CN109394452A - A kind of high lateral position patient support - Google Patents
A kind of high lateral position patient support Download PDFInfo
- Publication number
- CN109394452A CN109394452A CN201811541928.5A CN201811541928A CN109394452A CN 109394452 A CN109394452 A CN 109394452A CN 201811541928 A CN201811541928 A CN 201811541928A CN 109394452 A CN109394452 A CN 109394452A
- Authority
- CN
- China
- Prior art keywords
- lateral position
- plate
- epicoeloma
- patient
- high lateral
- 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.)
- Pending
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/0526—Restraining enclosures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/075—Rests specially adapted therefor for the limbs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
- A61G2200/322—Specific positions of the patient lying lateral
Abstract
High lateral position patient support of the invention, including support plate, upper bed-plate and lower bottom base, upper and lower pedestal are detachably secured in support plate；It is characterized in that: offering epicoeloma on upper bed-plate, hypocoelom is offered on lower bottom base, arm chamber is also provided on epicoeloma, arm chamber is connected to epicoeloma, and epicoeloma, hypocoelom and arm chamber accommodate the complete human body of lateral position jointly；Arm restraining is set at arm chamber position, is placed with support cushion in upper and lower body cavity.High lateral position patient support of the invention, be conducive to severe acute Respiratory Distress Syndrome(RDS) and carry out high lateral position Failure Treated with Mechanical Ventilation, and reduce the risk weighed wounded when patient lies on one's side for a long time, since patient is in high lateral position, so that the drainage of intrapulmonary sputum is more abundant, be conducive to the treatment and rehabilitation of severe acute Respiratory Distress Syndrome(RDS).
Description
Technical field
The present invention relates to a kind of high lateral position patient supports, more specifically, more particularly to a kind of severe acute breathing
High lateral position patient support when Distress syndrome ventilation therapy.
Background technique
Severe acute Respiratory Distress Syndrome(RDS) is the common disease of intensive care unit, is one kind with intractable hypoxemia
For the clinical syndrome of notable feature, case fatality rate is higher.Failure Treated with Mechanical Ventilation is the critical treatment means of the disease, but in machinery
In venting process, patient is often in dorsal position for a long time, lacks position and changes, this can bring the inhomogenous of pulmonary edema and atelectasis
A series of problems, such as distribution, lung effective ventilatory volume are reduced, ventilation/perfusion ratio is lacked of proper care and gravity relies on area's sputum inadequate drainage,
Patient's poor prognosis risk is caused to increase.Research confirms, attempts to carry out the mechanical ventilation under the position other than dorsal position changes, energy
Enough make the gravity of lung tissue rely on area to exchange with non-gravity dependence area, oxygen, which closes, to be promoted, and prognosis improves.For a long time, prone position is
More common position, but can bring facial area, body veutro skin are biggish to weigh risk, and position blocked operation difficulty wounded
It is larger, it is not easy to suction sputum and observation artificial airway.In recent years, substitution position of the high lateral position as a kind of relative ease, can have
Effect avoids above-mentioned risk, and has preferable therapeutic effect, increasingly by clinical attention.
When patient is in high lateral position (plane and bed surface are essentially 90 ° where body), relatively delicate face is avoided
Portion, body veutro skin weigh wounded, and the stress point of body is concentrated mainly on the relatively thick shoulder and hip of skin, can effectively reduce
The risk that patient is weighed wounded.When high lateral position, changes common gravity and rely on area and non-gravity dependence Division.When dorsal position,
Nearby wall of the chest lung tissue is that non-gravity relies on area, and nearly back lung tissue is that gravity relies on area.When patient is in left lateral position ventilation
When treatment, left pulmonary under, right lung upper, right lung is that non-gravity relies on area, be easy hyperventilation, left pulmonary be gravity according to
Rely area, is easy atelectasis.When right lateral position is ventilated, gravity relies on area and non-gravity relies on area and exchanges position, and edema with the lung involved redistributes,
Improve the consistency of lung compliance, so that the lung tissue of former hyperventilation is ventilated and reduced, the lung tissue of former hypoventilation, which is ventilated, to be increased
Add, to mitigate anoxic and injury of lungs.
But the change of lung compliance consistency is a slow process, high lateral position treatment needs the daily side of patient
It is 12 hours or more sleeping.Forced area is reduced when patient's high lateral position, and larger pressure is born at the positions such as shoulder, hip, ear, compares dorsal position
In addition to causing patient uncomfortable, it also will increase and weigh wounded.When clinic carries out high lateral position, usually pass through physics on common ICU hospital bed
The methods of constraint, pillow filling realize that comfort, stability are poor, it is difficult to maintain effective position for a long time.Do not have clinically at present
The equipment that the auxiliary patient accepted extensively carries out high lateral position mechanical ventilation.
Summary of the invention
The present invention in order to overcome the shortcomings of the above technical problems, provides a kind of severe acute Respiratory Distress Syndrome(RDS) ventilation
High lateral position patient support when treating.
High lateral position patient support of the invention, including support plate, upper bed-plate and lower bottom base, upper bed-plate and lower bottom base can
It is removedly fixed in support plate；It is characterized by: offering the upper body for accommodating the human upper that lies on one's side on the upper bed-plate
Chamber offers the hypocoelom for accommodating human body lower part of lying on one's side on lower bottom base, is also provided on epicoeloma for accommodating the people that lies on one's side
The arm chamber of body both arms, arm chamber are connected to epicoeloma, and epicoeloma, hypocoelom and arm chamber accommodate the whole person of lateral position jointly
Body；Be provided with the arm restraining bundled to patient's both arms on upper bed-plate at arm chamber position, arm chamber with it is upper
It is provided with transparent isolation plate on upper bed-plate between body cavity, multiple pairs of lateral positions are placed in the epicoeloma and hypocoelom and are suffered from
The support cushion that person two sides are supported.
High lateral position patient support of the invention, under on the upper bed-plate of the epicoeloma two sides and hypocoelom two sides
It is provided on pedestal to the human body restraining positioned into patient therein of lying.
High lateral position patient support of the invention offers receiving bending knee on the lower bottom base of the hypocoelom two sides respectively
The bending knee ante-chamber of leg and bending knee back cavity afterwards.
High lateral position patient support of the invention, the upper surface of the epicoeloma, hypocoelom and arm chamber is provided with
Latex or memory foam layer.
High lateral position patient support of the invention, is provided with fibrous face on the upper surface of the support plate, upper bed-plate and
The hook thorn face matched with fibrous face is provided on the upper surface of lower bottom base.
High lateral position patient support of the invention, the support plate longitudinal edge and widthwise edge are along being above respectively arranged with pair
The longitudinal graduated scale and lateral graduated scale that upper bed-plate and lower bottom base position are demarcated.
High lateral position patient support of the invention is provided with to human body back position on edge on rear side of the epicoeloma
The first rear baffle being supported, be provided on the edge on rear side of hypocoelom to human buttock position be supported second after keep off
Plate.
The beneficial effects of the present invention are: high lateral position patient support of the invention, by support plate, upper bed-plate and lower bottom base
Composition realizes the receiving to lateral position patient body top and both arms by opening up epicoeloma and arm chamber on upper bed-plate,
By opening up hypocoelom on lower bottom base, the receiving to lateral position patient body lower part is realized, in this way, epicoeloma, hypocoelom
The receiving to the entire body of lateral position patient is realized with arm chamber, is conducive to severe acute Respiratory Distress Syndrome(RDS) and carries out high side
Clinostatism Failure Treated with Mechanical Ventilation, and the risk weighed wounded when patient lies on one's side for a long time is reduced, since patient is in high lateral position,
So that the drainage of intrapulmonary sputum is more abundant.Meanwhile by the way that arm restraining is arranged at arm chamber, and by arm and human body
The transparent isolation plate that head separates keeps apart the arm of patient with head while realizing to the constraint of patient's arm,
It efficiently avoids touching or extract breathing machine connector equipment in the patient of consciousness comatose state.By in epicoeloma, lower body
Multiple support cushions are set in chamber, realize the support to lateral position patient front and rear part, ensure that patient is in height always and lies on one's side
Position state.
Further, it by the way that human body restraining is arranged in the two sides of epicoeloma and hypocoelom, realizes and lies on one's side in height
The constraint and positioning of position status patients.By the way that bending knee ante-chamber and bending knee back cavity is arranged in the two sides of hypocoelom, realize to patient
The receiving of both legs under bending knee state is being stretched one's legs and is being converted between bending the knee convenient for patient, reducing the feeling of fatigue of patient
With weigh risk wounded.By the way that fibrous face is arranged on the supporting plate, on upper and lower pedestal be arranged hook pierce face, realize upper and lower pedestal with
The disassembly of support plate is fixed, and by adjusting the distance between upper bed-plate and lower bottom base, is conducive to adjust out what suitable patient lay on one's side
Accommodating cavity.
Detailed description of the invention
Fig. 1 is the main view of high lateral position patient support of the invention；
Fig. 2 is the left view of high lateral position patient support of the invention；
Fig. 3 is the top view of high lateral position patient support of the invention；
Fig. 4 is the cross-sectional view of Section A-A in Fig. 3；
Fig. 5 is the structural schematic diagram of support plate in the present invention；
Fig. 6 is the usage state diagram of high lateral position patient support of the invention；
Fig. 7 is the structural schematic diagram of the high lateral position patient support to crouch in the present invention for right side.
In figure: 1 support plate, 2 upper bed-plates, 3 lower bottom bases, 4 epicoelomas, 5 hypocoeloms, 6 arm chambers, 7 arm restrainings, 8 people
Body restraining, 9 transparent isolation plates, 10 support cushions, 11 bending knee ante-chambers, 12 bending knee back cavities, 13 longitudinal graduated scales, 14 lateral scales
Ruler, 15 fibrous faces, 16 hooks pierce face, 17 patients, 18 breathing machine connectors, 19 latexes or memory foam layer, 20 first rear baffles, and 21 the
Two rear baffles, 22 operation cavitys.
Specific embodiment
The invention will be further described with embodiment with reference to the accompanying drawing.
As shown in Figure 1, Figure 2 and Figure 3, main view, the left view of high lateral position patient support of the invention is set forth
Figure and top view, Fig. 4 give the cross-sectional view of Section A-A in Fig. 3, shown in high lateral position patient support by support plate 1, on
Pedestal 2 and lower bottom base 3 form, and support plate 1, which serves, to be fixed and supported, and upper bed-plate 2 and lower bottom base 3 are detachably secured to support
On plate 1.The epicoeloma 4 accommodated to lateral position human upper is offered on shown upper bed-plate 2, to the upper wall of lateral position human body
The arm chamber 6 accommodated, arm chamber 6 are communicated with epicoeloma 4.Hypocoelom 5 is offered on shown lower bottom base 3, hypocoelom 5 is used for
The human body lower part of high lateral position is accommodated, in this way, after upper bed-plate 2 and lower bottom base 3 stitch and fasten, epicoeloma 4, lower body
Chamber 5 and arm chamber 6 are formed the cavity accommodated to the entire human body lain on one's side, epicoeloma 4,5 two sides of hypocoelom side wall
The blocking and limit to patient are realized, to guarantee that patient is in side state always.The junction of upper bed-plate 2 and lower bottom base 3 is answered
Waist when lying on one's side in patient, waist are not load-bearing and the significant points for maintaining attitude stabilization, and so as to height, different people makes
Used time is more comfortable, stablizes.
The bottom profile of epicoeloma 4 and hypocoelom 5 shown in as shown in figure 4, is consistent with human body side profile, to guarantee to suffer from
Person comes into full contact with after lying on one's side in epicoeloma 4 and hypocoelom 5 with bottom surface, increases the contact area of patient and bottom surface, reduces trouble
The risk that person is weighed wounded.In order to further prevent patient to be weighed wounded, the upper surface of shown epicoeloma 4, hypocoelom 5 and arm chamber 6
On be provided with latex or memory foam layer 19.It is placed with multiple support cushions 10 in shown epicoeloma 4 and hypocoelom 5, props up
Support cushion 10 for being supported to the front and rear of patient in epicoeloma 4 and hypocoelom 5 of lying on one's side, be conducive to patient it is long when
Between keep high lateral position state, and increase comfort when patient lies on one's side.
It is provided with the first rear baffle 20 being supported to human body back position on the edge of shown 4 rear side of epicoeloma, under
It is provided with the second rear baffle 21 being supported to human buttock position on the edge of 5 rear side of body cavity, when patient-side lies in upper body
After in chamber 4 and hypocoelom 5, the back position of shoulder to buttocks can be relied on the first rear baffle 20 and the second rear baffle 21,
Increase stability when patient lies on one's side.In use, between the first rear baffle 20, the second rear baffle 21 and patient setting can be put into or
The support cushion 10 withdrawn from, to facilitate the patient of different fat or thin degree to use.
Arm restraining 7 is provided on upper bed-plate 2 at shown arm chamber 6, arm chamber 6 and epicoeloma 4 accommodate human body head
Transparent isolation plate 9 is provided between the position in portion.Arm chamber 6 is placed before and after can accommodating both hands, avoids the metacarpophalangeal joints of compression hand
With proximal interphalangeal joints injury.Arm restraining 7 is bound and is fixed to the arm being put into arm chamber 6, and transparent isolation plate 9 will
The patients head to lie on one's side keeps apart with both arms, this is because severe acute Patients with Acute Respiratory Distress Syndrome is generally in consciousness dusk
The state of fan, due to being inserted with 18 device of ventilator head in its mouth or in tracheae, has one during Failure Treated with Mechanical Ventilation
The ventilator head 18 in mouth can not automatically be touched or to be pulled out to fixed sense of discomfort, by arm restraining 7 by its both arms
It is bound and after transparent isolation plate 9 keeps apart patients head and both hands, can effectively avoid patient and touch or pull out mouth
In ventilator head 18.Slot on front side of neck is wider, operation cavity 22 is formd, to accommodate tracheostomy cannula and progress
Suction sputum operation.
Human body restraining is provided on the upper bed-plate 2 of upper and lower 5 two sides of body cavity of support plate 1 of shown 4 two sides of epicoeloma
8, human body restraining 8 binds and fetters to the patient to lie on one's side in epicoeloma 4 and hypocoelom 5, avoids or unconsciousness
It is arbitrarily tampered under state.The lower end of human body restraining 8 is fixed on epicoeloma 4 or 5 middle line of hypocoelom at up-front 2/3 position,
To facilitate different fat or thin patients to use, rear end is inserted in the top of raised the first rear baffle 20 and the second rear baffle 21, similar peace
Full band structure can adapt to different fat or thin people with plus-minus cushion between human body and back baffle.Since patient 17 lies on one's side in height
Under the state of position, if its two leg is in extended state always, the feeling of fatigue of patient will increase, therefore in the two sides of hypocoelom 5 point
Bending knee ante-chamber 11 and bending knee back cavity 12 are not offered, after patient is converted to bending knee state by both legs extended state, after bending knee
Both legs or single leg can protrude into bending knee ante-chamber 11 and bending knee back cavity 12, further increase the comfortable of the high lateral position state of patient 17
Property.Bending knee ante-chamber 11 and back cavity 12 of bending the knee are consistent with depth when extended legs with thighs at the hypocoelom 5 of place, ante-chamber head side starting point of bending the knee
It is some higher, close to the upper limb of buttocks, avoid weighing wounded on front side of thigh when bending hip bending knee.
In order to realize that upper bed-plate 2 and lower bottom base 3 and the disassembly of support plate 1 are fixed, under shown upper bed-plate 2 and lower bottom base 3
Hook thorn face 16 is provided on surface；As shown in figure 5, the structural schematic diagram of support plate in the present invention is given, shown support plate 1
Upper surface on be provided with fibrous face 15, fibrous face 15 and hook thorn face 16 form the form being detachably connected, by upper bed-plate 2 and under
Pedestal 3 is placed in support plate 1 and gentle pressure, upper bed-plate 2 and lower bottom base 3 can be firmly fixed at support plate 1, passed through
It is firmly outer to pull on pedestal 2 and lower bottom base 3, it can be shut down from support plate 1.Upper bed-plate 2 and lower bottom base 3 should be according to patients 17
Height positioned, be respectively fixed in the longitudinal side and transverse sides of shown support plate 1 longitudinal graduated scale 13 and laterally
Graduated scale 14, to be demarcated to the position of upper bed-plate 2 and lower bottom base 3 in support plate 1.
As shown in fig. 6, give the usage state diagram of high lateral position patient support of the invention, shown in upper bed-plate 2
It is supported with the high lateral position left to patient 17 of lower bottom base 3, in use, according to the height of patient 17 by upper bed-plate 2 and lower bottom base 3
After being fixed in support plate 1, patient is lifted into epicoeloma 4 and hypocoelom 5, keeps patient 17 to be in height and lies on the left side as state,
Support cushion 10 is filled in its body front and rear sides, and 17 both arms of patient are put into arm chamber 6, will be suffered from arm restraining 7
The both arms of person 17 are bound, and then patient's human body is fixed with human body restraining 8, is finally inserted breathing machine connector 18 i.e.
High lateral position Failure Treated with Mechanical Ventilation can be carried out to patient.As shown in fig. 7, giving the high lateral position patient support to crouch for right side
The structural schematic diagram of device, or left lateral position treatment certain period of time after, need again to patient carry out right lateral position treatment, adopt
With the mode of left lateral position and right lateral position alternating ventilation therapy, it can be achieved that gravity relies on area and non-gravity relies on exchanging for area,
Edema with the lung involved redistribution, improves the consistency of lung compliance, so that the lung tissue of former hyperventilation is ventilated and is reduced, former hypoventilation
Lung tissue ventilation increases, and is conducive to the treatment and rehabilitation of severe acute Respiratory Distress Syndrome(RDS).
Claims (7)
1. a kind of high lateral position patient support, including support plate (1), upper bed-plate (2) and lower bottom base (3), upper bed-plate and bottom
Seat is detachably secured in support plate；Lie on one's side human upper's for accommodating it is characterized by: offering on the upper bed-plate
Epicoeloma (4) offers the hypocoelom (5) for accommodating human body lower part of lying on one's side on lower bottom base, is also provided with and is used on epicoeloma
The arm chamber (6) for human body both arms of lying on one's side is accommodated, arm chamber is connected to epicoeloma, and epicoeloma, hypocoelom and arm chamber accommodate jointly
The complete human body of lateral position；The arm bundled to patient's both arms is provided on upper bed-plate at arm chamber (6) position
Restraining (7) is provided with transparent isolation plate (9) on the upper bed-plate between arm chamber and epicoeloma, the epicoeloma (4) and lower body
The support cushion (10) that multiple pairs of lateral position patient two sides are supported is placed in chamber (5).
2. high lateral position patient support according to claim 1, it is characterised in that: epicoeloma (4) two sides it is upper
It is provided on pedestal (2) and on the lower bottom base (3) of hypocoelom (5) two sides to the human body positioned into patient therein of lying
Restraining (8).
3. high lateral position patient support according to claim 1 or 2, it is characterised in that: hypocoelom (5) two sides
The bending knee ante-chamber (11) of leg and bending knee back cavity (12) after accommodating bending knee are offered on lower bottom base (3) respectively.
4. high lateral position patient support according to claim 1 or 2, it is characterised in that: the epicoeloma (4), lower body
The upper surface of chamber (5) and arm chamber (6) is provided with latex or memory foam layer (19).
5. high lateral position patient support according to claim 1 or 2, it is characterised in that: the upper table of the support plate (1)
It is provided on face fibrous face (15), the hook thorn matched with fibrous face is provided on the upper surface of upper bed-plate (2) and lower bottom base (3)
Face (16).
6. high lateral position patient support according to claim 1 or 2, it is characterised in that: support plate (1) longitudinal edge
Edge and widthwise edge along be above respectively arranged with longitudinal graduated scale (13) that upper bed-plate (2) and lower bottom base (3) position are demarcated and
Lateral graduated scale (14).
7. high lateral position patient support according to claim 1 or 2, it is characterised in that: on rear side of the epicoeloma (4)
It is provided with the first rear baffle (20) being supported to human body back position on edge, is arranged on the edge on rear side of hypocoelom (5)
There is the second rear baffle (21) being supported to human buttock position.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811541928.5A CN109394452A (en) | 2018-12-17 | 2018-12-17 | A kind of high lateral position patient support |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811541928.5A CN109394452A (en) | 2018-12-17 | 2018-12-17 | A kind of high lateral position patient support |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109394452A true CN109394452A (en) | 2019-03-01 |
Family
ID=65460646
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811541928.5A Pending CN109394452A (en) | 2018-12-17 | 2018-12-17 | A kind of high lateral position patient support |
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| Country | Link |
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| CN (1) | CN109394452A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113813130A (en) * | 2021-10-18 | 2021-12-21 | 天津市第四中心医院 | Height-adjustable posture support for breast nail surgical operation |
-
2018
- 2018-12-17 CN CN201811541928.5A patent/CN109394452A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113813130A (en) * | 2021-10-18 | 2021-12-21 | 天津市第四中心医院 | Height-adjustable posture support for breast nail surgical operation |
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