CN113599129B

CN113599129B - Postoperative nursing rehabilitation device for nerve patients

Info

Publication number: CN113599129B
Application number: CN202110935433.6A
Authority: CN
Inventors: 王琳
Original assignee: Henan Provincial Peoples Hospital
Current assignee: Henan Provincial Peoples Hospital
Priority date: 2021-08-16
Filing date: 2021-08-16
Publication date: 2022-10-04
Anticipated expiration: 2041-08-16
Also published as: CN113599129A

Abstract

The postoperative nursing and rehabilitation device for the neurological patient effectively solves the problem that the opening of the drainage tube cannot be changed in height along with the change of the sleeping position of the patient; including the box, the box right side is rotated and is connected with the headrest box, and headrest box front side is equipped with a plurality of teeth, and sliding connection has the rack in the box, is equipped with the sliding plate in the box, and the sliding plate right-hand member is equipped with the backup pad, is equipped with the auxiliary rod in the backup pad, and sliding connection has the dead lever on the auxiliary rod, and the last rotating connection of backup pad has the screw rod, screw rod and dead lever threaded connection. The drainage tube opening height adjusting device is novel in concept, ingenious in structure, convenient to operate and high in practicability, achieves that the height of the drainage tube opening is correspondingly changed along with the change of the sleeping posture of a patient, ensures that the distance between the drainage tube opening and the ventricle of the patient is always in a safe distance, does not need manual adjustment, reduces the workload of medical workers, reduces the risk of accidents, is safer, and can meet the use requirements of different patients.

Description

Postoperative nursing rehabilitation device for nerve patients

Technical Field

The invention relates to the technical field of neurosurgery, in particular to a postoperative nursing and rehabilitation device for a neurologic patient.

Background

After a patient has a ventricular operation, in order to treat problems such as intracerebral hemorrhage, intracranial hemorrhage breaking into the ventricle, acute intracranial pressure increase and the like, the ventricular drainage is generally performed on the patient. The opening of the drainage tube is required to be higher than the brain plane during drainage, namely, the opening of the drainage tube is required to be higher than the lateral ventricle (namely, the external auditory canal is used as a horizontal base line) by 10-15cm when a patient is in a horizontal position, the opening of the drainage tube is 5-10cm when the child is in the horizontal position, the median sagittal plane is used as a base line when the patient is in the horizontal position, and the opening of the drainage tube is required to be higher by 15-18cm. If the drainage tube opening is too high, when exceeding intracranial pressure height, the drainage is obstructed and can not play the effect of drainage and reduction intracranial pressure, if the drainage tube opening is too low, cerebrospinal fluid drainage is too fast, can cause intracranial pressure suddenly to drop, easily causes intracerebroventricular hemorrhage or cerebral hernia.

At present, in order to prevent the condition that the opening of the drainage tube is too high or too low, the head of a patient is generally limited, and the patient is prevented from changing from lying to lying on the side, but the patient is kept in one posture for a long time by the limitation, the sleeping posture cannot be changed, and the discomfort of the patient is increased. The other method is to strengthen the patrol of nurses, and when the opening of the drainage tube is too high or too low, the position of the drainage bottle or the drainage bag is timely adjusted to ensure that the opening of the drainage tube is high and proper, but the method increases the workload of medical personnel, cannot ensure that omission does not exist, and still has great risk.

Disclosure of Invention

Aiming at the situation, the invention aims to overcome the defects of the prior art and provide a postoperative care and recovery device for a neurological patient, which effectively solves the problem that the opening of a drainage tube cannot be changed in height along with the change of the sleeping position of the patient.

The technical scheme includes that the headrest box comprises an inverted T-shaped box body, a U-shaped headrest box with an upward opening is rotatably connected to the right side of the box body, the headrest box is in the front-back direction, the lower end of the headrest box is inserted into the box body, a plurality of teeth distributed along the outer surface of the headrest box are arranged on the front side of the headrest box, racks which are in the left-right direction and meshed with the teeth are slidably connected in the box body, a sliding plate which is located on the left side of the headrest box and moves up and down along with the left-right movement of the racks is arranged in the box body, a supporting plate which is in the left-right direction and penetrates through the box body is arranged at the right end of the sliding plate, the supporting plate is located above the racks and is slidably connected with the box body, an auxiliary rod in the up-down direction is arranged on the supporting plate, a fixing rod is slidably connected on the supporting plate, and is rotatably connected with a screw rod in the up-down axial direction, and the screw rod is in threaded connection with the fixing rod;

the front end of the sliding plate is hinged with a V-shaped frame with a downward opening through a pin shaft, the V-shaped frame comprises two L-shaped rods, two guide frames and two guide rods, the two L-shaped rods are bilaterally symmetrical, the upper ends of the two L-shaped rods are rotatably connected with the pin shaft, the two guide frames are both positioned between the two L-shaped rods and are respectively fixedly connected with the L-shaped rods on the corresponding sides of the two L-shaped rods, the guide rods are slidably connected with the guide frames on the corresponding sides of the two L-shaped rods, the upper ends of the two guide rods are hinged through guide columns, the guide columns are positioned under the pin shaft and are slidably connected with the sliding plate, and the left end of the rack is provided with a front-back axial pushing column with the rear end inserted into the V-shaped frame;

the rear end of the box body is provided with a vertical abdicating groove, the rear end of the guide post is connected with a control sleeve in the front-back direction in a sliding way, the rear end of the control sleeve extends out of the abdicating groove, the rear end of the sliding plate is provided with a plurality of limiting grooves distributed in the vertical direction, and the control sleeve can be inserted into the limiting grooves;

the right end of the fixed rod is provided with a C-shaped arc frame, the upper end of the arc frame is provided with a clamping groove which is communicated left and right, an arc buckle which can be inserted into the clamping groove is connected in the arc frame in a sliding way, the arc frame and the buckle can form a ring, and a handle on the drainage bottle or the drainage bag is hung on the arc frame;

headrest box left and right sides articulated respectively have the pendulum rod of two front and back distributions, the pendulum rod free end is equipped with the briquetting, is equipped with the elastic webbing between pendulum rod and the headrest box, sliding connection has the pillow of fore-and-aft direction and T shape on the headrest box, the pillow up end is the arcwall face of indent, the pendulum rod lower extreme is connected with the pillow through the stay cord, the headrest box inboard is equipped with the cushion the same with its shape.

The drainage tube opening height adjusting device is novel in concept, ingenious in structure, convenient to operate and high in practicability, achieves that the opening height of the drainage tube is correspondingly changed along with the change of the sleeping posture of a patient, ensures that the distance between the drainage tube opening and the ventricle of the patient is always in a safe distance, does not need manual adjustment, reduces the workload of medical workers, reduces the risk of accidents, is safer, and can meet the use requirements of different patients.

Drawings

Fig. 1 is an isometric view of the present invention.

FIG. 2 is a front elevational perspective view, in full section, of the present invention.

Fig. 3 is a front elevational view of the invention in stepped cutaway.

Fig. 4 is an enlarged view of a in fig. 3 of the present invention.

Fig. 5 is an enlarged view of B of fig. 3 according to the present invention.

FIG. 6 is a left side elevational view, in full section, of the present invention.

FIG. 7 is a right isometric view in full section of the present invention.

Detailed Description

The following describes embodiments of the present invention in further detail with reference to the accompanying drawings.

As shown in fig. 1 to 7, the headrest box comprises an inverted T-shaped box body 1, a U-shaped headrest box 2 with an upward opening is rotatably connected to the right side of the box body 1, the headrest box 2 is in a front-back direction, the lower end of the headrest box 2 is inserted into the box body 1, a plurality of teeth 3 distributed along the outer surface of the headrest box 2 are arranged on the front side of the headrest box 2, a rack 4 which is in a left-right direction and is meshed with the teeth 3 is connected in the box body 1 in a sliding manner, a sliding plate 5 which is positioned on the left side of the headrest box 2 and moves up and down along with the left-right movement of the rack 4 is arranged in the box body 1, a support plate 6 which is in a left-right direction and penetrates through the box body 1 is arranged on the right side of the sliding plate 5, an auxiliary rod 7 in an up-down direction is arranged on the support plate 6, a fixed rod 8 is connected on the auxiliary rod 7 in a sliding manner, a screw rod 9 in an up-down axial direction is rotatably connected to the support plate 6, and the screw rod 9 is in threaded connection with the fixed rod 8;

the front end of the sliding plate 5 is hinged with a V-shaped frame with a downward opening through a pin shaft 10, the V-shaped frame comprises two L-shaped rods 11, two guide frames 12 and two guide rods 13, the two L-shaped rods 11 are bilaterally symmetrical, the upper ends of the two L-shaped rods 11 are rotatably connected with the pin shaft 10, the two guide frames 12 are respectively positioned between the two L-shaped rods 11 and are respectively fixedly connected with the L-shaped rods 11 on the corresponding sides, the guide rods 13 are slidably connected with the guide frames 12 on the corresponding sides, the upper ends of the two guide rods 13 are hinged through guide columns 14, the guide columns 14 are positioned under the pin shaft 10 and are slidably connected with the sliding plate 5, and the left end of the rack 4 is provided with a front-back axial pushing column 15 of which the rear end is inserted into the V-shaped frame;

the rear end of the box body 1 is provided with a vertical abdicating groove 16, the rear end of the guide post 14 is connected with a front-rear control sleeve 17 in a sliding way, the rear end of the control sleeve 17 extends out of the abdicating groove 16, the rear end of the sliding plate 5 is provided with a plurality of limiting grooves 18 distributed along the vertical direction, and the control sleeve 17 can be inserted into the limiting grooves 18;

the right end of the fixed rod 8 is provided with a C-shaped arc frame 19, the upper end of the arc frame 19 is provided with a clamping groove 20 which is communicated from left to right, an arc buckle 21 which can be inserted into the clamping groove 20 is connected in the arc frame 19 in a sliding way, the arc frame 19 and the buckle 21 can form a circular ring, and a handle on a drainage bottle or a drainage bag is hung on the arc frame 19;

the left side and the right side of the headrest box 2 are respectively hinged with two swing rods 22 which are distributed front and back, a press block 23 is arranged at the free end of each swing rod 22, an elastic belt 24 is arranged between each swing rod 22 and the headrest box 2, pillow blocks 25 which are in the front-back direction and in the T shape are connected to the headrest box 2 in a sliding mode, the upper end face of each pillow block 25 is an inwards concave arc face, the lower end of each swing rod 22 is connected with the pillow block 25 through a pull rope 26, and cushions 27 which are the same as the swing rods in shape are arranged on the inner side of the headrest box 2.

In order to determine the distance between the opening of the drainage tube and the external auditory canal or the median sagittal plane, the right end of the supporting plate 6 is provided with an indicator light 28, and the right end of the auxiliary rod 7 is provided with scale marks 29.

In order to fix the position of the box body 1 conveniently, a fixing plate 30 positioned below the rack 4 is arranged on the box body 1, a threaded knob 31 in the vertical axial direction is connected to the fixing plate 30 in a threaded manner, and a clamping plate 32 is rotatably connected to the upper end of the threaded knob 31.

In order to facilitate the determination of the positions of the pillow block 25 and the headrest box 2, the pillow block 25 is connected with a blocking ball 33 which can be inserted into the headrest box 2 through a pressure spring, the lower end of the headrest box 2 is provided with a groove which is through up and down, and the rear end of the box body 1 is connected with a limiting ball 34 which can be inserted into the groove through the pressure spring.

When the invention is used, the initial state is that the limiting ball 34 is inserted between the grooves, the pushing column 15 is positioned between the pin shaft 10 and the guide column 14, and the control sleeve 17 is inserted into the limiting groove 18;

placing the right side of the box body 1 on a sickbed, enabling the bed board to be positioned between the box body 1 and the clamping plate 32, adjusting the position of the box body 1, enabling the headrest box 2 to be positioned at a proper position, rotating the threaded knob 31, enabling the clamping plate 32 to move upwards and clamp the bed board, and fixing the box body 1 on the sickbed;

the patient lies horizontally and the head of the patient lies in the headrest box 2, the head of the patient gradually contacts with the headrest 25 and pushes the headrest 25 to move downwards, the headrest 25 pulls the swing rod 22 to swing inwards through the pull rope 26, the press block 23 on the front side gradually contacts with the jaw of the patient, the press block 23 on the rear side gradually contacts with the forehead of the patient, the head of the patient is limited in the headrest box 2, at the moment, the blocking ball 33 moves downwards along with the headrest 25 and is gradually inserted into the headrest box 2, the position of the headrest 25 is limited, and the headrest 25 is prevented from moving upwards optionally;

turning on the indicator light 28, rotating the screw rod 9 according to the distance between the light irradiated by the indicator light 28 and the external auditory meatus of the patient to drive the fixing plate 30 to move upwards or downwards, moving the buckle 21 out of the clamping groove 20 when the fixing plate 30 reaches a proper height, rotating the buckle 21, hanging a handle on the drainage bottle or the drainage bag on the arc-shaped frame 19, rotating the buckle 21 to enable the buckle 21 to be inserted into the clamping groove 20 again, forming a closed circular ring by the buckle 21 and the arc-shaped frame 19 at the moment, preventing the drainage bottle or the drainage bag from being separated from the arc-shaped frame 19, and fixing the position of the drainage bottle or the drainage bag;

the patient rotates the body, the patient lies on the side from the horizontal position, in the process of the patient rotating to the left, under the action of the pressing block 23 and the soft cushion 27, the headrest box 2 synchronously rotates to the left, the headrest box 2 drives the rack 4 to move to the right through the teeth 3, the pushing column 15 synchronously moves to the right and is contacted with the L-shaped rod 11 on the right side, the pushing column 15 pushes the L-shaped rod 11 to move upwards, the control sleeve 17 is inserted into the limiting groove 18 at the moment, so the angle between the two L-shaped rods 11 is a fixed value, the guide frame 12, the guide rod 13, the guide column 14 and the control sleeve 17 synchronously move upwards, the L-shaped rod 11 drives the sliding plate 5 to move upwards through the pin shaft 10, the sliding plate 5 drives the auxiliary rod 7 and the fixed rod 8 to move upwards through the supporting plate 6, and the drainage bottle synchronously moves upwards;

when the patient lies on the side, observing whether the distance between the drainage bottle and the midsagittal plane of the patient reaches the required height, and if the distance is the required height, adjusting is not needed;

when the patient lies on the side, if the distance between the drainage bottle and the midsagittal plane of the patient does not reach the required height, the control sleeve 17 is pulled backwards, the control sleeve 17 moves out of the limiting groove 18, the limitation on the guide post 14 is released, and the patient keeps the lateral lying state, namely, the position of the rack 4 is ensured not to be changed;

when the distance between the fixed plate 30 and the patient is smaller than the requirement, the control sleeve 17 is pushed upwards, the control sleeve 17 drives the guide post 14 to move upwards, the push post 15 is positioned between the L-shaped rod 11 and the guide rod 13, the outer edge surface of the push post 15 is simultaneously contacted with the L-shaped rod 11 and the guide rod 13, and the position of the push post 15 is not changed, so that the guide rod 13 gradually enters the guide frame 12 along with the upward movement of the guide post 14, the distance between the pin shaft 10 and the guide post 14 is reduced, the angle between the two L-shaped rods 11 is reduced, the sliding plate 5 moves upwards, the support plate 6 and the fixed rod 8 synchronously move upwards, and the distance between the opening of the drainage tube and the patient is increased;

when the distance between the fixed plate 30 and the patient is larger than required, the control sleeve 17 is pushed downwards, the control sleeve 17 drives the guide post 14 to move downwards, at the moment, the position of the push post 15 is not changed, the guide rod 13 gradually extends out of the guide frame 12, the distance between the pin shaft 10 and the guide post 14 is increased, the angle between the two L-shaped rods 11 is increased, the sliding plate 5 moves downwards under the action of the L-shaped rods 11 and the guide post 14, the fixed plate 30 synchronously moves downwards, and the distance between the opening of the drainage tube and the patient is reduced;

after the adjustment is finished, the control sleeve 17 is pushed forwards, so that the control sleeve 17 is inserted into the limiting groove 18, at the moment, the distance between the guide post 14 and the pin shaft 10 is determined, the relative position between the sliding plate 5 and the guide post 14 is determined, and the size of the opening of the V-shaped frame is determined;

after the adjustment is finished, the patient can sleep normally, at the moment, the height of the drainage bottle can move upwards or downwards along with the rotation of the head of the patient in the sleeping process of the patient, and because the swinging angle of the head of the patient is a fixed value, the distance of the headrest box 2 driving the rack 4 to move is a fixed value, and the angle of the V-shaped frame is not changed, so that the distance of the fixing plate 30 moving upwards and downwards along with the rotation of the headrest box 2 is a fixed value, and the height of the drainage bottle is changed along with the change of the posture of the patient and is the required height;

when the patient does not use the pillow, the head is lifted upwards, the head drives the swing rod 22 and the pressing block 23 to swing outwards, the blocking ball 33 moves out of the headrest box 2, the swing rod 22 swings upwards under the action of the elastic belt 24, and the pillow block 25 moves upwards under the action of the pull rope 26 and restores to the initial position.

The headrest box 2 can be made of transparent materials, so that the condition of the head of a patient can be observed conveniently.

The left side and the right side in the headrest box 2 are respectively provided with a reversing column which is in contact with the pull rope 26, so that the pull rope 26 can pull the swing rod 22 conveniently.

The drainage bottle has the advantages that the conception is novel, the structure is ingenious, the operation is convenient, the practicability is high, the arrangement of the limiting ball is realized, the initial position of the headrest box is determined, the headrest box is ensured to keep the state that the opening is upward, the patient can lie down conveniently, the arrangement of the blocking ball is ensured, the pillow block can not move randomly when the patient lies on the side, the arrangement of the rack, the pushing column and the V-shaped frame is realized, the drainage bottle is lifted or lowered along with the rotation of the head of the patient, the manual adjustment is not needed, the arrangement of the L-shaped rod, the guiding frame, the guiding rod, the guiding column and the control sleeve is realized, the size of the opening of the V-shaped frame is adjusted according to the body conditions of different patients, the use requirements of different patients are met, and the safety and the accuracy are higher.

Therefore, the postoperative care and rehabilitation device for the neurological patient can effectively solve the problem that the opening of the drainage tube cannot be changed in height along with the change of the sleeping position of the patient, is simple in structure and operation and convenient to use, and improves the working efficiency of medical workers.

Claims

1. The postoperative nursing and rehabilitation device for the neurological patient comprises an inverted T-shaped box body (1), and is characterized in that the right side of the box body (1) is rotatably connected with a U-shaped headrest box (2) with an upward opening, the headrest box (2) is in a front-back direction, the lower end of the headrest box is inserted into the box body (1), the front side of the headrest box (2) is provided with a plurality of teeth (3) distributed along the outer surface of the headrest box, the box body (1) is in sliding connection with racks (4) in a left-right direction and meshed with the teeth (3), a sliding plate (5) which is positioned at the left side of the headrest box (2) and moves left and right along with the racks (4) and moves up and down is arranged in the box body (1), the right end of the sliding plate (5) is provided with a supporting plate (6) in a left-right direction and penetrates through the box body (1), the supporting plate (6) is positioned above the racks (4) and is in sliding connection with the box body (1), an auxiliary rod (7) in an up-down direction is arranged on the supporting plate (6), a fixing rod (8) is in a sliding connection manner, a screw rod (9) in an up-down axial direction is rotatably connected on the supporting plate (6), and the screw rod (9) is in a threaded connection manner;

the front end of the sliding plate (5) is hinged with a V-shaped frame with a downward opening through a pin shaft (10), the V-shaped frame comprises two L-shaped rods (11), two guide frames (12) and two guide rods (13), the two L-shaped rods (11) are bilaterally symmetrical, the upper ends of the two L-shaped rods are rotatably connected with the pin shaft (10), the two guide frames (12) are positioned between the two L-shaped rods (11) and are respectively and fixedly connected with the L-shaped rods (11) on the corresponding sides, the guide rods (13) are in sliding connection with the guide frames (12) on the corresponding sides, the upper ends of the two guide rods (13) are hinged through guide columns (14), the guide columns (14) are positioned under the pin shaft (10) and are in sliding connection with the sliding plate (5), and the left end of the rack (4) is provided with a pushing column (15) which is in the front-back axial direction and the rear end of which is inserted into the V-shaped frame;

the rear end of the box body (1) is provided with a vertical yielding groove (16), the rear end of the guide post (14) is connected with a front-rear control sleeve (17) in a sliding manner, the rear end of the control sleeve (17) extends out of the yielding groove (16), the rear end of the sliding plate (5) is provided with a plurality of limiting grooves (18) distributed in the vertical direction, and the control sleeve (17) can be inserted into the limiting grooves (18);

the right end of the fixed rod (8) is provided with a C-shaped arc frame (19), the upper end of the arc frame (19) is provided with a clamping groove (20) which is communicated from left to right, an arc buckle (21) which can be inserted into the clamping groove (20) is connected in the arc frame (19) in a sliding way, the arc frame (19) and the buckle (21) can form a circular ring, and a handle on a drainage bottle or a drainage bag is hung on the arc frame (19);

headrest box (2) the left and right sides articulated respectively have pendulum rod (22) of two fore-and-aft distributions, pendulum rod (22) free end is equipped with briquetting (23), be equipped with elastic webbing (24) between pendulum rod (22) and headrest box (2), sliding connection has pillow block (25) of fore-and-aft direction and T shape on headrest box (2), pillow block (25) up end is the arcwall face of indent, pendulum rod (22) lower extreme is connected with pillow block (25) through stay cord (26), headrest box (2) inboard is equipped with cushion (27) the same rather than the shape.

2. The neurosurgery recovery device according to claim 1, wherein an indicator light (28) is arranged at the right end of the supporting plate (6), and scale marks (29) are arranged at the right end of the auxiliary rod (7).

3. The postoperative nursing and rehabilitation device for the neurological patient according to claim 1, wherein a fixing plate (30) located below the rack (4) is arranged on the box body (1), an upper axial threaded knob (31) and a lower axial threaded knob (31) are connected to the fixing plate (30) in a threaded manner, and a clamping plate (32) is rotatably connected to the upper end of the threaded knob (31).

4. The postoperative care and rehabilitation device for the neurological patients according to claim 1, wherein the pillow block (25) is connected with a blocking ball (33) which can be inserted into the headrest box (2) through a compression spring, the lower end of the headrest box (2) is provided with a groove which is through up and down, and the rear end of the box body (1) is connected with a limiting ball (34) which can be inserted into the groove through the compression spring.