CN107874883B - Jaw pad for ICU patient - Google Patents

Jaw pad for ICU patient Download PDF

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CN107874883B
CN107874883B CN201711375999.8A CN201711375999A CN107874883B CN 107874883 B CN107874883 B CN 107874883B CN 201711375999 A CN201711375999 A CN 201711375999A CN 107874883 B CN107874883 B CN 107874883B
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pad
connecting pipe
cavity
parts
maxilla
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CN107874883A (en
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易娟
谌铭
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/64Proteins; Peptides; Derivatives or degradation products thereof
    • A61K8/645Proteins of vegetable origin; Derivatives or degradation products thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/96Cosmetics or similar toiletry preparations characterised by the composition containing materials, or derivatives thereof of undetermined constitution
    • A61K8/97Cosmetics or similar toiletry preparations characterised by the composition containing materials, or derivatives thereof of undetermined constitution from algae, fungi, lichens or plants; from derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • A61M16/0493Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2800/00Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
    • A61K2800/40Chemical, physico-chemical or functional or structural properties of particular ingredients
    • A61K2800/59Mixtures
    • A61K2800/592Mixtures of compounds complementing their respective functions
    • A61K2800/5922At least two compounds being classified in the same subclass of A61K8/18
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/0637Teeth

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Pulmonology (AREA)
  • Birds (AREA)
  • Hematology (AREA)
  • Epidemiology (AREA)
  • Anesthesiology (AREA)
  • Botany (AREA)
  • Emergency Medicine (AREA)
  • Otolaryngology (AREA)
  • Microbiology (AREA)
  • Biotechnology (AREA)
  • Mycology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cosmetics (AREA)

Abstract

The invention discloses a jaw pad for an ICU (intensive care unit) patient, which comprises a maxilla pad, a mandible pad and an occlusal surface which are integrally formed, wherein the maxilla pad and the mandible pad are consistent with upper and lower dental arches of a mouth of the patient in shape, the occlusal surface is of a semi-annular structure and is fixed at the inner sides of the maxilla pad and the mandible pad and covers the whole arc length of the inner sides of the maxilla pad and the mandible pad, and the edge of the upper surface of the occlusal surface extends towards the lower surface of the occlusal surface and towards the mandible pad in an. The jaw pad can close the oral cavity, reduce the possibility of inhalation pneumonia, simultaneously avoid a series of oral cavity problems, stabilize the intubation tube to avoid the situation that the intubation tube is bitten by teeth when the trachea intubation tube is used, and simultaneously slowly release the oral care solution by using the jaw pad, thereby achieving the purposes of cleaning the oral cavity and relieving the oral cavity problems of patients.

Description

Jaw pad for ICU patient
Technical Field
The invention relates to the technical field of medical instruments. More particularly, the present invention relates to an ICU patient jaw pad.
Background
A common complication in ICU patients during treatment is aspiration pneumonia, in addition to odontogenic oral trauma. Whether intubated or not, the oral cavity of the patient is in an incomplete closed state, saliva secretion is affected, the oral cavity is dry, pathogenic bacteria are increased, and the possibility of aspiration pneumonia is increased. ICU patients are generally unconscious and unable to control themselves, and individual teeth and residual roots in the oral cavity may cause trauma to the oral mucosa and gums, resulting in massive hemorrhage or chronic ulcer. ICU patients are also generally weak, have poor resistance, poor hemoglobin and blood coagulation function, and in severe cases, oral bleeding can cause hemorrhagic shock. The jaw pad described in patent No. CN 204683852U is used for relieving snoring, and has not been used for specially researching ICU patients, and the insertion tube closing pad generally used by ICU patients in the market at present is made of hard material, has simple structure, is designed and considered to protect the insertion tube, does not consider oral mucosa, gingiva and teeth, and can cause gingival trauma and tooth looseness due to muscle tension of the patients in unconscious state.
Disclosure of Invention
The invention aims to provide a jaw pad for ICU patients, which can close the oral cavity, reduce the possibility of inhalation pneumonia, simultaneously avoid a series of oral cavity problems, stabilize the intubation tube to avoid the situation that the intubation tube is bitten by teeth when an endotracheal intubation is used, and simultaneously slowly release oral care solution by using the jaw pad, thereby achieving the purposes of cleaning the oral cavity and relieving the oral cavity problems of the patients.
To achieve these objects and other advantages in accordance with the purpose of the invention, there is provided a jaw pad for ICU patients, comprising integrally formed upper and lower jaw pads conforming to the shapes of upper and lower dental arches of a patient's mouth, and an occlusal surface of a semi-annular structure fixed to the insides of the upper and lower jaw pads and covering the entire length of an arc of the insides of the upper and lower jaw pads, the upper surface edge of the occlusal surface extending arcuately toward the lower surface thereof toward the lower jaw pad.
Preferably, the middle part of the occlusal surface is provided with a tracheal intubation through hole which horizontally penetrates through the occlusal surface and the maxillary pad and the mandibular pad, the maxillary pad is vertically separated into two closely attached parts from the middle part, and extends downwards to the occlusal surface to vertically separate the upper surface of the occlusal surface into two closely attached parts from the middle part, and penetrates through the through hole.
Preferably, the outer surface of the maxillary pad is provided with a plurality of uniformly distributed convex points.
Preferably, the maxilla pad and the mandible pad are also provided with notches for accommodating the frenulum labialis.
Preferably, a first sealed cavity and a second sealed cavity are arranged inside the two parts of the maxilla pad, a first connecting pipe is arranged on one side of the first cavity close to the second cavity, an opening at one end of the first connecting pipe is fixed on one side of the first cavity, an opening at the other end of the first connecting pipe is positioned in the first cavity, a second connecting pipe is arranged on one side of the second cavity close to the first cavity, an opening at one end of the second connecting pipe is positioned outside the second cavity and inserted into the first connecting pipe without protruding out of the first connecting pipe, an opening at the other end of the second connecting pipe is positioned in the second cavity, the inner diameter of the first connecting pipe is slightly larger than the outer diameter of the second connecting pipe, a wear-resistant waterproof rubber pad is fixedly sleeved on the outer side surface of the second connecting pipe close to the opening at one end of the second connecting pipe, the wear-resistant waterproof rubber pad is of an annular structure, the, pure water is filled in the first cavity and the second cavity.
Preferably, the upper surface and the lower surface of the occlusal surface are respectively stuck and covered with an adaptation bag, the adaptation bag is provided with a plurality of micropores, and the adaptation bag is internally sealed with oral care solution.
Preferably, the oral care solution comprises the following components in parts by weight: 80-100 parts of distilled water, 2.6-3.8 parts of garlic extract, 1.8-3.2 parts of sea buckthorn extract, 0.5-1.8 parts of parsley extract, 1.5-2.7 parts of soybean peptide and 3-5 parts of sodium chloride.
Preferably, the preparation method of the seabuckthorn extract comprises the following steps:
1) separating the sea-buckthorn fruits into pulp and sea-buckthorn seeds;
2) crushing the sea buckthorn seeds to 50-80 meshes to obtain sea buckthorn powder, dissolving the sea buckthorn powder in an ethanol water solution, and then treating the sea buckthorn powder for 1-2 hours under 120W ultrasonic waves;
3) putting fructus Hippophae in citric acid solution, and stirring at high speed for 30 min;
4) uniformly mixing the solutions obtained in the steps 2) and 3), filtering, and extracting by supercritical carbon dioxide to obtain the seabuckthorn extract.
Preferably, the preparation method of the garlic extract comprises the following steps:
1) selecting fresh unigarlic of the current year, cleaning and grinding into paste;
2) adding distilled water into the mashed single garlic, soaking for 2-4 h at 5-10 ℃, and sieving with a 50-100 mesh sieve to obtain a garlic extract;
3) distilling the garlic extract obtained in the step 2) under reduced pressure to obtain a distillate;
4) carrying out activated carbon adsorption filtration on the distillate obtained in the step 3) to obtain the required garlic extract.
Preferably, the preparation method of the celery extract comprises the following steps:
1) selecting parsley, removing leaves and only leaving stems, cleaning, and extruding parsley juice by adopting an external force extrusion method;
2) adjusting the pH of the celery juice to 4.5-5.0 by using citric acid, adding a complex enzyme containing cellulase, hemicellulase and pectinase, uniformly stirring, maintaining the pH to 4.5-5.0, heating to 45-48 ℃, and performing enzymolysis for 3-3.5 hours;
3) adjusting the pH of the celery juice after enzymolysis to be neutral by using alkali, and cooling to room temperature;
4) adding absolute ethyl alcohol into the celery juice after enzymolysis, wherein the volume ratio of the absolute ethyl alcohol to the celery juice after enzymolysis is 10: 1.7, refluxing for 4 hours at the temperature of 80 ℃, and then performing vacuum concentration to recover the absolute ethyl alcohol;
5) filtering, removing residue in the parsley juice, and collecting filtrate to obtain parsley extract.
The invention at least comprises the following beneficial effects:
1. the jaw pad of the invention has the following beneficial effects: A. the oral cavity is sealed, and the aspiration pneumonia is reduced; B. the patient can use the tooth with loss, and the whole tooth is wrapped, so that the tooth is not easy to shift, and the odontogenic oral wound is avoided; C. the trachea cannula is convenient to take and wear, and can be better stabilized by the through hole, so that the cannula is prevented from being bitten by teeth in the oral cavity.
2. The maxilla pad is provided with the sealed cavity filled with liquid, the two cavities are communicated through the connecting pipe, and the tracheal cannula is better inserted into the through hole and then closed through the relative displacement of the connecting pipe, so that the maxilla pad can seal the oral cavity.
3. The adaptation bag is arranged on the occlusal surface of the jaw pad, and the oral care solution is filled in the adaptation bag and can adapt to different teeth when a patient bites so as to better achieve the effect of preventing the jaw pad from shifting.
4. The oral care solution disclosed by the invention is edible and well absorbable by human bodies, has no side effect on human bodies, and is particularly suitable for patients.
5. The oral care solution has the advantages that the components of the oral care solution are mutually synergistic, saliva secretion can be stimulated, oral flora balance is kept, aspiration pneumonia is reduced, violent caries of teeth is reduced, and the probability of wound caused by oral mucosa and gum is reduced.
6. The garlic extract contains sulfur-containing compounds, garlic volatile oil and allicin, which has the functions of activating cells, promoting energy production, increasing antibacterial and antiviral abilities, accelerating metabolism, relieving fatigue, etc., can combine with other substances such as saccharides, lipids, proteins, etc. to produce composite effect, and also has the functions of dilating blood vessels and improving blood circulation. Effective components such as volatile oil in Bulbus Allii can activate macrophage and enhance immunity.
7. The fructus Hippophae extract has effects of relieving cough, eliminating phlegm, invigorating stomach, resolving food stagnation, promoting blood circulation and removing blood stasis; the herba Apii Graveolentis extract can eliminate odor of oral teeth.
8. The soybean peptide is prepared by using macromolecular soybean protein and using biotechnology enzyme to prepare small molecular fragments consisting of 2 to 10 amino acids. The soybean peptide is rich in 22 amino acids, and contains 9 essential amino acids which cannot be synthesized by human body. The soybean peptide is micromolecular protein, is very easy to be absorbed by human body, and is suitable for people with poor digestion and absorption of protein, such as middle-aged and old people, postoperative convalescent patients, tumor and radiotherapy and chemotherapy patients, and patients with poor gastrointestinal function. In addition, the soybean peptide also has the effects of improving immunity, enhancing physical strength, relieving fatigue, reducing high blood pressure, high blood sugar, high blood fat and high blood sugar and the like. In addition, the soybean peptide also has good processing properties of no beany flavor, no protein denaturation, no precipitation in acidity, no solidification in heating, easy water solubility, good fluidity and the like, and is an excellent health food ingredient.
Additional advantages, objects, and features of the invention will be set forth in part in the description which follows and in part will become apparent to those having ordinary skill in the art upon examination of the following or may be learned from practice of the invention.
Drawings
FIG. 1 is a first view of a non-socket jaw pad configuration of the present invention;
FIG. 2 is a second schematic view of a non-socket jaw pad of the present invention;
FIG. 3 is a front view of the intubating jaw pad of the present invention;
FIG. 4 is a schematic view of the back of the socket-type jaw pad of the present invention;
FIG. 5 is a schematic structural diagram of the connecting tube of the present invention.
Description of reference numerals:
1-upper jaw pad, 2-lower jaw pad, 3-occlusal surface, 4-through hole, 5-breach, 6-bump, 7-first connecting pipe, 8-second connecting pipe, 9-rubber pad.
Detailed Description
The present invention is further described in detail below with reference to the attached drawings so that those skilled in the art can implement the invention by referring to the description text.
It is to be noted that the experimental methods described in the following embodiments are all conventional methods unless otherwise specified, and the reagents and materials, if not otherwise specified, are commercially available; in the description of the present invention, the terms "lateral", "longitudinal", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are only for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
As shown in fig. 1 to 5, the invention provides a jaw pad for ICU patients, comprising a maxilla pad 1, a mandibular pad 2 and an occlusal surface 3 which are integrally formed, wherein the maxilla pad 1 and the mandibular pad 2 conform to the shape of the upper and lower dental arches of the oral cavity of the patient, the occlusal surface 3 is a semi-annular structure and is fixed to the inner sides of the maxilla pad 1 and the mandibular pad 2 and covers the entire arc length of the inner sides of the maxilla pad 1 and the mandibular pad 2, and the upper surface edge of the occlusal surface 3 extends in an arc shape toward the lower surface thereof toward the mandibular pad 2. When the jaw pad is used, the upper jaw pad 1 and the lower jaw pad 2 are matched with the upper dental arch and the lower dental arch of the oral cavity of a patient, so that the oral cavity is closed, the occlusal surface 3 fixedly arranged on the inner side surface is positioned between the upper teeth and the lower teeth, so that the upper teeth and the lower teeth are prevented from being occluded together, meanwhile, the inward annular opening in the middle of the occlusal surface 3 extends in an arc-shaped inclined manner from the upper surface to the lower surface, so that an arc-shaped surface extending downwards to the lower jaw pad 2 is formed, and the oral cavity of the patient is better matched.
In another technical scheme, the middle part of the occlusal surface 3 is provided with a tracheal intubation through hole 4 which horizontally penetrates through the occlusal surface 3 and the maxilla pad 1 and the mandible pad 2, the maxilla pad 1 is vertically separated into two closely attached parts from the middle part, and extends downwards to the occlusal surface 3 so as to vertically separate the upper surface of the occlusal surface 3 into two closely attached parts from the middle part, and the upper surface of the occlusal surface 3 is penetrated through the through hole 4.
In above-mentioned technical scheme, be provided with trachea cannula through-hole 4, its level sets up, just in time cooperates trachea cannula, sets up the size of through-hole 4 according to trachea cannula's size to can conveniently carry out patient's trachea type intubate, prevent that patient's tooth from stinging the trachea cannula, maxillary pad 1 is separated into two parts by vertical, down link up to through-hole 4 always. The middle material for a little harder of jaw pad is made, plays the effect of fixed stay, and softer materials such as silica gel are being wrapped up in the outside, and when the intubate, separate through the setting and break off the both sides of jaw pad 1 off with the fingers and thumb, make things convenient for the intubate, close again behind the intubate smoothly, the intubate is just blocked to the hole. Considering the difference between the intubation type jaw pad and the non-intubation type jaw pad, the occlusal surface 3 of the intubation type jaw pad is relatively thick, an intubation tube is needed in the middle and needs to be fixed, so that a hard material needs to be supported in the middle, the non-intubation type jaw pad only needs to be fixed to play a role in closing the oral cavity, the hard material needing to be supported in the middle is not needed, and the non-intubation type jaw pad is directly made of soft silica gel.
In another technical scheme, a plurality of uniformly distributed convex points 6 are arranged on the outer surface of the maxilla pad 1. The setting of bump 6 makes increases frictional force when contacting with the oral cavity to slide and shift, play the effect of supplementary stable maintenance, on the other hand bump 6 only sets up on maxillary pad 1, can conveniently distinguish maxillary pad 1 and mandibular pad 2, in order to avoid wearing the mistake.
In another technical scheme, notches 5 which are suitable for the frenulum labialis are further arranged on the maxilla pad 1 and the mandible pad 2. The gap 5 is arranged to adapt to the frenum labialis and plays a certain role in buffering and retaining.
In another technical scheme, a first sealed cavity and a second sealed cavity are arranged in two parts of the maxilla pad 1, a first connecting pipe 7 is arranged on one side of the first cavity close to the second cavity, an opening at one end of the first connecting pipe is fixed on one side of the first cavity, an opening at the other end of the first connecting pipe is positioned in the first cavity, a second connecting pipe 8 is arranged on one side of the second cavity close to the first cavity, an opening at one end of the second connecting pipe is positioned outside the second cavity, the first connecting pipe 7 is inserted into the first connecting pipe 7 and does not protrude out of the first connecting pipe 7, an opening at the other end of the second connecting pipe is positioned in the second cavity, the inner diameter of the first connecting pipe 7 is slightly larger than the outer diameter of the second connecting pipe 8, a wear-resistant waterproof rubber pad 9 which is of an annular structure and has an outer diameter slightly larger than the inner diameter of the first connecting pipe 7 is fixedly sleeved on the outer side of the second connecting pipe 8 close, pure water is filled in the first cavity and the second cavity.
Among the above-mentioned technical scheme, first cavity and second cavity intussuseption are filled with the pure water, and flowable deformation, this setting makes maxilla pad 1 can also carry out the deformation of certain degree, when wearing, the oral cavity of laminating better for the oral cavity seals better. When the intubation type jaw pad is used, two parts of the jaw pad 1 need to be broken off in the intubation process, the two parts are connected through a first connecting pipe 7 and a second connecting pipe 8, the first connecting pipe 7 and the second connecting pipe 8 can penetrate through purified water in a first cavity and a second cavity and can play a role of relative displacement, the first connecting pipe 7 is fixed in the first cavity, the shape of the first connecting pipe is matched with that of the jaw pad 1 so as to facilitate later mutual displacement, one end of the first connecting pipe 7 is just flush with and fixed on one side surface of the first connecting pipe close to the second cavity, one end of the second connecting pipe 8 is inserted into the first connecting pipe 7 and can move along the length direction of the first connecting pipe 7, the shape of the first connecting pipe 7 is also matched with the jaw pad 1 and the second connecting pipe 8, when the intubation needs to be broken off, the second connecting pipe 8 slides outwards along the first connecting pipe 7, so that the intubation flows out a space which can be clamped in the through hole 4, when closing, second connecting pipe 8 slides inwards along first connecting pipe 7, at the gliding in-process of first connecting pipe 7 and second connecting pipe 8 mutual aversion, water between the two also can circulate, in addition in order to prevent that rivers from going out of maxilla pad 1, it is equipped with wear-resisting waterproof rubber pad 9 to fix the cover outside first connecting pipe 7, can remove along with the removal of first connecting pipe 7, and play sealed effect, first cavity and second cavity link up can make the aqueous intercommunication on both sides, better cooperate the oral cavity, on the other hand the oral cavity that link up only need a mouth when adding water or draining can, still be provided with the rivers passageway that link up first cavity or second cavity on maxilla pad 1, it can also go out water into, rationally set up the water yield in the cavity according to actual patient's condition, rivers passageway is sealed during normal use.
In another technical scheme, the upper surface and the lower surface of the occlusal surface 3 are respectively stuck and covered with an adaptation bag, the adaptation bag is provided with a plurality of micropores, and oral care liquid is sealed in the adaptation bag. All paste on occlusal surface 3 and have the adaptation bag, be provided with oral care liquid in it, when the tooth is stung, the adaptable different tooth of mobility of liquid, the adaptation bag is wear-resisting material, can not be easily worn by the tooth, adaptation bag and occlusal surface 3 upper and lower surface are the detachable state of pasting simultaneously, the detachable adds oral care liquid, be provided with the micropore on the adaptation bag, set up to oral care liquid can not follow the automatic outflow in the adaptation bag under normal conditions, the patient only is the cooperation of tooth also can not flow after wearing, only when the muscle interlock adaptation bag is tightened up unconsciously at the patient, it just can flow the release slowly under the effect of pressure, reach the mesh in self-cleaning nursing oral cavity.
In another technical scheme, the oral care solution comprises the following components in parts by weight: 80-100 parts of distilled water, 2.6-3.8 parts of garlic extract, 1.8-3.2 parts of sea buckthorn extract, 0.5-1.8 parts of parsley extract, 1.5-2.7 parts of soybean peptide and 3-5 parts of sodium chloride.
In another technical scheme, the preparation method of the seabuckthorn extract comprises the following steps:
1) separating the sea-buckthorn fruits into pulp and sea-buckthorn seeds;
2) crushing the sea buckthorn seeds to 50-80 meshes to obtain sea buckthorn powder, dissolving the sea buckthorn powder in an ethanol water solution, and then treating the sea buckthorn powder for 1-2 hours under 120W ultrasonic waves;
3) putting fructus Hippophae in citric acid solution, and stirring at high speed for 30 min;
4) uniformly mixing the solutions obtained in the steps 2) and 3), filtering, and extracting by supercritical carbon dioxide to obtain the seabuckthorn extract.
In another technical scheme, the preparation method of the garlic extract comprises the following steps:
1) selecting fresh unigarlic of the current year, cleaning and grinding into paste;
2) adding distilled water into the mashed single garlic, soaking for 2-4 h at 5-10 ℃, and sieving with a 50-100 mesh sieve to obtain a garlic extract;
3) distilling the garlic extract obtained in the step 2) under reduced pressure to obtain a distillate;
4) carrying out activated carbon adsorption filtration on the distillate obtained in the step 3) to obtain the required garlic extract.
In another technical scheme, the preparation method of the celery extract comprises the following steps:
1) selecting parsley, removing leaves and only leaving stems, cleaning, and extruding parsley juice by adopting an external force extrusion method;
2) adjusting the pH of the celery juice to 4.5-5.0 by using citric acid, adding a complex enzyme containing cellulase, hemicellulase and pectinase, uniformly stirring, maintaining the pH to 4.5-5.0, heating to 45-48 ℃, and performing enzymolysis for 3-3.5 hours;
3) adjusting the pH of the celery juice after enzymolysis to be neutral by using alkali, and cooling to room temperature;
4) adding absolute ethyl alcohol into the celery juice after enzymolysis, wherein the volume ratio of the absolute ethyl alcohol to the celery juice after enzymolysis is 10: 1.7, refluxing for 4 hours at the temperature of 80 ℃, and then performing vacuum concentration to recover the absolute ethyl alcohol;
5) filtering, removing residue in the parsley juice, and collecting filtrate to obtain parsley extract.
The test process and test results are as follows:
under the condition of obtaining the consent of the family members of the patients, clinical trials are carried out, 180 ICU patients in different hospitals are randomly selected, the age is 18-60 years old, and the ICU patients are randomly divided into 6 groups, 30 in each group, and are uniformly distributed in different hospitals. Each group corresponds to the following jaw pad of the example, and the patient was observed for 20 days.
Example 1 (first group): the patient uses a common non-closed jaw pad, namely, a hard rod-shaped non-closed jaw pad is only sleeved outside an intubation tube, namely, the intubation tube combined pad generally used by ICU patients in the market at present and described by the prior art;
example 2 (second group): the patient uses the jaw pad without the adaptive bag;
example 3 (third group): patients use the invention to adapt to jaw pads in which only distilled water is filled;
example 4 (fourth group): the patient uses the invention to adapt to a jaw pad in which a bag is filled with a common oral care solution.
The common oral care solution comprises the following components in parts by weight: the traditional Chinese medicine composition comprises 10 parts of a traditional Chinese medicine composite extract, 10 parts of alcohol, 10 parts of glycerol, 1 part of water-soluble menthol, 1 part of xylitol, 601 parts of tween, 1 part of preservative and 100 parts of deionized water, wherein the traditional Chinese medicine composite extract comprises the following components in parts by weight: 15 parts of narcissus peaches, 20 parts of lithospermum erythrorhizon, 20 parts of cyrtomium fortunei, 15 parts of stephania sinica, 10 parts of cervus-auricular forest, 30 parts of honeysuckle, 15 parts of fructus forsythiae and 20 parts of alcohol-soluble propolis extract.
Example 5 (fifth group): patients use the maxilla pad of the present invention adapted to fill the oral care solution of the present invention in the pouch.
The oral care solution comprises the following components in parts by weight: 100 parts of distilled water, 3.8 parts of garlic extract, 3.2 parts of sea buckthorn extract, 1.8 parts of parsley extract, 2.7 parts of soybean peptide and 5 parts of sodium chloride.
Example 6 (fifth group): patients use the maxilla pad of the present invention adapted to fill the oral care solution of the present invention in the pouch.
The oral care solution comprises the following components in parts by weight: 80 parts of distilled water, 2.6 parts of garlic extract, 1.8 parts of sea buckthorn extract, 0.5 part of parsley extract, 1.5 parts of soybean peptide and 3 parts of sodium chloride.
The hippophae rhamnoides extracts of example 5 and example 6 were prepared as follows:
1) separating the sea-buckthorn fruits into pulp and sea-buckthorn seeds;
2) crushing the sea buckthorn seeds to 50-80 meshes to obtain sea buckthorn powder, dissolving the sea buckthorn powder in an ethanol water solution, and then treating the sea buckthorn powder for 1.5 hours under 120W ultrasonic waves;
3) putting fructus Hippophae in citric acid solution, and stirring at high speed for 30 min;
4) uniformly mixing the solutions obtained in the steps 2) and 3), filtering, and extracting by supercritical carbon dioxide to obtain the seabuckthorn extract.
The garlic extracts of example 5 and example 6 were prepared as follows:
1) selecting fresh unigarlic of the current year, cleaning and grinding into paste;
2) adding distilled water into mashed Bulbus Allii, soaking at 8 deg.C for 3 hr, and sieving with 50-100 mesh sieve to obtain Bulbus Allii extractive solution;
3) distilling the garlic extract obtained in the step 2) under reduced pressure to obtain a distillate;
4) carrying out activated carbon adsorption filtration on the distillate obtained in the step 3) to obtain the required garlic extract.
The parsley extracts of example 5 and example 6 were prepared as follows:
1) selecting parsley, removing leaves and only leaving stems, cleaning, and extruding parsley juice by adopting an external force extrusion method;
2) adjusting the pH of the celery juice to 4.5-5.0 by using citric acid, adding a complex enzyme containing cellulase, hemicellulase and pectinase, uniformly stirring, maintaining the pH to 4.5-5.0, heating to 45-48 ℃, and performing enzymolysis for 3-3.5 hours;
3) adjusting the pH of the celery juice after enzymolysis to be neutral by using alkali, and cooling to room temperature;
4) adding absolute ethyl alcohol into the celery juice after enzymolysis, wherein the volume ratio of the absolute ethyl alcohol to the celery juice after enzymolysis is 10: 1.7, refluxing for 4 hours at the temperature of 80 ℃, and then performing vacuum concentration to recover the absolute ethyl alcohol;
5) filtering, removing residue in the parsley juice, and collecting filtrate to obtain parsley extract.
The results of the recordings made on the above examples are shown in the following table:
example 1 Example 2 Example 3 Example 4 Example 5 Example 6
Aspiration pneumonia 3 0 0 0 0 0
Number of oral cavity cleaning 2.8 2.0 2.1 1.3 0.8 0.8
Inflammation of gum 4.0 2.6 2.1 0.9 0.04 0.06
Violent caries 3.3 1.7 1.7 1.4 1.1 1.0
The indices described in the table above are illustrated below:
aspiration pneumonia indicators show: the number of patients with aspiration pneumonia was 30 per group.
Indications of oral rinse times: the number of washes for each group of 30 patients was averaged.
Indications of gingival inflammation: severe gingivitis was scored as 5, moderate gingivitis as 4, mild gingivitis (with bleeding) as 3, mild gingivitis as (mild bleeding) 2, mild gingivitis as (no bleeding) 1, no gingivitis as 0 and an average of 30 patients per group was taken.
Indications of violent caries: large area of intense caries was scored as 5, partial as 4, minor as 3, tendency to intense caries was scored as 2, tendency to no intense caries was scored as 1, and 30 patients per group were averaged.
As can be seen from the above table, the closed jaw pad of the present invention can substantially prevent the occurrence of aspiration pneumonia, while the number of cleanings of the oral cavity and the occurrence of inflammation of gums and violent caries are greatly reduced.
As can be seen from the above table, the jaw pad of the present invention is also used, but the oral care solution is used differently, and the oral condition of the patient is also different. The oral care solution can improve the condition of the oral cavity of a patient, stimulate the secretion of saliva of the patient, maintain the ecological balance of various bacteria in the oral cavity of the patient and improve the smell of the oral cavity of the patient, and is characterized in that the cleaning frequency of the oral care solution for the oral cavity of the patient is obviously reduced compared with the common oral care solution, meanwhile, the probability of gum inflammation and violent caries is reduced, the workload is reduced for medical staff, the cost is saved, the pain of the patient is relieved for the patient, and various complications caused by the oral cavity problem are reduced.
While embodiments of the invention have been described above, it is not limited to the applications set forth in the description and the embodiments, which are fully applicable in various fields of endeavor to which the invention pertains, and further modifications may readily be made by those skilled in the art, it being understood that the invention is not limited to the details shown and described herein without departing from the general concept defined by the appended claims and their equivalents.

Claims (3)

  1. The ICU patient jaw pad is characterized by comprising a maxilla pad, a mandibular pad and an occlusal surface which are integrally formed, wherein the maxilla pad and the mandibular pad are consistent with the shapes of upper and lower dental arches of a mouth of a patient, the occlusal surface is of a semi-annular structure and is fixed on the inner sides of the maxilla pad and the mandibular pad and covers the whole arc length of the inner sides of the maxilla pad and the mandibular pad, and the edge of the upper surface of the occlusal surface extends towards the lower surface of the occlusal surface and is in arc shape towards the maxilla pad;
    the upper surface and the lower surface of the occlusal surface are respectively stuck and covered with an adaptation bag, a plurality of micropores are arranged on the adaptation bag, and oral care liquid is sealed in the adaptation bag;
    the oral care solution comprises the following components in parts by weight: 80-100 parts of distilled water, 2.6-3.8 parts of garlic extract, 1.8-3.2 parts of sea buckthorn extract, 0.5-1.8 parts of parsley extract, 1.5-2.7 parts of soybean peptide and 3-5 parts of sodium chloride;
    the preparation method of the sea buckthorn extract comprises the following steps:
    1) separating the sea-buckthorn fruits into pulp and sea-buckthorn seeds;
    2) crushing the sea buckthorn seeds to 50-80 meshes to obtain sea buckthorn powder, dissolving the sea buckthorn powder in an ethanol water solution, and then treating the sea buckthorn powder for 1-2 hours under 120W ultrasonic waves;
    3) putting fructus Hippophae in citric acid solution, and stirring for 30 min;
    4) uniformly mixing the solutions obtained in the steps 2) and 3), filtering, and extracting by supercritical carbon dioxide to obtain a sea buckthorn extract;
    the preparation method of the garlic extract comprises the following steps:
    1) selecting fresh unigarlic of the current year, cleaning and grinding into paste;
    2) adding distilled water into the mashed single garlic, soaking for 2-4 h at 5-10 ℃, and sieving with a 50-100 mesh sieve to obtain a garlic extract;
    3) distilling the garlic extract obtained in the step 2) under reduced pressure to obtain a distillate;
    4) carrying out activated carbon adsorption filtration on the distillate obtained in the step 3) to obtain a required garlic extract;
    the preparation method of the celery extract comprises the following steps:
    1) selecting parsley, removing leaves and only leaving stems, cleaning, and extruding parsley juice by adopting an external force extrusion method;
    2) adjusting the pH of the celery juice to 4.5-5.0 by using citric acid, adding a complex enzyme containing cellulase, hemicellulase and pectinase, uniformly stirring, maintaining the pH to 4.5-5.0, heating to 45-48 ℃, and performing enzymolysis for 3-3.5 hours;
    3) adjusting the pH of the celery juice after enzymolysis to be neutral by using alkali, and cooling to room temperature;
    4) adding absolute ethyl alcohol into the celery juice after enzymolysis, wherein the volume ratio of the absolute ethyl alcohol to the celery juice after enzymolysis is 10: 1.7, refluxing for 4 hours at the temperature of 80 ℃, and then performing vacuum concentration to recover the absolute ethyl alcohol;
    5) filtering, removing residue in the parsley juice, and collecting filtrate to obtain parsley extract;
    the middle part of the occlusal surface is provided with a tracheal intubation through hole which horizontally penetrates through the occlusal surface and a maxilla pad and a mandible pad, the maxilla pad is vertically divided into two tightly attached parts from the middle part and extends downwards to the occlusal surface so as to vertically divide the upper surface of the occlusal surface into two tightly attached parts from the middle part and penetrate through the through hole;
    the two parts of the maxilla pad are internally provided with a first sealed cavity and a second sealed cavity respectively, one side of the first cavity close to the second cavity is provided with a first connecting pipe, one end opening of the first connecting pipe is fixed on the outer part of one side of the first cavity, the other end opening of the first connecting pipe is positioned in the first cavity, one side of the second cavity close to the first cavity is provided with a second connecting pipe, one end opening of the second connecting pipe is positioned on the outer part of the second cavity, the second connecting pipe is inserted into the first connecting pipe and does not protrude out of the first connecting pipe, the other end opening of the second connecting pipe is positioned in the second cavity, the inner diameter of the first connecting pipe is slightly larger than the outer diameter of the second connecting pipe, the outer side surface of the second connecting pipe close to one end opening of the second connecting pipe is fixedly sleeved with a wear-resistant waterproof rubber pad which is of an annular structure and has, pure water is filled in the first cavity and the second cavity.
  2. 2. The ICU patient maxipad of claim 1, wherein said maxipad outer surface is provided with a plurality of uniformly distributed raised points.
  3. 3. The ICU patient maxipad of claim 1, wherein said maxilla pad and mandible pad are further provided with notches to accommodate labial ligaments.
CN201711375999.8A 2017-12-19 2017-12-19 Jaw pad for ICU patient Active CN107874883B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203525107U (en) * 2013-10-29 2014-04-09 郝明 Split medical dental pad
CN204683830U (en) * 2015-05-23 2015-10-07 肖圣钊 A kind of protection jaw pad containing liquid
CN204815353U (en) * 2015-07-24 2015-12-02 陈洁 Treatment rotator cuff injury's biological gasket
CN105246535A (en) * 2013-03-15 2016-01-13 通气道控制技术有限公司 Medical breathing apparatus
CN205268321U (en) * 2015-07-29 2016-06-01 三鼎生物科技股份有限公司 Artificial tooth socket for slowly releasing medicament form
CN205658880U (en) * 2016-04-28 2016-10-26 常州市第一人民医院 Bronchoscope special use is difficult to articulate
CN206603340U (en) * 2017-03-10 2017-11-03 张永昌 A kind of arch of foot shape foot pad

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2004202518A1 (en) * 2003-06-13 2005-01-06 Christopher John Farrell Oral appliance
CN208481836U (en) * 2017-12-19 2019-02-12 易娟 ICU patient's jaw pad

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105246535A (en) * 2013-03-15 2016-01-13 通气道控制技术有限公司 Medical breathing apparatus
CN203525107U (en) * 2013-10-29 2014-04-09 郝明 Split medical dental pad
CN204683830U (en) * 2015-05-23 2015-10-07 肖圣钊 A kind of protection jaw pad containing liquid
CN204815353U (en) * 2015-07-24 2015-12-02 陈洁 Treatment rotator cuff injury's biological gasket
CN205268321U (en) * 2015-07-29 2016-06-01 三鼎生物科技股份有限公司 Artificial tooth socket for slowly releasing medicament form
CN205658880U (en) * 2016-04-28 2016-10-26 常州市第一人民医院 Bronchoscope special use is difficult to articulate
CN206603340U (en) * 2017-03-10 2017-11-03 张永昌 A kind of arch of foot shape foot pad

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