CN110787021A - Limiting bed for retention enema of traditional Chinese medicine decoction - Google Patents
Limiting bed for retention enema of traditional Chinese medicine decoction Download PDFInfo
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- CN110787021A CN110787021A CN201911225995.0A CN201911225995A CN110787021A CN 110787021 A CN110787021 A CN 110787021A CN 201911225995 A CN201911225995 A CN 201911225995A CN 110787021 A CN110787021 A CN 110787021A
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/08—Adjustable operating tables; Controls therefor the table being divided into different adjustable sections
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
-
- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/122—Upper body, e.g. chest
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1245—Knees, upper or lower legs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
Abstract
The invention relates to a limiting bed for retention enema of traditional Chinese medicine decoction, which comprises a bed frame and a bed board, wherein the limiting bed further comprises a leg supporting mechanism and a waist pillow mechanism, the leg supporting mechanism is positioned at the lower half part of the bed board, the waist pillow mechanism is positioned at the upper half part of the bed board, and the leg supporting mechanism and the waist pillow mechanism are respectively arranged at two sides of the bed board. The limiting bed for retention enema of traditional Chinese medicine decoction ensures that a patient keeps a correct prone position when receiving enema operation, strengthens the support for legs and waist, ensures that the patient is completely in a relaxed state, avoids muscle tension, reduces the incidence rate of rectal front wall mucosa injury caused by retention enema of traditional Chinese medicine, and improves the safety and good medical experience of the patient; promoting the comfort of the patient during clysis. Meanwhile, the force is saved when the operator operates the enemator, and the enema operation is standardized.
Description
Technical Field
The invention belongs to the field of medical instruments, and relates to a limiting bed for retention enema of traditional Chinese medicine decoction for rectal administration treatment.
Background
In the prior art, the administration route is oral, intravenous, suppository, water aqua and the like which are absorbed through rectal mucosa. Wherein, oral administration has the advantages of common use, convenience and the like, but the oral administration is slow in absorption, is not suitable for patients with unconsciousness, continuous vomiting, fasting and the like, and the drug effect can enter blood to play a role only through liver and intestine circulation, has certain toxic and side effects on liver and kidney functions, and has gastrointestinal stimulation; the intravenous administration is usually suitable for acute and severe patients and patients who can not take the medicine orally for various reasons, has the advantages of quick response, short time reaching of the peak concentration of the medicine in blood and the like, but has the defects that the intravenous administration is an invasive operation, and can cause complications such as transfusion reaction, phlebitis and the like after long-term use, and the national health and fitness committee advocates reduction of outpatient transfusion at the same time; rectal administration is absorbed by intestinal mucosa, and is transmitted through abundant arteries, veins and lymphatic plexus around the intestinal tract, and the medicine does not pass through the stomach and small intestine, so that the defects caused by oral administration and intravenous administration and the first pass effect of the liver are avoided, the damage of the liver and gastrointestinal tract digestive juice to the medicine can be prevented, the influence of acid-base digestive enzymes on the medicine is reduced, the stimulation of bitter and cold medicines to the gastrointestinal tract is also reduced, the rectal administration preparation has the characteristics of high absorption speed, high peak reaching concentration, short time and the like, the bioavailability of the medicine is greatly improved, and particularly, the rectal administration preparation has an obvious effect on adjacent organs.
It is of concern that rectal administration is also an invasive procedure. Rectal administration is generally divided into suppository-like rectal administration and decoction-like rectal administration. Among them, since the rectal administration of suppositories is carried out by fingers, the drugs are applied to the intestine at a shallow position and easily slip out of the anus, and the rectal mucosa is not generally damaged. The rectal administration treatment scheme of the traditional Chinese medicine decoction retention enema is that decocted traditional Chinese medicine liquid is sent into an intestinal canal through an anus by an enemator, and the aim is to ensure that the medicine is absorbed through intestinal mucosa so as to play a role in treatment. The rectal administration treatment scheme of retention enema of the Chinese medicinal decoction particularly shows great advantages and obvious curative effects in clinical treatment aiming at gynecological diseases.
The existing rectal administration method for retention enema of the conventional traditional Chinese medicine decoction comprises the following steps: the patient is in the left lateral decubitus position, and the operator stands on the right side of the patient and inserts a syringe or the like into the rectum to inject the liquid medicine for rectal administration.
However, the problems caused by the current conventional rectal administration of decoction are:
first, due to the unique anatomical location of the female retroversion retroflexion, rectal mucosal injury in women occurs at a rate as high as 51.96% due to anal intubation angle problems. However, theoretically, the anal canal is not an independent risk factor causing injury of the rectal mucosa from the aspect of anal intubation, and the medical advice of treating the female pelvic inflammatory disease by retention enema of the traditional Chinese medicine preparation is calculated according to the treatment course and operated every day, so that the problem of mechanical stimulation of the rectal mucosa by the catheter repeatedly at high frequency is solved.
Secondly, when a patient receives an enema operation, the rectal mucosa of a female can be damaged due to multiple factors such as incorrect prone position, standing position of an operator, product structure of the catheter, manufacturing process, catheter depth and manipulation during intubation, lubrication of the anal canal and the like. The symptoms of rectal mucosa injury are mostly seen after enema, the clinical manifestations are mainly anal pain and hematochezia, and mild patients are manifested as congestion and erosion, so that patients feel uncomfortable, and the retention time of liquid medicine in intestinal tracts is directly influenced; serious patients suffer from ulcer and even perforation, which causes harm to patients and is easy to cause safe medical disputes.
However, in the rectal administration treatment process of the retention enema of the traditional Chinese medicine decoction, a specific prone position limiting tool is not provided for performing medical care operation on a hospital bed, so that the problems are avoided.
Disclosure of Invention
In order to solve the problems, the invention provides a limiting bed for retention enema of traditional Chinese medicine decoction, which limits the body position of a patient to a proper body position for rectal administration by limiting the body part of the patient, particularly the legs and the waist, so that the rectal administration difficulty of the patient is solved, the working efficiency of a doctor is improved, the flow standardization is realized, and the injury to the body of the patient caused by rectal administration, such as the injury to the mucosa of the front wall of the rectum, is reduced or eliminated.
The invention discloses a limiting bed for retention enema of traditional Chinese medicine decoction, which comprises a bed frame and a bed board, wherein the limiting bed further comprises a leg supporting mechanism and a waist pillow mechanism, the leg supporting mechanism is positioned at the lower half part of the bed board, the waist pillow mechanism is positioned at the upper half part of the bed board, and the leg supporting mechanism and the waist pillow mechanism are respectively arranged at two sides of the bed board.
In some preferred embodiments, the leg support mechanism includes a lifting plate, a movable plate and a sliding member on the lifting plate; the lifting plate is connected to the bed plate through the inner and outer sleeve rods, and the lifting plate can adjust the vertical height relative to the bed plate through the adjustment of the inner and outer sleeve rods; the movable plate comprises a movable arc plate and a fixed arc plate, and the arc surfaces of the movable arc plate and the fixed arc plate are relatively enclosed to form a semi-circle surface; the movable arc plate is connected with a sliding part, and the sliding part enables the movable arc plate to slide left and right relative to the lifting plate; the fixed arc plate is fixed on the lifting plate.
In some preferred embodiments, the width of the lifting plate is greater than or equal to the width of the movable plate.
In some preferred embodiments, the sliding component comprises a bearing seat, an inner pipe, an outer pipe and a buckle which are sleeved inside and outside; one end of the outer pipe is fixed on the lifting plate through a bearing seat, and the other end of the outer pipe is fixed on the bottom edge of the arc-shaped plate through a bearing seat; one end of the inner pipe is sleeved in the outer pipe, and the other end of the inner pipe is fixed at the bottom of the arc-shaped plate; the buckle is sleeved at the joint of the outer pipe and the inner pipe.
In some preferred embodiments, the lumbar pillow mechanism comprises a lumbar pillow located on the front side of the bed plate, a turbine system located on the back side of the bed plate and a screw passing through the bed plate; the turbine system comprises a turbine shaft, a worm and a bearing seat for fixing the worm, and the worm is connected to the bottom wall of the back of the bed plate through the bearing seat; the turbine shaft is connected with a screw rod, the screw rod penetrates through the bed plate to be fixedly connected with the waist pillow, and the screw rod is spirally connected with the bed plate and can spirally rotate relative to the bed plate.
In some preferred embodiments, the bed further comprises a headrest mechanism located at the top end of the bed plate; the headrest mechanism comprises a headrest, a pawl gear, a non-return pawl component, an inner rod and an outer rod which are sleeved inside and outside; the headrest is connected to the top of the inner rod through a pawl gear, the bottom of the inner rod is connected with the top of the outer rod, and the bottom of the outer rod is fixed to the top of the back of the bed board; the non-return pawl component comprises a non-return pawl, a spring connected to one end of the non-return pawl, a spring sleeve and a fixed block, and the spring fixed block is fixed on the inner rod.
In some preferred embodiments, the limiting bed is further provided with a guardrail, and the guardrail is arranged on the side wall of the bed board close to one side of the waist pillow mechanism.
In some preferred embodiments, the guardrail is a retractable guardrail.
In some preferred embodiments, the limiting bed further comprises an armrest mechanism, the armrest mechanism is positioned at the upper half part of the bed board and is positioned at the same side of the bed board as the leg support mechanism; the handrail mechanism comprises a handrail and two loop bars which are used for connecting the handrail and the bed board.
In some preferred embodiments, the bed board is a foldable bed board, the foldable bed board comprises a first lying board and a second lying board, the first lying board can be turned upwards relative to the bed frame, and the second lying board is fixed on the bed frame; the tail end of the first lying plate is connected with the bed frame through a hinge.
In some preferred embodiments, the connection position of the first lying plate and the second lying plate is positioned at one third to one half of the bed plate.
In some preferred embodiments, the lumbar pillow mechanism, the guardrail, and the armrest mechanism are located on the first lying plate; the leg supporting mechanism is positioned on the second lying plate.
In some preferred embodiments, the back of the first lying plate is provided with a first lying plate support adjusting mechanism; the first lying plate support adjusting mechanism comprises a screw rod, a nut and a connecting rod; two ends of the screw rod are respectively connected to the bedstead through screw rod bearing seats fixed on the bedstead, and the screw rod can move relative to the screw rod bearing seats; one end of the connecting rod is hinged on the bottom wall of the first lying plate, and the other end of the connecting rod is movably hinged on the nut of the screw rod.
In some preferred embodiments, the bed frame includes a rectangular frame and support posts at four corners of the frame, and casters at the bottom of the support posts.
Advantageous effects
The limiting bed for retention enema of traditional Chinese medicine decoction ensures that a patient keeps a correct prone position when receiving enema operation, strengthens the support for legs and waist, ensures that the patient is completely in a relaxed state, avoids muscle tension, reduces the incidence rate of rectal front wall mucosa injury caused by retention enema of traditional Chinese medicine, and improves the safety and good medical experience of the patient; promoting the comfort of the patient during clysis. Meanwhile, the force is saved when the operator operates the enemator, and the enema operation is standardized.
Drawings
Fig. 1 is a schematic structural view of a limiting bed for retention enema of traditional Chinese medicine decoction of the present invention.
Fig. 2 is a schematic structural view of another angle of the limiting bed for retention enema of traditional Chinese medicine decoction of the present invention.
Fig. 3 is a schematic structural view of another angle of the limiting bed for retention enema of Chinese medicinal decoction of the present invention.
Fig. 4 is a schematic view of a headrest mechanism.
FIG. 5 is a schematic view of the pawl gear and the anti-backup pawl feature.
Fig. 6 is a partial component schematic view of the lumbar pillow mechanism.
Fig. 7 is a schematic diagram of the components of the lumbar pillow mechanism.
Fig. 8 is a top view of the restraining bed for the retention enema of the traditional Chinese medicine decoction of the present invention.
Fig. 9 is a schematic view of a slide member in the leg support mechanism.
Fig. 10 is another schematic view of the sliding member in the leg support mechanism.
Fig. 11 is a schematic view of the use of the limit bed of the retention enema of the traditional Chinese medicine decoction of the invention.
Reference numerals
The position-limiting bed 100, the bed frame 110, the frame 111, the support column 112, the universal wheel 113, the bed plate 120, the first lying plate 121, the second lying plate 122, the hinge 123, the headrest mechanism 130, the headrest 131, the pawl gear 132, the headrest outer rod 133, the headrest inner rod 134, the non-return pawl member 135, the non-return pawl 1351, the spring 1352, the spring sleeve 1353, the fixed block 1354, the first lying plate support adjustment mechanism 140, the connecting rod 141, the screw rod 142, the nut 143, the screw rod bearing block 144, the crank 145, the leg support mechanism 150, the movable plate 151, the movable arc plate 1511, the fixed arc plate 1512, the lifting plate 152, the concave hole 1521, the lifting plate inner and outer sleeve 155, the outer rod 1551, the inner rod 1552, the sliding member 153, the sliding member bearing block 1531, the inner tube 1532, the outer tube 1533, the bearing block 1534, the bearing block 154, the lumbar pillow mechanism 160, the lumbar pillow 161, 162, the turbine shaft 163, the turbine, screw 166, turbine handle 167, guardrail 170, armrest mechanism 180, armrest 181, movable sleeve rod 182 of armrest, patient 200, patient's leg 201
Detailed Description
The mechanisms involved in the present invention or these terms of art used are further described below. In the following detailed description, reference is made to the accompanying drawings that form a part hereof, and in which is shown by way of illustration specific embodiments in which the invention may be practiced. It is not excluded that the invention can also be implemented in other embodiments and that the structure of the invention can be varied without departing from the scope of use of the invention.
As shown in fig. 1 to 3, the limiting bed 100 for retention enema of herbal decoction of the present invention comprises a bed frame 110 and a bed plate 120, and a leg supporting mechanism 150 and a lumbar pillow mechanism 160. The leg supporting mechanism 150 is located at the lower half part of the bed plate 120, the lumbar pillow mechanism 160 is located at the upper half part of the bed plate 120, and the leg supporting mechanism 150 and the lumbar pillow mechanism 160 are respectively arranged at two sides of the bed plate 120. When the enema of the traditional Chinese medicine decoction is needed, the patient lies on the side on the limit bed, and because the leg supporting mechanism 150 and the waist pillow mechanism 160 are respectively arranged on the two sides of the bed plate 120, the patient faces the leg supporting mechanism 150 and simultaneously backs to the waist pillow mechanism 160; in addition, because the leg supporting mechanism 150 is located at the lower half part of the bed board 120, and the lumbar pillow mechanism 160 is located at the upper half part of the bed board 120, one leg 201 of the patient can be located on the leg supporting mechanism 150, and meanwhile, the lumbar pillow mechanism 160 is located at the back and the waist of the patient 200, so that the body position of the patient 200 is fixed, and the position of the patient 200 on the limiting bed 100 is limited, thereby facilitating the subsequent enema operation.
In some embodiments, the leg support mechanism 150 and the lumbar pillow mechanism 160 can each be adjusted adaptively for different patients to account for different heights and fatalities of the patients 200. Wherein, the leg supporting mechanism 150 can be adjusted in height and width, and the waist pillow mechanism 160 can be adjusted in height.
In a specific embodiment, as shown in fig. 1, 8, 9 and 10, the leg supporting mechanism 150 includes a lifting plate 152 that can be lifted and lowered and a movable plate 151 connected to the lifting plate. The lifting plate 152 is connected to the bed plate 120 by two inner and outer rods 155 arranged at both ends of the lifting plate 152. Specifically, one end of an outer rod 1551 of the inner and outer loop bars 155 is fixed on the bed plate 120, the other end of the outer rod 1551 is sleeved with one end of an inner rod 1552, the other end of the inner rod 1552 is fixed on the back of the lifting plate 152, and the inner rod 1552 slides and is locked in the outer rod 1551 to adjust the height of the lifting plate 152 on the bed plate 120. The movable plate 152 is connected to one end of the lifting plate 152, wherein the movable plate 151 is composed of two parts: the movable arc plate 1511 and the fixed arc plate 1512 are opposite to each other in arc-shaped surfaces to form a semicircular surface for accommodating the leg 201 of the patient, especially the thigh part of the patient. Considering the different leg thickness of the patient, the movable plate 151 can slide a certain distance on the lifting plate 152. In a specific embodiment, the bottom of the movable arc plate 1511 is connected to a sliding member 153, and meanwhile, the lifting plate 152 is provided with a recessed hole 1521 for accommodating the sliding member 153, the sliding member 153 includes an inner tube 1532 and an outer tube 1533 which are sleeved inside and outside, wherein one end and a middle portion of the inner tube 1532 are fixed to the bottom of the movable arc plate 1511 through a bearing seat 1531, the other end of the inner tube 1532 is located inside the outer tube 1533, the other end of the outer tube 1533 is fixed to a sidewall of the recessed hole 1521 through a bearing seat 1531, an end of the outer tube 1533 connected to the inner tube is provided with a buckle 1534, and after the inner tube 1532 slides and stops inside the outer tube 1533, the buckle 1534 is locked to fix the inner tube 1532 and the outer tube. When the movable arc plate 1511 needs to be adjusted, the buckle 1534 is loosened to push the movable arc plate 1511, the inner tube 1532 at the bottom of the movable arc plate is slid in the outer tube 1533, so that the movable arc plate 1511 is far away from or close to the fixed movable plate 1512, and the size of the semicircular surface enclosed by the movable arc plate 1511 and the fixed arc plate 1512 is changed to adapt to the thickness of the legs 201 of different patients.
In some preferred embodiments, the width of the lifting plate 152 is greater than that of the movable plate 151, so that, as shown in fig. 11, the thigh portion 201 of the patient is positioned on the movable plate, and the knee portion is positioned on the lifting plate 152 in front of the movable plate 151, thereby ensuring the comfort of the patient 200.
In the present invention, as shown in fig. 3, 6 and 7, the lumbar pillow mechanism 160 includes a lumbar pillow 131 located on the front surface of the bed plate 120, and a turbine system located on the back surface of the bed plate 120, and the turbine system includes a turbine shaft 162, a worm screw 163 and a bearing seat 165 for fixing the worm screw. The lumbar pillow mechanism 160 further includes a screw 166 connecting the lumbar pillow 131 and the turbine shaft 162 through the bed plate 120. Specifically, the worm 163 is connected to the bottom wall of the back of the bed plate 120 through a bearing seat 165; the turbine shaft 162 is connected to one end of the screw rod 166, the other end of the screw rod 166 penetrates through the bed plate 120 to be fixedly connected with the waist pillow 131, and the screw rod 166 is spirally connected with the bed plate 120 and can spirally rotate relative to the bed plate 120. The worm wheel 164 on the top of the worm is meshed with the turbine shaft 162, when the handle 167 at the tail end of the worm wheel is shaken, the worm wheel 163 drives the worm wheel 164 to rotate, the worm wheel 164 drives the turbine shaft 162 to rotate through meshed engagement, so that the screw rod 166 connected to the turbine shaft 162 rotates relative to the bed plate 120, the waist pillow 161 fixed on the screw rod 166 is lifted or lowered relative to the bed plate 120, and the height adjustment of the waist pillow 131 is realized.
In view of patient comfort during enema treatment, in some embodiments, as shown in fig. 3, 4 and 5, the cot 100 further comprises a headrest mechanism 130 at the top end of the deck 120. In a specific structure, the headrest mechanism 130 includes a headrest 131, a pawl gear 132 and a non-return pawl member 135, and inner and outer rods for adjusting the headrest. The inclination angle of the headrest is adjusted through the rotation of the pawl gear 132, and the distance between the headrest and the top end of the bed plate is adjusted through adjusting the inner sleeve rod and the outer sleeve rod of the headrest, so that the headrest is suitable for the position adjustment of the heads of different patients. Wherein, the inner and outer loop bars of the adjusting headrest comprise a headrest inner bar 134 and a headrest outer bar 135. The headrest 131 is connected to the top of the inner headrest rod 134 through the pawl gear 132, the bottom of the inner headrest rod 134 is sleeved in the top of the outer headrest rod 133, and the bottom of the outer headrest rod 133 is fixed to the top of the back of the bed plate 120. The inner rod of the headrest moves in the outer rod of the headrest to adjust the distance between the headrest and the bed board. The check pawl feature 135 is used to control the movement and stopping of the pawl gear 132. The backstop member 135 includes a backstop pawl 1351, a spring 1352 attached to one end of the backstop pawl 1351, a spring sleeve 1353 and a fixed block 1354, the spring 1352 is located in the spring sleeve 1353, and the sleeve 1353 is attached to the fixed block 1354 and fixed to the headrest inner rod 134 via the fixed block 1354. When the headrest 131 is pulled clockwise, the pawl gear 132 rotates by a certain angle, and the check pawl 1351 slides on the back of the teeth of the pawl gear 132; when the headrest 131 is not in motion, the check pawl 1351 is engaged with the pawl gear 132 under the action of the spring 1352, preventing the headrest 131 from loosening and rotating counterclockwise. When the headrest 131 needs to be reset, the spring 1352 at the head of the pawl 1351 is pulled to be compressed, the pawl gear 132 is separated from the pawl 1351, and the headrest can be reset by rotating the headrest 131. Thereby achieving the adjustment of the inclination angle of the headrest 131.
In the invention, the limiting bed 100 is further provided with a guardrail 170, and the guardrail 170 is arranged on the side wall of the bed board 12-0 close to the waist pillow mechanism 150. In some embodiments, the guardrail 170 is a retractable guardrail. Specifically, the telescopic guardrail is of a loose-leaf stretching structure.
In some preferred embodiments, the cot 100 further comprises an armrest mechanism 180. The armrest mechanism 180 includes an armrest 181 and two loop bars 182 connecting the armrest with the deck. As shown in fig. 1 and 2, the structure of the loop bar 182 is the same as the structure of the inner and outer loop bars 155 connecting the lifting plate and the bed plate, and is used for adjusting the height of the handrail 181 on the bed plate 120. The armrest mechanism 180 is located on the upper half of the bed plate 120, and is located on the same side of the bed plate 120 as the leg support mechanism 150. When the patient lies on the side of the position limiting bed 100, the patient faces one side of the leg supporting mechanism 150, the legs are positioned on the leg supporting mechanism 150, and meanwhile, the hands of the patient 200 can be placed on the upper part or the lower part of the handrails 181 or tightly hold the handrails 181, as shown in fig. 11.
In the invention, in order to adjust the body position of the patient who finishes enema to the optimal position and keep the patient comfortable, the bed board 120 of the limiting bed is a foldable bed board, specifically, the foldable bed board comprises a first lying board 121 and a second lying board 122, the first lying board 121 can be turned upwards relative to the bed frame 110, and the second lying board 122 is fixed on the bed frame 110; the end of the first lying plate 121 and the bed frame 110 are connected by a hinge 123, as shown in fig. 1-3. The lumbar pillow mechanism 160, the guardrail 170 and the armrest mechanism 180 are positioned on the first lying plate 121; the leg support mechanism 150 is located on the second lying plate 122. In a specific embodiment, the connection between the first lying plate 121 and the second lying plate 122 is located at one third to one half of the bed plate 120.
In some preferred embodiments, the first lying plate 121 is provided with a first lying plate support adjusting mechanism 140 on the back side thereof for adjusting and supporting the turnover of the first lying plate 121. In a specific embodiment, as shown in fig. 3, the first deck support adjustment mechanism 140 includes a lead screw 142, a nut 143, and a link 141. Wherein, two ends of the screw rod 142 are respectively connected to the bedstead 144 through screw rod bearing blocks 144 fixed on the bedstead 110, and the screw rod 142 can move back and forth relative to the screw rod bearing blocks 144; a nut 143 is secured to the screw 142 and is located between two screw spindle bearings 144. One end of the connecting rod 141 is hinged on the bottom wall of the first lying plate 121, and the other end of the connecting rod 141 is movably hinged on the nut 143 of the screw rod. The outer end of the lead screw is provided with a crank 145, and when the crank 145 is rotated, the lead screw 142 rotates relative to the lead screw bearing block 144 and moves forward or backward, thereby moving the nut 143 left and right relative to the frame 110. Because one end of the connecting rod 141 is movably hinged with the nut 143, the end of the connecting rod 141 reciprocates along with the nut 143, meanwhile, because the other end of the connecting rod 141 is hinged with the first lying plate 121, the other end of the connecting rod 141 pushes the first lying plate 121 to be lifted, and the rotation of the crank 145 is stopped until the first lying plate 121 reaches a required angle. When the angle of the first lying plate 121 needs to be adjusted, the crank 145 is rotated in the forward or reverse direction to change the supporting height and angle of the connecting rod 141, so that the angle of the first lying plate 121 that needs to be adjusted is reached.
In the present invention, the bed frame 110 includes a rectangular frame 111, support columns 112 at four corners of the frame 111, and casters 113 at the bottom of the support columns 112. Universal wheels 113 are provided to facilitate transfer of the cot 100.
The operation of the patient for performing enema will be described in detail with reference to the limiting bed 100 for Chinese medicine decoction retention enema of the present invention.
1. The patient 200 is allowed to lie on the side on the limiting bed 100 of the invention, wherein the patient faces the leg support mechanism, the upper body of the patient is positioned between the guard rail and the handrail mechanism, the waist is positioned at the waist pillow, and the two legs are positioned at the leg support mechanism by straightening;
2. bending the legs of the patient lying on the side, so that the thigh part 201 is positioned on the semicircular surface of the movable plate, the thighs are bent by 90 degrees relative to the body, and the knees and the calves are positioned on the lifting plate;
3. pulling the movable arc plate to move forward or backward so that the movable arc plate and the fixed arc plate are respectively clung to the side wall of the leg of the patient; the height can be adjusted according to the fat and thin of the patient and the size of the pelvis;
4. according to the comfort level of the legs of the patient, the inner sleeve rod and the outer sleeve rod at the bottom of the lifting plate are adjusted to enable the lifting plate to reach the required height;
5. the inner rod of the headrest slides in the outer rod of the headrest, and the distance between the headrest and the top of the bed plate is adjusted, so that the head of the patient is positioned on the headrest;
6. rotating the pawl gear 132 to adjust the tilt angle of the headrest;
7. the handle 167 positioned at the tail end of the turbine is shaken to lift or lower the waist pillow, and the position of the waist pillow on the waist of the patient is adjusted to make the curvature of the waist pillow more fit with the curve of the waist of the patient, so that the waist is supported;
8. finally, the height of the loop bar at the bottom of the handrail is adjusted to enable the patient to embrace the handrail;
9. the upper half of the patient is continuously inclined forward by 20-40 degrees through the adjustment of the steps 5-8, so that the buttocks are fully exposed while the comfort is ensured, and the operation is convenient for an operator, as shown in fig. 11.
10. When the operator operates, the left axillary midline is parallel to the position of the umbilical region of the patient, the anal canal is inserted, and the liquid medicine is injected by a syringe and the like. After the liquid medicine is injected, the patient keeps the body position for 1 hour, the liquid medicine is prevented from flowing outwards, the stay time of the liquid medicine in the intestinal tract is prolonged, the full absorption of the liquid medicine is promoted, and meanwhile, the liquid medicine can reach deeper parts of the intestinal tract.
After 11.1 hours, the crank 145 is rotated, and the first lying plate 121 is adjusted through the first lying plate support adjusting mechanism 140, so that the first lying plate 121 is shaken up to a certain height, and the patient can get up conveniently.
12. The medical staff assists the patient to get out of the bed.
Claims (10)
1. The utility model provides a spacing bed for chinese medicine decoction remains enema, includes bedstead and bed board, its characterized in that, spacing bed still includes shank supporting mechanism and waist pillow mechanism, and shank supporting mechanism is located the lower half of bed board, and waist pillow mechanism is located the first half of bed board to, shank supporting mechanism and waist pillow mechanism list in the both sides of bed board respectively.
2. The cot of claim 1 wherein the leg support mechanism comprises a lifter plate, a movable plate and a sliding member on the lifter plate; the lifting plate is connected to the bed plate through the inner and outer sleeve rods, and the lifting plate can adjust the vertical height relative to the bed plate through the adjustment of the inner and outer sleeve rods; the movable plate comprises a movable arc plate and a fixed arc plate, and the arc surfaces of the movable arc plate and the fixed arc plate are relatively enclosed to form a semi-circle surface; the movable arc plate is connected with a sliding part, and the sliding part enables the movable arc plate to slide left and right relative to the lifting plate; the fixed arc plate is fixed on the lifting plate.
3. The position-limiting bed as claimed in claim 2, wherein the sliding component comprises a bearing seat, an inner pipe, an outer pipe and a buckle which are sleeved in and out; one end of the outer pipe is fixed on the lifting plate through a bearing seat, and the other end of the outer pipe is fixed on the bottom edge of the arc-shaped plate through a bearing seat; one end of the inner pipe is sleeved in the outer pipe, and the other end of the inner pipe is fixed at the bottom of the arc-shaped plate; the buckle is sleeved at the joint of the outer pipe and the inner pipe.
4. The position limiting bed of claim 1, wherein the lumbar pillow mechanism comprises a lumbar pillow located on the front side of the bed plate, a turbine system located on the back side of the bed plate and a screw passing through the bed plate; the turbine system comprises a turbine shaft, a worm and a bearing seat for fixing the worm, and the worm is connected to the bottom wall of the back of the bed plate through the bearing seat; the turbine shaft is connected with a screw rod, the screw rod penetrates through the bed plate to be fixedly connected with the waist pillow, and the screw rod is spirally connected with the bed plate and can spirally rotate relative to the bed plate.
5. The cot of claim 1 further comprising a headrest mechanism at the top end of the deck; the headrest mechanism comprises a headrest, a pawl gear, a non-return pawl component, an inner rod and an outer rod which are sleeved inside and outside; the headrest is connected to the top of the inner rod through a pawl gear, the bottom of the inner rod is connected with the top of the outer rod, and the bottom of the outer rod is fixed to the top of the back of the bed board; the non-return pawl component comprises a non-return pawl, a spring connected to one end of the non-return pawl, a spring sleeve and a fixed block, and the spring fixed block is fixed on the inner rod.
6. The position limiting bed as claimed in claim 1, wherein the position limiting bed is further provided with a guardrail, and the guardrail is arranged on the side wall of the bed board on the side close to the waist pillow mechanism.
7. The cot of claim 1 further comprising an armrest mechanism located on the top half of the deck on the same side of the deck as the leg support mechanism; the handrail mechanism comprises a handrail and two loop bars which are used for connecting the handrail and the bed board.
8. The position limiting bed according to one of claims 1 to 7, wherein the bed board is a foldable bed board, the foldable bed board comprises a first lying board and a second lying board, the first lying board can be turned upwards relative to the bed frame, and the second lying board is fixed on the bed frame; the tail end of the first lying plate is connected with the bed frame through a hinge.
9. The cot of claim 8 wherein the lumbar pillow mechanism, the guardrail, and the armrest mechanism are located on the first deck; the leg supporting mechanism is positioned on the second lying plate.
10. The position limiting bed according to claim 8, wherein the first lying plate is provided with a first lying plate support adjusting mechanism on the back; the first lying plate support adjusting mechanism comprises a screw rod, a nut and a connecting rod; two ends of the screw rod are respectively connected to the bedstead through screw rod bearing seats fixed on the bedstead, and the screw rod can move relative to the screw rod bearing seats; one end of the connecting rod is hinged on the bottom wall of the first lying plate, and the other end of the connecting rod is movably hinged on the nut of the screw rod.
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| CN201911225995.0A CN110787021A (en) | 2019-12-04 | 2019-12-04 | Limiting bed for retention enema of traditional Chinese medicine decoction |
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| CN201911225995.0A CN110787021A (en) | 2019-12-04 | 2019-12-04 | Limiting bed for retention enema of traditional Chinese medicine decoction |
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| CN201911225995.0A Pending CN110787021A (en) | 2019-12-04 | 2019-12-04 | Limiting bed for retention enema of traditional Chinese medicine decoction |
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