CN110974544B

CN110974544B - Postoperative wound protector is used in hemodialysis nursing

Info

Publication number: CN110974544B
Application number: CN201911358503.5A
Authority: CN
Inventors: 彭小燕
Original assignee: Nantong First Peoples Hospital
Current assignee: Nantong First Peoples Hospital
Priority date: 2019-12-25
Filing date: 2019-12-25
Publication date: 2021-09-10
Anticipated expiration: 2039-12-25
Also published as: CN110974544A

Abstract

The invention discloses a postoperative wound protection device for hemodialysis care, which comprises a first pressing plate, a lifting assembly and a protection assembly, wherein an elastic assembly is arranged on the upper left side of the first pressing plate, the upper end of the elastic assembly is connected with a second pressing plate, a rotating plate is arranged above the second pressing plate, a fixing assembly is arranged on the upper left side of the rotating plate, an installation plate is connected to the upper right side of the rotating plate, connecting bolts are uniformly fixed on the outer edge of the installation plate, the lifting assembly is fixed above the installation plate, the top end of the lifting assembly is connected with a supporting plate assembly, a first binding belt is arranged on the left side above the supporting plate assembly, a second binding belt is arranged on the right side of the first binding belt, the protection assembly is arranged above the first binding belt and the second binding belt, and anti-skid pads are uniformly arranged on the inner surfaces of the first binding belt and the second binding belt. The air bag cushion is arranged on the periphery of the wound of the patient to form a protection area shaped like a Chinese character 'hui', so that the wound can be prevented from being pressed by the patient in a messy way.

Description

Postoperative wound protector is used in hemodialysis nursing

Technical Field

The invention relates to the technical field of medical care devices, in particular to a postoperative wound protection device for hemodialysis care.

Background

Hemodialysis is one of the kidney replacement treatment modes of patients with acute and chronic renal failure. The blood and electrolyte solution (dialysate) with similar concentration of organism are arranged inside and outside one hollow fiber by draining the blood in vivo to the outside of the body through a dialyzer consisting of a plurality of hollow fibers, and the material exchange is carried out by dispersion/convection, thereby removing the metabolic waste in the body and maintaining the balance of electrolyte and acid-base; at the same time, the excess water in the body is removed, and the purified blood is returned. At present clinically in order to prevent to repeat the puncture and cause great misery to the patient, generally can keep somewhere one section interior fistula at hemodialysis patient's upper limbs, the follow-up connection hemodialysis pipeline of being convenient for carries out hemodialysis operation, but the interior fistula of keeping somewhere easily leads to follow-up to the wound nursing operation inconvenient of hemodialysis.

Only bring fixed dressing to the wound that permeates blood through tourniquet or medical glue in the hospital at present, however medical sticky tape is relatively poor after long-term the use viscidity, lead to fixed unstable easily, and be difficult to prevent the pressure protection to the wound, the patient moves with ease and causes the hemorrhage to the wound causes the oppressive injury, and current nursing operation is difficult to help patient's upper limbs venous return, the problem of hemorrhage and hematoma appears easily in the wound, for this reason, we propose a postoperative wound protector for the nursing of permeating blood.

Disclosure of Invention

The invention aims to provide a postoperative wound protection device for hemodialysis care, which solves the problems that the dressing is only fixed by a tourniquet or a medical adhesive tape in the existing hospital to carry out protection and care on the hemodialysis wound, however, the medical adhesive tape has poor viscosity after long-term use, is easy to cause unstable fixation, is difficult to carry out compression protection on the wound, is easy to cause compression injury to the wound due to disorder of a patient to cause bleeding, and the existing nursing operation is difficult to help the venous reflux of the upper limb of the patient, so that the wound is easy to have bleeding and edema.

In order to achieve the purpose, the invention provides the following technical scheme: a postoperative wound protection device for hemodialysis care comprises a first pressing plate, a lifting assembly and a protection assembly, wherein an elastic assembly is installed on the upper left side of the first pressing plate, a second pressing plate is connected to the upper end of the elastic assembly, a rotating plate is arranged above the second pressing plate, a fixing assembly is installed on the upper left side of the rotating plate, a mounting plate is connected to the upper right side of the rotating plate, connecting bolts are evenly fixed to the outer edge of the mounting plate, the lifting assembly is fixed above the mounting plate, a supporting plate assembly is connected to the top end of the lifting assembly, a first binding belt is arranged on the left side of the upper portion of the supporting plate assembly, a second binding belt is arranged on the right side of the first binding belt, the protection assembly is installed above the first binding belt and the second binding belt, anti-slip pads are evenly installed on the inner surfaces of the first binding belt and the second binding belt, and a second adhesive bandage is installed on the outer surface of the second binding belt, and the outer side of the second thorn wool paste is connected with a second round wool paste in an adhesive way.

Preferably, the elastic component comprises a loop bar, a movable rod and a spring, the movable rod is connected above the loop bar, the spring is sleeved outside the movable rod, and the loop bar and the movable rod are matched with each other to form a telescopic structure.

Preferably, the inner surfaces of the second pressing plate and the first pressing plate are both connected with soft pads, the soft pads are made of elastic rubber, the second pressing plate and the first pressing plate are distributed in an up-down symmetrical mode about the horizontal center line of the elastic assembly, and meanwhile the second pressing plate passes through the elastic assembly and the first pressing plate to form an elastic structure.

Preferably, the fixing assembly comprises a handle, a polish rod and a threaded rod, the polish rod is fixed below the handle, and the threaded rod is connected to the lower end of the polish rod.

Preferably, the polished rod penetrates through the inside of the rotating plate, the rotating plate forms a rotating structure through the polished rod and the second pressing plate, and the second pressing plate is in threaded connection with the threaded rod.

Preferably, the lifting assembly comprises a stand column, a support rod and a fixing bolt, the support rod is connected above the stand column, the fixing bolt is connected with the inner thread of the joint of the stand column and the support rod, and the stand column and the support rod are mutually matched to form a telescopic structure.

Preferably, the supporting plate assembly comprises a supporting plate, an arc-shaped plate and an elastic pad, the arc-shaped plate is fixed at the right end of the supporting plate, the elastic pad is installed on the inner surfaces of the arc-shaped plate and the supporting plate, and the elastic pad is of an elastic hollow structure.

Preferably, the protection component includes gasbag pad, first thorn hair subsides, first circle hair subsides, dressing area and spacing groove, and the last surface mounting of gasbag pad has first thorn hair to the spacing groove has all been seted up to both sides around the gasbag pad, the top adhesive connection of first thorn hair subsides has first circle hair to paste, and the dressing area is installed to the top of first circle hair subsides.

Preferably, the appearance structure of gasbag pad is back font structure, and the spacing groove is around the horizontal central line longitudinal symmetry distribution of gasbag pad to the appearance structure of spacing groove is arc structure.

Compared with the prior art, the invention has the following beneficial effects:

1. the protective assembly is fixed through the second thorn hair sticker and the second round hair sticker, operation is convenient, fixing is stable, the anti-slip pad can prevent the bandage from deviating on the arm, and the problem that fixing stability is poor by using a medical adhesive tape in the prior art is solved;

2. the rotating plate can horizontally rotate relative to the second pressing plate, so that the installation angle of the whole device can be adjusted according to the needs of a patient, the comfort of the patient is improved when the screw rod is tightly rotated with the second pressing plate, and the handle can press the rotating plate so as to fix the rotating plate;

2. the second pressing plate and the first pressing plate are arranged, so that the clamping stability can be improved by utilizing the elastic expansion action of the elastic assembly, and the installed soft cushion made of elastic rubber can be separated between the second pressing plate and the bed edge and between the first pressing plate and the bed edge, so that the second pressing plate and the bed edge are prevented from slipping, and the fixing stability is further improved;

3. the lifting assembly is arranged to be beneficial to lifting the upper limbs of a patient, so as to help the upper limbs of the patient to return to the veins, so that bleeding and hematoma are reduced, the supporting plate and the arc plate in the supporting plate assembly are arranged to support the upper limbs of the patient together, and the elastic pad is arranged between the upper limbs of the patient and the supporting plate and the arc plate, so that the upper limbs of the patient can be fixed, the upper limbs of the patient are prevented from moving randomly to press wounds to a certain extent, and the comfort of the patient during use is further improved;

4. the air bag cushion in the protection assembly is thick, a protection area shaped like a Chinese character 'hui' is formed around the wound of a patient, the air bag cushion has certain elasticity, the wound is prevented from being pressed by the patient in a disorderly mode, and therefore a good protection effect is achieved on the wound.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic diagram of a right side view cross-sectional structure of the present invention;

FIG. 3 is a schematic cross-sectional view of the mounting assembly and the rotating plate of the present invention;

FIG. 4 is a schematic view of the first and second straps and fender assembly mounting structure of the present invention;

FIG. 5 is an enlarged view of a portion A of FIG. 4 according to the present invention.

In the figure: 1. a first platen; 2. an elastic component; 201. a loop bar; 202. a movable rod; 203. a spring; 3. a second platen; 4. rotating the plate; 5. a fixing assembly; 501. a handle; 502. a polish rod; 503. a threaded rod; 6. mounting a plate; 7. a connecting bolt; 8. a lifting assembly; 801. a column; 802. a strut; 803. fixing the bolt; 9. a pallet assembly; 901. a support plate; 902. an arc-shaped plate; 903. an elastic pad; 10. a first strap; 11. a second strap; 12. a guard assembly; 1201. an airbag cushion; 1202. a first barbed tape; 1203. a first round hair patch; 1204. a dressing tape; 1205. a limiting groove; 13. a soft cushion; 14. a non-slip mat; 15. a second burling patch; 16. and a second round hair patch.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-5, a postoperative wound protection device for hemodialysis care includes a first pressing plate 1, an elastic component 2, a loop bar 201, a movable bar 202, a spring 203, a second pressing plate 3, a rotating plate 4, a fixing component 5, a handle 501, a polish rod 502, a threaded rod 503, a mounting plate 6, a connecting bolt 7, a lifting component 8, a column 801, a support rod 802, a fixing bolt 803, a support plate component 9, a support plate 901, an arc plate 902, an elastic pad 903, a first binding band 10, a second binding band 11, a protection component 12, an airbag cushion 1201, a first bristle paste 1202, a first round bristle paste 1203, a dressing band 1204, a limiting groove 1205, a soft cushion 13, an anti-slip pad 14, a second bristle paste 15 and a second round bristle paste 16, the elastic component 2 is installed above the left of the first pressing plate 1, the upper end of the elastic component 2 is connected with the second pressing plate 3, the rotating plate 4 is disposed above the second pressing plate 3, and the fixing component 5 is installed above the left of the rotating plate 4, the right upper part of the rotating plate 4 is connected with a mounting plate 6, the outer edge of the mounting plate 6 is uniformly fixed with connecting bolts 7, a lifting component 8 is fixed above the mounting plate 6, the top end of the lifting component 8 is connected with a supporting plate component 9, a first binding belt 10 is arranged at the left side above the supporting plate component 9, and the second strap 11 is provided on the right side of the first strap 10, the sheathing member 12 is installed above the first strap 10 and the second strap 11, and the inner surfaces of the first bandage 10 and the second bandage 11 are uniformly provided with non-slip mats 14, the outer surface of the second bandage 11 is provided with a second burling sticker 15, and the outer side of the second burling plaster 15 is connected with a second round fur plaster 16 in an adhesive way, the protection component 12 is fixed by the second burling plaster 15 and the second round fur plaster 16, the operation is convenient, the fixation is stable, the antiskid pad 14 can prevent the bandage from deviating on the arm, and the problem of poor fixing stability by using a medical adhesive tape in the prior art is solved;

the elastic component 2 comprises a loop bar 201, a movable bar 202 and a spring 203, the movable bar 202 is connected above the loop bar 201, the spring 203 is sleeved outside the movable bar 202, the loop bar 201 and the movable bar 202 are matched with each other to form a telescopic structure, the inner surfaces of the second pressing plate 3 and the first pressing plate 1 are both connected with a cushion 13, the cushion 13 is made of elastic rubber, the second pressing plate 3 and the first pressing plate 1 are vertically and symmetrically distributed about the horizontal central line of the elastic component 2, meanwhile, the second pressing plate 3 forms an elastic structure through the elastic component 2 and the first pressing plate 1, the clamping effect through the second pressing plate 3 and the first pressing plate 1 is set, the whole device can be fixed at the sickbed edge of a patient for use, the patient can use the device more conveniently, the elastic component 2 is connected between the second pressing plate 3 and the first pressing plate 1, and the elastic component 2 can elastically stretch, so that the second pressing plate 3 and the first pressing plate 1 can improve the clamping stability by utilizing the elastic expansion action of the elastic component 2, and the installed soft cushion 13 made of elastic rubber can be separated between the second pressing plate 3 and the first pressing plate 1 and the bedside edge so as to prevent the second pressing plate 3 and the first pressing plate 1 from slipping and further improve the fixing stability;

the fixing component 5 comprises a handle 501, a polish rod 502 and a threaded rod 503, the polish rod 502 is fixed below the handle 501, the threaded rod 503 is connected to the lower end of the polish rod 502, the polish rod 502 penetrates through the inside of the rotating plate 4, the rotating plate 4 forms a rotating structure through the polish rod 502 and the second pressing plate 3, the second pressing plate 3 is in threaded connection with the threaded rod 503, the rotating plate 4 can horizontally rotate relative to the second pressing plate 3, so that the installation angle of the whole device can be adjusted according to the needs of a patient, the comfort of the patient during use is improved, and when the threaded rod 503 is tightly rotated with the second pressing plate 3, the handle 501 can press the rotating plate 4, and the rotating plate 4 is fixed;

the lifting assembly 8 comprises a vertical column 801, a supporting rod 802 and a fixing bolt 803, the supporting rod 802 is connected above the vertical column 801, the fixing bolt 803 is connected with the inner thread of the joint of the vertical column 801 and the supporting rod 802, the vertical column 801 and the supporting rod 802 are matched with each other to form a telescopic structure, the vertical column 801 and the supporting rod 802 arranged in the lifting assembly 8 can be mutually telescopic, so that the height of the supporting plate assembly 9 can be conveniently adjusted according to the requirements of a patient, the upper limb of the patient can be conveniently lifted, and the venous backflow of the upper limb of the patient can be further facilitated, so as to reduce bleeding and hematoma, the supporting plate assembly 9 comprises a supporting plate 901, an arc-shaped plate 902 and an elastic pad 903, the arc-shaped plate 902 is fixed at the right end of the supporting plate 901, the elastic pads 903 are respectively arranged on the inner surfaces of the arc-shaped plate 902 and the supporting plate 901, meanwhile, the structure of the elastic pad 903 is an elastic hollow structure, the supporting plate 901 and the arc-shaped plate 902 arranged in the supporting plate assembly 9 support the upper limb of the patient together, meanwhile, the elastic pad 903 is arranged between the upper limb of the patient and the supporting plate 901 and the arc-shaped plate 902 in a spaced manner, so that the upper limb of the patient can be fixed, the patient is prevented from moving randomly to press the wound to a certain extent, and the comfort of the patient in use is further improved;

the protection component 12 comprises an air bag cushion 1201, a first thorn hair sticker 1202, a first round hair sticker 1203, a dressing belt 1204 and a limiting groove 1205, the upper surface of the air bag cushion 1201 is provided with the first thorn hair sticker 1202, the front side and the rear side of the air bag cushion 1201 are respectively provided with the limiting groove 1205, the first round hair sticker 1203 is connected to the upper portion of the first thorn hair sticker 1202 in an adhering mode, the dressing belt 1204 is arranged above the first round hair sticker 1203, the appearance structure of the air bag cushion 1201 is a reversed-square-shaped structure, the limiting grooves 1205 are symmetrically distributed in the front and the rear direction of the horizontal center line of the air bag cushion 1201, the appearance structure of the limiting groove 1205 is a circular arc-shaped structure, the thickness of the air bag cushion 1201 in the protection component 12 is set to be thick, a reversed-square-shaped protection area is formed around a wound of a patient, the air bag cushion 1201 has certain elasticity, the air bag cushion is favorable for preventing the patient from pressing the wound by disorder, a good protection effect is formed on the wound, and meanwhile, the arranged limiting groove 1205 can facilitate the internal fistula to pass through, the laminating effect of whole protection component 12 and patient's upper limbs is convenient for improve, in addition because dressing area 1204 fixes on airbag cushion 1201 through the adhesive effect of first thorn hair subsides 1202 and first circle hair subsides 1203, not only makes keeping good ventilation effect of wound, still is convenient for the later stage and changes dressing area 1204.

The working principle is as follows: for the postoperative wound protection device for hemodialysis nursing, firstly, a mounting plate 6 is arranged at the right end of a rotating plate 4, then a connecting bolt 7 is screwed down for fixing, thereby a lifting component 8 is mounted on the rotating plate 4, then a first pressing plate 1 is pulled downwards, the first pressing plate 1 drives a loop rod 201 and a movable rod 202 in an elastic component 2 to extend, and simultaneously drives a spring 203 to extend, so that the distance between the first pressing plate 1 and a second pressing plate 3 is enlarged, then the first pressing plate 1 and the second pressing plate 3 are buckled at the bedside of a sickbed, then the first pressing plate 1 is loosened, the first pressing plate 1 rebounds under the elastic action of the spring 203, the distance between the first pressing plate 1 and the second pressing plate 3 is shortened, so that the first pressing plate 1 and the second pressing plate 3 clamp the bedside, a cushion 13 is contacted with the bedside to prevent skidding, then a handle 501 in a fixing component 5 is rotated anticlockwise firstly, so that the handle 501 drives a threaded rod 503 and the second pressing plate 3 to generate a thread effect, the handle 501 drives the polished rod 502 and the threaded rod 503 to be loosened slowly, at the moment, the rotating plate 4 is rotated, the rotating plate 4 rotates around the polished rod 502 to drive the supporting plate assembly 9 to rotate, the angle of the supporting plate assembly 9 relative to a sickbed is adjusted, then the handle 501 is screwed down clockwise, and the handle 501 and the second pressing plate 3 press the rotating plate 4 to be fixed;

then the fixing bolt 803 is loosened, the supporting rod 802 is pulled up and down, the supporting rod 802 extends and retracts relative to the upright 801 to drive the supporting plate assembly 9 to adjust the height, then the fixing bolt 803 is screwed down to fix, the protective assembly 12 is then fitted over the patient's upper limb, with the airbag cushion 1201 fitted over the outside of the wound, and the internal fistula is clamped in the limiting groove 1205, and then the first bandage 10 and the second bandage 11 are tied on the arm of the patient, so that the non-slip mat 14 is tightly attached to the skin of the patient, the second round hair patch 16 is stuck on the second thorn hair patch 15 for fixing, then, the dressing belt 1204 is attached to the upper portion of the airbag cushion 1201, so that the first round hair patch 1203 is attached to the first barbed hair patch 1202, the arm of the patient is placed inside the elastic cushion 903, the supporting plate 901 and the arc-shaped plate 902 support the arm of the patient, venous return is facilitated, bleeding and hematoma are reduced, and therefore the using process of the whole postoperative wound protection device for hemodialysis care is completed.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides a hemodialysis nursing is with postoperative wound protector, includes first clamp plate (1), lifting unit (8) and protecting component (12), its characterized in that: an elastic component (2) is mounted on the upper left side of the first pressing plate (1), a second pressing plate (3) is connected to the upper end of the elastic component (2), a rotating plate (4) is arranged above the second pressing plate (3), a fixing component (5) is mounted on the upper left side of the rotating plate (4), a mounting plate (6) is connected to the upper right side of the rotating plate (4), connecting bolts (7) are uniformly fixed to the outer edge of the mounting plate (6), the lifting component (8) is fixed above the mounting plate (6), a supporting plate component (9) is connected to the top end of the lifting component (8), a first bandage (10) is arranged on the left side of the upper portion of the supporting plate component (9), a second bandage (11) is arranged on the right side of the first bandage (10), a protective component (12) is mounted above the first bandage (10) and the second bandage (11), and anti-slip pads (14) are uniformly mounted on the inner surfaces of the first bandage (10) and the second bandage (11), a second burling patch (15) is arranged on the outer surface of the second bandage (11), and a second round hair patch (16) is connected to the outer side of the second burling patch (15) in an adhesive manner;

the protection assembly (12) comprises an airbag cushion (1201), a first burl sticker (1202), a first round fur sticker (1203), a dressing belt (1204) and a limiting groove (1205), the first burl sticker (1202) is installed on the upper surface of the airbag cushion (1201), the limiting grooves (1205) are formed in the front side and the rear side of the airbag cushion (1201), the first round fur sticker (1203) is connected to the upper portion of the first burl sticker (1202) in an adhering mode, and the dressing belt (1204) is installed above the first round fur sticker (1203);

the appearance structure of gasbag pad (1201) is the font structure that returns, and spacing groove (1205) around the horizontal center line front and back symmetric distribution of gasbag pad (1201) to the appearance structure of spacing groove (1205) is arc structure.

2. A postoperative wound protection device for hemodialysis care according to claim 1, wherein: elastic component (2) include loop bar (201), movable rod (202) and spring (203), and the top of loop bar (201) is connected with movable rod (202), spring (203) have been cup jointed in the outside of movable rod (202), and mutually support between loop bar (201) and movable rod (202) and constitute extending structure.

3. A postoperative wound protection device for hemodialysis care according to claim 1, wherein: the inner surfaces of the second pressing plate (3) and the first pressing plate (1) are both connected with a cushion (13), the cushion (13) is made of elastic rubber, the second pressing plate (3) and the first pressing plate (1) are distributed in a vertically symmetrical mode about the horizontal center line of the elastic assembly (2), and meanwhile the second pressing plate (3) passes through the elastic assembly (2) and the first pressing plate (1) to form an elastic structure.

4. A postoperative wound protection device for hemodialysis care according to claim 1, wherein: the fixed assembly (5) comprises a handle (501), a polished rod (502) and a threaded rod (503), the polished rod (502) is fixed below the handle (501), and the threaded rod (503) is connected to the lower end of the polished rod (502).

5. The post-operative wound protection device for hemodialysis care according to claim 4, wherein: the polish rod (502) penetrates through the interior of the rotating plate (4), the rotating plate (4) forms a rotating structure through the polish rod (502) and the second pressing plate (3), and the second pressing plate (3) is in threaded connection with the threaded rod (503).

6. A postoperative wound protection device for hemodialysis care according to claim 1, wherein: lifting unit (8) include stand (801), branch (802) and fixing bolt (803), and the top of stand (801) is connected with branch (802), the inside threaded connection of junction of stand (801) and branch (802) has fixing bolt (803), and mutually supports between stand (801) and branch (802) and constitute extending structure.

7. A postoperative wound protection device for hemodialysis care according to claim 1, wherein: the supporting plate assembly (9) comprises a supporting plate (901), an arc-shaped plate (902) and an elastic cushion (903), the arc-shaped plate (902) is fixed at the right end of the supporting plate (901), the elastic cushion (903) is installed on the inner surfaces of the arc-shaped plate (902) and the supporting plate (901), and meanwhile the elastic cushion (903) is of an elastic hollow structure.