cervical vertebra torr The intersecting lens of the top cambered surface minimum range away from described supporter edge is 8 ~ 12 centimetres.
7. Combined Operation formula posture pad as claimed in claim 6, it is characterised in that: the centering angle of described cervical vertebra jacking portion cambered surface It it is 60 ~ 120 °.
8. Combined Operation formula posture pad as claimed in claim 5, it is characterised in that: the bottom even of described cervical vertebra torr arranges circle Shape salient point or linear strip raised line.
9. Combined Operation formula posture pad as claimed in claim 5, it is characterised in that: the bottom of described head mount connects flat Plate, the hollow part of the corresponding described head mount of described flat board arranges through hole.
CN201610351800.7A 2016-05-25 2016-05-25 A kind of Combined Operation formula posture pad Expired - Fee Related CN106063756B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610351800.7A CN106063756B (en) 2016-05-25 2016-05-25 A kind of Combined Operation formula posture pad

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610351800.7A CN106063756B (en) 2016-05-25 2016-05-25 A kind of Combined Operation formula posture pad

Publications (2)

Publication Number Publication Date
CN106063756A true CN106063756A (en) 2016-11-02
CN106063756B CN106063756B (en) 2017-10-03

Family

ID=57420099

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610351800.7A Expired - Fee Related CN106063756B (en) 2016-05-25 2016-05-25 A kind of Combined Operation formula posture pad

Country Status (1)

Country Link
CN (1) CN106063756B (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107260478A (en) * 2017-07-28 2017-10-20 浙江大学医学院附属邵逸夫医院 A kind of multifunctional peritoneoscope Demountable combined-type posture pad

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5974607A (en) * 1998-12-03 1999-11-02 Vk Industries Head clip pillow
CN201189263Y (en) * 2008-02-25 2009-02-04 中国人民解放军军事医学科学院附属医院 Variable support-position prone position head mat
CN201879827U (en) * 2010-12-09 2011-06-29 深圳市英之健科技有限公司 Circular headrest
CN202909025U (en) * 2012-08-29 2013-05-01 陈敏 Thyroid surgery mat
CN204181839U (en) * 2014-09-11 2015-03-04 阮赞丽 The general operation table of thyroid
CN204192972U (en) * 2014-11-05 2015-03-11 河南科技大学第一附属医院 A kind of controllable head-neck-chest one posture pad
CN105126639A (en) * 2015-08-23 2015-12-09 陈雄 Preparation method of bacterial cellulose polyurethane composite membrane having prior penetration of ketones

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5974607A (en) * 1998-12-03 1999-11-02 Vk Industries Head clip pillow
CN201189263Y (en) * 2008-02-25 2009-02-04 中国人民解放军军事医学科学院附属医院 Variable support-position prone position head mat
CN201879827U (en) * 2010-12-09 2011-06-29 深圳市英之健科技有限公司 Circular headrest
CN202909025U (en) * 2012-08-29 2013-05-01 陈敏 Thyroid surgery mat
CN204181839U (en) * 2014-09-11 2015-03-04 阮赞丽 The general operation table of thyroid
CN204192972U (en) * 2014-11-05 2015-03-11 河南科技大学第一附属医院 A kind of controllable head-neck-chest one posture pad
CN105126639A (en) * 2015-08-23 2015-12-09 陈雄 Preparation method of bacterial cellulose polyurethane composite membrane having prior penetration of ketones

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
张秀菊等: "细菌纤维素纳米复合材料的研究进展", 《合成纤维》 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107260478A (en) * 2017-07-28 2017-10-20 浙江大学医学院附属邵逸夫医院 A kind of multifunctional peritoneoscope Demountable combined-type posture pad

Also Published As

Publication number Publication date
CN106063756B (en) 2017-10-03

Similar Documents

Publication Publication Date Title
CN110721346B (en) Biological 3D printing ink and preparation method thereof
CN109875853A (en) One kind being used for neurosurgical convalescence device
CN108815584A (en) One kind is for curing medical epoxy resin of U.S. complex function and preparation method thereof
CN106063756B (en) A kind of Combined Operation formula posture pad
CN209033001U (en) One kind being used for orthopaedics fixed nursing device
CN206044795U (en) A kind of outer strap of fracture of finger
CN103126791A (en) Carbon fibre composite neck brace
Waring et al. An investigation into the conformability of wound dressings.
Gefen The selection of cushioning and padding materials for effective prophylaxis of medical device-related pressure ulcers: clinical intuition does not always work
CN204521424U (en) A kind of spinal column patient chair
CN211325954U (en) Traction bonesetting chair
CN211433710U (en) Headgear for surgical nursing
CN207412282U (en) Orthopaedic splints
CN209751532U (en) Auxiliary device for surgical operation
CN211156348U (en) Gynaecology holds in palm support with peritoneoscope operation arm
CN208823148U (en) A kind of eye-care eyeshade
CN215688535U (en) Auxiliary assembly for orthopedic surgery
CN200973750Y (en) Fracture patients crura disinfecting and draughting device
CN111920544A (en) Rat knocking test device
CN220588555U (en) Be used for prone position cervical vertebra operation head facial observation medical multi-functional adjustable table
CN213723296U (en) Split type lower limb pad
CN214968159U (en) Postoperative support frame for plastic surgery
CN212488704U (en) Operating cap for general surgery doctors
CN205612458U (en) Device for preventing feet from dropping
CN218220542U (en) Digestive endoscopy operation examining table

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20171003

CF01 Termination of patent right due to non-payment of annual fee