CN112933377B - Cricopharyngeal muscle dysfunction rehabilitation training device - Google Patents

Cricopharyngeal muscle dysfunction rehabilitation training device Download PDF

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Publication number
CN112933377B
CN112933377B CN202110084574.1A CN202110084574A CN112933377B CN 112933377 B CN112933377 B CN 112933377B CN 202110084574 A CN202110084574 A CN 202110084574A CN 112933377 B CN112933377 B CN 112933377B
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China
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tube
outer tube
elastic bag
inner tube
fixedly connected
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CN202110084574.1A
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CN112933377A (en
Inventor
朱艳艳
孙妙璇
邵蒙蒙
李贤美
王金金
林祖琛
卓飞男
徐笑
周成业
李海燕
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1006Balloons formed between concentric tubes
    • 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
    • A61F7/12Devices for heating or cooling internal body cavities
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H7/00Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for
    • A61H7/002Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for by rubbing or brushing
    • A61H7/003Hand-held or hand-driven devices
    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/025Exercising apparatus specially adapted for particular parts of the body for the head or the neck
    • 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
    • A61F2007/0002Head or parts thereof
    • A61F2007/0009Throat or neck
    • A61F2007/001Throat only
    • 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
    • A61F2007/0054Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
    • A61F2007/0056Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
    • 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
    • A61F7/12Devices for heating or cooling internal body cavities
    • A61F2007/126Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/02Characteristics of apparatus not provided for in the preceding codes heated or cooled
    • A61H2201/0214Characteristics of apparatus not provided for in the preceding codes heated or cooled cooled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/02Characteristics of apparatus not provided for in the preceding codes heated or cooled
    • A61H2201/0221Mechanism for heating or cooling
    • A61H2201/0242Mechanism for heating or cooling by a fluid circulating in the apparatus
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/065Throat; Pharynx

Abstract

The invention discloses a rehabilitation training device for the dysfunction of the circumpharyneal muscle, which belongs to the field of medical treatment and comprises an outer tube, wherein the bottom end of the outer tube is fixedly connected with an elastic bag communicated with the outer tube, the bottom of the inner side of the elastic bag is fixedly connected with an inner tube, the top end of the inner tube extends to the inner side of the outer tube, the top end of the inner tube penetrates through and is connected to the outer side of the outer tube in a sliding manner, and the outer part of the inner tube is fixedly connected with breathable blocks which are arranged equidistantly. According to the invention, the elastic bag can be conveniently collected into the inner side of the outer pipe through the sliding inner pipe, the elastic bag is conveniently conveyed to the esophagus of a patient, the elastic bag is prevented from being continuously scraped on the inner wall of the esophagus, cold water is pumped out from the outer pipe by the inner pipe, cold water in the elastic bag is conveniently replaced in time, the cricopharyngeal muscle is stimulated more effectively, and rehabilitation training can be carried out on the cricopharyngeal muscle dysfunction of the patient in a passive and active combined passive mode, so that the use is convenient.

Description

Cricopharyngeal muscle dysfunction rehabilitation training device
Technical Field
The invention relates to the field of medical treatment, in particular to a rehabilitation training device for the dysfunction of the cricopharyngeal muscle.
Background
Cricopharyngeus dysfunction (CPD) refers to the pathological changes of inability of the Cricopharyngeus to relax or spasm in time, unopened, incomplete opening and improper opening/relaxation time during swallowing. CPD is the major cause of dysphagia in the pharyngeal-esophageal phase, and a prospective study suggests that the incidence of dysphagia due to CPD in brainstem lesions is as high as 80%. Research shows that the open of the circumpharyngeal muscle is an independent risk factor of aspiration, and aspiration is easy to occur in patients with the circumpharyngeal muscle dysfunction, so that the risk of aspiration pneumonia is increased.
The catheter balloon dilatation technology is a recovery means directly effective in improving the function of the cricopharyngeal muscle, a catheter balloon dilatation tube is inserted into an esophagus through nose or through the mouth, 2-10ml of ice salt water is injected into the balloon after the catheter balloon dilatation tube is determined to be in place, the balloon is expanded, the catheter balloon dilatation tube is slowly pulled outwards until a clamping feeling or pulling immobility exists, a proper amount of water is pumped out, a patient is ordered to actively swallow, colleagues repeatedly and gently pull outwards and alternately relax the catheter, once a sliding feeling exists or the pulling resistance is sharply reduced, the fact that the balloon slides over the cricopharyngeal muscle is indicated, and the ice salt water in the balloon is quickly pumped out. However, the currently clinically used catheter balloon dilatation tube is basically replaced by a catheter, when the catheter enters the esophagus, bending or folding caused by incomplete fixation of the balloon or accidental touch on the esophagus can happen, and the patient feels discomfort when touching the esophagus. Part rehabilitation training still stimulates the esophagus cricopharyngeal muscle through cold amazing mode, makes it produce physical stress, but the inconvenience of changing water is caused with the same pipeline of play liquid to current sacculus feed liquor, can not be convenient for change cold water, and supercooled water may bring the discomfort for the patient, and uncooled water can not reach the effect, does not have the process that the circulation lets the patient adapt to gradually, brings the discomfort for the patient. In addition, the catheter can not be well clamped at the position of the cricopharyngeal muscle when used for the passive dilation treatment of the cricopharyngeal muscle, and is easy to slip. Aiming at the problems, the invention provides the double-cavity balloon catheter for the rehabilitation of the cricopharyngeal muscle dysfunction, which has the advantages of facilitating the balloon to enter the esophagus, conveniently and quickly replacing cold water and delivering cold water with different temperatures to stimulate the cricopharyngeal muscle of the esophagus, and solves the problem that the catheter is easy to slip off when the cricopharyngeal muscle is passively dilated.
Disclosure of Invention
1. Technical problem to be solved
Aiming at the problems in the prior art, the invention aims to provide a cricopharyngeal muscle dysfunction rehabilitation training device which has the advantages that a balloon can conveniently enter an esophagus, cold water can be conveniently and quickly replaced, cold water with different temperatures can be conveniently conveyed to stimulate the cricopharyngeal muscle of the esophagus, and the problems that the balloon cannot conveniently enter the esophagus and cannot conveniently replace cold water, cold water with different temperatures cannot be quickly replaced, and the balloon cannot be well clamped at the position of the cricopharyngeal muscle are solved.
2. Technical scheme
In order to solve the above problems, the present invention adopts the following technical solutions.
The utility model provides a cricopharyngeal muscle dysfunction rehabilitation training device, includes the outer tube, the bottom fixedly connected with of outer tube rather than the elasticity bag that is linked together, the inboard bottom fixedly connected with inner tube of elasticity bag, the top of inner tube extends to the inboard of outer tube, the outside of sliding connection to outer tube is run through and sliding connection is run through on the top of inner tube, the ventilative piece that the outside fixedly connected with equidistance of inner tube was arranged, the outside and the outer tube sliding connection of ventilative piece, evenly distributed's play liquid hole is seted up to the outside below of inner tube, it is located the inboard of elasticity bag to go out the liquid hole, the outside top cover of inner tube is equipped with the fixation clamp rather than sliding connection, the bottom and the outer tube fixed connection of fixation clamp.
Preferably, the air permeable block comprises an annular block, the inner side of the annular block is fixedly connected with the inner pipe, the outer part of the annular block is connected with the outer pipe in a sliding manner, and liquid passing through holes which are uniformly distributed are formed in the top of the annular block.
Preferably, the fixation clamp contains fixed pipe, the inboard and the inner tube sliding connection of fixed pipe, the bottom and the outer tube fixed connection of fixed pipe, the left side threaded connection of fixed pipe has fixing bolt, fixing bolt's right-hand member runs through and extends to the inboard of fixed pipe, fixing bolt's right-hand member and inner tube contact.
Preferably, a sealing ring is arranged at the sliding connection position of the inner pipe and the outer pipe, the outer side of the sealing ring is fixedly connected with the outer pipe, and the inner side of the sealing ring is in sliding connection with the inner pipe.
Preferably, the outer part of the elastic bag is fixedly connected with uniformly distributed salient points, and the elastic bag, the salient points and the annular block are all made of silica gel; the middle part of the whole elastic bag (2) is slightly inwards concave; the length of the elastic bag (2) is 30mm.
3. Advantageous effects
Compared with the prior art, the invention has the advantages that:
(1) In the scheme, the outer tube and the inner tube can move by operating the fixing clamp, the inner tube is lifted upwards by holding the outer tube, the inner tube slides upwards in the inner side of the outer tube, the breathable block can facilitate the stable sliding of the outer tube and the inner tube, the bottom end of the inner tube retracts into the inner side of the outer tube, most of the elastic bag can be retracted into the inner side of the outer tube, when the outer tube enters the esophagus, most of the elastic bag is retracted into the inner side of the outer tube, the elastic bag can be prevented from being continuously scraped on the inner wall of the esophagus, at the moment, the bottom of the outer tube is a bent part of the elastic bag, even if the bottom of the outer tube touches the inner wall of the esophagus, the bent elastic bag touches the inner wall of the esophagus, the bottom of the outer tube can be prevented from being scraped on the inner wall of the esophagus, discomfort of a patient can be avoided, the outer tube enters a proper position of the esophagus, the bottom end of the inner tube slides to the lower part of the outer tube, at the moment, the elastic bag is ejected, the elastic bag is in a shape that the middle part is slightly inwards concave shape, and is favorable for being clamped at the position of the ring pharyngeal muscle, the inner tube and the outer tube are fixed by the operation fixing clamp, one ends of the inner tube and the outer tube, which are far away from the elastic bag, are respectively communicated with a liquid inlet tube and a liquid pumping tube, valves are respectively arranged on the ends, cold water enters the inner side of the elastic bag through a liquid outlet hole, the liquid pumping tube communicated with the outer tube is closed, the elastic bag can gradually expand, the amount of the cold water in the elastic bag can be controlled through the external liquid inlet tube, the liquid pumping tube and the valves communicated with the outer tube and the inner tube, the elastic bag can contract and expand, the elastic bag can conveniently carry out rehabilitation training on the dysfunction of the cricopharyngeal muscle of esophagus, the length of the elastic bag is about 30mm, the elastic bag is conveniently clamped on the cricopharyngeal muscle, the cold water can be replaced through the liquid inlet tube communicated with the inner tube, and the cold water with different temperatures can be used for the gradual adaptation of the circulation of patients, and the water in the original elastic bag can be timely pumped away through the outer tube and the liquid pumping tube, the water in the elastic bag can be conveniently replaced, and cold water can be effectively and quickly replaced to cold stimulate the esophageal cricopharyngeal muscle; or inserting a catheter balloon dilatation tube into an esophagus through nose or mouth, injecting 2-10ml of ice-saline water into the balloon after determining the position, expanding the balloon, slowly pulling the catheter balloon dilatation tube outwards until a clamping feeling or pulling immobility exists, pumping out appropriate amount of water, advising a patient to actively swallow, repeatedly and gently pulling outwards and alternately relaxing the catheter by colleagues, and once a sliding feeling exists or the pulling-out resistance is reduced sharply, indicating that the balloon slides through the cricopharyngeal muscle, and quickly pumping out the ice-saline water in the balloon; according to the invention, the elastic bag can be conveniently collected into the inner side of the outer pipe through the sliding inner pipe, the elastic bag is conveniently conveyed to the esophagus of a patient, the elastic bag is prevented from being continuously scraped on the inner wall of the esophagus, cold water is pumped out from the outer pipe through the inner pipe, cold water in the elastic bag is conveniently replaced in time, cold water with different degrees can be quickly replaced to adapt to the patient, and rehabilitation training can be carried out on the cricopharyngeal muscle dysfunction of the patient in a passive and active combined passive mode, so that the elastic bag is convenient to use.
(2) This scheme can support the inner tube through the annular piece and remove in the outer tube inboard, avoids the lower part of inner tube too soft to be unfavorable for the inner tube in that the outer tube is inboard slides, crosses liquid through-hole and can be convenient for take out from the interior cold water of elasticity bag with the liquid suction pipe of outer tube intercommunication, the discharge of the interior cold water of elasticity bag of being convenient for.
(3) This scheme can conveniently compress tightly the upper portion of inner tube through rotating fixing bolt to make outer tube and inner tube relatively fixed, the fixation clamp is located the outside of human body, and on the inner tube with one section use of outer tube sliding connection be the hard pipe, and the part that the inner tube is located the esophagus is the pipe than soft, can enough make things convenient for the relative slip and the fixed of inner tube and outer tube, the inner tube of also being convenient for gets into the esophagus, and is also the same with reason outer tube.
(4) This scheme can avoid the outer tube to take out from the pipe through the sealing washer externally and take out from the inside cold water of elastic bag, and cold water leaks in the esophagus from the sliding connection department of inner tube and outer tube, and the sealing washer can increase the leakproofness of outer tube.
(5) This scheme, carry out rehabilitation training to esophagus cricopharyngeal muscle dysfunction through the shrink and the inflation of elasticity bag, the bump can play the effect of massage, can massage the cricopharyngeal muscle, the rehabilitation of the cricopharyngeal muscle of being convenient for, elasticity bag and bump are that the silica gel material has fine ductility, can make things convenient for the inflation and the shrink of elasticity bag, the bump can be followed the elasticity bag and warp, the annular piece is the deformation of the convenient inner tube of silica gel material and annular piece.
Drawings
FIG. 1 is a schematic cross-sectional front view of the present invention;
FIG. 2 is a schematic sectional front view of the elastic bladder of the present invention received in the outer tube;
FIG. 3 is an enlarged schematic view of the structure at A in FIG. 1 according to the present invention;
fig. 4 is an enlarged schematic view of the structure at B in fig. 2 according to the present invention.
The reference numbers in the figures illustrate:
1. an outer tube; 2. an elastic bag; 3. an inner tube; 4. a gas permeable block; 401. a ring block; 402. a liquid passing through hole; 5. a liquid outlet hole; 6. a fixing clip; 601. fixing the tube; 602. fixing the bolt; 7. a seal ring; 8. and (6) salient points.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention; it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work are within the scope of the present invention.
In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "top/bottom", etc. indicate orientations or positional relationships based on orientations or positional relationships shown in the drawings, which are merely for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "disposed," "sleeved/connected," "connected," and the like are to be construed broadly, e.g., "connected," which may be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in a specific case to those of ordinary skill in the art.
Referring to fig. 1-4, a training device for rehabilitation of cricopharyngeal muscle dysfunction comprises an outer tube 1, an elastic bag 2 connected to the bottom end of the outer tube 1, an inner tube 3 connected to the bottom of the inner side of the elastic bag 2, a top end of the inner tube 3 extending to the inner side of the outer tube 1, a top end of the inner tube 3 passing through and sliding connected to the outer side of the outer tube 1, air permeable blocks 4 arranged at equal intervals fixedly connected to the outer side of the inner tube 3, the outer side of the air permeable blocks 4 sliding connected to the outer tube 1, liquid outlet holes 5 uniformly distributed below the outer side of the inner tube 3, the liquid outlet holes 5 located inside the elastic bag 2, a fixing clamp 6 slidably connected to the top end of the outer side of the inner tube 3, the bottom end of the fixing clamp 6 fixedly connected to the outer tube 1, the outer tube 1 and the inner tube 3 are movable by operating the fixing clamp 6, the inner tube 3 is lifted by holding the outer tube 1, the inner tube 3 slides upward inside of the outer tube 1, the air permeable block 4 can facilitate the stable sliding of the outer tube 1 and the inner tube 3, the bottom end of the inner tube 3 retracts into the inner side of the outer tube 1, and most of the elastic bag 2 can also be retracted into the inner side of the outer tube 1, when the outer tube 1 enters the esophagus, most of the elastic bag 2 is retracted into the inner side of the outer tube 1, the elastic bag 2 can be prevented from being continuously scraped on the inner wall of the esophagus, at the moment, the bottom of the outer tube 1 is the bent part of the elastic bag 2, even if the bottom of the outer tube 1 touches the inner wall of the esophagus, the bent elastic bag 2 touches the inner wall of the esophagus, the bottom of the outer tube 1 can be prevented from being scraped on the inner wall of the esophagus, discomfort caused to a patient can be avoided, the outer tube 1 enters a proper position of the esophagus, the bottom end of the inner tube 3 slides to the lower part of the outer tube 1, at the moment, the elastic bag 2 is ejected, the elastic bag 2 is slightly inwards concave in the middle part, and the length of the elastic bag (2) is 30mm, the length is greater than the length of the circumpharyngeal muscle and the length of the upper pharyngeal constrictor; the inner tube 3 and the outer tube 1 are fixed by operating the fixing clamp 6, one ends of the inner tube 3 and the outer tube 1, which are far away from the elastic bag 2, are respectively communicated with a liquid inlet pipe and a liquid pumping pipe and are respectively provided with a valve, cold water enters the inner side of the elastic bag 2 from a liquid outlet hole 5 through the inner tube 3, the liquid pumping pipe communicated with the outer tube 1 is closed, the elastic bag 2 can be gradually expanded, the amount of cold water in the elastic bag 2 can be controlled through the external liquid inlet pipe, the liquid pumping pipe and the valve communicated with the outer tube 1 and the inner tube 3, the elastic bag 2 can be contracted and expanded, the elastic bag 2 can be convenient to carry out rehabilitation training on the dysfunction of the cricopharyngeal muscle of the esophagus, the length of the elastic bag 2 is about 30mm, the elastic bag can be conveniently clamped on the cricopharyngeal muscle, the cold water can be replaced through the liquid inlet pipe communicated with the inner tube 3, the cold water with different temperatures can be conveniently circulated and gradually adapted to cold stimulation of patients, the water in the original elastic bag 2 can be timely separated through the outer tube 1 and the liquid pumping pipe, the water in the elastic bag 2 can be effectively and quickly used for replacing the cricopharyngeal muscle of the esophagus; or inserting a catheter balloon dilatation tube into an esophagus through nose or mouth, injecting 2-10ml of ice-saline water into the balloon after determining the position, expanding the balloon, slowly pulling the catheter balloon dilatation tube outwards until a clamping feeling or pulling immobility exists, pumping out appropriate amount of water, advising a patient to actively swallow, repeatedly and gently pulling outwards and alternately relaxing the catheter by colleagues, and once a sliding feeling exists or the pulling-out resistance is reduced sharply, indicating that the balloon slides through the cricopharyngeal muscle, and quickly pumping out the ice-saline water in the balloon; according to the invention, the elastic bag 2 can be conveniently collected into the inner side of the outer tube 1 through the sliding inner tube 3, the elastic bag 2 can be conveniently conveyed to the esophagus of a patient, the elastic bag 2 is prevented from being continuously scraped on the inner wall of the esophagus, cold water is fed into the inner tube 3, the outer tube 1 is pumped out of the cold water, the cold water in the elastic bag 2 can be conveniently replaced in time, the cold water with different degrees can be quickly replaced to adapt to the patient, and rehabilitation training can be carried out on the functional disorder of the cricopharyngeal muscle of the patient in a passive and active combined passive mode, so that the elastic bag is convenient to use.
Further, ventilative piece 4 includes annular piece 401, annular piece 401's inboard and 3 fixed connection of inner tube, annular piece 401's outside and 1 sliding connection of outer tube, evenly distributed's the liquid through-hole 402 of crossing is seted up at annular piece 401's top, can support inner tube 3 through annular piece 401 and remove in 1 inboard of outer tube, the lower part of avoiding inner tube 3 too soft is unfavorable for inner tube 3 to slide in 1 inboard of outer tube, cross liquid through-hole 402 and can be convenient for take out the cold water in the elastic bag 2 with the liquid suction pipe of 1 intercommunication of outer tube, be convenient for the discharge of cold water in the elastic bag 2.
Further, fixation clamp 6 includes fixed pipe 601, the inboard and the inner tube 3 sliding connection of fixed pipe 601, the bottom and outer tube 1 fixed connection of fixed pipe 601, the left side threaded connection of fixed pipe 601 has fixing bolt 602, the right-hand member of fixing bolt 602 runs through and extends to the inboard of fixed pipe 601, the right-hand member and the inner tube 3 contact of fixing bolt 602, can conveniently compress tightly the upper portion of inner tube 3 through rotating fixing bolt 602, thereby make outer tube 1 and inner tube 3 relatively fixed, fixation clamp 6 is located the outside of human body, and one section of using with outer tube 1 sliding connection on the inner tube 3 is the hard pipe, and the part that inner tube 3 is located in the esophagus is the pipe that is softer, can enough make things convenient for the relative slip and the fixed of inner tube 3 and outer tube 1, also be convenient for inner tube 3 to get into the esophagus, it is also the same with outer tube 1.
Further, inner tube 3 and 1 sliding connection department of outer tube are equipped with sealing washer 7, the outside and outer tube 1 fixed connection of sealing washer 7, the inboard and 3 sliding connection of inner tube of sealing washer 7 can avoid outer tube 1 to take out from the pipe through sealing washer 7 and take out from the inside cold water of elastic bag 2, and cold water leaks to the esophagus from the sliding connection department of inner tube 3 and outer tube 1 in, and sealing washer 7 can increase the leakproofness of outer tube 1.
Further, the outside fixedly connected with evenly distributed's of elasticity bag 2 bump 8, the elasticity bag 2, bump 8 and annular piece 401 are the silica gel material, shrink and the inflation through elasticity bag 2 carry out the rehabilitation training to esophagus ring pharyngeal muscle dysfunction, bump 8 can play the effect of massage, can massage ring pharyngeal muscle, be convenient for the rehabilitation of ring pharyngeal muscle, elasticity bag 2, it has fine ductility to be the silica gel material with bump 8, can make things convenient for the inflation and the shrink of elasticity bag 2, bump 8 can be followed elasticity bag 2 and warp, annular piece 401 is the deformation that the silica gel material makes things convenient for inner tube 3 and annular piece 401.
The working principle is as follows: by loosening the fixing bolt 602, the inner tube 3 is lifted upwards by holding the outer tube 1, the inner tube 3 slides upwards in the inner side of the outer tube 1, the ventilation block 4 can facilitate the stable sliding of the outer tube 1 and the inner tube 3, the bottom end of the inner tube 3 retracts into the inner side of the outer tube 1, and most of the elastic bag 2 can also be retracted into the inner side of the outer tube 1, when the outer tube 1 enters the esophagus, most of the elastic bag 2 is retracted into the inner side of the outer tube 1, the elastic bag 2 can be prevented from being continuously scraped on the inner wall of the esophagus, at the moment, the bottom of the outer tube 1 is the bent part of the elastic bag 2, even if the bottom of the outer tube 1 touches the inner wall of the esophagus, the bent elastic bag 2 touches the inner wall of the esophagus, the bottom of the outer tube 1 can be prevented from being scraped on the inner wall of the esophagus, the discomfort of the patient can be prevented from being caused by the outer tube 1 entering the proper position of the esophagus, the bottom end of the inner tube 3 slides below the outer tube 1, at the moment, the elastic bag 2 is ejected, the elastic bag 2 is slightly inwards concave at the middle part, the inner tube 3 and the outer tube 1 are fixed by screwing the fixing bolt 602, one ends of the inner tube 3 and the outer tube 1, which are far away from the elastic bag 2, are respectively communicated with a liquid inlet pipe and a liquid pumping pipe and are respectively provided with a valve, cold water enters the inner side of the elastic bag 2 from a liquid outlet hole 5 through the inner tube 3, the liquid pumping pipe communicated with the outer tube 1 is closed, the elastic bag 2 can be gradually expanded, the amount of the cold water in the elastic bag 2 can be controlled through the external liquid inlet pipe, the liquid pumping pipe and the valve communicated with the outer tube 1 and the inner tube 3, the elastic bag 2 can be contracted and expanded, the elastic bag 2 can conveniently carry out rehabilitation training on the dysfunction of the cricopharyngeal muscle of the esophagus, the length of the elastic bag 2 is about 30mm, the elastic bag can be conveniently clamped on the cricopharyngeal muscle, the salient points 8 at the outer side of the elastic bag 2 can also effectively massage the cricopharyngeal muscle, and the liquid inlet pipe communicated with the inner tube 3 can be changed with cold water with different temperatures, the water in the original elastic bag 2 can be timely pumped out through the outer tube 1 and the liquid pumping tube, so that the water in the elastic bag 2 can be conveniently replaced, and cold water can be effectively and quickly replaced to cold stimulate the esophageal cricopharyngeal muscle; or inserting a catheter balloon dilatation tube into an esophagus through nose or through mouth, injecting 2-10ml of ice saline into the balloon after determining the position, expanding the balloon, slowly pulling the catheter balloon dilatation tube outwards until a clamping feeling or pulling immobility exists, drawing out a proper amount of water, advising a patient to actively swallow, repeatedly and gently pulling outwards by colleagues and alternately relaxing a catheter, and once a sliding feeling exists or the pulling resistance is reduced sharply, indicating that the balloon slides through the cricopharyngeal muscle and quickly drawing out the ice saline in the balloon; the device can actively and passively perform the rehabilitation training of the functional disorder of the circumpharyngeal muscle in a combined manner; according to the invention, the elastic bag 2 can be conveniently collected into the inner side of the outer tube 1 through the sliding inner tube 3, the elastic bag 2 can be conveniently conveyed to the esophagus of a patient, the elastic bag 2 is prevented from being continuously scraped on the inner wall of the esophagus, cold water is introduced into the inner tube 3, the cold water in the elastic bag 2 is conveniently replaced in time after the outer tube 1 is pumped out of the cold water, the cold water with different degrees can be quickly replaced to adapt to the patient, and rehabilitation training can be carried out on the cricopharyngeal muscle dysfunction of the patient in a passive and active combined passive mode, so that the use is convenient.
The foregoing is only a preferred embodiment of the present invention; the scope of the invention is not limited thereto. Any person skilled in the art should be able to cover the technical scope of the present invention by equivalent or modified solutions and modifications within the technical scope of the present invention.

Claims (3)

1. The utility model provides a cricopharyngeal muscle dysfunction rehabilitation training device, includes outer tube (1), its characterized in that: the bottom end of the outer tube (1) is fixedly connected with an elastic bag (2) communicated with the outer tube, the bottom of the inner side of the elastic bag (2) is fixedly connected with an inner tube (3), the top end of the inner tube (3) extends to the inner side of the outer tube (1), the top end of the inner tube (3) penetrates through and is connected to the outer side of the outer tube (1) in a sliding mode, air permeable blocks (4) which are arranged equidistantly are fixedly connected to the outer portion of the inner tube (3), the outer portion of each air permeable block (4) is connected with the outer tube (1) in a sliding mode, liquid outlet holes (5) which are distributed evenly are formed in the lower portion of the outer portion of the inner tube (3), the liquid outlet holes (5) are located in the inner side of the elastic bag (2), a fixing clamp (6) which is connected with the inner tube (3) in a sliding mode is sleeved at the top end of the outer portion of the inner tube (3), and the bottom end of the fixing clamp (6) is fixedly connected with the outer tube (1);
the air permeable block (4) comprises an annular block (401), the inner side of the annular block (401) is fixedly connected with the inner pipe (3), the outer part of the annular block (401) is connected with the outer pipe (1) in a sliding mode, and liquid passing through holes (402) which are uniformly distributed are formed in the top of the annular block (401);
fixation clamp (6) include solid fixed tube (601), the inboard and inner tube (3) sliding connection of solid fixed tube (601), the bottom and outer tube (1) fixed connection of solid fixed tube (601), the left side threaded connection of solid fixed tube (601) has fixing bolt (602), the right-hand member of fixing bolt (602) runs through and extends to the inboard of solid fixed tube (601), the right-hand member and the contact of inner tube (3) of fixing bolt (602).
2. The device for rehabilitation training of cricopharyngeal muscle dysfunction according to claim 1, wherein: the inner tube (3) and outer tube (1) sliding connection department is equipped with sealing washer (7), the outside and outer tube (1) fixed connection of sealing washer (7), the inboard and inner tube (3) sliding connection of sealing washer (7).
3. The device for rehabilitation training of cricopharyngeal muscle dysfunction according to claim 1, wherein: the outside fixedly connected with evenly distributed's of elasticity bag (2) bump (8), elasticity bag (2), bump (8) and annular piece (401) are the silica gel material.
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