CN107411869B

CN107411869B - Operation method of intestinal canal double-cavity ostomy balloon type airtight combined nursing device

Info

Publication number: CN107411869B
Application number: CN201710330403.6A
Authority: CN
Inventors: 魏东; 曹永丽
Original assignee: 150 Central Hospital Of Pla
Current assignee: 989th Hospital of the Joint Logistics Support Force of PLA
Priority date: 2017-05-11
Filing date: 2017-05-11
Publication date: 2023-04-25
Anticipated expiration: 2037-05-11
Also published as: CN107411869A

Abstract

An operation method of an intestinal canal double-cavity ostomy balloon type airtight combined nursing device comprises the steps that a groove on the inner circumferential surface of an outer fixing ring is correspondingly clamped with a flange on the outer circumferential surface of an inner fixing ring, a mask balloon is inflated through a mask inflation port, an inflatable enema tube enters the mask balloon through a central small hole of an outer sealing pad of a sealing socket and a parting line of the inner sealing pad, the inflatable balloon is inflated through an inflation port on the inflatable enema tube, and air enters the inflatable balloon along an inner tube to enable the inflatable balloon to expand into an annular balloon; when the cleaning fluid is required to be cleaned, the cleaning fluid enters the airtight cavity between the cover membrane air bag and the single-sided adhesive tape, negative pressure in the collecting bag enables the cleaning fluid in the cover membrane air bag to enter the collecting bag along the collecting pipe, so that intestinal contents are prevented from polluting surgical incisions, polluting clothes, corroding skin, causing wound inflammation due to bacterial infection and the like, the disinfection and sterilization are more thorough, the observation of the property, the quantity and the healing condition of the stoma of the discharge is facilitated, and the pain of postoperative patients is relieved.

Description

Operation method of intestinal canal double-cavity ostomy balloon type airtight combined nursing device

Technical Field

The invention relates to a colon or small intestine abdominal wall double-cavity ostomy operation and postoperative fistulization nursing device, in particular to an operation method of an intestinal canal double-cavity ostomy air bag type airtight combined nursing device.

Background

The colon or small intestine abdominal wall double-cavity stoma is a very wide-range operation in clinical application at present, the operation technique is mature, the operation method is fixed, and the operation method has been used for hundreds of years. However, the postoperative patient does not have a fistulization port fixing nursing device suitable for the early stage of operation, so that intestinal contents pollute operation cuts, clothes and skin, great pain is brought to the patient, the medical care workload is increased, and even some patients refuse to perform the operation due to fear of poor life quality after the operation, so that illness state is delayed. Because the effluent liquid of the stoma of the postoperative patient is the unshaped thin excrement residue, the effluent liquid flows out at random, the operation incision, clothes and skin corrosion are polluted, the traditional fixing device at present does not have a nursing product matched with the conventional fixing device, the universal ostomy bag is designed for a single-cavity stoma, and the ostomy bag can be used only after the healing of the stoma, cannot be used after the operation, and cannot meet the needs of patients. How to effectively provide a dual-cavity ostomy patient postoperative early-stage fixing and nursing device to be a technical problem which is difficult for medical workers to solve for a long time.

For the above reasons, a method for operating an intestinal tract double-cavity ostomy balloon type airtight combined nursing device has been developed.

Disclosure of Invention

The invention aims to overcome the defects in the prior art and provides an operation method of an intestinal canal double-cavity ostomy air bag type airtight combined nursing device. The device is convenient to use and simple to operate, can seal the content of the cleaning device, is more thorough in disinfection and sterilization, is convenient for observing the property, quantity and ostomy healing condition of the discharge, relieves the pain of postoperative patients, and provides working efficiency. Simple structure, simple to operate, easy to operate, it is more thorough to the fixed nursing of postoperative fistulization mouth. Makes up the defect of postoperative ostomy nursing, relieves the pain of postoperative patients, and is suitable for popularization and use in colon or small intestine abdominal wall double-cavity ostomy operation.

In order to achieve the above purpose, the invention adopts the following technical scheme: an operation method of an intestinal canal double-cavity ostomy balloon type airtight combined nursing device, wherein the intestinal canal double-cavity ostomy balloon type airtight combined nursing device comprises the following components: the single-sided adhesive tape, an inner fixing ring, an outer fixing ring, a mask air bag, a mask inflation port, a sealing ring, an outer sealing pad, an inner sealing pad, an enema tube, an inflation bag, an inner tube, an inflation port, a cleaning port, a collecting tube, a collecting bag, a deflation tube, a flow control valve and a pull ring; the center of the single-sided adhesive plaster is provided with a round hole, the lower surface of the single-sided adhesive plaster is an adhesive surface, the upper surface of the single-sided adhesive plaster is a non-adhesive surface, the circumferential edge of the single-sided adhesive plaster is provided with an inner fixing ring, the outer circumferential surface of the inner fixing ring is provided with a convex flange, an outer fixing ring is arranged above the inner fixing ring, the inner circumferential surface of the outer fixing ring is provided with a groove, the groove on the inner circumferential surface of the outer fixing ring is correspondingly clamped with the flange on the outer circumferential surface of the inner fixing ring, the lower part of the flange on the outer circumferential surface of the inner fixing ring is provided with a pull ring, and the outer circumferential surface of the outer fixing ring is provided with a pull ring; a cover membrane air bag with a hemispherical structure is arranged above the outer fixing ring, the cover membrane air bag consists of an outer membrane, an inner membrane and an inflation space between the outer membrane and the inner membrane, a cover membrane inflation inlet is arranged on the outer membrane, at least two sealing sockets are uniformly distributed on the cover membrane air bag, and an inflatable enema tube passes through the sealing sockets and enters the cover membrane air bag; the two sides of the cover film air bag, which are close to the outer fixing ring, are respectively provided with a cleaning port and a collecting pipe which penetrate through the cover film air bag, a sealing socket is arranged in the cleaning port, a plug is arranged in the bag port of the collecting bag, the collecting bag is made of rubber or elastic plastic, the tail end of the collecting pipe penetrates through the plug and is inserted into the bag port, one side of the bag port is provided with a gas release pipe, the pipe orifice of the gas release pipe is provided with a blockage, the blockage is fixed on the gas release pipe through a connecting wire, and the collecting pipe is provided with a flow control valve;

firstly, sticking a single-sided adhesive plaster to a part to be operated, correspondingly clamping a groove on the inner circumferential surface of an outer fixing ring with a flange on the outer circumferential surface of an inner fixing ring, inflating a cover film air bag through a cover film inflation port, enabling air to enter an inflation space between an outer film and an inner film to expand the cover film air bag to form a hemispherical structure, forming a closed cavity between the cover film air bag and the single-sided adhesive plaster, enabling an inflatable enema tube to enter the cover film air bag through a central small hole of an outer sealing pad of a sealing socket and a parting line of the inner sealing pad, clamping the enema tube by the two semicircular sealing pads, sealing the outer periphery of the enema tube by the outer sealing pad, ensuring the tightness in the cover film air bag, and enabling air to enter the inflation bag along an inner tube to expand the inflation bag to form an annular air bag;

when the cleaning device is required to clean, the pipe orifice of the cleaning pipe is inserted into the sealing socket of the cleaning port, the outer sealing gasket and the inner sealing gasket are used for sealing and clamping the cleaning pipe, tightness in the cover film air bag is effectively ensured, cleaning liquid enters a sealed cavity between the cover film air bag and the single-sided adhesive plaster, the flow control valve is adjusted to be in a closed state, the blockage on the air release pipe at one side of the bag port is opened, the collecting bag is extruded, after part of air in the collecting bag is discharged, the blockage is blocked at the pipe orifice of the air release pipe, the flow control valve is opened, negative pressure in the collecting bag enables the cleaning liquid in the cover film air bag to enter the collecting bag along the collecting pipe, the collecting bag gradually returns to the original state by means of self elasticity, after the liquid in the cover film air bag is discharged, the flow control valve is closed, the outer fixing ring and the inner fixing ring are separated through the pull ring at one side of the outer fixing ring, the single-sided adhesive plaster is separated from the cover film, and other parts except the single-sided adhesive plaster are disposable products, and all parts can be reused after cleaning and disinfection.

The inflatable enema tube has the structure that: the outer periphery of the middle lower part of the enema tube is provided with an inflatable bag, the inner wall of the enema tube is provided with an inner tube, the outer wall of the upper part of the enema tube is provided with an inflatable opening, the upper end of the inner tube is communicated with the inflatable opening, the lower end of the inner tube is communicated with an air inlet of the inflatable bag through the enema tube, liquid permeable holes are uniformly distributed in the lower part of the enema tube, the outer membrane, the inner membrane and the inflatable bag are made of silica gel or polyethylene elastic materials, and the outer membrane and the inner membrane are transparent membranes.

The structure of the sealing socket is as follows: the sealing ring is internally provided with an outer sealing gasket and an inner sealing gasket close to two ends, the outer sealing gasket and the inner sealing gasket are both made of rubber or silica gel, the center of the outer sealing gasket is provided with a small hole, the middle part of the inner sealing gasket is provided with a dividing line which is a straight line passing through the center of a circle, the dividing line is larger than the radius of the inner sealing gasket and smaller than the diameter of the inner sealing gasket, the inner sealing gasket is divided into two semicircular sealing gaskets by the dividing line, the sealing ring is arranged between an outer membrane and an inner membrane of the cover membrane air bag, the inner sealing gasket faces the inner center of the cover membrane air bag, the outer sealing gasket faces the outer part of the cover membrane air bag, and the elastic force of the inner sealing gasket is larger than that of the outer sealing gasket.

The beneficial effects of the invention are as follows: the dual-cavity ostomy tube is specially suitable for early operation, is a dual-cavity ostomy tube early use device, is cut into single-sided adhesive tapes according to the size of a stoma, is attached to the dual-cavity stoma, is designed as a sealing device, and is used for avoiding intestinal contents from polluting surgical incisions, polluting clothes, corroding skin, causing wound inflammation due to bacterial infection and the like after operation. The device is convenient to use and simple to operate, can seal the content of the cleaning device, is more thorough in disinfection and sterilization, is convenient for observing the property, quantity and ostomy healing condition of the discharge, relieves the pain of postoperative patients, and provides working efficiency. Simple structure, simple to operate, easy to operate, it is more thorough to the fixed nursing of postoperative fistulization mouth. Makes up the defect of postoperative ostomy nursing, relieves the pain of postoperative patients, and is suitable for popularization and use in colon or small intestine abdominal wall double-cavity ostomy operation.

Drawings

The invention is further described below with reference to the accompanying drawings:

FIG. 1 is a schematic diagram of a general assembly separation state structure;

FIG. 2 is a schematic cross-sectional view of the seal receptacle of FIG. 1;

in fig. 1 and 2: the single-sided adhesive tape 1, an inner fixing ring 2, an outer fixing ring 3, a mask air bag 31, a mask inflation inlet 32, a sealing ring 33, an outer sealing pad 34, an inner sealing pad 35, an enema tube 4, an inflation bag 41, an inner tube 42, an inflation inlet 43, a cleaning port 5, a collecting tube 6, a collecting bag 61, a deflation tube 62, a flow control valve 63 and a pull ring 7.

Detailed Description

The invention is further described in detail below with reference to examples and embodiments:

example 1

The center of the single-sided adhesive plaster 1 is provided with a round hole, the lower surface of the single-sided adhesive plaster 1 is an adhesive surface, the upper surface is a non-adhesive surface, the circumferential edge of the single-sided adhesive plaster 1 is provided with an inner fixing ring 2, the outer circumferential surface of the inner fixing ring 2 is provided with a convex flange, the upper part of the inner fixing ring 2 is provided with an outer fixing ring 3, the inner circumferential surface of the outer fixing ring 3 is provided with a groove, the groove of the inner circumferential surface of the outer fixing ring 3 is correspondingly clamped with the flange of the outer circumferential surface of the inner fixing ring 2, the lower part of the flange of the outer circumferential surface of the inner fixing ring 2 is provided with a pull ring 7, and the outer circumferential surface of the outer fixing ring 3 is provided with a pull ring 7; a cover membrane air bag 31 with a hemispherical structure is arranged above the outer fixing ring 3, the cover membrane air bag 31 is composed of an outer membrane, an inner membrane and an air inflation space between the outer membrane and the inner membrane, a cover membrane air inflation port 32 is arranged on the outer membrane, at least two sealing sockets are uniformly distributed on the cover membrane air bag 31, and an inflatable enema tube passes through the sealing sockets to enter the cover membrane air bag 31; the two sides of the cover film air bag 31, which are close to the outer fixing ring 3, are respectively provided with a cleaning port 5 and a collecting pipe 6 which penetrate through the cover film air bag 31, a sealing socket is arranged in the cleaning port 5, a plug is arranged in a bag port of the collecting bag 61, the collecting bag 61 is made of rubber or elastic plastic, the tail end of the collecting pipe 6 penetrates through the plug and is inserted into the bag port, one side of the bag port is provided with a gas release pipe 62, a pipe orifice of the gas release pipe 62 is provided with a blockage, the blockage is fixed on the gas release pipe 62 through a connecting line, and the collecting pipe 6 is provided with a flow control valve 63;

firstly, sticking a single-sided adhesive plaster 1 on a part to be operated, correspondingly clamping a groove on the inner circumferential surface of an outer fixing ring 3 with a flange on the outer circumferential surface of an inner fixing ring 2, inflating a cover film air bag 31 through a cover film inflation port 32, enabling air to enter an inflation space between an outer film and an inner film to expand the cover film air bag 31 into a hemispherical structure, forming a sealed cavity between the cover film air bag 31 and the single-sided adhesive plaster 1, enabling an inflatable enema tube to enter the cover film air bag 31 through a central small hole of an outer sealing pad 34 of a sealing socket and a parting line of an inner sealing pad 35, clamping the enema tube 4 by the two semicircular sealing pads, sealing the outer circumference of the enema tube 4 by the outer sealing pad 34, ensuring the tightness in the cover film air bag 31, inflating the inflatable bag 41 through an inflation port 43 on the inflatable enema tube, and enabling air to enter the inflatable bag 41 along an inner tube 42 to expand into the inflatable bag 41 into an annular air bag;

when cleaning is needed, the pipe orifice of the cleaning pipe is inserted into the sealing socket of the cleaning port 5, the outer sealing gasket 34 and the inner sealing gasket 35 are used for sealing and clamping the cleaning pipe, the tightness of the inside of the cover film air bag 31 is effectively ensured, cleaning liquid enters a sealed cavity between the cover film air bag 31 and the single-sided adhesive plaster 1, the flow control valve 63 is adjusted to be in a closed state, the blockage on the air release pipe 62 at one side of the bag orifice is opened, the collecting bag 61 is extruded, after part of air in the collecting bag 61 is discharged, the blockage is blocked at the pipe orifice of the air release pipe 62, the flow control valve 63 is opened, negative pressure in the collecting bag 61 enables the cleaning liquid in the cover film air bag 31 to enter the collecting bag 61 along the collecting pipe 6, the collecting bag 61 gradually returns to the original state by virtue of self elasticity, after the liquid in the cover film air bag 31 is discharged, the flow control valve 63 is closed, the outer fixing ring 3 and the inner fixing ring 2 are separated by the pull ring 7 at one side of the outer fixing ring 3, the single-sided adhesive plaster 1 and the cover film air bag 31 are separated, and other parts except the single-sided adhesive plaster 1 are disposable products, and can be reused after cleaning and disinfection.

Example 2

The inflatable enema tube has the structure that: the lower middle part periphery of the enema tube 4 is provided with an inflatable bag 41, the inner wall of the enema tube 4 is provided with an inner tube 42, the outer wall of the upper part of the enema tube 4 is provided with an inflation inlet 43, the upper end of the inner tube 42 is communicated with the inflation inlet 43, the lower end of the inner tube 42 is communicated with the air inlet of the inflatable bag 41 through the enema tube 4, the lower part of the enema tube 4 is uniformly provided with liquid permeable holes, the outer membrane, the inner membrane and the inflatable bag 41 are made of silica gel or polyethylene elastic materials, and the outer membrane and the inner membrane are transparent membranes.

Example 3

The structure of the sealing socket is as follows: the sealing ring 33 is internally provided with an outer sealing gasket 34 and an inner sealing gasket 35 which are close to two ends, the outer sealing gasket 34 and the inner sealing gasket 35 are both made of rubber or silica gel, the center of the outer sealing gasket 34 is provided with a small hole, the middle part of the inner sealing gasket 35 is provided with a dividing line which is a straight line passing through the center of a circle, the dividing line is larger than the radius of the inner sealing gasket 35 and smaller than the diameter of the inner sealing gasket 35, the inner sealing gasket 35 is divided into two semicircular sealing gaskets by the dividing line, the sealing ring 33 is arranged between an outer film and an inner film of the cover film air bag 31, the inner sealing gasket 35 faces the inner center of the cover film air bag 31, the outer sealing gasket 34 faces the outer part of the cover film air bag 31, and the elastic force of the inner sealing gasket 35 is larger than that of the outer sealing gasket 34.

Claims

1. An operation method of an intestinal canal double-cavity ostomy balloon type airtight combined nursing device, wherein the intestinal canal double-cavity ostomy balloon type airtight combined nursing device comprises the following components: the single-sided adhesive tape (1), an inner fixing ring (2), an outer fixing ring (3), a mask air bag (31), a mask air charging port (32), a sealing ring (33), an outer sealing pad (34), an inner sealing pad (35), an enema tube (4), an air charging bag (41), an inner tube (42), an air charging port (43), a cleaning port (5), a collecting tube (6), a collecting bag (61), a deflating tube (62), a flow control valve (63) and a pull ring (7); the method is characterized in that: the center of the single-sided adhesive plaster (1) is provided with a round hole, the lower surface of the single-sided adhesive plaster (1) is an adhesive surface, the upper surface is a non-adhesive surface, the circumferential edge of the single-sided adhesive plaster (1) is provided with an inner fixing ring (2), the outer circumferential surface of the inner fixing ring (2) is provided with a convex flange, an outer fixing ring (3) is arranged above the inner fixing ring (2), the inner circumferential surface of the outer fixing ring (3) is provided with a groove, the groove of the inner circumferential surface of the outer fixing ring (3) is correspondingly clamped with the flange of the outer circumferential surface of the inner fixing ring (2), the lower part of the flange of the outer circumferential surface of the inner fixing ring (2) is provided with a pull ring (7), and the outer circumferential surface of the outer fixing ring (3) is provided with a pull ring (7); a cover membrane air bag (31) with a hemispherical structure is arranged above the outer fixing ring (3), the cover membrane air bag (31) is composed of an outer membrane, an inner membrane and an inflation space between the outer membrane and the inner membrane, a cover membrane inflation inlet (32) is arranged on the outer membrane, at least two sealing sockets are uniformly distributed on the cover membrane air bag (31), and an inflatable enema tube passes through the sealing sockets to enter the cover membrane air bag (31); the two sides of the cover film air bag (31) close to the outer fixing ring (3) are respectively provided with a cleaning port (5) and a collecting pipe (6) which penetrate through the cover film air bag (31), a sealing socket is arranged in the cleaning port (5), a plug is arranged in a bag port of the collecting bag (61), the collecting bag (61) is made of rubber or elastic plastic, the tail end of the collecting pipe (6) penetrates through the plug to be inserted into the bag port, one side of the bag port is provided with a gas release pipe (62), a pipe orifice of the gas release pipe (62) is provided with a plug, the plug is fixed on the gas release pipe (62) through a connecting line, and the collecting pipe (6) is provided with a flow control valve (63);

firstly, sticking a single-sided adhesive plaster (1) on a part to be operated, correspondingly clamping a groove on the inner circumferential surface of an outer fixing ring (3) with a flange on the outer circumferential surface of an inner fixing ring (2), inflating a cover membrane air bag (31) through a cover membrane inflation port (32), enabling the cover membrane air bag (31) to expand into a hemispherical structure by gas entering an inflation space between an outer membrane and an inner membrane, forming a closed cavity between the cover membrane air bag (31) and the single-sided adhesive plaster (1), enabling an inflatable enema tube to enter the cover membrane air bag (31) through a central small hole of an outer sealing pad (34) of a sealing socket and a parting line of an inner sealing pad (35), clamping the enema tube (4) by two semicircular sealing pads, sealing the outer circumference of the enema tube (4) by the outer sealing pad (34), guaranteeing the tightness in the cover membrane air bag (31), inflating the inflatable bag (41) through an inflation port (43) on the inflatable enema tube, and enabling the air to enter the inflatable bag (41) to expand into a ring shape;

when the cleaning device is required to clean, the pipe orifice of the cleaning pipe is inserted into the sealing socket of the cleaning port (5), the outer sealing gasket (34) and the inner sealing gasket (35) are used for sealing and clamping the cleaning pipe, tightness in the cover film air bag (31) is effectively guaranteed, cleaning liquid enters a sealed cavity between the cover film air bag (31) and the single-sided adhesive patch (1), the flow control valve (63) is regulated to be in a closed state, the blockage on the air release pipe (62) at one side of the bag orifice is opened, the collecting bag (61) is extruded, after part of air in the collecting bag (61) is discharged, the pipe orifice of the air release pipe (62) is blocked, the flow control valve (63) is opened, negative pressure in the collecting bag (61) enables the cleaning liquid in the cover film air bag (31) to enter the collecting bag (61) along the collecting pipe (6), the collecting bag (61) is gradually restored to be in an original state by means of self elasticity, after the liquid in the cover film air bag (31) is discharged, the flow control valve (63) is closed, the outer fixing ring (7) and the inner fixing ring (7) at one side of the inner fixing ring (2) are opened, the outer fixing ring (3) and the inner fixing ring (2) are separated from the single-sided adhesive patch (1) through the outer fixing ring, and the single-sided adhesive patch (1) can be used for cleaning, and the single-sided adhesive patch can be used for cleaning, and the articles can be removed again.

2. The method of operation of an intestinal tract double-lumen ostomy balloon type closed combination care device according to claim 1, wherein: the inflatable enema tube has the structure that: the lower part periphery of enema pipe (4) sets up inflatable bag (41), and enema pipe (4) inner wall sets up inner tube (42), and enema pipe (4) upper portion outer wall sets up inflation inlet (43), and inner tube (42) upper end communicates with each other with inflation inlet (43), and inner tube (42) lower extreme is through enema pipe (4) and inflatable bag (41) air inlet communicates with each other, the evenly distributed of enema pipe (4) lower part is permeated liquid hole, adventitia, intima and inflatable bag (41) adopt silica gel or polyethylene elastic material to make, and adventitia and intima are transparent membrane.

3. The method of operation of an intestinal tract double-lumen ostomy balloon type closed combination care device according to claim 1, wherein: the structure of the sealing socket is as follows: an outer sealing gasket (34) and an inner sealing gasket (35) are arranged at two ends of the sealing ring (33), the outer sealing gasket (34) and the inner sealing gasket (35) are made of rubber or silica gel, a small hole is formed in the center of the outer sealing gasket (34), a parting line is arranged in the middle of the inner sealing gasket (35) and is a straight line passing through the center of a circle, the parting line is larger than the radius of the inner sealing gasket (35) and smaller than the diameter of the inner sealing gasket (35), the inner sealing gasket (35) is divided into two semicircular sealing gaskets by the parting line, the sealing ring (33) is arranged between an outer membrane and an inner membrane of the cover membrane air bag (31), the inner sealing gasket (35) faces the inner center of the cover membrane air bag (31), the outer sealing gasket (34) faces the outer part of the cover membrane air bag (31), and the elastic force of the inner sealing gasket (35) is larger than that of the outer sealing gasket (34).