CN111166952A - Dialysis quality monitoring device and method for nephrology department - Google Patents

Dialysis quality monitoring device and method for nephrology department Download PDF

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Publication number
CN111166952A
CN111166952A CN202010037552.5A CN202010037552A CN111166952A CN 111166952 A CN111166952 A CN 111166952A CN 202010037552 A CN202010037552 A CN 202010037552A CN 111166952 A CN111166952 A CN 111166952A
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patient
supporting seat
blood pressure
body temperature
arm
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张兆星
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055Simultaneously evaluating both cardiovascular condition and temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/007Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0029Arm or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/007Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
    • A61F2007/0071Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating using a resistor, e.g. near the spot to be heated
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01KMEASURING TEMPERATURE; MEASURING QUANTITY OF HEAT; THERMALLY-SENSITIVE ELEMENTS NOT OTHERWISE PROVIDED FOR
    • G01K13/00Thermometers specially adapted for specific purposes
    • G01K13/20Clinical contact thermometers for use with humans or animals

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Urology & Nephrology (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Nursing (AREA)
  • Pulmonology (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a dialysis quality monitoring device and a monitoring method thereof for a nephrology department, comprising the following steps: a cabinet body; the PLC controller is detachably arranged at the top of the rear side of the inner cavity of the cabinet body; the box door is hinged to the right end of the front side of the cabinet body; the monitoring system comprises a dynamic blood pressure monitor and a body temperature monitor, wherein the dynamic blood pressure monitor and the body temperature monitor are respectively detachably arranged at the left end and the right end of the top of the front side of a box door, and are electrically connected with a PLC (programmable logic controller); the cuff is electrically connected with the dynamic blood pressure monitor through a lead. The invention can monitor the body temperature and the blood pressure in real time during hemodialysis, can timely stop the occurrence of complications, has high safety, can realize the fixation of the arm, avoids the accidents of puncturing the blood vessel and the like by the puncture needle caused by the unconscious and violent actions of the arm of a patient, ensures the normal operation of hemodialysis treatment, and is beneficial to the monitoring and use of the hemodialysis.

Description

Dialysis quality monitoring device and method for nephrology department
Technical Field
The invention relates to the technical field of medical instruments, in particular to a dialysis quality monitoring device and a dialysis quality monitoring method for a nephrology department.
Background
Hemodialysis (HD) is one of the alternative treatments for the kidney of patients with acute and chronic renal failure. The method comprises the steps of draining blood in vivo to the outside of the body, enabling the blood and electrolyte solution (dialysate) with similar body concentration to be inside and outside one hollow fiber through a dialyzer consisting of a plurality of hollow fibers, and carrying out substance exchange through dispersion, ultrafiltration, adsorption and convection principles, so as to remove metabolic waste in the body and maintain the balance of electrolyte and acid and alkali; at the same time, the excess water in the body is removed, and the whole process of purified blood reinfusion is called hemodialysis. The nurse in hemodialysis closely monitors the patient, which is an important guarantee for the smooth dialysis of the patient. The monitoring can greatly improve the dialysis effect of the patient and the safety and comfort level in the dialysis. Monitoring contents in hemodialysis comprise four aspects of patient disease monitoring, blood vessel access monitoring, extracorporeal circulation monitoring and dialysate circuit (also called a waterway) monitoring;
hemodialysis lasts longer, generally 4-5 hours. In the dialysis process, hyperthermia, hypotension or hypertension are common complications, when medical personnel carry out hemodialysis treatment for a patient, the temperature and the blood pressure of the patient are measured before and after dialysis, real-time monitoring cannot be realized, the occurrence of the complications is difficult to stop in time, the safety is poor, in addition, an arm cannot be fixed, anxiety and uneasiness easily occur to the patient after long-time dialysis, once the arm does not unconsciously and violently act, accidents such as puncture of a blood vessel by a puncture needle and the like are probably caused, the treatment can be stopped, and therefore, a dialysis quality monitoring device for the nephrology department is necessary to be provided.
Disclosure of Invention
The invention aims to provide a dialysis quality monitoring device for a nephrology department and a monitoring method thereof, which are used for at least solving the problems that the body temperature and the blood pressure of a patient cannot be monitored in real time and the arm cannot be fixed to cause puncture of the patient by a puncture needle in the prior art.
In order to achieve the purpose, the invention provides the following technical scheme: a nephrology department dialysis quality monitoring device, comprising:
a cabinet body;
the PLC controller is detachably arranged at the top of the rear side of the inner cavity of the cabinet body;
the box door is hinged to the right end of the front side of the cabinet body;
the monitoring system comprises a dynamic blood pressure monitor and a body temperature monitor, wherein the dynamic blood pressure monitor and the body temperature monitor are respectively detachably arranged at the left end and the right end of the top of the front side of a box door, and are electrically connected with a PLC (programmable logic controller);
the cuff is electrically connected with the dynamic blood pressure monitor through a lead;
the temperature sensing probe is electrically connected with the body temperature monitor through a lead;
the supporting mechanism is electrically connected with the PLC through a wire;
the loudspeaker can be detachably arranged at the top of the right side wall of the cabinet body, and is electrically connected with the PLC.
Preferably, the support mechanism includes: the mounting plate is U-shaped; the two fastening bolts are respectively screwed on the front side and the rear side of the bottom of the mounting plate; the supporting plate is rotatably connected to the rear side of the top of the mounting plate through a pin shaft, first slide ways are formed in the left end and the right end of the front side of the top of the supporting plate, and clamping grooves are formed in the top of the supporting plate, located on the inner side of the first slide ways, from front to back; the first supporting seat is detachably arranged on the rear side of the top of the supporting plate; the first sliding block is inserted into the inner cavity of the first slide way; the second supporting seat is detachably arranged at the top of the first sliding block, a limiting T-shaped groove is formed in the bottom of the second supporting seat, and second sliding ways are formed in the bottoms of the left side and the right side of an inner cavity of the limiting T-shaped groove; the two magic male tapes are respectively adhered to the right sides of the first supporting seat and the second supporting seat; the two magic female tapes are respectively adhered to the left sides of the first supporting seat and the second supporting seat, and the magic female tapes can be adhered with the magic male tapes; the heating wire is embedded in the magic female tape and is electrically connected with the PLC; the two springs are respectively inserted into the left side and the right side of the top of the inner cavity of the limiting T-shaped groove, and the top of each spring is clamped with the top of the inner cavity of the limiting T-shaped groove; one part of the plug board is inserted into the inner cavity of the limiting T-shaped groove and clamped with the spring, and the other part of the plug board is inserted into the inner cavity of the clamping groove to brake the second supporting seat; the two push rods are respectively inserted into the left side and the right side of the inner cavity of the limiting T-shaped groove and are in contact with the side walls of the inserting plates; one part of the second sliding block is inserted into the inner cavity of the second slide way, and the other part of the second sliding block is detachably connected with the bottom of the push rod.
Preferably, the contact surface of the first slide way and the first slide block is in a dovetail shape.
Preferably, the heating wires are arranged in the female magic tape in a snake shape.
Preferably, the bottom of the inserting plate is triangular.
Preferably, the inner side of the push rod is an inclined plane, and the contact surface of the push rod and the inserting plate is an inclined plane.
The use method of the device comprises the following steps,
firstly, a cabinet body is placed on a bedside table of a hospital bed or the ground, then a mounting plate on a supporting mechanism is sleeved on a bed plate of the hospital bed at the arm position of a patient, a fastening bolt is screwed, the mounting plate is locked on the hospital bed under the compression of the fastening bolt, a push rod is pressed inwards according to the length of the arm of the patient, so that the push rod drives a second slide block to slide along an inner cavity of a second slide way, meanwhile, the push rod pushes an insert plate to move upwards to be separated from a clamping groove, the positioning of the second support seat is released, the second support seat can be pushed forwards or backwards, the second support seat moves forwards or backwards under the sliding of a first slide block, when the arm of the patient can be placed on the first support seat and the second support seat, and under the condition that the puncture of a doctor is not influenced, the push rod is loosened, a spring pushes the insert plate to move downwards, the position adjustment of the second supporting seat is completed, the arm of the patient is placed on the first supporting seat and the second supporting seat at the moment, the magic female tape is wound on the arm and tightly adhered to the magic male tape to fix the arm of the patient, and finally the sleeve belt is sleeved on the other arm of the patient, so that the temperature sensing probe is placed under the liquid of the patient to complete the basic work of hemodialysis monitoring of the patient;
and step two, controlling the PLC, starting the dynamic blood pressure monitor and the body temperature monitor, analyzing and displaying the blood pressure of the patient by the dynamic blood pressure monitor, analyzing and displaying the body temperature of the patient by the body temperature monitor, and realizing the real-time monitoring of the body temperature and the blood pressure.
The dialysis quality monitoring device and the dialysis quality monitoring method for the nephrology department have the beneficial effects that:
the invention fastens and fixes the puncture arm of the patient through the supporting mechanism, prevents the arm of the patient from violent movement, sleeves the other arm of the patient, the temperature sensing probe is arranged under the liquid of the patient, the preparation work of monitoring is completed, the body temperature and the blood pressure of the patient are monitored through the cooperation of the PLC, the dynamic blood pressure monitor and the body temperature monitor, and the heating wire can heat the arm of the patient, thereby preventing the body discomfort caused by the over-cold arm, and further, the real-time monitoring of the body temperature and the blood pressure can be carried out during hemodialysis, the occurrence of complications can be stopped in time, the safety is high, in addition, the arm can be fixed, the accidents that the puncture needle punctures the blood vessel and the like due to unconscious violent movement of the arm of the patient are avoided, the normal proceeding of.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a front cross-sectional view of the cabinet of FIG. 1;
FIG. 3 is a schematic structural view of the support mechanism of FIG. 1;
FIG. 4 is a rear cross-sectional view of the support plate and the second support block of FIG. 3;
figure 5 is a top cross-sectional view of the female velcro tape of figure 3;
fig. 6 is a schematic view of the board structure shown in fig. 4.
In the figure: 1. the cabinet body, 2, PLC controller, 3, chamber door, 4, dynamic blood pressure monitor, 5, body temperature monitor, 6, cuff, 7, temperature sensing probe, 8, supporting mechanism, 81, mounting panel, 82, fastening bolt, 83, backup pad, 84, first slide, 85, draw-in groove, 86, first supporting seat, 87, first slider, 88, second supporting seat, 89, the public subsides of magic, 810, the female subsides of magic, 811, heater strip, 812, spacing T-slot, 813, second slide, 814, spring, 815, picture peg, 816, push rod, 817, second slider, 9, speaker.
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. 1-6, the present invention provides a technical solution: a dialysis quality monitoring device for a nephrology department comprises a cabinet body 1, a PLC (programmable logic controller) 2, a cabinet door 3, a dynamic blood pressure monitor 4, a body temperature monitor 5, a sleeve belt 6, a temperature sensing probe 7, a supporting mechanism 8 and a loudspeaker 9, wherein when the device is not used, the sleeve belt 6, the temperature sensing probe 7 and the supporting mechanism 8 can be stored in the cabinet body 1 and are convenient to carry, the PLC 2 is detachably arranged at the top of the rear side of an inner cavity of the cabinet body 1, the PLC 2 is used for controlling the start and stop of the loudspeaker 9 and a heating wire 811, the cabinet door 3 is hinged at the right end of the front side of the cabinet body 1, the dynamic blood pressure monitor 4 and the body temperature monitor 5 are respectively detachably arranged at the left end and the right end of the top of the front side of the cabinet door 3, the dynamic blood pressure monitor 4 and the body temperature monitor 5 are electrically connected with the PLC 2, the, the sleeve area 6 passes through wire and 4 electric connection of dynamic blood pressure monitor, can exert pressure to patient's arm through sleeve area 6, thereby make dynamic blood pressure monitor 4 monitor patient's blood pressure, temperature-sensing probe 7 passes through wire and 5 electric connection of body temperature monitor, install heat-sensitive element in the temperature-sensing probe 7, temperature-sensing probe 7 is used for the receipt of human body temperature, supporting mechanism 8 passes through wire and 2 electric connection of PLC controller, speaker 9 can be dismantled and set up in the right side wall top of the cabinet body 1, and speaker 9 and 2 electric connection of PLC controller, speaker 9 sound production is reported to the police, can make the doctor in time discover patient's body temperature or blood pressure unusual.
Preferably, the supporting mechanism 8 includes a mounting plate 81, fastening bolts 82, a supporting plate 83, a first slideway 84, a slot 85, a first supporting seat 86, a first slider 87, a second supporting seat 88, a male magic tape 89, a female magic tape 810, a heating wire 811, a T-shaped limiting groove 812, a second slideway 813, a spring 814, an inserting plate 815, a push rod 816 and a second slider 817, the mounting plate 81 is U-shaped, the mounting plate 81 is sleeved on a bed board of a hospital bed, the mounting plate 81 can be locked on the hospital bed by screwing the fastening bolts 82 to press the bed board, the two fastening bolts 82 are respectively screwed on the front and rear sides of the bottom of the mounting plate 81, the supporting plate 83 is rotatably connected to the rear side of the top of the mounting plate 81 through a pin shaft, the supporting plate 83 is ensured to rotate, the arms of a patient can be placed on the first supporting seat 86 and the second supporting seat 88 in a comfortable posture, the first slideway 84 is provided at each of the, the top of the supporting plate 83 is positioned on the inner side of the first slide 84 and is provided with a clamping groove 85 from front to back, the second supporting seat 88 can move back and forth through the matching of the first slide 84 and the first slide 87, the first supporting seat 86 is detachably arranged on the back side of the top of the supporting plate 83, the tops of the first supporting seat 86 and the second supporting seat 88 are arc-shaped and are placed by the arm of a patient to avoid the pressure sore of the arm of the patient, the first slide 87 is inserted into the inner cavity of the first slide 84, the second supporting seat 88 is detachably arranged on the top of the first slide 87, the bottom of the second supporting seat 88 is provided with a limiting T-shaped groove 812, the bottoms of the left side and the right side of the inner cavity of the limiting T-shaped groove 812 are provided with second slides 813, the push rod 816 is limited through the matching of the second slides 813 and the second slide 817 to avoid the push rod 816 from being separated from the limiting T-shaped groove 812, and two magic posts 89, two magic female stickers 810 are respectively adhered to the left sides of the first supporting seat 86 and the second supporting seat 88, the magic female stickers 810 can be adhered to the magic male stickers 89, the arms of a patient can be fixed on the first supporting seat 86 and the second supporting seat 88 through the matching of the magic female stickers 810 and the magic male stickers 89, heating wires 811 are embedded in the magic female stickers 810, the heating wires 811 are electrically connected with the PLC 2, the heating wires 811 are electrified and heated to provide heat energy for the arms of the patient and ensure the heat degree of the arms, two springs 814 are respectively inserted on the left side and the right side of the top of the inner cavity of the limiting T-shaped groove 812, the top of the springs 814 is clamped with the top of the inner cavity of the limiting T-shaped groove 812, the springs 814 are rotating springs, the elastic coefficient is 40N/CM, the springs 814 generate elastic deformation after being stretched or extruded, the springs recover to the initial state after external force is removed, the inserting plate 815 can, one part of the inserting plate 815 is inserted into an inner cavity of the limiting T-shaped groove 812, the inserting plate 815 is clamped with the spring 814, the other part of the inserting plate 815 is inserted into an inner cavity of the clamping groove 85 to brake the second supporting seat 88, the two push rods 816 are respectively inserted into the left side and the right side of the inner cavity of the limiting T-shaped groove 812, the push rods 816 are in contact with the side walls of the inserting plate 815, one part of the second sliding block 817 is inserted into an inner cavity of the second sliding rail 813, and the other part of the second sliding block 817 is detachably connected with the bottom of the push rods 816.
Preferably, the contact surface between the first slide way 84 and the first slide block 87 is dovetail-shaped, so as to prevent the first slide block 87 from being separated from the first slide way 84, and improve the stability of the second support seat 88.
As a preferred scheme, furthermore, the heating wire 811 is arranged in the female magic tape 810 in a serpentine shape, so that the contact area between the heating wire 811 and the female magic tape 810 is enlarged, and the heating wire 811 is ensured to uniformly heat the female magic tape 810, thereby facilitating the heating of the arm of the patient.
Preferably, the bottom of the insert 815 is triangular to facilitate insertion of the insert 815 in alignment with the slot 85.
Preferably, the inner side of the push rod 816 is an inclined surface, and the contact surface between the push rod 816 and the insert plate 815 is an inclined surface, so that when the two push rods 816 are pressed inwards, the push rod 816 can push the insert plate 815 to move upwards due to the action of the inclined surfaces, and further the insert plate 815 is driven.
A monitoring method of a dialysis quality monitoring device in a nephrology department comprises the following steps,
step one, the cabinet body 1 is placed on a bedside table of a hospital bed or on the ground, the mounting plate 81 on the supporting mechanism 8 is sleeved on a bed plate of the hospital bed at the arm position of a patient, the fastening bolt 82 is tightened, the mounting plate 81 is locked on the hospital bed under the pressure of the fastening bolt 82, the push rod 816 is pressed inwards according to the length of the arm of the patient, the push rod 816 drives the second sliding block 817 to slide along the inner cavity of the second sliding rail 813, meanwhile, the push rod 816 pushes the insert plate 815 to move upwards to separate from the clamping groove 85, the positioning of the second supporting seat 88 is released, the second supporting seat 88 can be pushed forwards or backwards, the second supporting seat 88 moves forwards or backwards under the sliding of the first sliding block 87, when the arm of the patient can be placed on the first supporting seat 86 and the second supporting seat 88, and under the condition that the puncture of the doctor is not affected, the push rod 816 is loosened, the spring 814 pushes the, meanwhile, the inserting plate 815 pushes the push rod 816 to move outwards to return to the initial position, the position adjustment of the second supporting seat 88 is completed, at this time, the arm of the patient is placed on the first supporting seat 86 and the second supporting seat 88, the magic female tape 810 is wound on the arm and is tightly attached to the magic male tape 89, the arm of the patient is fixed, and finally the cuff 6 is sleeved on the other arm of the patient, so that the temperature sensing probe 7 is placed under the liquid of the patient, and the basic work of the hemodialysis monitoring of the patient is completed;
and step two, controlling the PLC 2, starting the dynamic blood pressure monitor 4 and the body temperature monitor 5, analyzing and displaying the blood pressure of the patient by the dynamic blood pressure monitor 4, analyzing and displaying the body temperature of the patient by the body temperature monitor 5, and realizing real-time monitoring of the body temperature and the blood pressure, in addition, controlling the heating wire 811 to work by the PLC 2, electrifying and releasing the heating wire 811, heating the arm of the patient, and avoiding discomfort of the patient caused by the over-cold arm with the puncture needle, when the body temperature or the blood pressure of the patient exceeds the internal set value of the dynamic blood pressure monitor 4 or the body temperature monitor 5, the dynamic blood pressure monitor 4 or the body temperature monitor 5 can send an electric signal to the PLC 2, so that the PLC 2 controls the loudspeaker 9 to start to sound to remind a doctor of the.
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 (7)

1. A kidney disease branch of academic or vocational study dialysis quality monitoring devices, its characterized in that includes:
a cabinet body (1);
the PLC controller (2) is detachably arranged at the top of the rear side of the inner cavity of the cabinet body (1);
the box door (3) is hinged to the right end of the front side of the cabinet body (1);
the monitoring device comprises a dynamic blood pressure monitor (4) and a body temperature monitor (5), wherein the dynamic blood pressure monitor (4) and the body temperature monitor (5) are respectively detachably arranged at the left end and the right end of the top of the front side of a box door (3), and the dynamic blood pressure monitor (4) and the body temperature monitor (5) are electrically connected with a PLC (programmable logic controller) (2);
the cuff (6) is electrically connected with the dynamic blood pressure monitor (4) through a lead wire;
the temperature sensing probe (7), the said temperature sensing probe (7) is connected with body temperature monitor (5) electrically through the wire;
the supporting mechanism (8), the supporting mechanism (8) is electrically connected with the PLC controller (2) through a wire;
speaker (9), speaker (9) can be dismantled and set up in the right side wall top of the cabinet body (1), and speaker (9) and PLC controller (2) electric connection.
2. The nephrology dialysis quality monitoring device of claim 1, characterized in that: the support mechanism (8) comprises:
the mounting plate (81), the mounting plate (81) is U-shaped;
the two fastening bolts (82) are respectively screwed on the front side and the rear side of the bottom of the mounting plate (81);
the supporting plate (83) is rotatably connected to the rear side of the top of the mounting plate (81) through a pin shaft, first slide ways (84) are respectively arranged at the left end and the right end of the front side of the top of the supporting plate (83), and clamping grooves (85) are respectively formed in the top of the supporting plate (83) and positioned on the inner sides of the first slide ways (84) from front to back;
the first supporting seat (86), the first supporting seat (86) is detachably arranged at the rear side of the top of the supporting plate (83);
the first sliding block (87), the first sliding block (87) is inserted into the inner cavity of the first slide way (84);
the second supporting seat (88) is detachably arranged at the top of the first sliding block (87), a limiting T-shaped groove (812) is formed in the bottom of the second supporting seat (88), and second sliding ways (813) are formed in the bottoms of the left side and the right side of an inner cavity of the limiting T-shaped groove (812);
the two magic male tapes (89) are respectively adhered to the right sides of the first supporting seat (86) and the second supporting seat (88);
the two magic female tapes (810) are respectively adhered to the left sides of the first supporting seat (86) and the second supporting seat (88), and the magic female tape (810) can be adhered to the magic male tape (89);
the heating wire (811) is embedded in the magic female tape (810), and the heating wire (811) is electrically connected with the PLC (2);
the two springs (814) are respectively inserted into the left side and the right side of the top of the inner cavity of the limiting T-shaped groove (812), and the top of the spring (814) is clamped with the top of the inner cavity of the limiting T-shaped groove (812);
an inserting plate (815), wherein one part of the inserting plate (815) is inserted into an inner cavity of the limiting T-shaped groove (812), the inserting plate (815) is clamped with the spring (814), and the other part of the inserting plate (815) is inserted into an inner cavity of the clamping groove (85) to brake the second supporting seat (88);
the two push rods (816) are respectively inserted into the left side and the right side of the inner cavity of the limiting T-shaped groove (812), and the push rods (816) are in contact with the side wall of the inserting plate (815);
a second sliding block (817), one part of the second sliding block (817) is inserted into the inner cavity of the second slideway (813), and the other part of the second sliding block (817) is detachably connected with the bottom of the push rod (816).
3. The nephrology dialysis quality monitoring device of claim 2, wherein: the contact surface of the first slide way (84) and the first slide block (87) is in a dovetail shape.
4. The nephrology dialysis quality monitoring device of claim 2, wherein: the heating wires (811) are arranged in the magic female tape (810) in a snake shape.
5. The nephrology dialysis quality monitoring device of claim 2, wherein: the bottom of the inserting plate (815) is triangular.
6. The nephrology dialysis quality monitoring device of claim 2, wherein: the inner side of the push rod (816) is an inclined plane, and the contact surface of the push rod (816) and the inserting plate (815) is an inclined plane.
7. The monitoring method of the dialysis quality monitoring device for nephrology department according to any one of claims 1-6, comprising the steps of,
step one, a cabinet body (1) is placed on a bedside table of a hospital bed or on the ground, a mounting plate (81) on a supporting mechanism (8) is sleeved on a bed plate of the hospital bed and positioned at the arm of a patient, a fastening bolt (82) is screwed, the mounting plate (81) is locked on the hospital bed under the pressure of the fastening bolt (82), a push rod (816) is pressed inwards according to the length of the arm of the patient, the push rod 816 drives a second sliding block (817) to slide along an inner cavity of a second sliding rail (813), meanwhile, the push rod (816) pushes an inserting plate (815) to move upwards to be separated from a clamping groove (85), the positioning of a second supporting seat (88) is released, so that the second supporting seat (88) can be pushed forwards or backwards, the second supporting seat (88) moves forwards or backwards under the sliding of a first sliding block (87), when the arm of the patient can be placed on the first supporting seat (86) and the second supporting seat (, loosening the push rod (816), pushing the inserting plate (815) to move downwards to be inserted into the clamping groove (85) at the corresponding position by the spring (814) under the action of self elasticity, pushing the push rod (816) to move outwards to return to the initial position by the inserting plate (815), completing the position adjustment of the second supporting seat (88), placing the arm of the patient on the first supporting seat (86) and the second supporting seat (88), winding the magic female tape (810) on the arm and tightly adhering the magic female tape (89), fixing the arm of the patient, and finally sleeving the sleeve belt (6) on the other arm of the patient, so that the temperature sensing probe (7) is placed under the liquid of the patient, and completing the basic work of hemodialysis monitoring of the patient;
and step two, controlling the PLC (2), starting the dynamic blood pressure monitor (4) and the body temperature monitor (5), analyzing and displaying the blood pressure of the patient by the dynamic blood pressure monitor (4), analyzing and displaying the body temperature of the patient by the body temperature monitor (5), and realizing the real-time monitoring of the body temperature and the blood pressure, in addition, controlling the heating wire (811) to work by the PLC (2), electrifying and releasing the heating wire (811), heating the arm of the patient, avoiding the discomfort of the patient caused by the over-cold arm with the puncture needle, and sending an electric signal to the PLC (2) by the dynamic blood pressure monitor (4) or the body temperature monitor (5) when the body temperature or the blood pressure of the patient exceeds the internal set value of the dynamic blood pressure monitor (4) or the body temperature monitor (5), so that the PLC (2) controls the loudspeaker (9) to start sounding to remind a doctor of the occurrence of complications.
CN202010037552.5A 2020-01-14 2020-01-14 Dialysis quality monitoring device and method for nephrology department Pending CN111166952A (en)

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Application publication date: 20200519