Gynaecology and obstetrics is with pregnant woman's palace base press device postpartum
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a postpartum uterine fundus pressing device for a pregnant woman in obstetrics and gynecology department.
Background
Caesarean delivery, which is a delivery method of incising the uterus through the abdomen and taking out the fetal treasure, is a very mature and common medical technology, and necrotic decidua, a small amount of fetal membranes and blood remained in the uterus of the puerpera after delivery are discharged out of the body in succession, namely lochia. Different lying-in women, the condition of arranging the lochia is also different, if the uterus shrink is bad postpartum, the lochia is difficult to discharge, it is bad to take place the uterine contraction easily, the palace chamber hematocele influences the uterine contraction, the lying-in woman that the condition is serious leads to the hemorrhage easily, just so need the nurse to press the palace base and help the lying-in woman arrange the lochia clean as early as possible for help uterus contracts better, promotes the recovery of uterus.
At present, the main solution is that a doctor or a nurse directly presses the uterus with hands, or presses the uterus with a sand bag, so that uterus contraction is promoted, and discharge of extravasated blood in the uterus is accelerated.
Disclosure of Invention
Aiming at the technical problems, the invention provides a postpartum uterine floor pressing device for pregnant women in obstetrics and gynecology department, which can enhance stimulation to the uterine floor.
The technical scheme of the invention is as follows: a gynaecology and obstetrics is with pregnant woman's palace base press device postpartum includes:
the pressurizing device is used for providing pressure to press the uterine fundus;
the pressurizing device comprises a cylindrical inflator with a cavity inside, a push rod penetrates through the top of the inflator, an air outlet nozzle is arranged on the lateral surface of the bottom of the inflator, a piston disc is further arranged inside the inflator, and the top of the piston disc is fixedly connected with the bottom of the push rod;
the first part is positioned above the abdomen of the lying-in woman and used for fixing the pressurizing device and stabilizing the pressure application degree and angle of the pressurizing device;
the first part comprises an elastic arch bar, a connecting piece which is arranged in the middle of the elastic arch bar and is used for being detachably connected with the inflator, and an auxiliary pressing component which is positioned on the concave side below the elastic arch bar;
the second part is positioned below the abdomen of the lying-in woman and connected with the first part, and is used for supporting the waist;
the second part comprises bandages at two ends of which the elastic arch bar is connected with the two ends of the elastic arch bar through fastening pieces, an inflatable air bag is arranged in the middle of the bandages, and the air bag is hermetically connected with an air outlet nozzle through an inflation tube with a joint and is used for enabling the air cylinder and the air bag to form an airflow closed loop.
Further, the manufacturing method of the elastic arch plate comprises the following steps: an arch-shaped framework is built by elastic titanium alloy wires, then the arch-shaped framework is placed in an arch-shaped grinding tool, liquid nitrile rubber is poured for filling, and after room temperature curing, the surface is polished to form the elastic arch plate. The elastic arch bar prepared by the method can keep a good arch structure with a supporting effect by utilizing a titanium alloy framework, and the nitrile rubber liquid solidified in the process of passing has good resilience toughness.
Further, the connecting piece includes that the joint puts and the internal thread circle that link up from top to bottom at elasticity arch bar central point to and set up the external screw thread ring of sub-inflator outside bottom, and external screw thread ring position is less than the air outlet nozzle, fixes the inflator on elasticity arch bar through the adaptation connection of external screw thread ring and internal thread circle. Can realize the inflator and the removable washing of elasticity arch bar through the connecting piece and be connected, be convenient for unpack apart and accomodate.
Further, supplementary subassembly of pressing includes and pastes the chassis of pasting in the inflator bottom through the magic, and the chassis below is the matrix form and is equipped with a plurality of flexible posts, and it has the round silica gel cover to surround in the outside of flexible post, and every flexible post is including fixing the column casing on the chassis to and wear the inside mobile flexible cylinder of cover in the column casing, link to each other through buffer spring between cylinder and the column, and the cylinder end links to each other with the silica gel cover, and silica gel cover surface is equipped with a plurality of semi-circular archs that correspond with the cylinder. Not only can make decurrent pressure obtain the buffering through flexible post, cooperation silica gel cover can form with lying-in woman abdomen shape and agree with for the belly pressurized is more even, can prevent that flexible post from to the too big of abdominal local pressure, causes the damage to the pregnant woman.
Furthermore, the fastener comprises female fasteners arranged at two ends of the elastic arch plate and male fasteners arranged at the tail ends of the bandage, and the male fasteners and the female fasteners can form a buckle structure.
Furthermore, the outer surface of the air bag is pasted with a non-woven fabric electrode slice which is electrically connected with an external middle-low frequency pulse current generator. Can be used for stimulating the waist of parturient by electric current, and promoting uterine contraction by pressing.
Furthermore, the periphery of the piston disc is provided with a rubber sealing ring soaked with lubricating oil.
Furthermore, a sealing bottom cover is arranged at the bottom of the air cylinder and connected with the cylinder body of the air cylinder through screws. The rubber sealing ring is convenient to disassemble and replace or lubricating oil is supplemented to keep the drawing smoothness of the piston disc and the inner wall of the cylinder body.
Furthermore, a cross-shaped handle convenient to hold is arranged at the top of the push rod. The operator can conveniently select the optimal force application direction.
The invention has the beneficial effects that:
(1) the air cylinder and the air bag are closed in air flow, when the air cylinder is pressed down, air is transferred into the air bag to be expanded, strong support is formed for the waist of a puerpera to protect the lumbar, the waist of the puerpera is also jacked upwards, and the air cylinder and an auxiliary pressing assembly positioned above the abdomen form an up-and-down extrusion combination, so that the stress degree of the abdomen can be increased, and the uterine contraction is promoted.
(2) The auxiliary pressing assembly is provided with the plurality of telescopic columns, so that downward pressure can be buffered, and the auxiliary pressing assembly can be matched with the shape of the abdomen of a puerpera to enable the abdomen to be pressed more uniformly by matching with the silica gel sleeve.
(3) The invention also sticks non-woven fabric electrode slice on the outer surface of the air bag, and the middle frequency current is led in the pressing process to stimulate the strong contraction of the waist muscle of the lying-in woman, so as to enhance the uterine contraction feeling, properly reduce the pressing force to the wound and relieve the pain.
Drawings
FIG. 1 is a cross-sectional view of the overall construction of the present invention;
FIG. 2 is an enlarged schematic view taken at A of FIG. 1 in accordance with the present invention;
FIG. 3 is a partial schematic view of the connection of the gas cylinder of the present invention to the resilient dome;
FIG. 4 is a top view of the resilient arch of the present invention;
FIG. 5 is a top view of the bandage with a non-woven electrode sheet of the present invention;
FIG. 6 is a top view of the cross handle of the present invention;
FIG. 7 is a bottom view of the auxiliary compression assembly of the present invention;
FIG. 8 is a state view of the push rod of FIG. 1 in accordance with the present invention as it is depressed;
fig. 9 is a schematic view of the overall structure of the electrode sheet with non-woven fabric of fig. 1 according to the present invention.
Wherein, 1-a pressurizing device, 11-an air cylinder, 12-a push rod, 13-an air outlet nozzle, 14-a piston disc, 15-a rubber sealing ring, 16-a sealing bottom cover, 17-a cross-shaped handle, 2-a first part, 21-an elastic arch bar, 22-a connecting piece, 221-an internal thread ring, 222-an external thread ring, 23-an auxiliary pressing component and 231-a chassis, 232-telescopic column, 233-silica gel sleeve, 234-column sleeve, 235-column body, 236-buffer spring, 237-semicircular bulge, 3-second component, 31-fastener, 311-female buckle, 312-male buckle, 32-bandage, 33-air bag, 34-inflation tube, 35-non-woven fabric electrode plate and 36-middle and low frequency pulse current generator.
Detailed Description
As shown in fig. 1, a postpartum uterine floor pressing device for a pregnant woman in obstetrics and gynecology department includes: the pressurizing device 1 for providing pressure to press the uterine cavity comprises a cylindrical air cylinder 11 with a cavity inside, a push rod 12 penetrates through the top of the air cylinder 11, a cross-shaped handle 17 convenient to hold is arranged at the top of the push rod 12, and the shape of the cross-shaped handle 17 is shown in fig. 6, so that an operator can conveniently select the optimal force application direction. The side surface of the bottom of the air cylinder 11 is provided with an air outlet nozzle 13, the interior of the air cylinder 11 is also provided with a piston disc 14, and the top of the piston disc 14 is fixedly connected with the bottom of the push rod 12; the periphery of the piston disc 14 is provided with a rubber sealing ring 15 soaked with lubricating oil, as shown in fig. 3, the bottom of the air cylinder 11 is provided with a sealing bottom cover 16, and the sealing bottom cover 16 is connected with the cylinder body of the air cylinder 11 through screws. The rubber sealing ring 15 is convenient to disassemble and replace or lubricating oil is supplemented to keep the drawing smoothness of the piston disc 14 and the inner wall of the cylinder body.
As shown in fig. 1 and 3, a first part 2 for fixing the compression device 1 is positioned above the abdomen of the parturient, for stabilizing the degree and angle of pressure application of the compression device 1; the first part 2 comprises an elastic arch bar 21, a connecting piece 22 which is arranged in the middle of the elastic arch bar 21 and is detachably connected with the air cylinder 11, the connecting piece 22 comprises an internal thread ring 221 which is connected to the center of the elastic arch bar 21 in a clamping manner and penetrates through the elastic arch bar 21 from top to bottom, and an external thread ring 222 which is arranged at the bottom of the outer side of the sub air cylinder 11, the position of the external thread ring 222 is lower than the air outlet nozzle 13, and the air cylinder 11 is fixed on the elastic arch bar 21 through the adaptive connection of the external thread ring 222 and. The connection piece 22 can realize the detachable and washable connection of the air cylinder 11 and the elastic arch plate 21, and is convenient to detach and store. The manufacturing method of the elastic arch bar 21 comprises the following steps: an arch-shaped framework is built by elastic titanium alloy wires, then the arch-shaped framework is placed in an arch-shaped grinding tool, liquid nitrile rubber is poured for filling, and after room temperature solidification, the surface is polished to form the elastic arch plate 21. The elastic arch bar 21 prepared by the method can keep a good arch structure with a supporting effect by utilizing a titanium alloy framework, and the nitrile rubber liquid solidified in the process of passing has good resilience toughness.
As shown in fig. 1, 2 and 7, the auxiliary pressing component 23 is located on the concave side below the elastic arch plate 21, the auxiliary pressing component 23 includes a bottom plate 231 adhered to the bottom of the air cylinder 11 through a hook and loop fastener, a plurality of telescopic columns 232 are arranged in a matrix shape below the bottom plate 231, a circle of silica gel sleeve 233 is surrounded outside the telescopic columns 232, each telescopic column 232 includes a column 234 fixed on the bottom plate 231 and a column 235 movably sleeved inside the column 234, the column 235 is connected with the column through a buffer spring 236, the tail end of the column 235 is connected with the silica gel sleeve 233, and a plurality of semicircular protrusions 237 corresponding to the column 235 are arranged on the outer surface of the silica gel sleeve 233. Not only can make decurrent pressure obtain the buffering through flexible post 232, cooperation silica gel cover 233 can form with lying-in woman abdomen shape and agree with for the belly pressurized is more even, can prevent that flexible post 232 from too big to the abdominal local pressure, causes the damage to the pregnant woman. (ii) a
As shown in fig. 1, a second part 3 connected to the first part 2, below the abdomen of the parturient, for supporting the waist; the second part 3 comprises a bandage 32 with two ends connected with two ends of the elastic arch 21 through a fastener 31, as shown in fig. 4 and 5, the fastener 31 comprises female fasteners 311 installed at two ends of the elastic arch 21, and male fasteners 312 installed at the ends of the bandage 32, and the male fasteners 312 and the female fasteners 311 can form a snap structure.
As shown in figures 1 and 8, an inflatable air bag 33 is arranged in the middle of the bandage 32, and the air bag 33 is connected with the air outlet nozzle 13 in a sealing way through an inflation pipe 34 with a connector for enabling the air cylinder 11 and the air bag 33 to form an air flow closed loop.
The working method of the embodiment comprises the following steps:
step 1: firstly, the external thread ring 222 of the air cylinder 11 is in adaptive connection with the internal thread ring 221 on the elastic arch bar 21, so that the air cylinder 11 and the elastic arch bar 21 are connected into a whole, and then the auxiliary pressing component 23 is fixed at the bottom of the air cylinder 11 through magic adhesion;
step 2: the second part 3 penetrates through the waist of the puerpera, the air bag 33 is adjusted to be positioned under the waist, the bandages 32 on the two sides of the air bag 33 are buckled with the female buckles 311 on the two ends of the elastic arch bar 21 through the male buckles 312, the pressurizing device 1 is righted to be positioned right above the pressing position of the abdominal belt of the puerpera, at the moment, the air in the air bag 33 is emptied due to the self-weight extrusion of the puerpera, the push rod 12 is lifted to the highest position to reserve the maximum space for the interior of the air cylinder 11, and then the inflation tube 34 connected with the air bag 33 is connected with the air outlet nozzle 13 at the bottom of the air cylinder 11 through the sealing joint;
and step 3: after all the materials are ready, the medical staff holds the cross-shaped handle 17 at the top of the push rod 12 to adjust the best pressurizing posture, then presses the push rod 12 downwards with force, further drives the piston disc 14 connected with the bottom of the push rod 12 to move downwards, the air in the air cylinder 11 flows into the air bag 33 through the inflation tube 34, so that the air bag 33 expands, the waist of the puerpera is jacked upwards, meanwhile, the maximum supporting force is provided for the waist, at the same time, the air cylinder 11 is continuously pressed downwards to cause the elastic arch plate 21 to deform, the auxiliary pressing component 23 is linked with the air cylinder 11, when the semicircular bulge 237 at the bottom of the silica gel sleeve 233 is contacted with the abdomen, the pressurization is continued, because the abdomen is a flexible contact surface, the telescopic column 232 wrapped by the silica gel sleeve 233 is an actual stressed part, each column 235 contracts upwards to press the buffer spring 236 after being pressed by the pressure in different directions of the abdomen, thereby not only playing a certain buffering, and the silica gel sleeve 233 can be attached to the abdomen to the maximum extent, so that the stress is more uniform.
And 4, step 4: until the push rod 12 can not be pressed down any more, the medical staff lifts the push rod 12 upwards to suck the air in the air bag 33 into the air cylinder 11, one pressing is completed, and the steps are repeated to perform multiple pressing, so that the uterine contraction is promoted.
In order to further promote uterine contraction, as shown in fig. 5 and 9, a non-woven fabric electrode plate 35 is adhered to the outer surface of the air bag 33, the non-woven fabric electrode plate 35 is electrically connected with an external medium-low frequency pulse current generator 36, and medium-frequency current of 6000-8000 Hz is introduced for stimulation in the pressing process, so that muscle strong contraction can be achieved, and pain of a patient cannot be caused.