CN113018134A - Autoarteriovenous internal fistula exercising device for hemodialysis patient - Google Patents

Autoarteriovenous internal fistula exercising device for hemodialysis patient Download PDF

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Publication number
CN113018134A
CN113018134A CN201911357481.0A CN201911357481A CN113018134A CN 113018134 A CN113018134 A CN 113018134A CN 201911357481 A CN201911357481 A CN 201911357481A CN 113018134 A CN113018134 A CN 113018134A
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CN
China
Prior art keywords
component
internal fistula
exercise
hot compress
base plate
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Pending
Application number
CN201911357481.0A
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Chinese (zh)
Inventor
李亚娟
孙世仁
张鹏
许国双
李嵘
李朋朋
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201911357481.0A priority Critical patent/CN113018134A/en
Publication of CN113018134A publication Critical patent/CN113018134A/en
Pending legal-status Critical Current

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    • 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
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • 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
    • A61F7/02Compresses or poultices for effecting heating or cooling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552Elastic ropes or bands
    • 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
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/14Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles for wrist joints
    • 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
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/16Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles for hands or fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0029Arm or parts thereof
    • A61F2007/0034Lower arm
    • 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
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/20Devices for specific treatment or diagnosis for dialysis
    • 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
    • A61H2201/0207Characteristics of apparatus not provided for in the preceding codes heated or cooled heated
    • 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/06Arms
    • 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
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/30Blood pressure
    • A61H2230/305Blood pressure used as a control parameter for the apparatus

Abstract

The invention discloses an autologous arteriovenous internal fistula exercising device for a hemodialysis patient, which comprises: a base and an exercise assembly; the exercise component comprises a base plate provided with an accommodating groove, and a pressurizing component, a hot compress component and a hand exercise component which are sequentially arranged on the base plate; one end of the base plate is movably hinged with one end of the base through a hinge, and the other end of the base plate, close to one end of the hand exercising assembly, is connected through a supporting assembly; and the control component is arranged in the base and is electrically connected with the pressurizing component, the hot compress component and the supporting component. The invention provides an autologous arteriovenous internal fistula exercising device for hemodialysis patients, which can achieve the purposes of holding balls by hands, pressing and clenching a fist and carrying out hot compress at an internal fistula position, thereby achieving the purpose of exercising according to requirements at different stages, effectively prolonging the service life of the internal fistula and reducing the occurrence of complications of the internal fistula.

Description

Autoarteriovenous internal fistula exercising device for hemodialysis patient
Technical Field
The invention relates to the field of medical auxiliary appliances, in particular to an exercise appliance for autologous arteriovenous internal fistula of a hemodialysis patient.
Background
Uremia is a disease seriously threatening the physical health of patients, and brings great trouble to the life of the patients. At present, a hemodialysis treatment method is mainly adopted clinically, and the autologous arteriovenous internal fistula provides great convenience for clinical hemodialysis, promotes the hemodialysis to be carried out quickly and effectively, relieves the pain of a patient to a great extent, and prolongs the life of the patient. The autologous arteriovenous internal fistula has great advantages, can be used for a long time after the vascular access is mature, and has good treatment effect. However, in recent years, with the increase of dialysis patients, the failure rate of arteriovenous internal fistula is increased. So how to promote the maturation of arteriovenous internal fistula in clinic is more important. Its maturity and function are important guarantee for smoothly carrying out hemodialysis. The mature internal fistula can provide sufficient blood flow for hemodialysis treatment, thereby achieving the aim of hemodialysis. Therefore, correct exercise is vital to the maturity of the internal fistula, guides the patients to exercise the standard functions, gradually advances along the cycle, correctly performs fist making action and wrist joint movement, and has important significance for promoting the development and maturity of the internal fistula and preventing the stenosis and thrombosis of the vascular cavity on the basis of initiative.
But currently, few exercise devices aiming at postoperative recovery of the autologous arteriovenous internal fistula of a patient are available in the market to promote maturation of the arteriovenous internal fistula. Only depends on the mature self exercise of the patient after the operation, but the exercise method mastered by the patient is incorrect or the compliance is not high, so the exercise effect can not be achieved, and no professional apparatus is clinically used for the patient to carry out standard and quantitative training at present, so the use of font arteriovenous fistula is directly influenced.
In view of the above, there is a need to design an exercising apparatus for autologous arteriovenous internal fistula of a hemodialysis patient, which overcomes the above technical problems.
Disclosure of Invention
The invention aims to overcome the defects of the prior art, provides an exercise device for the autoarteriovenous internal fistula of a hemodialysis patient, and can achieve the purposes of holding a ball by hand, pressing a fist and carrying out hot compress on the blood vessel of the internal fistula, thereby achieving the purpose of exercising according to requirements at different stages, effectively prolonging the service life of the internal fistula and reducing the occurrence of complications of the internal fistula.
In order to achieve the above purpose, the present invention mainly provides the following technical solutions:
a hemodialysis patient autologous arteriovenous internal fistula exercise device, which comprises:
a base and an exercise assembly;
the exercise assembly comprises a base plate provided with an accommodating groove, and a detachable pressurizing assembly, a hot compress assembly and a hand exercise assembly which are sequentially arranged on the base plate;
one end of the base plate is movably hinged with one end of the base through a hinge, and the other end of the base plate, close to one end of the hand exercising assembly, is connected through a supporting assembly;
and the control component is arranged in the base and is electrically connected with the pressurizing component, the hot compress component and the supporting component.
As a preferred embodiment of the invention, the control assembly comprises a control box which is internally provided with a micro air pump, a micro motor, a micro processor, a power supply assembly and a wireless transceiver module I
A plurality of control buttons are arranged on the outer surface of the control box;
the control button is electrically connected with the input end of the microprocessor, and the micro air pump and the micro motor are electrically connected with the output end of the microprocessor.
As a preferred embodiment of the present invention, the present invention further comprises a display screen, a timer and a voice playing component;
the display screen is a touch display screen and is arranged on the outer surface of the control box; a flow prompt diagram of the exercise is displayed on the display screen;
the timer and the voice playing component are electrically connected with the microprocessor;
the voice playing component is a loudspeaker.
As a preferred embodiment of the present invention, the pressurizing assembly is a semi-annular pressurizing air bag which is wound on the upper arm position of the patient;
the pressurizing air bag is connected with the miniature air pump in the base through an inflation tube.
As a preferred embodiment of the present invention, the present invention further comprises a dynamic blood pressure monitoring assembly, which comprises a blood pressure monitoring element arranged on the inner wall of the pressurizing air bag and a blood pressure monitoring host arranged in the control box;
the blood pressure monitoring element transmits the measured blood pressure parameters to a blood pressure monitoring host for analysis and processing, and then the blood pressure parameters are displayed through the display screen.
In a preferred embodiment of the present invention, the heat application component is a heat application belt, which is disposed on the base plate at a position corresponding to the forearm of the arteriovenous internal fistula of the patient; one end of the hot compress belt is connected with one side of the substrate, and the other side of the hot compress belt is matched and connected with a Chinese character 'ri' button arranged on the other side of the substrate through a fixing belt body at the end part of the hot compress belt;
the hot compress belt is internally provided with a heating sheet which is electrically connected with the microprocessor.
As a preferred embodiment of the present invention, the heating sheet includes a flexible heating element and a flexible heat-insulating layer coated on the flexible heating element;
the flexible heating body is a carbon fiber heating sheet.
As a preferred embodiment of the present invention, the micro motor is disposed at the left end of the base and at an end thereof away from the pressurizing assembly; the upper end of the micro motor is connected with the supporting component;
the supporting component is an electric hydraulic rod which is connected to an output shaft of the micro motor and is driven by the micro motor to perform telescopic supporting movement.
As a preferred embodiment of the present invention, the hand exercising assembly comprises an exercising ball, wherein the ears at the left and right ends of the exercising ball are movably connected to the left and right ends of the base plate through elastic ropes respectively;
the exercise ball is a silica gel ball, and anti-skid stripes are arranged on the outer surface of the silica gel ball;
the end parts of the elastic ropes are provided with hooks which can be hung on hanging rings correspondingly arranged at the left end and the right end of the base plate.
As a preferred embodiment of the invention, the control buttons comprise an inflation knob, a lifting knob, a heating knob, a timing starting switch and a main power switch
The inflation knob, the lifting knob and the heating knob are knob switches.
As a preferred embodiment of the present invention, the remote control device further comprises a remote control end, which realizes data transmission with the wireless transceiver module of the control component through a wireless transceiver module two;
the remote control end is a smart phone;
the first wireless transceiver module and the second wireless transceiver module are WiFi modules or Bluetooth modules.
Compared with the prior art, the invention has the following beneficial effects:
according to the internal arteriovenous fistula exercising device for the hemodialysis patient, the pressurizing component, the hot compress component and the hand exercising component are arranged, so that the exercising requirements of different stages of the internal fistula can be met; therefore, training operation is carried out according to the requirements and specifications, the maturation of the arteriovenous internal fistula is effectively promoted, and the occurrence of complications is reduced;
according to the internal arteriovenous fistula exercising device for the hemodialysis patient, the supporting component is arranged, so that the arm of the patient can be moderately lifted as required, and the problem of limb edema after an internal fistula operation is effectively prevented;
the hemodialysis patient autologous arteriovenous internal fistula exercising device is also provided with a timer and a voice playing component, can remind an exerciser of exercising contents in real time and play a role in timing and the like, and can remind a patient through pre-recorded voice, so that interactivity and interestingness are enhanced, and the enthusiasm of a user is effectively improved;
the internal arteriovenous fistula exercising device for the hemodialysis patient integrates multiple exercising functions, is specially used for exercising the arteriovenous fistula patient, meets the exercising requirement, and can effectively exercise the internal fistula blood vessel function of the patient.
The foregoing is a summary of the present invention, and in order to provide a clear understanding of the technical means of the present invention and to enable the same to be carried into effect in accordance with the present specification, the following detailed description of the preferred embodiments of the present invention is provided in conjunction with the accompanying drawings.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural diagram of an apparatus for exercising autologous arteriovenous internal fistula of a hemodialysis patient according to the invention;
FIG. 2 is another schematic structural view of a hemodialysis patient autologous arteriovenous internal fistula exercise device of the present invention;
FIG. 3 is a schematic structural view of a hand exercising assembly of a hemodialysis patient autologous arteriovenous internal fistula exercising apparatus of the invention;
FIG. 4 is a schematic structural diagram of a control box of an autologous arteriovenous internal fistula exercise device for a hemodialysis patient according to the invention;
FIG. 5 is a schematic diagram of the internal structure of the control box of the autoarteriovenous internal fistula exercising apparatus for the hemodialysis patient according to the invention;
FIG. 6 is a functional block diagram of a hemodialysis patient autologous arteriovenous internal fistula exercise device of the present invention;
description of reference numerals:
11. base 12, hinge 13, supporting component
14. Elbow holding tank
20. Base plate 21, pressure assembly 22, hot compress subassembly
23. Hand exercising assembly 211, pressurizing belt 212 and inflatable air bag
213. Inflation tube 24, holding tank 25, fixed area body
26. Chinese character 'ri' shaped button
221. Hot compress belt 222, heating sheet
231. Exercise ball 232, elastic rope 233 and hanging ring
234. Hook 235 and anti-skid stripe
30. Control assembly 31, control box 32 and miniature air pump
33. Micro motor 34, micro processor 35, power supply assembly
36. Control button 37, display screen 38, timer
39. Voice playing assembly
41. Inflation knob 42, lifting knob 43, and heating knob
44. Timing start switch 45, main power switch 46 and blood pressure monitoring switch
53. Remote control terminal 51, first wireless transceiver module 52 and second wireless transceiver module
60. Dynamic blood pressure monitoring component 61, blood pressure monitoring element 62 and blood pressure monitoring host
Detailed Description
To further illustrate the technical means and effects of the present invention for achieving the predetermined objects, the following detailed description will be given to specific embodiments, structures, features and effects of an apparatus for exercising an arteriovenous internal fistula of a hemodialysis patient according to the present invention with reference to the accompanying drawings and preferred embodiments.
As shown in fig. 1 to 6, the invention provides a hemodialysis patient autologous arteriovenous internal fistula exercise device, which comprises:
a base 11 and an exercise assembly;
the exercise component comprises a base plate 20 provided with an accommodating groove 24, and a pressurizing component 21, a hot compress component 22 and a hand exercise component 23 which are sequentially arranged on the base plate 20;
one end of the base plate 20 and one end of the base 11 are movably hinged through a hinge 12, and the other end of the base plate close to the hand exercising assembly 23 is connected through a supporting assembly 13;
and the control component 30 is arranged in the base 11 and is electrically connected with the pressurizing component 21, the hot compress component 22 and the supporting component 13.
The utility model provides an utensil is tempered to hemodialysis patient autologous arteriovenous internal fistula of embodiment, it is at the in-process that uses:
medical staff selects the proper type of the exercise device according to the condition of a patient, and fixes the arms on the internal fistula side on the exercise assembly, and in order to prevent hands from being separated from the device, the arms can be simply fixed by using fixing belts and the like;
before exercise, the process of exercise needs to be explained, and functional exercise after internal fistula operation requires the following: 1) the operation can be performed for 24 hours after the operation, and the actions of clenching the fist and the wrist joint can be performed, so that the thrombus can be prevented;
2) starting intensive care of the internal fistula 3-7 days after the operation;
pinching the rubber body-building ball with the hand at the operation side for 3-5 minutes each time for several times every day;
gently pressurizing the upper part of the anastomotic stoma (generally selecting the outer side of the upper arm on the cubital fossa or the inner side venous return passage) by hand, properly clenching the fist, taking 1-2 minutes each time, and repeating the actions after resting for 2 minutes; each group is 10 times, and each day comprises 2-3 groups;
thirdly, after the stitches of the operation wound are removed for 3 days, the operation wound can be hot-compressed for 2 to 3 times every day, and each time is 15 to 20 minutes;
meanwhile, after operation, when the limb on the side of the sexual impotence is raised by about 30 degrees in the day, the blood flow is kept smooth, the limb is prevented from being pressed, when the patient lies in the bed, the patient can be padded by the soft pillow, the patient is prohibited to lie on the side of the operation, and the limb edema after the internal fistula operation is prevented.
In order to make the patient and the accompanying person familiar with the exercise requirement, the above characters and accompanying drawings can be displayed on the display screen 37, thereby achieving the purpose of reminding the patient to exercise and improving the exercise effect.
In order to facilitate the arm to be put in, the upper surface of the base plate 20 is provided with the holding groove 24 which is used for holding the arm of the patient;
as a preferred embodiment, in order to make the exercise device suitable for different patients, the base 11 and the base plate 20 are connected by plugging respectively when they are stretchable; when the arm length of different users is different, the base plate 20 or the base 11 can be properly stretched.
Meanwhile, in order to ensure comfortable placement of the elbow, an elbow accommodating groove 14 is formed in the base 11 at a position corresponding to the elbow; the elbow accommodating groove 14 is filled with a breathable soft silica gel pad.
As shown in fig. 4 and 5, the control assembly 30 of the internal arteriovenous fistula exercising apparatus for hemodialysis patients of the present invention comprises a control box 31, which is internally provided with a micro air pump 32, a micro motor 33, a micro processor 34, a power supply assembly 35 and a first wireless transceiver module 51; a plurality of control buttons 36 are arranged on the outer surface of the control box 31; the control button 36 is electrically connected with the input end of the microprocessor 34, and the micro air pump 32 and the micro motor 33 are both electrically connected with the output end of the microprocessor 34.
The hemodialysis patient autologous arteriovenous internal fistula exercising device provided by the embodiment of the application is provided with a micro air pump 32, a micro motor 33, a micro processor 34 and a power supply assembly 35 which correspond to respective realized functions; wherein:
the micro air pump 32 can be an air pump with a small volume on the market at present, and is electrically connected with the micro processor 34, and meanwhile, the air outlet end of the micro air pump is communicated with the pressurizing assembly 21 through an air charging pipe 213 so as to achieve the purpose of pressurizing; it is suitable for intensive care of internal fistula for 3-7 days after operation;
the supporting component 13 consists of the micro motor 33 and the electric hydraulic rod and is used for lifting the internal fistula side limb by about 30 degrees, so that the problem of edema of the internal fistula side limb is avoided, smooth blood flow of the internal fistula side limb is ensured, and the internal fistula side limb is prevented from being pressed;
the microprocessor 34 here adopts a model 51 single chip microcomputer, which has the characteristics of low cost and wide application range, and is suitable for this.
The power supply 35 is a dc power supply, which may be a rechargeable battery, to meet the exercise requirements of the exercise device.
As shown in fig. 4, the hemodialysis patient autologous arteriovenous internal fistula exercise device of the present invention further comprises a display screen 37, a timer 38 and a voice playing component 39; the display screen 37 is a touch display screen 37 and is arranged on the outer surface of the control box 31; a flow prompt diagram of the exercise is displayed on the display screen 37; the timer 38 and the voice playing component 39 are both electrically connected with the microprocessor 34; the voice playing component 39 is a speaker.
The hemodialysis patient autologous arteriovenous internal fistula exercise device provided by the embodiment of the application is provided with the display screen 37, and the display screen 37 can be used for displaying the pre-entered exercise requirement content, so that an exerciser and accompanying family members can conveniently read the exercise requirement, and the exercise requirement is installed for exercise;
a timer 38 and a voice playing component 39 are also arranged, the timer 38 can select the currently common timer 38, and after the exercise is started, the timing switch button is pressed down, so that the timing operation can be started, for example, the timing operation is carried out by the time of holding the exercise ball by hand or the time of hot compress;
meanwhile, the language playing component is arranged, is a loudspeaker and is electrically connected with the microprocessor 34, and recorded words are pre-recorded in the microprocessor 34; for example: the ball holding training is finished, the oil is added, and the language of your true stick is used; after the patient completes one exercise, the corresponding language encouragement can be carried out, and the exercise interaction interest of the patient is improved.
As shown in fig. 1 and fig. 2, in the hemodialysis patient autologous arteriovenous internal fistula exercise device of the present invention, the pressurizing assembly 21 is a semi-annular pressurizing air bag wound on the upper arm of the patient; the pressurizing air bag is connected with a micro air pump 32 arranged in the base 11 through an inflation tube 213.
The internal arteriovenous fistula exercising device for the hemodialysis patient is provided with the pressurizing component 21, and is used for strengthening nursing and exercising the internal fistula for 3-7 days after operation; when the patient is in the exercise stage, the patient can turn on the inflation knob 41 to perform inflation and pressurization operation on the pressurization air bag; the micro air pump 32 is turned on and off according to the instruction of the micro processor 34, and can be set to inflate and pressurize for 1-2 minutes each time and rest for 2 minutes; repeating the above operation 10 times; the patients can complete 2-3 groups as required every day.
As shown in fig. 1 and fig. 2, the internal arteriovenous fistula exercising device for hemodialysis patients further comprises a dynamic blood pressure monitoring assembly 60, which comprises a blood pressure monitoring element 61 arranged on the inner wall of the pressurizing air bag and a blood pressure monitoring host 62 arranged in the control box; the blood pressure monitoring element 61 transmits the measured blood pressure parameter to the blood pressure monitoring host 62 for analysis and processing, and then displays the blood pressure parameter through the display screen 37.
It should be noted that the device can also realize the function of dynamically measuring blood pressure, and only the inner wall of the pressurizing air bag is required to be attached with the blood pressure monitoring element 61, which is similar to the cuff of the current common sphygmomanometer; when the dynamic blood pressure of the patient needs to be monitored, the function of dynamic blood pressure monitoring can be realized by opening the blood pressure monitoring switch 46;
simultaneously, this monitoring gained result can be in real time through wiFi module or bluetooth module real-time transmission to remote client, can look over on feeding back to medical staff's smart mobile phone's APP promptly.
As shown in fig. 1 and fig. 2, in the exercise device for autologous arteriovenous internal fistula of a hemodialysis patient according to the present invention, the hot compress component 22 is a hot compress belt 221, which is disposed on the base plate 20 at a position corresponding to the forearm of the limb of the arteriovenous internal fistula of the patient; one end of the hot compress belt 221 is connected with one side of the substrate 20, and the other side is connected with a Chinese character 'ri' button 26 arranged on the other side of the substrate 20 in a matching way through a fixed belt body 25 at the end part of the hot compress belt; the heat application belt 221 is internally provided with a heating sheet 222, and the heating sheet 222 is electrically connected with the microprocessor 34.
According to the internal arteriovenous fistula exercising device for the hemodialysis patient, the hot compress component 22 is arranged, and the internal fistula forearm is subjected to hot compress operation after the operation wound is removed for 3 days; the heating temperature of the heating sheet 222 is 32-35 ℃; it can avoid scalding patients; the opening and closing of the heating plate 222 is controlled by the microprocessor 34; it can be applied for 2-3 times per day for 15-20 min as required; when in use, the hot compress belt 221 is turned over, the arm is wrapped under the hot compress belt 221, and the fixing belt body 25 at the end part passes through the buckle 26 at the other end of the base plate 20 and is fixed.
As shown in fig. 1, in the internal arteriovenous fistula exercising device for hemodialysis patients, the heating sheet 222 includes a flexible heating element and a flexible heat-insulating layer coated on the flexible heating element; the flexible heating body is a carbon fiber heating sheet 222.
According to the internal arteriovenous fistula exercising device for the hemodialysis patient, the heating sheet 222 selected here is a carbon fiber heating sheet, and has the characteristics of a heating block and high safety; which is arranged in the hot compress belt 221; when the purpose of wet and hot compress is needed, the hot compress belt 221 is covered on the wet gauze pad towel on the forearm of the patient, so that the purpose of wet and hot compress can be realized.
As shown in fig. 1, in the internal arteriovenous fistula exercising apparatus for hemodialysis patients of the present invention, the micro motor 33 is disposed at the left end of the base 11 and at the end thereof away from the pressurizing assembly 21; the upper end of the micro motor 33 is connected with the supporting component 13; the supporting component 13 is an electric hydraulic rod, which is connected to the output shaft of the micro motor 33 and is driven by the output shaft to perform telescopic supporting movement.
The utility model provides an utensil is tempered to hemodialysis patient autologous arteriovenous internal fistula of embodiment, this supporting component 13 is constituteed with electronic hydraulic stem to this micro motor 33, and it is used for raising internal fistula side limbs about 30 to avoid the problem emergence of internal fistula side limbs edema, guarantee that its blood flow is unobstructed and avoid its pressurized simultaneously.
As shown in fig. 3, the hand exercising element 23 of the exercising device for the autologous arteriovenous internal fistula of the hemodialysis patient of the present invention comprises an exercising ball 231, wherein the ears at the left and right ends of the exercising ball 231 are movably connected to the left and right ends of the base plate 20 through elastic cords 232, respectively; the exercise ball 231 is a silica gel ball, and the outer surface of the exercise ball is provided with anti-slip stripes 235.
In the hemodialysis patient autologous arteriovenous internal fistula exercise device of the embodiment of the application, the hand exercise component 23 is an exercise ball 231 which can be added as required; when the patient is 24 hours after operation, the patient can do fist making and wrist joint actions to prevent thrombus; the patient can hold the exercise ball 231 and start the exercise by starting the timer 38.
As shown in fig. 3, in the internal arteriovenous fistula exercising device for hemodialysis patients of the present invention, a hook 234 is provided at each end of the elastic cord 232, and can be hung on a hanging ring correspondingly provided at each of the left and right ends of the base plate 20.
The utility model provides an utensil is tempered to hemodialysis patient autologous arteriovenous internal fistula of embodiment because this holds the motion of tempering ball 231 and in 24 hours of postoperative, temper and can take off this and temper ball 231 to avoid other exercises to be obstructed, so should temper and hang through stretch cord 232 between ball 231 and the base plate 20 and establish the connection, can take off at once after tempering.
As shown in fig. 4, the hemodialysis patient autologous arteriovenous internal fistula exercise device of the invention, the control button 36 comprises an inflation knob 41, a lifting knob 42, a heating knob 43, a timing start switch 44 and a main power switch 45; the inflation knob 41, the lifting knob 42 and the heating knob 43 are knob switches.
The specification buttons are selected from the scope of the prior art.
As shown in fig. 6, the exercise device for autologous arteriovenous internal fistula of a hemodialysis patient further comprises a remote control end 53, which realizes data transmission with a first wireless transceiver module 51 of the control component through a second wireless transceiver module 52;
the remote control terminal 53 is a smart phone; the first wireless transceiver module 51 and the second wireless transceiver module 52 are WiFi modules or bluetooth modules.
As the preferred embodiment of this application, its accessible sets up and changes the remote control end and realize the transmission of data and real time monitoring's this exercise information's of this, so set up this remote control end, can all transmit each item data in the exercise process to this remote control end and show, the medical personnel of being convenient for look over at any time and know.
The utility model provides an utensil is tempered to hemodialysis patient autologous arteriovenous internal fistula of embodiment, it is in specific use:
the medical staff selects a proper exercise device for the patient and places the exercise device at the arm on the internal fistula side of the patient; the following exercises can be started according to the exercise requirements:
one is as follows: raise fistula side affected limb
When the sexual side limbs are raised by about 30 degrees in the day after operation, the blood flow is kept smooth, and the compression is prevented; the medical staff starts the lifting knob 42, the micro motor 33 drives the electric hydraulic rod to slowly lift up, so as to support the base plate 20, and the base plate 20 is lifted up to a proper height, which is 30 degrees as an example; thereby avoiding the problem of limb edema;
the second step is as follows: ball holding training
If the wound is free from blood seepage, infection and good healing, the patient can start to do simple ball holding training 24 hours after operation;
the medical staff hangs the exercise ball 231 on the hook 234 at the base 11 for the patient, so that the exercise ball 231 is placed in the palm of the patient; then, a timing starting switch 44 is started, and the patient can hold the ball for 3-5 minutes every day and can adjust the timing starting switch according to the situation;
and thirdly: pressure and fist making training
The patient places the upper arm in the pressurizing cuff 211 made of the pressurizing air bag so that the pressurizing belt 211 is placed at the position outside the upper arm on the cubital fossa, and then the inflating knob 41 is turned on to inflate and pressurize the pressurizing air bag; the micro air pump 32 is turned on and off according to the instruction of the micro processor 34, and can be set to inflate and pressurize for 1-2 minutes each time and rest for 1-2 minutes; repeating the above operation 10 times; the patients can complete 2-3 groups as required every day; meanwhile, when the compression operation is performed, the patient can be asked to continue the stretching training;
fourthly, the method comprises the following steps: wet hot compress operation
When the patient takes out stitches after operation, the wet and hot compress operation can be carried out; it can be used for hot compress operation 3 days after the operation wound is removed; covering the forearm of the patient with a wet gauze pad towel; when in use, the hot compress belt 221 is turned over, the arm is wrapped under the hot compress belt 221, and the fixing belt body 25 at the end part passes through and is fixed on the Chinese character 'ri' button 26 at the other end of the base plate 20; then, the heating temperature of the heating sheet 222 is adjusted to 32-35 ℃; it can avoid scalding patients; the opening and closing of the heating plate 222 is controlled by the microprocessor 34; it can be applied by hot compress for 2-3 times per day, 15-30 min each time;
the patient can carry out above-mentioned exercise according to the medical advice condition, and after above-mentioned exercise, it can be constantly protected exercise, the dance lifeline (fingertip movement, wrist motion, the motion of making a fist).
Meanwhile, the device can be independently arranged, and can also transmit and interact data with a remote control end, namely a smart phone, through a wireless transmission technology; the user is when taking exercise, and its exercise numerical value sends this remote control end in real time to guarantee that medical personnel know intensity, time, number of times etc. of taking exercise.
The present invention has been further described with reference to the examples, but the present invention is not limited to the above-described embodiments, and various changes can be made without departing from the spirit of the present invention within the knowledge of those skilled in the art.

Claims (10)

1. An apparatus for exercising autoarteriovenous internal fistula of a hemodialysis patient is characterized by comprising:
a base and an exercise assembly;
temper the subassembly including the base plate of seting up the holding tank and locate in proper order hot compress subassembly and hand on the base plate are tempered the subassembly and can be dismantled pressure device. (ii) a
One end of the base plate is movably hinged with one end of the base through a hinge, and the other end of the base plate, close to one end of the hand exercising assembly, is connected through a supporting assembly;
and the control component is arranged in the base and is electrically connected with the pressurizing component, the hot compress component and the supporting component.
2. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the control assembly comprises a control box, a micro air pump, a micro motor, a micro processor, a power supply assembly and a first wireless transceiver module are arranged in the control box;
a plurality of control buttons are arranged on the outer surface of the control box;
the control button is electrically connected with the input end of the microprocessor, and the micro air pump and the micro motor are electrically connected with the output end of the microprocessor.
3. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the device also comprises a display screen, a timer and a voice playing component;
the display screen is a touch display screen and is arranged on the outer surface of the control box; a flow prompt diagram of the exercise is displayed on the display screen;
the timer and the voice playing component are electrically connected with the microprocessor;
the voice playing component is a loudspeaker.
4. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 2, wherein:
the pressurizing component is a semi-annular pressurizing air bag which is wound on the upper arm of the patient;
the pressurizing air bag is connected with the miniature air pump in the base through an inflation tube.
5. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 4, wherein:
the dynamic blood pressure monitoring component comprises a blood pressure monitoring element arranged on the inner wall of the pressurizing air bag and a blood pressure monitoring host arranged in the control box;
the blood pressure monitoring element transmits the measured blood pressure parameters to a blood pressure monitoring host for analysis and processing, and then the blood pressure parameters are displayed through the display screen.
6. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the hot compress component is a hot compress belt which is arranged at the position of the substrate corresponding to the forearm of the limb of the arteriovenous internal fistula of the patient; one end of the hot compress belt is connected with one side of the substrate, and the other side of the hot compress belt is matched and connected with a Chinese character 'ri' button arranged on the other side of the substrate through a fixing belt body at the end part of the hot compress belt;
the heating piece is arranged in the hot compress belt and is electrically connected with the microprocessor;
the heating sheet comprises a flexible heating body and a flexible heat-insulating layer coated on the flexible heating body;
the flexible heating body is a carbon fiber heating sheet.
7. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the micro motor is arranged at the left end of the base and at one end of the base far away from the pressurizing assembly; the upper end of the micro motor is connected with the supporting component;
the supporting component is an electric hydraulic rod which is connected to an output shaft of the micro motor and is driven by the micro motor to perform telescopic supporting movement.
8. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the hand exercising component comprises an exercising ball, and the ear parts at the left end and the right end of the exercising ball are movably connected with the left end and the right end of the base plate through elastic ropes respectively;
the exercise ball is a silica gel ball, and anti-skid stripes are arranged on the outer surface of the silica gel ball;
the end parts of the elastic ropes are provided with hooks which can be hung on hanging rings correspondingly arranged at the left end and the right end of the base plate.
9. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 1, wherein:
the control button comprises an inflation knob, a lifting knob, a heating knob, a blood pressure monitoring switch, a timing start switch and a main power switch
The inflation knob, the lifting knob and the heating knob are knob switches.
10. The hemodialysis patient autologous arteriovenous internal fistula exercise device of claim 2, wherein:
the remote control end realizes data transmission with the wireless transceiving module of the control component through a wireless transceiving module II;
the remote control end is a smart phone;
the first wireless transceiver module and the second wireless transceiver module are WiFi modules or Bluetooth modules.
CN201911357481.0A 2019-12-25 2019-12-25 Autoarteriovenous internal fistula exercising device for hemodialysis patient Pending CN113018134A (en)

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CN113426075A (en) * 2021-07-16 2021-09-24 泰州市人民医院 Portable rehabilitation training device for wrist recovery
CN113426075B (en) * 2021-07-16 2022-03-29 泰州市人民医院 Portable rehabilitation training device for wrist recovery

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