Leg moving device for severe patients
Technical Field
The invention relates to the technical field of nursing instruments for critically ill patients, in particular to a leg moving device for critically ill patients.
Background
"critically ill" is a medical term that generally indicates that the patient is suffering from some urgent, endangered condition that should be medically managed as early as possible, otherwise serious harm to the patient's body or death may result. General hospitals are provided with special emergency rooms or critical care rooms, also called special nursing rooms, for such patients, and are equipped with better medical equipment and medical care personnel to carry out special nursing and treatment on the critically ill patients, while the critical patients can also have short-term or long-term paralysis after the treatment of the hospitals, the paralysis is the reduction or loss of the random movement function, is the common symptom of the nervous system, is caused by nerve, neuromuscular junction or muscle diseases, and is treated aiming at the primary morbidity causing the random movement disorder, and meanwhile, rehabilitation is given, the paralyzed patients need to carry out some exercises in the treatment process, so that the blood of the patients is more smooth, and the medical care personnel can move the legs of the paralyzed patients.
The prior patent (publication number: CN108888475A) discloses a leg exercising device for paralyzed patients in neurology. The invention aims to provide a leg moving device for paralyzed patients in neurology, which can save time and move the legs of the paralyzed patients at any time. The technical scheme is as follows: a leg moving device for paralyzed patients in neurology department comprises a bottom plate and the like. The inventor finds that the prior art has the following problems in the process of realizing the utility model: 1. when the existing device is used, only the legs can be moved integrally, and only the crotch and the hips can be exercised, so that the using effect is single; 2. when the device is used, the feet of a patient are taken as fixing points, the weight of the legs is easily concentrated on the knees to cause pulling feeling, and the use comfort is not good; 3. the whole activity of shank is difficult to relax muscle region, and supplementary blood circulation, whole exercise effect is lower.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a leg moving device for a critically ill patient, which solves the problems that the prior device can only move the legs integrally when in use, only has the exercise effect on the hip and has single use effect; when the device is used, the feet of a patient are taken as fixing points, the weight of the legs is easily concentrated on the pulling feeling of the knee bearing, and the use comfort is not good; the whole activity of shank is difficult to relax muscle region, and the circulation of auxiliary blood, whole exercise effect is lower problem.
In order to achieve the purpose, the invention is realized by the following technical scheme: a leg moving device for a critically ill patient comprises a nursing bed, wherein an anti-skidding lying groove is formed in the left side of the bottom surface of the nursing bed, an equipment box is fixedly connected to the right side of the bottom surface of the nursing bed, an intermittent auxiliary mechanism matched with the nursing bed is arranged inside the equipment box, a blood activating and muscle relaxing mechanism matched with the intermittent auxiliary mechanism is arranged on the surface of the intermittent auxiliary mechanism, the blood activating and muscle relaxing mechanism comprises a thigh support and a shank support, which are arc groove-shaped, and the thigh support and the shank support can be intermittently lifted under the action of the intermittent auxiliary mechanism to realize the integral lifting of thighs and shanks and the knee bending action; the thigh curved support and the shank curved support are further provided with massage cantilevers facing the inner portion of the arc groove, and the massage cantilevers can massage thighs and shanks under the driving of the outer portions.
Preferably, the intermittent auxiliary mechanism comprises a single-throw crankshaft, the single-throw crankshaft is rotationally connected to the left side and the right side of the inner wall of the equipment box, a speed regulating motor is embedded in the surface of the equipment box, and a rotating shaft of the speed regulating motor penetrates through the equipment box and is fixedly connected with one end of the single-throw crankshaft;
the nursing bed is characterized in that a swing arm is rotatably connected to a connecting rod journal of the single-throw crankshaft, a cross cam is fixedly sleeved on the right side of the surface of the single-throw crankshaft through a ring groove, two sliding grooves are formed in the bottom surface of the nursing bed, piston columns are connected to the insides of the two sliding grooves in a sliding mode, the piston column on the left side is hinged to the swing arm, and the piston column on the right side is matched with the cross cam;
the caulking groove that is linked together with the spout is seted up on the right side of nursing bed top surface, the inside difference swing joint of caulking groove the thigh is bent to hold in the palm with the shank is bent to hold in the palm, the left side that the thigh is bent to hold in the palm is articulated each other with the inner wall of caulking groove, and the thigh is bent to hold in the palm the equal fixedly connected with connecting seat in bottom surface of the relative one side of support with the shank, left side the fixed alternate in top of piston post has the spiral axle, the thigh is bent to hold in the palm two of side the connecting seat is all rotated and is connected on the spiral axle, the shank is bent to hold in the palm the middle part of bottom surface and the top of right side piston post and is articulated mutually.
Preferably, the blood circulation promoting and muscle relaxing mechanism comprises sixteen side connection boxes, wherein the sixteen side connection boxes are respectively fixedly connected to the front side and the rear side of the surfaces of a thigh curved support and a shank curved support in groups of four side connection boxes, rotary rods are movably inserted into the surfaces of the side connection boxes in the same group, driven gears are fixedly sleeved at one ends of the four rotary rods, driving gears are fixedly sleeved at two ends of a rotary shaft, and the two driving gears are respectively meshed with the two driven gears at the same side;
the massage rotary arm is fixedly sleeved on the surface of the rotary rod in the side connection box, and the surfaces of the thigh curved support and the shank curved support are provided with through grooves matched with the corresponding massage rotary arms.
Preferably, the surface of the cross cam is provided with a limiting groove, and the bottom end of the piston column on the right side is provided with a roller matched with the limiting groove.
Preferably, the bottom surface of the inner wall of the caulking groove is provided with a seat groove matched with the connecting seat.
Preferably, the inner wall of the opposite side of the thigh curved support and the lower leg curved support is fixedly connected with an anti-clamping sleeve.
Preferably, a bearing is arranged at the joint of the rotating rod and the side connection box.
Preferably, the through groove is internally provided with an anti-clamping pad matched with the massage cantilever.
Advantageous effects
The invention provides a leg movement device for a critically ill patient. Compared with the prior art, the method has the following beneficial effects:
(1) this severe patient shank head gear is through setting up intermittent type and assisting the motive and construct, utilizes the bent axle to drive the thigh to bend to hold in the palm and the shank is bent and is carried out unilateral and lift up and buckle and can promote patient's shank and do the motion such as wholly lift up and bend the knee, to the different regional homoenergetic of shank and play the exercise effect, the result of use is more comprehensive.
(2) This severe patient shank head gear supports through setting up that the thigh is bent to hold in the palm and the shank is bent to hold in the palm the shank to patient and take exercise, has better cladding nature and supporting effect, has avoided causing pressure to patient's shank, and it is better to use the travelling comfort.
(3) This severe patient shank head gear is through setting up the muscle mechanism that relaxs that promotes blood who assists the mechanism linkage with the intermittent type for patient's shank is when moving about the exercise, can also massage thigh and shank through the massage cantilever of both sides, has guaranteed the muscular movement and the blood circulation of patient's shank, has improved whole exercise effect greatly.
Drawings
FIG. 1 is a front cross-sectional view of a structure of the present invention;
FIG. 2 is an enlarged view of the invention at A in FIG. 1;
FIG. 3 is a schematic view of the crankshaft of FIG. 1 according to the present invention;
FIG. 4 is a partial front cross-sectional view of the thigh crank of FIG. 1 in accordance with the present invention;
fig. 5 is a partial left sectional view of the thigh brace of fig. 1 in accordance with the present invention.
In the figure: 1. a nursing bed; 2. an anti-slip lying groove; 3. an equipment box; 4. an intermittent assist mechanism; 401. a single throw crankshaft; 402. a speed-regulating motor; 403. swinging arms; 404. a cross cam; 405. a chute; 406. a piston post; 407. caulking grooves; 408. a thigh curly support; 409. a crus bellyband; 410. a connecting seat; 411. rotating the shaft; 5. a blood circulation promoting and muscle relaxing mechanism; 501. a side connection box; 502. rotating the rod; 503. a driven gear; 504. a driving gear; 505. massaging and rotating arms; 506. a through groove.
Detailed Description
The technical solution 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.
Referring to fig. 1-5, a leg moving device for critically ill patients comprises a nursing bed 1, an anti-slip lying groove 2 is formed in the left side of the bottom surface of the nursing bed 1, anti-slip lines are arranged on the upper surface of the anti-slip lying groove 2, auxiliary fences are fixedly connected to the front side and the rear side of the top surface of the nursing bed 1, an equipment box 3 is fixedly connected to the right side of the bottom surface of the nursing bed 1, an intermittent auxiliary mechanism 4 matched with the nursing bed 1 is arranged inside the equipment box 3, a blood activating and muscle relaxing mechanism 5 matched with the intermittent auxiliary mechanism 4 is arranged on the surface of the intermittent auxiliary mechanism 4, when the leg moving device is used, a patient should lie on the nursing bed 1, the head and the back are located in the anti-slip lying groove 2, the comfort is better, and the anti-slip lines in the leg moving device can avoid body deviation caused by the use of the intermittent auxiliary mechanism 4 and the blood activating and muscle relaxing mechanism 5 from influencing the use effect. The blood circulation promoting and muscle relaxing mechanism 5 comprises a thigh crank 408 and a shank crank 409 which are arc-groove-shaped, and the thigh crank 408 and the shank crank 409 can be intermittently lifted under the action of the intermittent auxiliary mechanism 4 to realize the integral lifting and knee bending actions of inner thighs and inner shanks; the thigh support 408 and the lower leg support 409 are also provided with massage cantilevers 505 facing the inside of the arc grooves, and the massage cantilevers 505 can massage the thighs and the lower legs under external driving.
In the invention, the intermittent auxiliary mechanism 4 comprises a single-throw crankshaft 401, the single-throw crankshaft 401 is rotatably connected to the left side and the right side of the inner wall of an equipment box 3, a speed regulating motor 402 is embedded on the surface of the equipment box 3, the rotating shaft of the speed regulating motor 402 penetrates through the equipment box 3 and is fixedly connected with one end of the single-throw crankshaft 401, a connecting rod journal of the single-throw crankshaft 401 is rotatably connected with a swing arm 403, the connecting rod journal is positioned on the left side of the surface of the single-throw crankshaft 401, the right side of the surface of the single-throw crankshaft 401 is fixedly connected with a cross cam 404 through a ring groove, the bottom surface of a nursing bed 1 is provided with two sliding grooves 405, the insides of the two sliding grooves 405 are respectively and slidably connected with piston columns 406, the piston column 406 on the left side is mutually hinged with the swing arm, the piston column 406 on the right side is matched with the cross cam 404, when the speed regulating motor 402 drives the single-throw crankshaft 401 to rotate, the two piston columns 406 can be controlled to intermittently and reciprocally slide in the sliding grooves 405 through the swing arm 403 and the cross cam 404, an embedding groove 407 communicated with the sliding groove 405 is formed on the right side of the top surface of the nursing bed 1, a thigh curved support 408 and a shank curved support 409 are respectively movably connected inside the embedding groove 407, thighs and shanks of a patient are respectively corresponding to the thigh curved support 408 and the shank curved support 409 when the patient lies on the nursing bed 1, the left side of the thigh curved support 408 is hinged with the inner wall of the embedding groove 407, connecting seats 410 are respectively fixedly connected with the bottom surface of one side of the thigh curved support 408 opposite to the shank curved support 409, a rotating shaft 411 is fixedly inserted at the top end of a left piston column 406, the two connecting seats 410 are respectively rotatably connected on the rotating shaft 411, the middle part of the bottom surface of the shank curved support 409 is hinged with the top end of a right piston column 406, the two piston columns 406 which can reciprocate up and down can push the thigh curved support 408 and the shank curved support 409 to synchronously displace, so as to drive the thigh curved support 408 and the shank curved support to rotate along the embedding groove 407 to lift or bend along the hinging part of the thigh curved support 408 and the shank curved support 409, the leg of the patient is pushed to do the motions of integral lifting, knee bending and the like.
In the invention, the blood circulation promoting and muscle relaxing mechanism 5 comprises side connection boxes 501, the number of the side connection boxes 501 is sixteen, the sixteen side connection boxes 501 are respectively and fixedly connected with the front side and the rear side of the surfaces of a thigh curved support 408 and a shank curved support 409 in groups of four side connection boxes 501, rotary rods 502 are movably inserted in the surfaces of the side connection boxes 501 in the same group, one end of each of the four rotary rods 502 is fixedly sleeved with a driven gear 503, two ends of a rotary shaft 411 are respectively and fixedly sleeved with a driving gear 504, the two driving gears 504 are respectively and mutually meshed with the two driven gears 503 on the same side, when the thigh curved support 408 and the shank curved support 409 are bent along the hinged joint, the driven gear 503 which is shifted along the thigh curved support 408 and the shank curved support 409 is driven by the driving gear 504 to rotate and can rotate to the original position after rotating for a certain angle, the surface of the rotary rods 502 is connected with massage rotary arms 505 in the side connection boxes 501, through grooves 506 which are matched with the corresponding massage rotary arms 505 are respectively arranged on the surfaces of the thigh curved support 408 and the shank curved support 409, the driven gear 503 drives the massage arm 505 to synchronously reciprocate and quantitatively deflect through the rotary rod 502, and can press the legs of a patient through the through groove 506 to achieve the effects of activating blood and relaxing muscles.
In the invention, the surface of the cross cam 404 is provided with a limiting groove, and the bottom end of the right piston post 406 is provided with a roller matched with the limiting groove, so that the friction force and the stability when the cross cam 404 shifts the piston rod to move are effectively reduced.
In the invention, the bottom surface of the inner wall of the inserting groove 407 is provided with a seat groove matched with the connecting seat 410.
In the invention, the inner walls of the opposite sides of the thigh curved support 408 and the shank curved support 409 are fixedly connected with the anti-clamping sleeve, so that the leg fossa of a patient can be prevented from being clamped when the thigh curved support 408 and the shank curved support 409 return to the parallel state after the knee bending action.
In the invention, the joint of the rotating rod 502 and the side connecting box 501 is provided with the bearing, and the bearing can effectively reduce the friction coefficient of the rotating rod 502 in the moving process, and can ensure the rotating precision of the rotating rod while limiting.
In the invention, the anti-clamping pad matched with the massage cantilever is arranged in the through groove 506, so that the possibility of clamping and hurting the leg after the massage cantilever is screwed into the through groove 506 is reduced.
When the anti-slip nursing bed is used, a patient firstly lies on the nursing bed 1, the head and the back are positioned in the anti-slip lying groove 2, the comfort is better, the anti-slip lines in the anti-slip nursing bed can avoid influence of body shift caused by the use of the intermittent auxiliary mechanism 4 and the blood circulation promoting muscle relaxing mechanism 5 on the use effect, then the speed regulating motor 402 is started to drive the single-throw crankshaft 401 to rotate, the two piston columns 406 are controlled by the swing arm 403 and the cross cam 404 to intermittently and reciprocally slide up and down in the sliding groove 405, and the thigh crank 408 and the shank crank 409 are pushed to synchronously displace, so that the thigh crank 408 and the shank crank 409 are driven to rotate and lift up along the embedded groove 407 or bend along the hinged part of the thigh crank 408 and the shank crank 409, the legs of the patient are pushed to integrally lift up and bend knees, and the like, and when the thigh crank 408 and the shank crank 409 bend along the hinged part, the driven gear 503 which follows the position shift of the thigh crank 408 and the shank crank 409 can be driven by the driving gear 504 and the rotary gear 409 And the patient can rotate to the original position after rotating a certain angle, the driven gear 503 is utilized to drive the massage spiral arm 505 to synchronously reciprocate and quantitatively deflect through the rotary rod 502, and the patient can press the legs of the patient through the through groove 506 to achieve the effects of activating blood and relaxing muscles.