CN113694379B - Delivery assisting instrument - Google Patents

Delivery assisting instrument Download PDF

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Publication number
CN113694379B
CN113694379B CN202111104902.6A CN202111104902A CN113694379B CN 113694379 B CN113694379 B CN 113694379B CN 202111104902 A CN202111104902 A CN 202111104902A CN 113694379 B CN113694379 B CN 113694379B
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delivery
signals
time
acupoint
expansion part
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CN113694379A (en
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卫振宇
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Beijing Crown Technology Group Ltd By Share Ltd
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Beijing Crown Technology Group Ltd By Share Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • A61N1/36021External stimulators, e.g. with patch electrodes for treatment of pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/02Measuring pulse or heart rate
    • 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
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/04Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with hydraulic or pneumatic drive
    • 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
    • A61H39/00Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/002Using electric currents
    • 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
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0492Patch electrodes

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Rehabilitation Therapy (AREA)
  • Pain & Pain Management (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

The application relates to a delivery midwifery instrument, which comprises a fetal heart rate monitoring device, an abdominal pressure device, an analgesia device and a control host. By adopting the technical scheme, the fetal heart rate monitoring device can be used for monitoring the prenatal and labor process of pregnant women more than 28 weeks of pregnancy. The delivery assisting instrument can promote the delivery of the pregnant woman in the delivery process of the pregnant woman, can be used for the second delivery process of the delivery of the pregnant woman, acts on the abdominal wall to increase the labor force by controlling the air intake and exhaust of the abdominal pressure belt air bag, obviously shortens the delivery process, and prevents and reduces the postpartum hemorrhage. The electrode plate current stimulates special acupuncture points to relieve the delivery pain of the lying-in woman, promote natural delivery to reduce the cesarean section yield and improve the obstetrical quality. It can also be used for massaging abdomen of pregnant woman after delivery to promote recovery after delivery.

Description

Delivery assisting instrument
Technical Field
The application relates to the field of medical equipment, in particular to a delivery assisting instrument.
Background
Generally, in the course of obstetric delivery room operation, delivery of a fetus often requires a doctor to assist delivery of a pregnant woman to be delivered through a delivery aid. The prior delivery assistant instrument is also generally used in the delivery room operation, but in practice, the body of the lying-in woman is in a relatively uncomfortable state no matter before, during and after delivery. The midwifery apparatus can only be used for single function in the midwifery, and has narrow applicability to a certain extent.
Disclosure of Invention
In order to better meet the requirements of the lying-in women before, during and after delivery,
the application provides a childbirth midwifery appearance adopts following technical scheme:
a delivery assisting instrument comprises
The fetal heart rate monitoring device comprises an ultrasonic probe and a bandage, wherein the ultrasonic probe is used for monitoring the fetal heart rate, and the bandage is used for stably fixing the ultrasonic probe on the abdomen of a lying-in woman;
the abdominal pressure device comprises an abdominal pressure belt with an air bag and an air supply mechanism for supplying and exhausting air to the air bag, the abdominal pressure belt is used for the second labor stage of parturient childbirth, and the abdominal pressure belt acts on the abdominal wall to increase labor force by controlling the air supply and the air exhaust of the air bag;
an analgesic device comprises a plurality of electrode pieces, wherein the electrode pieces are used for being attached to the back of a parturient and electrically stimulating the Danshu acupoint, the Weishu acupoint, the Liao acupoint and the Liao acupoint; the device comprises a gall transport acupoint, a Weishu acupoint, a Liao acupoint and a Xiao acupoint, wherein each electrode plate group comprises a patch unit and two electrode plates fixedly connected to the patch unit, the two patch units corresponding to the Duao acupoint and the Xiao acupoint are integrally arranged to form a first patch, the two patch units of the gall transport acupoint and the Weishu acupoint are both second patches, the analgesia device further comprises a contrast tape, the first patch and the second patch are both positioned on the contrast tape, the contrast tape is used for being attached to a spinal column to serve as a reference for judging the acupoints, and the lower end of the contrast tape is attached to a caudal vertebra of a human body.
And the control host is used for controlling the start and the close of the fetal heart rate monitoring device, the abdominal pressure device and the analgesia device.
By adopting the technical scheme, the fetal heart rate monitoring device can be used for monitoring the prenatal and labor process of pregnant women more than 28 weeks of pregnancy. The delivery assisting instrument can promote the delivery of the pregnant woman in the delivery process of the pregnant woman, can be used for the second delivery process of the delivery of the pregnant woman, acts on the abdominal wall to increase the labor force by controlling the air intake and exhaust of the abdominal pressure belt air bag, obviously shortens the delivery process, and prevents and reduces the postpartum hemorrhage. The electrode plate current stimulates special acupuncture points to relieve the delivery pain of the lying-in woman, promote natural delivery to reduce the cesarean section yield and improve the obstetrical quality. It can also be used for massaging abdomen of pregnant woman after delivery to promote recovery after delivery. In general, the device is suitable for medical institutions to monitor the heart rate of the fetus before delivery, promote the delivery of the pregnant woman in the delivery process of the pregnant woman, relieve the pain of delivery and promote the recovery of the pregnant woman after delivery. The whole application range is wider.
For the analgesic device, the electrode patch is pasted on a specified specific acupuncture point and is connected to the control host machine through a lead. The control host controls two paths of output to emit 7 different electrical stimulations through one channel. The pain signal transmitted from the nerve to the brain is blocked by electrically stimulating the special acupuncture points, and the body can also be promoted to generate natural analgesic substances, endorphins, thereby realizing the analgesia of the lying-in woman.
When searching for the acupuncture points, one end of the contrast tape can be attached to the caudal vertebra of the human body, and then the contrast tape is attached along the vertebra of the human body. At this time, the first and second patches correspond to the Danshu, Weishu, XiLiao and Xilian acupoints, which is more convenient for medical personnel to find out the exact acupoint location.
Optionally, the comparison sticker is provided with scale marks.
By adopting the technical scheme, according to the difference of the length of the upper half body of a human body, the end can be torn and a part of the comparison sticking band can be cut off according to the scale mark, so that the comparison sticking band can be more accurately corresponding to the human body, and the first sticking band and the second sticking band can be more accurately corresponding to the Shu points of the gallbladder, the Weishu points, the Xiao points and the Xiao points.
Optionally, the electric signal received by the electrode plate has four modes, wherein the four modes are F1, F2, F3 and F4 respectively,
f1, 2Hz amplitude-modulated signals 24 + 4Hz amplitude-modulated signals 32 +8s square-wave amplitude-modulated signals, 28s in total constituting a periodic signal, circulating in this cycle, the periodic signal being a trapezoidal periodic wave: 0.1s rise time, 0.2s settling time, 0.1s fall time, 0.1s idle time, 4Hz seismic signals are trapezoidal periodic waves: 0.05s rising time, 0.1s stabilization time, 0.05s falling time, 0.05s idle time, and 8s square wave refrigeration signals are 800Hz square wave signals;
f2, 20 signals of the deinsectization of 1.67Hz +1.25Hz, 20 signals of the deinsectization of 28s in total form a periodic signal, and the periodic signal is circulated, wherein the periodic signal is a trapezoidal periodic wave of 1.67Hz, a rising time of 0.1s, a stable time of 0.4s, an idle time of 0.1s and a signal of the deinsectization of 1.25Hz, a rising time of 0.2s, a stable time of 0.5s and an idle time of 0.1 s;
f3, namely, 20 signals of the 1.4Hz field-like deinsectization and 20 signals of the +2.5Hz field-like deinsectization and 20 signals of the +6s square wave signals, wherein 28s of field-like deinsectization is used to form a periodic signal, and the periodic signal comprises the following components, namely, the 1.4Hz field-like deinsectization signal, the trapezoidal periodic wave, the rising time of 0.1s, the stabilizing time of 0.4s, the falling time of 0.1s, the idle time of 0.1s, the 2.5Hz field-like deinsectization signal, the trapezoidal periodic wave, the rising time of 0.05s, the stabilizing time of 0.25s, the falling time of 0.05s and the idle time of 0.05s, and the 6s square wave-like deinsectization signal is 800Hz square wave;
f4:800Hz square wave spread signal, and circulating.
By adopting the technical scheme, different analgesic modes are selected according to the specific conditions of the lying-in woman. During use, the analgesic mode should be adjusted step by step until the maximum energy that the patient can tolerate is adjusted. Generally, the greater the output energy, the better the treatment, but it should be ensured that the patient does not feel uncomfortable.
Optionally, the comparison is pasted and is taken and be equipped with spacing area, spacing area both ends respectively fixed connection paste and form the sliding gap between taking and the comparison in the comparison, the slip gap inside clamp is established and is slided there is the connecting band, two the equal fixed connection of second paster is on the connecting band.
Through adopting above-mentioned technical scheme, the position of the relative back of second paster is adjusted to the accessible through sliding connection area in the sliding gap. Therefore, the position of the second patch relative to the contrast tape can be slightly adjusted according to different body types of people, so that the electrode plate can better correspond to the correct acupuncture point.
Optionally, the abdominal pressure device includes the electromagnetic shaker, and the electromagnetic shaker is installed and is pressed in the abdominal pressure and deviate from lying-in woman's belly one side, the abdominal pressure takes the gasbag to admit air the back and is close to lying-in woman's belly one side inflation towards the abdominal pressure area, the electromagnetic shaker falls in the gasbag along the projection of abdominal pressure area thickness direction, the electromagnetic shaker is equipped with three at least different vibration frequency that keep off.
By adopting the technical scheme, in the third labor process, the vibrator can be controlled by the doctor, and the doctor can accelerate the uterine contraction of the pregnant woman by controlling the vibration frequency of the abdominal pressure belt vibrator and giving the pregnant woman a comfortable and slight vibration sense in the late stage of the pregnant woman production, thereby preventing and reducing postpartum hemorrhage. Meanwhile, the abdomen pressure belt vibrator acts on the abdomen to continuously play the role and the role of postpartum shaping of the pregnant woman in the postpartum recovery time period of the pregnant woman.
Optionally, the airbag includes a mounting bottom, a first expansion portion and a second expansion portion, the first expansion portion is semi-ellipsoidal, the second expansion portion is semi-ellipsoidal and located on one side of the first expansion portion facing the head of the puerpera, the second expansion portion is communicated with the first expansion portion, the second expansion portion and the first expansion portion form a convex shape, and the second expansion portion and the first expansion portion are both mounted on the mounting bottom and mounted on the abdominal pressure belt through the mounting bottom; when the airbag inflates, the first inflation portion inflates before the second inflation portion inflates.
Through adopting above-mentioned technical scheme, when the gasbag was intake, first inflation portion expanded earlier to there is a forward pressure to lying-in woman's belly. After the pressure reaches a certain value, the second expansion part begins to expand, so that the abdomen of the lying-in woman is pushed downwards. When the contraction comes to the hard uterus, the puerpera is advised to hold the breath, meanwhile, the air bag is used for slowly and positively applying pressure and then applying lateral thrust for pressing, the descending conditions of perineum and fetal premature ejaculation are observed while applying pressure, pulse type pressure application or continuous pressure application is forbidden, the force is appropriate, and the pressure application is stopped in the interval period of the contraction.
The abdominal pressure area of gasbag after twining between the belly, gasbag atress area this moment is even, but after lying-in woman abdominal muscle shrink, gasbag abdominal pressure area can receive the power that the abdominal muscle compressed, and then rebound with the same reaction force, and later reaction force will change the intrinsic power of production into, and evenly distributed is around palace end and palace body, along with the rhythm of lying-in woman uterus shrink, and the thrust of deuterogamy second inflation portion promotes lying-in woman's production. Thereby increasing productivity and facilitating delivery of the baby.
Optionally, the air bag includes a mounting bottom, a first expansion portion and a second expansion portion, the first expansion portion is semi-ellipsoidal, the second expansion portion is semi-ellipsoidal and is located in the first expansion portion, the second expansion portion is located on one side of the first expansion portion facing the head of the puerpera, and the air supply mechanism respectively supplies and exhausts air to the first expansion portion and the second expansion portion; when the first expansion part and the second expansion part are both expanded, the second expansion part pushes one side of the first expansion part, so that the first expansion part forms a convex shape.
Through adopting above-mentioned technical scheme, earlier to first inflation portion air feed, first inflation portion inflation to there is a forward pressure to the belly of lying-in woman. Then when needed, the second expansion part is supplied with air, and the second expansion part starts to expand, so that the parturient abdomen is pushed downwards. When the contraction comes to the hard uterus, the puerpera is advised to hold the breath, meanwhile, the air bag applies pressure slowly and positively and then applies a lateral thrust to apply pressure, the descending conditions of perineum and fetal premature ejaculation are observed while applying pressure, pulse type pressure application or continuous pressure application is forbidden, the force is proper, and the pressure application is stopped in the interval period of the contraction. Thereby increasing productivity and facilitating delivery of the baby.
Optionally, a driving mechanism for driving the mounting bottom to slide along the width direction of the abdominal pressure belt is arranged on the abdominal pressure belt.
Through adopting above-mentioned technical scheme, accessible actuating mechanism drives the relative abdominal pressure belt motion of installation bottom to adjust the relative abdominal position of gasbag, thereby can make the gasbag more accurate correspond to the uterus, for production helping hand. Meanwhile, the air bag can be slightly driven to move by the driving mechanism in the process that the air bag presses the uterus, so that outward thrust is given to the uterus, and the baby can be more easily delivered.
Optionally, the installation bottom is gentle cloth form, the abdominal pressure area is taken including antetheca and back, antetheca and back take both ends fixed connection, form the chamber that holds that is used for holding the gasbag between antetheca and the back area, the chamber is held in wearing out to installation bottom both sides, actuating mechanism includes the wind-up roll and is used for ordering about wind-up roll pivoted driving motor, installation bottom both ends are all rolled up on the wind-up roll.
Through adopting above-mentioned technical scheme, through the wind-up roll rolling with unreel, drive the relative abdominal pressure area of installation bottom and remove to the realization is to the removal of gasbag.
Optionally, the front belt comprises a deformation part corresponding to the airbag and a fixing part fixedly connected to the rear belt, and the fixing parts are two and are respectively located on two sides of the deformation part.
By adopting the technical scheme, the air bag can move at the set position more stably, and meanwhile, the connection part between the front belt and the rear belt cannot be damaged due to tension caused by expansion of the air bag.
In summary, the present application includes at least one of the following beneficial technical effects:
1. the device is suitable for monitoring the heart rate of the fetus before delivery by a medical institution;
2. is suitable for promoting the pregnant woman to produce in the process of the pregnant woman to produce;
3. is suitable for relieving pain during and after parturition;
4. is suitable for promoting the recovery of pregnant women after delivery, and has wide integral application range.
Drawings
FIG. 1 is a schematic structural view of example 1.
Fig. 2 is a schematic view showing the use of the abdominal belt in example 1.
Fig. 3 is a schematic structural view of an ultrasonic probe in embodiment 1.
Fig. 4 is a schematic view of the structure of the front side of the abdominal pressure belt in example 1.
Fig. 5 is a schematic view showing the structure of the reverse side of the abdominal press belt in example 1.
Figure 6 is a cross-sectional view of the abdominal press belt of example 1.
Fig. 7 is a schematic view of the structure of embodiment 1 with the front tape hidden.
Fig. 8 is a schematic structural view of the analgesic device in example 1.
FIG. 9 is a schematic view of a human body showing the Danshu and Weishu points.
Figure 10 is a schematic representation of a human body for practicing a subalpine, acupoint.
Fig. 11 is a rear view of the analgesic device in example 1.
FIG. 12 is a schematic view of the analgesic device of example 1 after it has been attached to a human body.
Fig. 13 is a schematic structural view of embodiment 2 with the front belt hidden.
Fig. 14 is a partial schematic view of the abdominal belt driving mechanism in embodiment 3.
Description of reference numerals: 1. a fetal heart rate monitoring device; 2. an abdominal pressure device; 3. an analgesic device; 4. a control host; 5. a display screen; 6. an ultrasonic probe; 7. binding bands; 8. buckling holes; 9. a button; 10. an air bag; 11. abdominal press belts; 12. a vibrator; 13. a front belt; 14. a back belt; 15. a deformation section; 16. a fixed part; 17. mounting the bottom; 18. a first expansion section; 19. a second expansion section; 20. a first intake pipe; 21. a first exhaust pipe; 22. a second exhaust pipe; 23. a third intake pipe; 24. a third exhaust pipe; 25. a control valve; 26. contrasting the sticking belt; 27. danshu points; 28. weishu point; 29. secondary acupoint; 30. the next Liao acupoint; 31. a patch unit; 32. an electrode sheet; 33. a first patch; 34. a second patch; 35. a limiting band; 36. a connecting belt; 37. a wind-up roll; 38. a drive motor; 39. a drive mechanism.
Detailed Description
The present application is described in further detail below in conjunction with figures 1-14.
Example 1
The embodiment of the application discloses a delivery midwifery instrument. Referring to fig. 1, a delivery midwifery apparatus includes a fetal heart rate monitoring device 1, an abdominal pressure device 2, an analgesic device 3 and a control host 4. The control host 4 is provided with a display screen 5. The fetal heart rate monitoring device 1 can be used for monitoring the fetal heart rate of a pregnant woman who is more than 28 weeks pregnant before delivery and during the delivery process, and the fetal heart rate is displayed on the display screen 5 of the control host machine 4. During the process of pregnant woman production, the abdominal pressure device 2 acts on the abdominal wall to increase labor force, remarkably shorten the labor process, and prevent and reduce postpartum hemorrhage. During and after the delivery, the pain of the parturient in the delivery is relieved by stimulating the special acupuncture points by the current of the analgesic device 3, the natural delivery is promoted to reduce the cesarean yield, the quality of the obstetrical department is improved, and the postpartum recovery is promoted.
Referring to fig. 1, 2 and 3, the fetal heart rate monitoring apparatus 1 includes an ultrasonic probe 6 and a strap 7. The ultrasonic probe 6 is used for monitoring the fetal heart rate, the ultrasonic probe 6 is electrically connected with the control host 4 through a lead, and monitored data are transmitted to the control host 4. Be equipped with knot hole 8 on the bandage 7, knot hole 8 is equipped with a plurality of along bandage 7 length direction. The button 9 is arranged on the ultrasonic probe 6. The two ends of the bandage 7 are connected through magic glue.
Carrying out fetal heart rate monitoring according to the following steps: 1. arranging the pregnant woman in a lying or semi-lying posture; 2. the bandage 7 is wound around the abdomen of the pregnant woman, and the tightness degree is adjusted; 3. using a stethoscope, palpation or other means to substantially determine the fetal heart location; 4. extruding a proper amount of ultrasonic coupling agent, and coating the ultrasonic coupling agent on the acoustic surface of an ultrasonic probe 6; 5. placing the ultrasonic probe 6 at the fetal heart position, and properly moving the ultrasonic probe 6 to ensure that the ultrasonic coupling agent is uniformly distributed and the surface of the ultrasonic probe 6 is well contacted with the abdomen of the pregnant woman; 6. the position and the angle of the ultrasonic probe 6 are properly adjusted, and the fetal heart sound can be heard by properly adjusting the volume; 7. and (4) buckling the button 9 of the ultrasonic probe 6 into the buckling hole 8 of the bandage 7, fixing the button and monitoring the fetal heart rate stably.
Referring to fig. 4 and 5, the abdominal pressure device 2 includes an air bladder 10, an abdominal pressure belt 11, an air supply mechanism, and a vibrator 12. Referring to fig. 6, the abdominal pressure belt 11 includes a front belt 13 and a rear belt 14, and both ends of the front belt 13 and the rear belt 14 are fixedly connected. A receiving chamber for receiving the airbag 10 is formed between the front belt 13 and the rear belt 14. Referring to fig. 4, the front belt 13 includes a deformation portion 15 corresponding to the airbag 10 and fixing portions 16 fixedly connected to the rear belt 14, and the fixing portions 16 are provided in two and respectively located at both sides of the deformation portion 15. The two ends of the abdominal pressure belt 11 are connected through magic glue.
Referring to fig. 7, the airbag 10 includes a mounting base 17, a first inflation portion 18 and a second inflation portion 19, the first inflation portion 18 is semi-ellipsoidal, the second inflation portion 19 is semi-ellipsoidal and is located on the head side of the first inflation portion 18 facing the puerperal, the second inflation portion 19 is communicated with the first inflation portion 18, and the second inflation portion 19 and the first inflation portion 18 form a convex shape. The second expansion part 19 and the first expansion part 18 are both mounted on the mounting base 17. The installation bottom 17 is installed in the accommodation cavity, and the installation bottom 17 is high in hardness. When the airbag 10 inflates, the first inflation portion 18 inflates earlier than the second inflation portion 19, and the mounting bottom portion 17 is hardly deformed.
Referring to fig. 5 and 7, the first expansion portion 18 is connected to and communicates with a first intake pipe 20, a first exhaust pipe 21, and a second exhaust pipe 22. The first intake pipe 20 and the first exhaust pipe 21 are connected to an air supply mechanism including an air supply pump for supplying air and an exhaust pump for exhausting air. The air supply pump and the exhaust pump are electrically connected to the control host 4, and the control host 4 can control the start and stop of the air supply pump and the exhaust pump. The first intake pipe 20 is connected to an intake pump, and the first exhaust pipe 21 is connected to an exhaust pump. The control host 4 controls the air inlet pump and the air outlet pump, when in control, the first air inlet pipe 20 is used for air inlet of the air bag 10, and the first air outlet pipe 21 is used for air outlet of the air bag 10, so that the air bag 10 can be expanded to a stable size towards the abdomen pressing belt 11 close to the abdomen side of the puerpera. The second exhaust pipe 22 is provided with a manually controlled control valve 25. The degree of inflation of the airbag 10 can be manually controlled by controlling the opening and closing of the second exhaust pipe 22 by manually opening and closing the control valve 25.
Referring to fig. 5 and 6, the vibrator 12 is mounted to the rear belt 14 on the side facing away from the front belt 13. The projection of the vibrator 12 along the thickness direction of the abdominal pressure belt 11 falls in the air bag 10, and the vibrator 12 is provided with at least three different vibration frequencies. The vibrator 12 is connected with the control host 4 through a lead.
The abdominal press belt 11 is used for delivering the midwifery according to the following steps
1. Arranging the pregnant woman in a lying or semi-lying posture;
2. the randomly delivered abdominal belt is wound around the abdomen of the pregnant woman, the abdominal belt air bag 10 is aligned to the abdomen of the pregnant woman, and the tightness degree is adjusted;
3. setting a preset value of the abdominal belt pressure in advance, and stopping inflating when the abdominal belt pressure reaches the preset value during inflating;
4. the "emergency stop" button on the side of the control host 4 is checked, and after the button is confirmed to be in the bounce state, the "abdominal pressure belt 11" virtual button is pressed on the control host 4 to start inflating the abdominal pressure belt 11. Pressing the virtual key of the abdominal pressure belt 11 again to deflate the abdominal pressure belt 11;
5. the parturient can hold the control valve 25 by hand, if feeling uncomfortable, the parturient can deflate by adjusting the control valve 25 by hand;
6. the abdominal belt air bag 10 can be deflated emergently by pressing a red emergency stop button on the side surface of the control main machine 4;
in the second labor stage, the abdomen pressing belt 11 is pressurized by the air bag 10 which is controlled by the doctor and the pregnant woman together, the doctor can stop/start the air bag 10 in the abdomen pressing belt 11 through the virtual key on the control host machine 4 and can monitor the air pressure of the air bag 10 in real time, and the air pressure of the air bag 10 can be freely adjusted according to the requirements of the pregnant woman to act on the abdominal wall of the pregnant woman to assist the pregnant woman in increasing labor force in the process of the pregnant woman. Meanwhile, the pregnant woman can quickly and completely release the pressure of the air bag 10 of the abdominal pressure belt 11 through the hand-held control valve 25, so that the pregnant woman can quickly reduce the discomfort caused by the abdominal pressure belt 11;
when the air bag 10 is inflated, the first inflation portion 18 is inflated first, so that a positive pressure is applied to the abdomen of the parturient. After the pressure reaches a certain value, the second expansion part 19 starts to expand, so that the parturient abdomen is pushed downwards. When the contraction comes to the hard uterus, the puerpera is advised to hold the breath, meanwhile, the air bag 10 applies pressure slowly and positively and then applies pressure by a lateral thrust, the descending conditions of perineum and fetal premature ejaculation are observed while applying pressure, pulse type pressure application or continuous pressure application is forbidden, the force is proper, and the pressure application is stopped in the interval period of the contraction. Thereby increasing productivity and facilitating delivery of the baby.
7. In the third labor stage, the vibrator 12 can be controlled by the doctor, and the doctor can control the vibrator 12 through the four-gear adjustable key on the control host machine 4, so that the pregnant woman feels comfortable and slight vibration in the late stage of the pregnant woman, the uterine contraction of the pregnant woman is accelerated, and the postpartum hemorrhage is prevented and reduced. Meanwhile, in the postpartum recovery time period of the pregnant woman, the vibrator 12 acts on the abdomen through the abdominal pressure belt 11 to continuously play the role and the postpartum shaping role of the pregnant woman.
Referring to fig. 8, the analgesic device 3 includes a control adhesive tape 26 and a plurality of electrode sheet sets. The control tape 26 is provided with scale marks.
Referring to fig. 9 and 10, the Danshu points 27 are located on both sides of the spine of the back of the human body, 3cm away from the spinous process of the 10 th thoracic vertebra (T10); weishu points 28, located on the lateral sides of the spine from the 12 st thoracic vertebra to the 1 st lumbar vertebra (T12-L1), 3cm away; the secondary acupoint 29 is located at sacral region of human body, below the posterior superior spine of iliac region, and is suitable for the posterior sacral foramen 2; the lower Liao acupoint 30 is located at the sacral region of the human body, below the posterior superior iliac spine, and is located at the 4 th sacral posterior foramen.
Referring to fig. 9, 10 and 11, each of the gallbladder acupoint 27, the stomach acupoint 28, the julisao acupoint 29 and the junso acupoint 30 corresponds to a group of electrode plates. The electrode sheet set comprises a patch unit 31 and two electrode sheets 32 fixedly connected to the patch unit 31. Each electrode pad 32 is connected to the control host 4 by a wire.
Two patch units 31 corresponding to the sub-and lower- Liao acupoints 29 and 30 are integrally formed to form a first patch 33, and the two patch units 31 of the Danshu and Weishu acupoints 27 and 28 are both second patches 34. Referring to fig. 8 and 11, the comparison tape 26 is provided with a position-limiting band 35, two ends of the position-limiting band 35 are respectively and fixedly connected between the comparison tape 26 and the comparison tape 26 to form a sliding gap, a sliding connecting band 36 is clamped in the sliding gap, and the two second patches 34 are both fixedly connected to the connecting band 36. The first patch 33 is fixedly attached to the control strip 26 at the centerline. The contrast tape 26 is attached to the spine as a reference for determining the acupuncture points, and the lower end of the contrast tape 26 is attached to the caudal vertebra of the human body.
Referring to fig. 12, when searching for the acupuncture points, one end of the control tape 26 may be attached to the caudal vertebra of the human body, and then the control tape 26 may be attached along the vertebra of the human body. The first patch 33 is then fixedly attached to the person. Then, according to the specific condition of the human body, the connecting band 36 is slid relative to the comparison sticking band 26, so that the second sticking piece 34 corresponds to the proper acupuncture point, and the second sticking piece 34 is fixedly stuck on the human body.
The electrode sheet 32 is attached to a specific designated acupoint and connected to the control host 4 by a lead. The control host 4 controls two paths of output to emit 7 different electrical stimulations through one channel. The pain signal transmitted from the nerve to the brain is blocked by electrically stimulating the special acupuncture points, and the body can also be promoted to generate natural analgesic substances, endorphins, thereby realizing the analgesia of the lying-in woman.
In order to provide different constitutions, the pain-relieving experience of the puerpera with different pain feeling experiences is better. The electric signal received by the electrode sheet 32 has four patterns, F1, F2, F3 and F4 respectively,
f1, 2Hz amplitude-modulated signals 24 + 4Hz amplitude-modulated signals 32 +8s square-wave amplitude-modulated signals, 28s in total constituting a periodic signal, circulating in this cycle, the periodic signal being a trapezoidal periodic wave: 0.1s rise time, 0.2s settling time, 0.1s fall time, 0.1s idle time, 4Hz seismic signals are trapezoidal periodic waves: 0.05s rising time, 0.1s stabilization time, 0.05s falling time, 0.05s idle time, and 8s square wave refrigeration signals are 800Hz square wave signals;
f2, 20 signals of the deinsectization of 1.67Hz +1.25Hz, 20 signals of the deinsectization of 28s in total form a periodic signal, and the periodic signal is circulated, wherein the periodic signal is a trapezoidal periodic wave of 1.67Hz, a rising time of 0.1s, a stable time of 0.4s, an idle time of 0.1s and a signal of the deinsectization of 1.25Hz, a rising time of 0.2s, a stable time of 0.5s and an idle time of 0.1 s;
f3, using 1.4Hz phase-like signals, 20 +2.5Hz phase-like signals, 20 +6s square signals, totally removing 28s to form a periodic signal, and circulating the periodic signal, wherein the periodic signal comprises the following components, that is, the 1.4Hz phase-like signals are trapezoidal periodic waves, 0.1s rising time, 0.4s stabilizing time, 0.1s falling time and 0.1s idle time, the 2.5Hz phase-like signals are trapezoidal periodic waves, 0.05s rising time, 0.25s stabilizing time, 0.05s falling time and 0.05s idle time, and the 6s square-wave phase-like signals are 800Hz square signals;
f4:800Hz square wave spread signal, and circulating.
The control host 4 controls the selection of the electric signal pattern received by the electrode sheet 32. During the use process, the output energy of the midwifery instrument is adjusted step by step until the maximum energy which can be endured by a patient is adjusted. Generally, the greater the output energy, the better the treatment, but it should be ensured that the patient does not feel uncomfortable.
Example 2
Embodiment 2 differs from embodiment 1 in that the airbag 10 is different. Referring to fig. 13, the airbag 10 includes a mounting base 17, a first inflation portion 18, and a second inflation portion 19, the first inflation portion 18 having a semi-ellipsoidal shape. The second expansion part 19 is semi-ellipsoidal and is located in the first expansion part 18, and the second expansion part 19 is located on one side of the first expansion part 18 facing the head of the parturient.
The first expansion portion 18 is connected to and communicates with a first intake pipe 20, a first exhaust pipe 21, and a second exhaust pipe 22. The second inflation portion 19 is connected to and communicated with a third intake pipe 23 and a third exhaust pipe 24. The second exhaust pipe 22 is also connected to the second expansion portion 19. The first intake pipe 20 and the first exhaust pipe 21 correspond to one air supply mechanism, and the third intake pipe 23 and the third exhaust pipe 24 correspond to the other air supply mechanism. The air supply mechanism includes an air supply pump for supplying air and an exhaust pump for exhausting air. The air supply pump and the exhaust pump are electrically connected to the control host 4, and the control host 4 can control the start and stop of the air supply pump and the exhaust pump. The first intake pipe 20 is connected to its corresponding intake pump, and the first exhaust pipe 21 is connected to its corresponding exhaust pump. The third intake pipe 23 is connected to its corresponding intake pump, and the third exhaust pipe 24 is connected to its corresponding exhaust pump.
The control host 4 controls the intake pump and the exhaust pump, whereby the first intake pipe 20 allows the first expansion portion 18 to be intake, the first exhaust pipe 21 allows the first expansion portion 18 to be exhaust, the third intake pipe 23 allows the second expansion portion 19 to be intake, and the third exhaust pipe 24 allows the second expansion portion 19 to be exhaust. So that the sizes of the first expansion part 18 and the second expansion part 19 can be individually adjusted. During production, the first expansion part 18 is stabilized to a certain size, so as to give positive pressure to the uterus. Then the size of the second expansion part 19 is controlled according to the actual delivery condition, so that a downward thrust is given to the uterus, the delivery force is improved, and the delivery of the baby is facilitated.
A manually controlled control valve 25 is provided on the second exhaust pipe 22. The opening and closing of the second exhaust pipe 22 can be controlled by manually opening and closing the control valve 25. The second exhaust duct 22 can be opened by the control valve 25 to allow rapid deflation of the bladder 10, allowing the pregnant woman to quickly take off the discomfort of the abdominal compression belt 11.
Example 3
Embodiment 3 differs from embodiment 1 in that, referring to fig. 14, the mounting base 17 is in the form of a flexible cloth. Both ends of the mounting bottom 17 penetrate through the accommodating cavity. The mounting base 17 is generally H-shaped. The abdominal pressure belt 11 is provided with a driving mechanism 39 for driving the mounting base 17 to slide in the width direction of the abdominal pressure belt 11. The driving mechanism 39 includes a take-up roller 37 and a driving motor 38 for driving the take-up roller 37 to rotate, and the take-up roller 37 is rotatably connected to the side of the rear tape 14 facing away from the front tape 13. Both ends of the mounting bottom 17 are wound on the winding roller 37.
After the abdominal pressure belt 11 is tied to the abdomen of the parturient, the mounting base 17 can be driven to move by the rotation of the wind-up roller 37, so that the air bag 10 can be finely adjusted to a very suitable position. Then, the air bag 10 is aerated, so that the air bag 10 can be correctly aligned with the position of the uterus for midwifery. Meanwhile, after the production process is carried out to a certain degree, the air bag 10 can also provide a thrust for the uterus by rotating the winding roller 37, so that the labor force is increased, and the delivery of the baby is facilitated.
The above embodiments are preferred embodiments of the present application, and the protection scope of the present application is not limited by the above embodiments, so: all equivalent changes made according to the structure, shape and principle of the present application shall be covered by the protection scope of the present application.

Claims (6)

1. A delivery assistance instrument, which is characterized in that: comprises that
The fetal heart rate monitoring device (1) comprises an ultrasonic probe (6) and a bandage (7), wherein the ultrasonic probe (6) is used for monitoring the fetal heart rate, and the bandage (7) is used for stably fixing the ultrasonic probe (6) on the abdomen of a lying-in woman;
the abdominal pressure device (2) comprises an abdominal pressure belt (11) with an air bag (10) and an air supply mechanism for supplying and exhausting air to the air bag (10), the abdominal pressure belt (11) is used for the second labor stage of the parturient, and the labor force is increased by controlling the air supply and the air exhaust of the air bag (10) to act on the abdominal wall;
an analgesic device (3) comprising a plurality of electrode pieces (32), wherein the electrode pieces (32) are used for being attached to the back of a parturient and electrically stimulating a Danshu acupoint (27), a Weishu acupoint (28), a Liao acupoint (29) and a Xiao acupoint (30); the device comprises a gall Shu acupoint (27), a Weishu acupoint (28), a minor acupoint (29) and a minor acupoint (30), wherein each electrode plate group corresponds to one electrode plate group, each electrode plate group comprises a patch unit (31) and two electrode plates (32) fixedly connected to the patch units (31), the two patch units (31) corresponding to the minor acupoint (29) and the minor acupoint (30) are integrally arranged to form a first patch (33), the two patch units (31) of the gall Shu acupoint (27) and the Weishu acupoint (28) are both second patches (34), the analgesic device (3) further comprises a contrast tape (26), the first patch (33) and the second patches (34) are both positioned on the contrast tape (26), the contrast tape (26) is used for being attached to a spinal column to be used as a reference for judging the acupoints, and the lower end of the contrast tape (26) is attached to a tail vertebra of a human body;
the control host (4) is used for controlling the start and the stop of the fetal heart rate monitoring device (1), the abdominal pressure device (2) and the analgesia device (3);
the air bag (10) comprises an installation bottom (17), a first expansion part (18) and a second expansion part (19), the first expansion part (18) is semi-ellipsoidal, the second expansion part (19) is semi-ellipsoidal and is positioned in the first expansion part (18), the second expansion part (19) is positioned on one side, facing the head of a puerpera, of the first expansion part (18), and the air supply mechanism supplies and exhausts air to the first expansion part (18) and the second expansion part (19) respectively; when the first expansion part (18) and the second expansion part (19) are expanded, the second expansion part (19) pushes one side of the first expansion part (18) to enable the first expansion part (18) to form a convex shape; the abdominal pressure belt (11) is provided with a driving mechanism (39) for driving the installation bottom (17) to slide along the width direction of the abdominal pressure belt (11);
installation bottom (17) are gentle cloth form, abdominal pressure area (11) are including preceding area (13) and back area (14), preceding area (13) and back area (14) both ends fixed connection, form the chamber that holds that is used for holding gasbag (10) between preceding area (13) and back area (14), installation bottom (17) both sides are worn out and are held the chamber, actuating mechanism (39) include wind-up roll (37) and are used for driving wind-up roll (37) pivoted driving motor (38), installation bottom (17) both ends all are rolled up on wind-up roll (37).
2. The delivery assist apparatus of claim 1, wherein: the contrast sticking belt (26) is provided with scale marks.
3. The delivery assist apparatus of claim 1, wherein: the electric signals received by the electrode plates (32) are provided with four modes, wherein the four modes are F1, F2, F3 and F4 respectively,
f1, 2Hz phase signals 24 + 4Hz phase signals 32 +8s square wave phase signals, 28s in total form a periodic signal, circulating the periodic signal, the 2Hz phase signals are trapezoidal periodic waves: 0.1s rise time, 0.2s settling time, 0.1s fall time, 0.1s idle time, 4Hz seismic signals are trapezoidal periodic waves: 0.05s rising time, 0.1s stabilization time, 0.05s falling time, 0.05s idle time, and 8s square wave refrigeration signals are 800Hz square wave signals;
f2, 20 signals of the deinsectization of 1.67Hz +1.25Hz, 20 signals of the deinsectization of 28s in total form a periodic signal, and the periodic signal is circulated, wherein the periodic signal is a trapezoidal periodic wave of 1.67Hz, a rising time of 0.1s, a stable time of 0.4s, an idle time of 0.1s and a signal of the deinsectization of 1.25Hz, a rising time of 0.2s, a stable time of 0.5s and an idle time of 0.1 s;
f3, using 1.4Hz phase-like signals, 20 +2.5Hz phase-like signals, 20 +6s square signals, totally removing 28s to form a periodic signal, and circulating the periodic signal, wherein the periodic signal comprises the following components, that is, the 1.4Hz phase-like signals are trapezoidal periodic waves, 0.1s rising time, 0.4s stabilizing time, 0.1s falling time and 0.1s idle time, the 2.5Hz phase-like signals are trapezoidal periodic waves, 0.05s rising time, 0.25s stabilizing time, 0.05s falling time and 0.05s idle time, and the 6s square-wave phase-like signals are 800Hz square signals;
f4:800Hz square wave spread signal, and circulating.
4. The delivery assist apparatus of claim 1, wherein: be equipped with spacing area (35) on comparison area (26), spacing area (35) both ends respectively fixed connection form sliding gap in comparison area (26) and comparison area (26), it has connecting band (36), two to press from both sides in the sliding gap and establish the slip second paster (34) equal fixed connection on connecting band (36).
5. The delivery assist apparatus of claim 1, wherein: abdomen pressure device (2) are including electromagnetic shaker (12), and electromagnetic shaker (12) are installed and are pressed belt (11) in the abdomen and deviate from lying-in woman's abdomen one side, abdomen pressure belt (11) are gone up gasbag (10) and are pressed belt (11) towards the abdomen after admitting air and be close to lying-in woman's abdomen one side inflation, electromagnetic shaker (12) are pressed the projection of taking (11) thickness direction along the abdomen and are fallen on in gasbag (10), electromagnetic shaker (12) are equipped with three at least different vibration frequency that keep off.
6. The delivery assist apparatus of claim 1, wherein: the front belt (13) comprises a deformation part (15) corresponding to the air bag (10) and fixing parts (16) fixedly connected to the rear belt (14), and the two fixing parts (16) are arranged and are respectively located on two sides of the deformation part (15).
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