CN112120754A - Adjustable postoperative ventilation restraining method for surgery - Google Patents

Adjustable postoperative ventilation restraining method for surgery Download PDF

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Publication number
CN112120754A
CN112120754A CN202011047308.3A CN202011047308A CN112120754A CN 112120754 A CN112120754 A CN 112120754A CN 202011047308 A CN202011047308 A CN 202011047308A CN 112120754 A CN112120754 A CN 112120754A
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pressure
rod
component
wound
pressing
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Inventor
侯晨辉
张艳亭
郭烘宇
刘雯
寇应琳
马海丽
郭宇红
邓双全
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Zhengzhou Railway Vocational and Technical College
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Zhengzhou Railway Vocational and Technical College
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Priority to CN202011047308.3A priority Critical patent/CN112120754A/en
Publication of CN112120754A publication Critical patent/CN112120754A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • 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
    • 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
    • A61B5/02042Determining blood loss or bleeding, e.g. during a surgical procedure
    • 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
    • A61B5/7405Details of notification to user or communication with user or patient ; user input means using sound
    • 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
    • A61B5/7455Details of notification to user or communication with user or patient ; user input means characterised by tactile indication, e.g. vibration or electrical stimulation
    • 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
    • A61F15/00Auxiliary appliances for wound dressings; Dispensing containers for dressings or bandages
    • A61F15/005Bandage applicators
    • 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
    • A61G12/00Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Reproductive Health (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to an adjustable postoperative ventilation restraining method for surgery, which comprises the following steps: s1, covering the dressing pad of the positive pressure component on the wound, and winding and fixing the binding belt around the auxiliary pressure component; s2, pressing a gland, wherein the gland drives a dressing pad to cover the wound and performs retention after the dressing pad reaches a set value; s3, pressurizing each air bag respectively, and finishing the wrapping; s4, when changing dressing or adding medicine, firstly discharging the gas in the air bag, detaching the positive pressure assembly and the auxiliary pressure assembly through the pressure regulating assembly, and repeating the steps S2 and S3 after changing or adding medicine; according to the binding device provided by the invention, the pressure-adjustable pressure covering can be carried out on the wound through the positive pressure component, the muscles around the wound can be compressed with pressure values of different degrees through the auxiliary pressure component, so that the corresponding binding compression adjustment can be carried out according to the position of the wound of a patient and the nursing requirements, the data control of the binding pressure is realized, and the positive pressure component and the auxiliary pressure component can be detached and separated, so that the dressing replacement is convenient.

Description

Adjustable postoperative ventilation restraining method for surgery
Technical Field
The invention belongs to the technical field of medical supplies, and particularly relates to an adjustable postoperative ventilation binding method for surgery.
Background
At present, the common pressure bandaging in orthopaedics is realized mainly by a method of winding and fixing an elastic bandage or a common bandage clinically, and the traditional pressure bandaging method has certain hemostasis effect but certain defects. The pressure obtained by applying the traditional elastic bandage or common bandage to the four-limb pressure bandaging is highly dependent on the experience of an operator, such as bandaging technology, the stretching degree of the bandage, the number of wound layers of the bandage and the mutual overlapping degree of the bandage, even if the pressure bandaging is performed by experienced and skilled doctors, the pressure generated by the bandage is not the same as that generated by bandaging at each time, although the pressure bandaging is performed by the elastic bandage or the common bandage, the dressing is easy to shift due to factors such as patient movement or functional exercise, and the effective pressure bandaging and fixing of an operation area cannot be provided; traditional elasticity bandage or ordinary bandage inconvenient dress or remove when carrying out the pressurization and wrap to need to demolish the bandage and wrap again when inspection or change dressings at every turn, increased the degree of difficulty of changing the dressing, it is time-consuming and laboursome, and can only rely on practitioner's experience to come the elasticity bandage in wrapping, be difficult to accurate control and standardization, too big probably influence limbs blood supply, cause tension blister etc. pressure can cause to wrap pressure not enough and can't reach the pressurized purpose.
Disclosure of Invention
The invention aims to solve the problems in the background art, and provides an adjustable postoperative air-permeable binding method for surgery.
The purpose of the invention is realized as follows:
an adjustable postoperative breathable restraining method for surgery, which comprises a restraining belt and comprises the following steps:
s1, connecting the positive pressure component and the auxiliary pressure component through the pressure regulating component, covering the dressing pad of the positive pressure component outside the wound, connecting the restraining belt with the nylon strip on the auxiliary pressure component, and winding and fixing the restraining belt around the auxiliary pressure component;
s2, pressing a pressing cover of the positive pressure component in the vertical direction of the wound, wherein the pressing cover drives an inner rod of a telescopic rod to apply pressure to an outer rod through a spring, so as to drive a dressing pad to cover the wound and the periphery, observing the pressure value of the wound in the pressing process through a pressure display device, and fixing the dressing pad through a pressure regulating component until the pressure value reaches a set value;
s3, pressurizing the air pipe of the auxiliary pressure assembly and the pressure regulating valve to air bags close to different positions of the positive pressure assembly respectively through the air pump according to a set value, observing the pressure value of each air bag to the skin in the inflating process through the pressure display device until the pressure value reaches the set value, and finishing wrapping;
s4, when dressing needs to be replaced or medicine needs to be added, gas in the air bag in the auxiliary pressure assembly is discharged, the positive pressure assembly and the auxiliary pressure assembly are disassembled through the pressure regulating assembly, the dressing pad is taken away from the wound through the telescopic rod by the pressing cover, and the steps S2 and S3 are repeated after dressing replacement or medicine adding, so that dressing replacement or medicine adding is completed.
Preferably, in S1, the auxiliary pressing members are radially distributed on the outer circumference of the positive pressing member, the positive pressing member includes a pressing plate and a telescopic rod penetrating through the pressing plate, one end of the telescopic rod is connected with the gland, the other end of the telescopic rod is connected with the dressing pad through the inserting block, the bottom of the pressure plate and the periphery of the telescopic rod are provided with spring columns which are connected with the dressing pad through inserting blocks, the upper part of the pressure plate is provided with a limiting block, the bottom of the gland is provided with a convex block matched with the limiting block, the outer side of the pressure plate is connected with an auxiliary pressure assembly through a pressure regulating assembly, the auxiliary pressure component comprises a pressure regulating plate connected with the binding belt, a plurality of air bags are sequentially arranged in the pressure regulating plate in the direction close to the pressure plate, the air bag is connected with the air pipe through the pressure regulating valve, the pressure regulating assembly comprises a first rod and a second rod, the first rod is vertically connected with the pressure regulating plate, and the first rod and the second rod are movably connected through a moving part.
Preferably, in S2, the telescopic link includes relative sliding connection' S interior pole and outer pole, the central authorities of gland are connected to the one end of interior pole, the other end of interior pole passes through spring coupling outer pole, the clamp plate corresponds telescopic link department and is equipped with the guide cylinder, the one end of outer pole is connected to the guide cylinder, the inserted block is connected to the other end of outer pole.
Preferably, one end of the pressure regulating plate, which is far away from the pressure plate, is provided with a nylon strip connected with the restraining belt, each of the air bags in the pressure regulating plate is connected to the air pipe through a pressure regulating valve, and the number of the air bags is 3-10.
Preferably, the moving part comprises a sliding block and a fastening nut, the sliding block is arranged in a gap corresponding to the first rod and the second rod, the fastening nut connected with the sliding block is arranged on the outer side of the second rod, and the fastening nut penetrates through the second rod and the sliding block in a threaded mode and abuts against the side wall of the first rod.
Preferably, the sliding block is fixedly connected with the second rod, the sliding block is connected with the second rod in a sliding mode, the diameter of the first rod is smaller than that of the second rod, and a stop block is arranged at the upper end, close to the pressing plate, of the first rod.
Preferably, the moving part comprises a screw rod and a first lead block and a second lead block which are arranged on the screw rod, two sections of threads in opposite directions are arranged at two ends of the screw rod, the two ends of the screw rod are respectively sleeved with the first lead block and the second lead block, the first lead block is connected with the first rod through a bolt, and the second lead block is connected with the second rod through a bolt.
Preferably, one end of the screw rod is connected with a hand wheel for rotating the screw rod, and the diameter of the first rod is smaller than that of the second rod.
Preferably, the pressing plate and the pressing cover are both provided with vent holes.
Preferably, the pressure regulating plate and the dressing pad are both made of silica gel materials capable of contacting with the skin, fine friction bulges are arranged on one surface of the pressure regulating plate contacting with the skin, and the area of the dressing pad is larger than the area of a wound.
Preferably, a gauze layer is adhered to one side of the dressing pad close to the skin.
Preferably, the pressure regulating plate is connected with pressure sensors at the edges, which are in contact with the skin side and close to the skin side, of the dressing pad, the edge of the dressing pad is also provided with a pulse collector and a blood seepage sensor, and the pressure sensors, the pulse collector and the blood seepage sensor are all connected to a controller for controlling the display screen.
Preferably, the controller comprises a microprocessor, a power supply module, an alarm module and a display module, the pressure sensor is connected to an A/D converter interface of the microprocessor sequentially through a preamplifier, a low-pass filter, a high-pass filter and an amplifier, the air pipe is connected with an air pump controlled by the controller, and the air bag is further provided with an air release valve.
Preferably, the pulse sensor is connected with a microprocessor through an A/D converter, and the microprocessor is connected with a buzzer and a vibrator through an alarm circuit.
Preferably, the base materials of the pressure regulating plate and the dressing pad are silica gel, and the tensile stress sigma (N/m) of the silica gel2) Satisfies the following conditions: σ = E, where is elongation of the silica gel and E is elastic modulus (N/m)2)。
Preferably, the force F applied to the wound site by the positive pressure assembly satisfies:
F=Pσ[(R+d]/(R-d]]2/(a-b);
p is the pressure (N/m) generated by the contact point2) R is the diameter of the dressing pad, d is the width of the wound, and a is the width of the pressure regulating belt.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the adjustable postoperative surgical breathable binding method provided by the invention, the wound can be pressurized and covered by the positive pressure component, the dressing pad can be pressurized by adjusting the length of the telescopic rod, muscles around the wound can be compressed by the auxiliary pressure component at different pressure values, so that corresponding binding compression adjustment can be performed according to the position of the wound of a patient and nursing requirements, the control of the binding pressure is realized, the positive pressure component and the auxiliary pressure component can be detached, dressing replacement is performed without detaching all binding belts, and the operation is convenient and fast.
2. The adjustable postoperative air-permeable restraining method for surgery provided by the invention has the advantages that in the process of pressing down the pressing cover, the inner rod presses the bottom of the outer rod through the spring, the spring column and the spring at the bottom of the pressing plate can relieve the impact force in the process of pressing down the pressing cover, the dressing pad can be attached to a wound and the surrounding skin, the dressing pad compresses the wound to stop bleeding, the length of the telescopic rod is determined according to the pressure display device, and the compressed telescopic rod can be fixed through the adjusting assembly.
3. According to the adjustable postoperative air-permeable restraining method for the surgery, air bags close to different positions of the positive pressure assembly are respectively pressurized through the air pipe and the pressure regulating valve according to the position of a wound and the required wrapping pressure of the skin around the wound, so that the pressure control of the skin around the wound is realized, and the rapid recovery of the wound is matched.
4. The invention provides an adjustable postoperative breathable constraint method for surgery, when dressing needs to be replaced, a positive pressure component and an auxiliary pressure component can be completely or incompletely detached through an adjusting component, a dressing plate is made of silica gel which is easy to clamp and pull out, air in an air bag in the auxiliary pressure component is released, a gland is pulled out outwards, the pressure of a dressing pad in contact with a wound is relieved, a first rod can be pulled out from a second rod to separate the positive pressure component, the dressing pad is pressed into the wound again after the dressing is replaced, and the auxiliary pressure component is pressurized and fixed again.
5. According to the adjustable postoperative surgical ventilation binding method provided by the invention, the pressure required by compression is set according to the data transmitted by each sensor, the hemostasis effect is improved, the bleeding condition of a wound is monitored at any time, the adjustable postoperative surgical ventilation binding method has the functions of prompting the compression time and alarming the compression pressure, and the problems of bleeding at the compression point, overlong compression time, overlarge or insufficient pressure, device slippage and the like are effectively avoided.
Drawings
FIG. 1 is a schematic view of an adjustable postoperative gas permeable restraining method according to the present invention.
FIG. 2 is a schematic view of an adjustable post-surgical breathable restraint method positive pressure assembly of the present invention.
FIG. 3 is a schematic view of an adjustable post-surgical breathable restraint method auxiliary pressure assembly of the present invention.
FIG. 4 is a schematic view of the movable portion of an adjustable method of air-permeable restraint after surgery.
Fig. 5 is a schematic view of embodiment 3 of the present invention.
In the figure: 100. a positive pressure assembly; 200. nylon strips; 300. an auxiliary pressing component; 10. a gland; 11. a bump; 12. a limiting block; 13. pressing a plate; 14. an adjustment assembly; 15. a dressing pad; 16. a spring post; 17. inserting a block; 18. a spring; 19. an outer rod; 20. a guide cylinder; 21. an inner rod; 31. a pressure regulating plate; 32. an air bag; 33. a pressure regulating valve; 34. an air tube; 141. a first lever; 142. a second lever; 143. a stopper; 144. a slider; 145. fastening a nut; 146. a screw rod; 147. a first lead block; 148. a hand wheel; 149. and a second lead block.
Detailed Description
The technical solutions in the embodiments of the present invention are clearly and completely described below with reference to the accompanying drawings, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and all other embodiments obtained by those skilled in the art without any creative work based on the embodiments of the present invention belong to the protection scope of the present invention.
Example 1
An adjustable postoperative breathable restraining method for surgery, which comprises a restraining belt and comprises the following steps:
s1, connecting the positive pressure component 100 and the auxiliary pressure component 300 through the pressure regulating component, covering the dressing pad 15 of the positive pressure component 100 on the outside of the wound, connecting the restraining belt with the nylon strip 200 on the auxiliary pressure component 300, and winding and fixing the restraining belt around the auxiliary pressure component 300;
s2, pressing the pressing cover 10 of the positive pressure component 100 in the vertical direction of the wound, wherein the pressing cover 10 drives the inner rod 21 of the telescopic rod to apply pressure to the outer rod 19 through the spring 18, the dressing pad 15 is driven to cover the wound and the periphery, the pressure value of the wound in the pressing process is observed through the pressure display device, and the dressing pad is fixed through the pressure regulating component until the pressure value reaches a set value;
s3, pressurizing the air tube 34 of the auxiliary pressure component 300 and the pressure regulating valve 33 to the air bags 32 close to different positions of the positive pressure component 100 respectively through the air pump according to the set value, observing the pressure value of the skin in the inflating process of each air bag 32 through the pressure display device, stopping until the set value is reached, and finishing wrapping;
s4, when dressing replacement or medicine adding is needed, firstly, gas in the air bag 32 in the auxiliary pressure assembly 300 is discharged, the positive pressure assembly 100 and the auxiliary pressure assembly 300 are disassembled through the pressure regulating assembly, the pressing cover 10 brings the dressing pad 15 away from the wound through the telescopic rod, and steps S2 and S3 are repeated after dressing replacement or medicine adding, so that dressing replacement or medicine adding is completed.
Can pressurize the wound through malleation subassembly and cover, pressurize the dressing pad through the length of adjusting the telescopic link, can carry out the oppression of not equidimension value to the muscle around the wound through assisting the pressure subassembly to in carry out corresponding oppression regulation of wrapping according to the position of patient's wound and nursing requirement, realize wrapping the control of pressure, the malleation subassembly can be dismantled separately with assisting the pressure subassembly, carry out dressing change under the condition that need not to dismantle whole constraint area, the simple operation.
Example 2
Referring to fig. 1, an adjustable postoperative ventilation restraining method for surgery includes a restraining belt, which includes a positive pressure component 100 and a pressure-assisting component 300 connected to the periphery of the positive pressure component 100, wherein the pressure-assisting component 300 is fixed to the restraining belt through a nylon strip 200, and the restraining belt fixes the positive pressure component 100 to a wound through the pressure-assisting component 300, so as to avoid shaking.
Referring to fig. 2, the positive pressure assembly 100 includes a pressing plate 13 and a telescopic rod penetrating through the pressing plate 13, one end of the telescopic rod is connected with a pressing cover 10, the other end of the telescopic rod is connected with a dressing pad 15 through an insertion block 17, the bottom of the pressing plate 13 and the periphery of the telescopic rod are provided with a spring post 16 connected with the dressing pad 15 through the insertion block 17, the upper portion of the pressing plate 13 is provided with a limiting block 12, the bottom of the pressing cover 10 is provided with a projection 11 matched with the limiting block 12, the telescopic rod includes an inner rod 21 and an outer rod 19 which are connected in a relative sliding manner, one end of the inner rod 21 is connected with the center of the pressing cover 10, the other end of the inner rod 21 is connected with an outer rod 19 through a spring 18, the pressing plate 13 is provided with a guide cylinder 20 corresponding to the telescopic rod, one end of the outer rod 19 is connected to the guide cylinder 20, the, the gland is at the in-process that pushes down, and interior pole exerts pressure to the outside pole bottom through the spring, and the impact force of gland in-process that pushes down can be alleviated to the spring post and the spring of clamp plate bottom, can make dressing pad and wound and skin on every side more laminate again, and dressing pad stanchs to the wound oppression, according to the length of pressure display device decision telescopic link, can carry out the maintenance to the telescopic link after the pressurization through adjusting part.
With reference to fig. 3, the auxiliary pressure assembly 300 includes a pressure regulating plate 31 connected to a restraining belt, a plurality of air bags 32 are sequentially arranged in the pressure regulating plate 31 in a direction close to the pressure plate 13, the air bags 32 are connected to an air pipe 34 through a pressure regulating valve 33, the pressure regulating plate and the dressing pad are made of silica gel materials capable of contacting with the skin, fine friction protrusions are arranged on one surface of the pressure regulating plate contacting with the skin, the area of the dressing pad is larger than that of the wound, and the air bags close to different positions of the positive pressure assembly are respectively pressurized through the air pipe and the pressure regulating valve according to the position of the wound and the required wrapping pressure of the skin around the wound, so that the pressure control of the skin around the wound is realized, and the rapid recovery.
Referring to fig. 4, the outer side of the pressure plate 13 is connected to an auxiliary pressure assembly 300 through an adjusting assembly 14, the pressure adjusting assembly includes a first rod 141 vertically connected to the pressure plate 13 and a second rod 142 vertically connected to the pressure adjusting plate 31, the first rod 141 and the second rod 142 are movably connected through a moving part, the moving part includes a sliding block 144 and a fastening nut 145, the sliding block 144 is disposed in a gap corresponding to the first rod 141 and the second rod 142, the outer side of the second rod 142 is provided with the fastening nut 145 connected to the sliding block 144, the fastening nut 145 is threaded through the second rod 142 and the sliding block 144 and abuts against a sidewall of the first rod 141, the sliding block 144 is fixedly connected to the second rod 142, the sliding block 144 is slidably connected to the second rod 142, the diameter of the first rod 141 is smaller than that of the second rod 142, the upper end of the first rod 141 close to the pressure plate 13 is provided with a stopper 143, when a dressing needs to be replaced, the positive pressure assembly and the auxiliary pressure assembly can be completely or incompletely detached through the adjusting assembly, the dressing plate is made of silica gel which is easy to clamp and pull out, the gland is pulled out after the gas in the air bag in the auxiliary pressure assembly is released, the pressure of the dressing pad contacting with the wound is relieved, the first rod can be pulled out from the second rod, so that the positive pressure assembly is separated, the dressing pad is pressed into the wound again after the dressing pad is replaced, and the auxiliary pressure assembly is pressurized and fixed again.
Example 3
With reference to fig. 5, the structure of the moving part is different from that of the moving part in embodiment 1, the moving part includes a screw rod 146, and a first lead block 147 and a second lead block 149 which are arranged on the screw rod 146, two opposite-direction threads are arranged at two ends of the screw rod 146, the first lead block 147 and the second lead block 149 are respectively sleeved outside the threads at two ends of the screw rod 146, the first lead block 147 is bolted to the first rod 141, the second lead block 149 is bolted to the second rod 142, one end of the screw rod 146 is connected to a detachable hand wheel 148 which rotates the screw rod 146, the diameter of the first rod 141 is smaller than that of the second rod 142, and the screw rod is rotated by the hand wheel, so that the first rod and the second rod move in opposite directions, thereby adjusting the heights of the first rod and the second rod.
Example 4
On the basis of embodiment 1, the edges of the pressure regulating plate, which are in contact with the skin side, and the edges of the dressing pad, which are close to the skin side, are connected with pressure sensors, the edges of the dressing pad are also provided with a pulse collector and a blood seepage sensor, the pressure sensors, the pulse collector and the blood seepage sensor are all connected to a controller for controlling a display screen, the controller comprises a microprocessor, a power module, an alarm module and a display module, the pressure sensors are connected to an A/D converter interface of the microprocessor through a preamplifier, a low-pass filter, a high-pass filter and an amplifier in sequence, the air pipe is connected with an air pump controlled by the controller, the air bag is also provided with an air release valve, the pulse sensors are connected with the microprocessor through the A/D converter, and the microprocessor is connected with a buzzer and a.
The base materials of the pressure regulating plate and the dressing pad are silica gel, and the tensile stress sigma (N/m) of the silica gel2) Satisfies the following conditions: σ = E, where is elongation of the silica gel and E is elastic modulus (N/m)2)。
The force F applied to the wound part by the positive pressure component satisfies the following conditions: f = P σ [ (R + d)]/(R-d]]2V (a-b); wherein P is the pressure (N/m) generated at the contact point2) R is the diameter of the dressing pad, d is the width of the wound, and a is the width of the pressure regulating belt.
According to the data transmitted by each sensor, the pressure required by compression is set, the hemostatic effect is improved, the blood seepage condition of the wound is monitored at any time, the functions of prompting the compression time and alarming the compression pressure are achieved, and the problems of blood seepage at the compression point, overlong compression time, overlarge or insufficient pressure, slippage of the device and the like are effectively avoided.
The above description is only a preferred embodiment of the present invention, and should not be taken as limiting the invention, and any modifications, equivalents and substitutions made within the scope of the present invention should be included.

Claims (8)

1. An adjustable postoperative breathable restraining method for surgery comprises a restraining belt, and is characterized in that: the method comprises the following steps:
s1, connecting the positive pressure component (100) and the auxiliary pressure component (300) through the pressure regulating component, covering the dressing pad (15) of the positive pressure component (100) outside the wound, connecting the restraining belt with the nylon strip (200) on the auxiliary pressure component (300), and winding and fixing the restraining belt around the auxiliary pressure component (300);
s2, pressing a pressing cover (10) of the positive pressure component (100) in the vertical direction of the wound, wherein the pressing cover (10) drives an inner rod (21) of a telescopic rod to apply pressure to an outer rod (19) through a spring (18) to drive a dressing pad (15) to cover the wound and the periphery, and the pressure value of the wound in the pressing process is observed through a pressure display device until the pressure value reaches a set value and then is fixed through a pressure regulating component;
s3, pressurizing the air pipe (34) of the auxiliary pressure assembly (300) and the pressure regulating valve (33) to the air bags (32) close to different positions of the positive pressure assembly (100) respectively through the air pump according to a set value, observing the pressure value of each air bag (32) to the skin in the inflating process through a pressure display device, stopping until the pressure value reaches the set value, and finishing wrapping;
s4, when dressing change or medicine adding is needed, firstly, gas in the air bag (32) in the auxiliary pressure assembly (300) is discharged, the positive pressure assembly (100) and the auxiliary pressure assembly (300) are disassembled through the pressure regulating assembly, the dressing pad (15) is taken away from a wound by the pressing cover (10) through the telescopic rod, and steps S2 and S3 are repeated after dressing change or medicine adding, so that dressing change or medicine adding is completed.
2. The adjustable post-surgical breathable restraint method of claim 1, wherein: s1, the auxiliary pressing components (300) are radially distributed on the outer periphery of the positive pressing component (100), the positive pressing component (100) comprises a pressing plate (13) and a telescopic rod penetrating through the pressing plate (13), one end of the telescopic rod is connected with a pressing cover (10), the other end of the telescopic rod is connected with a dressing pad (15) through an insertion block (17), spring posts (16) connected with the dressing pad (15) through the insertion block (17) are arranged at the bottom of the pressing plate (13) and the periphery of the telescopic rod, a limiting block (12) is arranged at the upper part of the pressing plate (13), a bump (11) matched with the limiting block (12) is arranged at the bottom of the pressing cover (10), the outer side of the pressing plate (13) is connected with the auxiliary pressing component (300) through a pressure regulating component (14), the auxiliary pressing component (300) comprises a pressure regulating plate (31) connected with a binding belt, and a plurality of air bags (32) are sequentially arranged in the pressure regulating plate (31) in the direction, the air bag (32) is connected with an air pipe (34) through a pressure regulating valve (33), the pressure regulating assembly comprises a first rod (141) vertically connected with the pressure regulating plate (13) and a second rod (142) vertically connected with the pressure regulating plate (31), and the first rod (141) and the second rod (142) are movably connected through a moving part.
3. The adjustable post-surgical breathable restraint method of claim 2, wherein: in S2, the telescopic link includes relative sliding connection' S interior pole (21) and outer pole (19), the central authorities of gland (10) are connected to the one end of interior pole (21), the other end of interior pole (21) passes through spring (18) and connects outer pole (19), clamp plate (13) correspond telescopic link department and are equipped with guide cylinder (20), the one end of outer pole (19) is connected to guide cylinder (20), inserted block (17) is connected to the other end of outer pole (19).
4. The adjustable post-surgical breathable restraint method of claim 2, wherein: one end of the pressure regulating plate (31) far away from the pressure plate (13) is provided with a nylon strip (200) connected with the binding belt, a single air bag (32) in the pressure regulating plate (31) is connected to an air pipe (34) through a pressure regulating valve (33), and 3-10 air bags (32) are arranged.
5. The adjustable post-surgical breathable restraint method of claim 2, wherein: the moving part comprises a sliding block (144) and a fastening nut (145), the sliding block (144) is arranged in a gap corresponding to the first rod (141) and the second rod (142), the fastening nut (145) connected with the sliding block (144) is arranged on the outer side of the second rod (142), and the fastening nut (145) penetrates through the second rod (142) and the sliding block (144) in a threaded mode and abuts against the side wall of the first rod (141).
6. The adjustable post-surgical breathable restraint method of claim 5, wherein: the sliding block (144) is fixedly connected with the second rod (142), the sliding block (144) is connected with the second rod (142) in a sliding mode, the diameter of the first rod (141) is smaller than that of the second rod (142), and a stop block (143) is arranged at the upper end, close to the pressing plate (13), of the first rod (141).
7. The adjustable post-surgical breathable restraint method of claim 2, wherein: the moving part comprises a screw rod (146), a first lead block (147) and a second lead block (149) which are arranged on the screw rod (146), two opposite-direction threads are arranged at two ends of the screw rod (146), the first lead block (147) and the second lead block (149) are respectively sleeved outside the threads at two ends of the screw rod (146), the first lead block (147) is connected with a first rod (141) through a bolt, and the second lead block (149) is connected with a second rod (142) through a bolt.
8. The adjustable post-surgical breathable restraint method of claim 7, wherein: one end of the screw rod (146) is connected with a hand wheel (148) for rotating the screw rod (146), and the diameter of the first rod (141) is smaller than that of the second rod (142).
CN202011047308.3A 2020-09-29 2020-09-29 Adjustable postoperative ventilation restraining method for surgery Pending CN112120754A (en)

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Cited By (1)

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CN112774015A (en) * 2021-02-01 2021-05-11 上海交通大学医学院附属上海儿童医学中心 Wound infection inspection nursing device of giving medicine to poor free of charge

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CN107212908A (en) * 2017-06-29 2017-09-29 南阳市中心医院 A kind of hemostat for intervention treatment of arteria femoralis
CN208905670U (en) * 2018-01-03 2019-05-28 南通市第一人民医院 A kind of femoral artery oppression tourniquet convenient for observing bleeding
CN210990517U (en) * 2019-07-29 2020-07-14 常州市第一人民医院 Postoperative compression device

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
CN107212908A (en) * 2017-06-29 2017-09-29 南阳市中心医院 A kind of hemostat for intervention treatment of arteria femoralis
CN208905670U (en) * 2018-01-03 2019-05-28 南通市第一人民医院 A kind of femoral artery oppression tourniquet convenient for observing bleeding
CN210990517U (en) * 2019-07-29 2020-07-14 常州市第一人民医院 Postoperative compression device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112774015A (en) * 2021-02-01 2021-05-11 上海交通大学医学院附属上海儿童医学中心 Wound infection inspection nursing device of giving medicine to poor free of charge

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