CN112056892A - A kind of multifunctional protection pillow for anti-compression and anti-infection wound - Google Patents

Abstract

The invention relates to the technical field of medical supplies, and discloses a multifunctional protection pillow for anti-compression, anti-infection and wounds, comprising an outer pillow cover and a pillow core located inside the outer pillow cover, the outer pillow cover includes an outer pillow cover body, and the top end of the outer pillow cover body is The middle part of the outer pillowcase body is provided with a head placement groove, the top of the outer pillowcase body is located in the front side of the head placement groove and a neck positioning groove is provided, and the rear side of the top end of the outer pillowcase body is provided with a drainage running through the inside of the head placement groove. Tube opening slot. The invention has the characteristics of waterproof and breathable, so that the excessive heat and sweat generated by the patient's head and neck can be drawn away from the skin and transmitted to the surface of the fabric, thereby rapidly evaporating, and significantly reducing the occurrence of head and neck pressure injuries in patients with posterior cranial fossa surgery It can protect the wound, prevent the occurrence of head pressure injury, reduce nosocomial infection, and increase comfort, so as to meet the actual needs of patients undergoing posterior fossa surgery and improve the quality of care.

Description

A kind of multifunctional protection pillow for anti-compression and anti-infection wound

technical field

The invention relates to the technical field of medical supplies, in particular to a multifunctional protection pillow for anti-compression and anti-infection wounds.

Background technique

With the increase in the number of bacteria on the pillow surface, the possibility of nosocomial infection in patients will increase. For every 1 CFU/ ^cm2 increase in the number of bacteria on the pillow surface, the probability of infection in patients will increase by 0.81 times. Among them, in the ward environment of patients with multiple infections, Acinetobacter baumannii, Escherichia coli and Staphylococcus epidermidis were detected on the air, pillows and quilts. The cluster is relatively consistent and is an important source of infection in patients.

At present, sterile towels or urine pads are generally used in clinic to isolate and protect the wound, and the pillowcase is replaced after contamination. However, the disinfection of the pillow core is often incomplete, which becomes one of the risk factors for postoperative wound infection in the posterior cranial fossa, resulting in the inability to protect the wound and prevent effective prevention. The occurrence of head pressure injury, high nosocomial infection rate and poor comfort.

SUMMARY OF THE INVENTION

The purpose of the present invention is to provide a multifunctional protection pillow for anti-compression and anti-infection wounds to solve the problems raised in the above background art.

To achieve the above object, the present invention provides the following technical solutions:

A multifunctional protection pillow for anti-compression and anti-infection wounds, comprising an outer pillow cover and a pillow core located inside the outer pillow cover, the outer pillow cover includes an outer pillow cover body, and a head placement groove is provided in the middle of the top end of the outer pillow cover body, and The top of the outer pillowcase body is provided with side placement grooves on both sides of the head placement groove, the top of the outer pillowcase body is located at the front side of the head placement groove, and a neck positioning groove is provided, and the top of the outer pillowcase body is behind the head placement groove. The side is provided with a drainage tube opening slot running through the inner side of the head placement slot, the top of the outer pillowcase body is provided with a fixing band on the side close to the drainage tube opening slot, and the top end of the outer pillowcase body is close to the drainage tube opening slot on the other side A magic sticker is provided, one side of the outer pillow cover body is provided with a strip-shaped replacement port, one side of the fixing belt is provided with a magic tape, and the inner side of the opening groove of the drainage tube is provided with a raised block, the A zipper is provided on the inner side of the bar-shaped replacement opening.

As a further solution of the present invention, the outer pillowcase body includes an outer fabric layer, a waterproof and breathable layer is arranged on the lower side of the outer fabric layer, and an inner fabric layer is arranged on the inner side of the waterproof and breathable layer.

As a further solution of the present invention: the material of the outer fabric layer is modified antibacterial cotton fiber, the material of the waterproof and breathable layer is polytetrafluoroethylene microporous film, and the material of the inner fabric layer is non-woven fabric.

As a further solution of the present invention: the pillow core includes a pillow core inner cover, the inner side of the pillow core inner cover is provided with a latex layer, the inner side of the latex layer is provided with a wormwood core, and the outer surface of the latex layer is provided with a latex layer. There are even ventilation holes on the upper side.

As a further solution of the present invention, the material of the pillow core inner cover is cotton gauze, and the pillow core inner cover is embedded in the inner side of the outer pillow cover body.

As a further scheme of the present invention: the manufacturing process of the outer pillowcase body comprises the following steps:

S1. Blend 80% cotton fiber and 20% polyacrylonitrile fiber to make synthetic cotton fiber cloth, and then soap and water the synthetic cotton fiber cloth in turn to keep it clean;

S2, chemically pre-treating the synthetic cotton fiber fabric, so that the synthetic cotton fiber fabric and the NaOH solution are subjected to an alkali hydrolysis reaction, so that the cyano groups present in the fiber macromolecular chain are converted into sodium carboxylate reactive groups, and the sodium carboxylate type is obtained. fiber;

S3. Immerse the synthetic cotton fiber cloth in the quaternary phosphonium salt solution, so that the sodium carboxylate fiber and the quaternary phosphonium salt are ion-exchanged, and the triphenylphosphonium bromide quaternary phosphonium cations containing different alkyl chain lengths are mixed with Na-PANF Na ⁺ on the ion exchange is carried out, so that the quaternary phosphonium cation is organically combined with the fiber structure, and the quaternary phosphonium cationic fiber cloth is obtained;

S4, the quaternary phosphonium cationic fiber cloth is washed with AgNO3 solution, so that part of Na ⁺ is ion-exchanged with silver nitrate, then washed with distilled water and dried to obtain the modified antibacterial cotton fiber cloth, that is, the outer fabric layer.

S5. Cover the lower surface of the modified antibacterial cotton fiber cloth with the polytetrafluoroethylene microporous film by biaxial stretching to form a waterproof and breathable layer, and then cover the lower surface of the waterproof and breathable layer with a layer of non-woven fabric to obtain an inner fabric layer , thereby forming the outer pillowcase body.

Compared with the prior art, the beneficial effects of the present invention:

The invention has the characteristics of waterproof and breathable, so that the excessive heat and sweat generated by the patient's head and neck can be drawn away from the skin and transmitted to the surface of the fabric, thereby rapidly evaporating, and can prevent the water vapor from entering the pillow core, which can significantly reduce the incidence of posterior cranial The incidence of head and neck pressure injury in patients with fossa surgery can reduce the risk of oral infection, and it has the effects of protecting wounds, preventing the occurrence of head pressure injury, reducing nosocomial infection, and increasing comfort, so as to meet the needs of posterior fossa surgery. The actual needs of patients, improve the quality of care.

Description of drawings

1 is a schematic structural diagram of a multi-functional protective pillow for anti-compression and anti-infection wounds;

Figure 2 is a schematic structural diagram of an outer pillow cover in a multifunctional protection pillow against pressure and infection;

3 is a partial cross-sectional schematic diagram of an outer pillow cover body in a multi-functional protection pillow for anti-compression and anti-infection wounds;

FIG. 4 is a schematic cross-sectional structural diagram of a pillow core in a multi-functional protection pillow for anti-compression and anti-infection wounds.

In the figure: 1. Outer pillowcase; 11. Outer pillowcase body; 111. Outer fabric layer; 112. Waterproof and breathable layer; 113. Inner fabric layer; 12. Zipper; 13. Bar-shaped replacement port; 14. Side slot; 15 , head placement slot; 16, magic sticker; 17, drainage tube opening slot; 18, magic tape; 19, fixing belt; 10, neck positioning slot; 110, raised block; 2, pillow core; 21, Pillow inner cover; 22, ventilation holes; 23, latex layer; 24, wormwood core.

Detailed ways

Referring to FIGS. 1 to 4 , in an embodiment of the present invention, a multifunctional protection pillow for anti-compression and anti-infection wounds includes an outer pillow cover 1 and a pillow core 2 located inside the outer pillow cover 1 . The outer pillow cover 1 includes an outer pillow cover body 11 , an outer pillow cover 11 A head placement groove 15 is provided in the middle of the top of the pillowcase body 11 , side placement grooves 14 are provided on both sides of the top of the outer pillowcase body 11 close to the head placement groove 15 , and the top of the outer pillowcase body 11 is located in the head placement groove 15 . A neck positioning groove 10 is provided on the front side of the outer pillowcase body 11, a drainage tube opening groove 17 extending through the inner side of the head placement groove 15 is opened on the rear side of the top end of the outer pillowcase body 11, and the top end of the outer pillowcase body 11 is close to a drainage tube opening groove 17. A fixing belt 19 is provided on the side, the top end of the outer pillowcase body 11 is provided with a magic sticker 16 on the other side of the top end of the outer pillowcase body 11 close to the opening groove 17 of the drainage tube, and a strip-shaped replacement port 13 is arranged on one side of the outer pillowcase body 11. The side is provided with a Velcro 18, the inner side of the drainage tube opening groove 17 is provided with a raised block 110, and the inner side of the bar-shaped replacement port 13 is provided with a zipper 12, through which the outer pillowcase 1 can be quickly replaced through the zipper 12 and the bar-shaped replacement port 13, The drainage tube left in the skull after the operation of the patient's posterior cranial fossa can be placed in the drainage tube opening slot 17, and then the Velcro sticker 18 is pasted on the Velcro sticker 16, so that the drainage tube is located in the drainage tube opening slot 17 and the fixing belt. Between 19 and 19, the risk of the drainage tube being pressed by the head can be effectively prevented, and the comfort of the patient can be changed through the head placement slot 15 and the neck positioning slot 10, and it is beneficial to fix the head position and protect the head wound. effect.

Preferably, the outer pillowcase body 11 includes an outer fabric layer 111 , the lower side of the outer fabric layer 111 is provided with a waterproof and breathable layer 112 , and the inner side of the waterproof and breathable layer 112 is provided with an inner fabric layer 113 .

Preferably, the material of the outer fabric layer 111 is modified antibacterial cotton fiber, the material of the waterproof and breathable layer 112 is PTFE microporous film, the material of the inner fabric layer 113 is non-woven fabric, and the material of the PTFE microporous film is The diameter of the micropore is 2±0.1μm, the molecular diameter of water vapor is 0.0004μm, the molecular diameter of capillary water is 400μm, the pore diameter of the film is 5000 times larger than the diameter of water vapor, and the diameter of capillary water is 200 times larger than the diameter of the micropore of the film. At times, capillary water cannot pass through the pores of the film, and water vapor can pass through freely.

Preferably, the pillow core 2 includes a pillow core inner cover 21, the inner side of the pillow core inner cover 21 is provided with a latex layer 23, the inner side of the latex layer 23 is provided with a wormwood core 24, and the upper side of the outer surface of the latex layer 23 is evenly opened with Ventilation holes 22 .

Preferably, the material of the inner pillow cover 21 is cotton gauze, and the inner pillow cover 21 is embedded in the inner side of the outer pillow cover body 11 .

Preferably, the manufacturing process of the outer pillowcase body 11 includes the following steps:

S1. Blend 80% cotton fiber and 20% polyacrylonitrile fiber to make synthetic cotton fiber cloth, and then soap and water the synthetic cotton fiber cloth in turn to keep it clean;

S2, carry out chemical pretreatment on the synthetic cotton fiber cloth, so that the synthetic cotton fiber cloth and the NaOH solution are subjected to an alkali hydrolysis reaction, so that the cyano group-CN existing in a large amount on the fiber macromolecular chain is converted into a sodium carboxylate-COONa reactive group to obtain Sodium carboxylate fiber Na-PANF;

S3, the synthetic cotton fiber cloth is immersed in the quaternary phosphonium salt solution, so that the sodium carboxylate fiber Na-PANF and the quaternary phosphonium salt are ion-exchanged, and the triphenylphosphonium bromide quaternary phosphonium cations containing different alkyl chain lengths are mixed with the quaternary phosphonium salt. Na ⁺ on Na-PANF is ion-exchanged, so that the quaternary phosphonium cation is organically combined with the fiber structure, and the quaternary phosphonium cationic fiber cloth is obtained;

S4, wash the quaternary phosphonium cationic fiber cloth with AgNO solution, so that part of Na ⁺ is ion-exchanged with silver nitrate, then washed with distilled water and dried to obtain the modified antibacterial cotton fiber cloth, that is, the outer fabric layer 111.

S5, cover the lower surface of the modified antibacterial cotton fiber cloth with the polytetrafluoroethylene microporous film through biaxial stretching to form the waterproof and breathable layer 112, and then cover the lower surface of the waterproof and breathable layer 112 with a layer of non-woven fabric to obtain the inner The material layer 113 is formed to form the outer pillowcase body 11 .

In order to better illustrate the technical effect of the present invention, the following comparative examples and embodiment tests are described:

During a period of time, 200 patients who underwent posterior cranial fossa surgery in the neurosurgery department of a hospital were randomly selected and divided into a control group and an example group, with 100 cases in each group. The average age was (51.73+13.62) years old, the average disease course was (2.32+1.07) months, and the lesions were: acoustic schwannoma in 57 cases, cerebellopontine angle meningioma in 23 cases, trigeminal schwannoma in 9 cases, glossopharyngeal schwannoma in 6 cases In the example group, there were 61 males and 39 females, the average age was (54.32+11.35) years old, the average course of disease was (2.18+1.32) months, and the lesions were : 52 cases of acoustic schwannoma, 18 cases of cerebellopontine angle meningioma, 14 cases of trigeminal schwannoma, 8 cases of glossopharyngeal schwannoma, and 8 cases of fourth ventricle meningioma.

The patients in the control group used ordinary cotton pillows for hospital beds, and the patients in the example group used the multifunctional protection pillow for anti-pressure and anti-infection wounds of the present invention.

Routine nursing methods were used to care for the patients. According to statistical analysis, there were no significant differences between the two groups in terms of age, course of disease, dosage and duration of medication, and they were comparable.

1. Analyze and evaluate the comfort and air permeability of the pillow in the comparative example and the embodiment respectively, as well as the bacteria (Staphylococcus aureus and Klebsiella pneumoniae, unit cfu) on the pillow before use, 2d after use and 7d after use /g) content.

Evaluation of comfort: the feel of the pillow is evaluated on a scale of 1 to 5, with 1 being the worst and 5 being the best.

Measurement of air permeability: Under the conditions of constant temperature and humidity (temperature 20±2°C, relative humidity (65±3)%), select the experimental area as 20cm ² , the pressure is 100Pa, the unit is mm/s, and the content of the gas passing through the outer pillowcase body is detected. .

Determination of Staphylococcus aureus and Klebsiella pneumoniae: The number of Staphylococcus aureus and the content of Klebsiella pneumoniae on the pillow were detected before use, 2d after use and 7d after use, respectively.

The indexes of the comparative examples and examples were detected and collected in Table 1.

Table 1: Comparison of the indicators of the comparative example and the embodiment:

From the analysis of Table 1, it can be concluded that the comfort score of the embodiment is 5 points, the comfort level is high, and the hardness is suitable, while the comfort score of the comparative example is 3 points, the comfort level is average, too soft, and has a certain musty smell ;

In the embodiment, the air permeability of the outer pillowcase body is 105 mm/s, and in the comparative example, the air permeability of the outer pillowcase body is 98 mm/s. The air permeability of the embodiment and the comparative example are both good, thereby facilitating the discharge of heat and sweat from the head and neck of the patient;

In the embodiment, the number of Staphylococcus aureus on the surface of the outer pillowcase body was 2.3×10 ⁴ , 2.4×10 ⁴ , and 2.7×10 ⁴ cfu/g before use, 2d after use, and 7d after use, respectively, which increased by 1×10 ³ , 3×10 ³ cfu/g, the growth amount is small, Klebsiella pneumoniae was 1.8×10 ⁴ , 2.0×10 ⁴ , 2.3×10 ⁴ cfu/g before use, 2 days after use and 7 days after use, respectively , respectively contributed to 2×10 ³ and 3×10 ³ cfu/g, and the growth amount was also small; the number of Staphylococcus aureus on the surface of the outer pillowcase in the comparative example was 5.2× 10 ⁴ , 6.3 × 10 ⁵ , 3.2 × 10 ⁷ cfu/g, respectively contributed to the growth of 5.78 × 10 ⁵ , 3.14 × 10 ⁷ cfu/g, the number of Staphylococcus aureus increased exponentially, and Klebsiella pneumoniae Before use, 2d after use and 7d after use were 4.0×10 ⁴ , 5.1×10 ⁵ , 5.9×10 ⁷ cfu/g, respectively contributed to 4.7×10 ⁵ , 5.85×10 ⁷ cfu/g, Krebs The number of Pneumoniae bacteria increased exponentially and significantly; indicating that the outer pillow cover body in the embodiment has an inhibitory effect on the number of Staphylococcus aureus and Klebsiella pneumoniae.

2. Within 7 days under the same nursing conditions, the number of cases of cross-infection, wound healing and pressure injury in the patients in the example group and the control group were recorded, and the number of complications and the incidence of complications in the case of cross-infection were recorded. , the number of wounds that recur and the rate of wound recurrence, the number of wounds, the rate of wound healing, and the time to heal in the case of wound healing, and the number of pressure injuries and the rate of pressure injury in the case of pressure injury are recorded in Table 2 below.

Table 2: Comparison of cross-infection, wound healing and pressure injury indicators in comparative examples and examples:

From the analysis in Table 2, it can be concluded that in the example, a total of 4 patients had complications due to cross-infection, and the complication rate was 4.0%, while in the comparative example, a total of 18 patients had complications due to cross-infection. The incidence of complication was as high as 18.0%, and the probability of complications in the patients in the comparative example was much higher than that in the patients in the examples. In the examples, a total of 2 patients had wound recurrence due to cross-infection, and the wound recurrence rate was 2.0 %, while a total of 15 patients in the comparative example had wound recurrence due to cross-infection, and the wound recurrence rate was as high as 15.0%, so it can be concluded that the probability of wound recurrence in the patients in the comparative example is much higher than that in the embodiment. The probability;

Within 7 days of nursing, a total of 93 patients in the example had their wounds healed, the wound healing rate was 93.0%, and the average wound healing time was 3.1 days, while in the comparative example, a total of 72 patients had their wounds healed, and the wound healing rate was only It can be concluded that the wound healing rate of the patients in the comparative example is significantly lower than that of the patients in the example, while the average wound healing time of the patients in the proportion is significantly higher. The mean wound healing time of the patients in the examples.

In the example, a total of 2 patients developed pressure injury, and the pressure injury rate was 2.0%, while in the comparative example, a total of 11 patients developed pressure injury, and the pressure injury rate was as high as 11.0%, so it can be concluded that: The patients in the proportions had a significantly higher probability of developing a pressure injury than the patients in the examples.

The above are only preferred specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto. The equivalent replacement or modification of the solution and its inventive concept shall be included within the protection scope of the present invention.

Claims (6)

1. An anti-compression and anti-infective wound multifunctional protective pillow, comprising an outer pillow cover (1) and a pillow core (2) located inside the outer pillow cover (1), wherein the outer pillow cover (1) comprises an outer pillow cover body (11), a head placement groove (15) is provided in the middle of the top end of the outer pillowcase body (11), and side surfaces are provided on both sides of the top end of the outer pillowcase body (11) close to the head placement groove (15). A placement groove (14), the top of the outer pillowcase body (11) is located on the front side of the head placement groove (15), a neck positioning groove (10) is provided, and the top of the outer pillowcase body (11) is provided on the rear side of the top There is a drainage tube opening slot (17) running through the inner side of the head placement slot (15), and a fixing band (19) is provided on the side of the top end of the outer pillowcase body (11) close to the drainage tube opening slot (17), and the outer The top end of the pillowcase body (11) is provided with a velcro sticker (16) on the other side close to the opening groove (17) of the drainage tube, and a strip-shaped replacement port (13) is provided on one side of the outer pillowcase body (11). One side of the fixing belt (19) is provided with a velcro sticker (18), the inner side of the drainage tube opening groove (17) is provided with a raised block (110), and the inner side of the strip-shaped replacement port (13) is provided with With zipper (12). 2 . The multifunctional protection pillow for anti-compression and anti-infection wound according to claim 1 , wherein the outer pillow cover body ( 11 ) comprises an outer fabric layer ( 111 ), and the outer fabric layer ( 111 ) has a A waterproof and breathable layer (112) is arranged on the lower side, and an inner fabric layer (113) is arranged on the inner side of the waterproof and breathable layer (112). 3. A kind of multifunctional protection pillow for anti-compression and anti-infection wound according to claim 2, characterized in that, the material of the outer fabric layer (111) is modified antibacterial cotton fiber, and the waterproof and breathable layer (112) The material of the material is polytetrafluoroethylene microporous film, and the material of the inner surface layer (113) is non-woven fabric. The multifunctional protection pillow for anti-compression and anti-infection wound according to claim 1, wherein the pillow core (2) comprises a pillow core inner cover (21), and the pillow core inner cover (21) A latex layer (23) is arranged on the inner side of the latex layer (23), a wormwood core (24) is arranged on the inner side of the latex layer (23), and ventilation holes (22) are evenly opened on the upper side of the outer surface of the latex layer (23). 5. The multifunctional protection pillow for anti-compression and anti-infection wound according to claim 4, characterized in that, the material of the pillow core inner cover (21) is cotton gauze, and the pillow core inner cover (21) is embedded in the outer The inner side of the pillowcase body (11). 6. The multifunctional protection pillow for anti-compression and anti-infection wounds according to any one of claims 1 to 5, wherein the manufacturing process of the outer pillow cover body (11) comprises the following steps: S1. Blend 80% cotton fiber and 20% polyacrylonitrile fiber to make synthetic cotton fiber cloth, and then soap and water the synthetic cotton fiber cloth in turn to keep it clean; S2, chemically pretreat the synthetic cotton fiber cloth, so that the synthetic cotton fiber cloth and the NaOH solution undergo an alkaline hydrolysis reaction, so that the cyano groups (-CN) existing in a large amount on the fiber macromolecular chain are converted into sodium carboxylate (-COONa) reaction group to obtain sodium carboxylate fiber (Na-PANF); S3, the synthetic cotton fiber cloth is immersed in the quaternary phosphonium salt solution, so that the sodium carboxylate fiber (Na-PANF) is ion-exchanged with the quaternary phosphonium salt, and the triphenylphosphonium bromide quaternary phosphonium bromide containing different alkyl chain lengths is exchanged. The cations are ion-exchanged with Na ⁺ on Na-PANF, so that the quaternary phosphonium cations are organically combined with the fiber structure, and the quaternary phosphonium cationic fiber cloth is obtained; S4, use AgNO solution to wash the quaternary phosphonium cationic fiber cloth, so that part of Na ⁺ is ion-exchanged with silver nitrate, then washed with distilled water and dried to obtain a modified antibacterial cotton fiber cloth, that is, the outer fabric layer (111). S5. Cover the lower surface of the modified antibacterial cotton fiber cloth with the polytetrafluoroethylene microporous film by biaxial stretching to form a waterproof and breathable layer (112), and then cover the lower surface of the waterproof and breathable layer (112) with a layer of non-woven fabric cloth to obtain an inner fabric layer (113), thereby forming an outer pillowcase body (11).

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