CN114010431B - Hyperbaric oxygen chamber with electromotive standing and external counterpulsation functions and use method thereof - Google Patents

Hyperbaric oxygen chamber with electromotive standing and external counterpulsation functions and use method thereof Download PDF

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CN114010431B
CN114010431B CN202111320447.3A CN202111320447A CN114010431B CN 114010431 B CN114010431 B CN 114010431B CN 202111320447 A CN202111320447 A CN 202111320447A CN 114010431 B CN114010431 B CN 114010431B
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treatment
cuff
external counterpulsation
hyperbaric oxygen
hyperbaric
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CN114010431A (en
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刘铁军
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G10/00—Treatment rooms or enclosures for medical purposes
    • A61G10/02—Treatment rooms or enclosures for medical purposes with artificial climate; with means to maintain a desired pressure, e.g. for germ-free rooms
    • A61G10/023—Rooms for the treatment of patients at over- or under-pressure or at a variable pressure
    • A61G10/026—Rooms for the treatment of patients at over- or under-pressure or at a variable pressure for hyperbaric oxygen therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/33—Heart-related electrical modalities, e.g. electrocardiography [ECG] specially adapted for cooperation with other devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL 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
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0119—Support for the device
    • A61H2201/0138—Support for the device incorporated in furniture
    • A61H2201/0142—Beds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1207—Driving means with electric or magnetic drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1238—Driving means with hydraulic or pneumatic drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor

Abstract

The invention discloses a hyperbaric oxygen chamber with electric pacing and external counterpulsation functions and a use method thereof, wherein the hyperbaric oxygen chamber comprises hyperbaric oxygen chamber equipment for providing a hyperbaric oxygen environment and split external counterpulsation treatment equipment for providing the electric pacing and external counterpulsation composite functions; the split type external counterpulsation treatment device comprises: the cabin outer part is positioned outside the hyperbaric oxygen cabin equipment and comprises an air pump and an air storage tank, and the air pump and the air storage tank are mutually communicated on an air path; a treatment couch positioned within the hyperbaric oxygen chamber device having a head and shoulder portion, an upper limb portion, a lumbar portion, a lower limb portion, and a footbed portion, the head and shoulder portion being proximate a first end of the treatment couch, the footbed portion being proximate a second end of the treatment couch; and a driving part configured to drive the treatment couch to rotate around the second end and to enable the whole treatment couch to realize an electromotive lifting action.

Description

Hyperbaric oxygen chamber with electromotive standing and external counterpulsation functions and use method thereof
Technical Field
Embodiments of the present invention relate generally to the field of clinical rehabilitation therapy, and more particularly, to a hyperbaric oxygen chamber with electromotive stand-up and external counterpulsation functions and methods of use thereof.
Background
Hyperbaric oxygen treatment is a common rehabilitation treatment means for clinically treating early ischemic cerebral apoplexy, and the treatment effect is already known. At present, in the field of clinical rehabilitation, rehabilitation equipment such as an external counterpulsation treatment bed, an electric standing bed and the like are also often adopted, and all have different treatment indications and treatment purposes.
According to the 'national expert consensus for the clinical application of external counterpulsation of the elderly' (journal of medical science in China, volume 38, phase 9 of 2019), external counterpulsation (eecp) regulates cerebral blood flow, promotes the establishment of side branch circulation of ischemic brain tissue, regulates cytokine secretion, can be used as an auxiliary treatment of the acute phase of ischemic cerebral apoplexy and can also be used as an auxiliary rehabilitation method of the post-ischemic stroke rehabilitation phase. The random cross-control test results of han et al show that the ischemic cerebral apoplexy patients with intracranial and extracranial macrovascular lesions are safe and effective in early treatment by eecp. lin et al indicated that mean arterial pressure increases and cerebral blood flow rate of both middle cerebral arteries increases in patients with ischemic stroke during eecp treatment; the mean arterial pressure of the control group is only slightly increased, and the cerebral blood flow speed of the middle cerebral artery at the two sides is kept unchanged, which is presumed to be perfectly related to the cerebral blood flow automatic regulation mechanism of healthy control people. xiong et al studied the time course effect of eecp in enhancing cerebral blood flow and mean arterial pressure in patients with acute ischemic stroke, indicated that the cerebral blood flow enhancement effect by eecp could last for 3 weeks, and gradually returned to baseline level about 1 month after stroke, indicating that eecp treatment should be received as early as possible within 3 weeks of ischemic stroke onset. At the same time, counterpulsation treatment pressures of 150mmhg (0.020 mpa) were found to have the greatest effect on cerebral blood flow enhancement, and counterpulsation treatments greater than 10h could improve patient prognosis. 150mmhg is therefore recommended as the optimal therapeutic pressure and given to patients with acute ischemic stroke for a counterpulsation course of not less than 10 hours. In addition, the team also found that eecp treatment significantly reduced blood pressure variability and increased heart rate variability, suggesting that eecp was able to ameliorate autonomic dysfunction associated with ischemic stroke. According to the ischemic stroke cerebral collateral circulation evaluation and intervention Chinese guidelines (2017) (the volume 56, the period 6 of the journal 2017 of the Chinese medical science), the collateral circulation enables ischemic tissues to be perfused to different degrees, and the compensatory collateral circulation determines ischemic penumbra, infarct volume, cerebral ischemia time course, severity and whether stroke occurs after vascular occlusion, which is a main cause of stroke heterogeneity. External counterpulsation can safely increase cerebral blood flow, and can benefit in specific populations. In addition, the electric standing bed is an important rehabilitation device for recovering and establishing standing functions of cerebral apoplexy patients, and a plurality of rehabilitation treatment functions achieved by training are also commonly known by clinical rehabilitation.
The external counterpulsation therapeutic bed is a mechanical circulation auxiliary device, and can reduce and eliminate the symptoms of angina pectoris, improve the anoxic ischemia state of important organs of the organism and simultaneously is a medical device for preventing and treating cardiovascular and cerebrovascular diseases by adopting a method of noninvasively pressing the lower body in vitro in the process of rehabilitation of patients. The air bags wrapped on the limbs and the buttocks can be inflated and pressurized in the diastole of the heart, so that the blood of the arteries of the limbs is driven back to the aorta, the diastole is obviously increased, the blood flow is increased for the heart, and the afterload of the heart is reduced; the air bag is rapidly exhausted in the systole stage, the pressure is relieved, the intra-aortic contraction is promoted to be reduced, the resistance of the heart in the ejection stage is relieved to the maximum extent, and the blood is accelerated to flow to the far end, so that the counterpulsation effect is achieved.
The electric standing bed is generally used for helping a patient to finish the training from a supine position to a standing position in the rehabilitation process of the patient, improving the load bearing capacity of trunk and lower limbs, increasing the control capacity of neck, chest, waist and pelvis in the standing position state, and laying a good foundation for keeping the main standing position and balance from the future; in addition, for abnormal modes such as pronation and the like caused by higher tension of lower limb muscles, the electric standing bed can form a traction with enough strength and longer duration on achilles tendons by gravity to play a role in correcting, and tendon contracture is prevented; in addition, the electric standing bed has the advantages of preventing pressure sores, falling pneumonia, improving heart and lung functions, psychological and the like.
At present, in the field of clinical rehabilitation treatment, an external counterpulsation treatment bed and an electric standing bed are respectively used for treating patients, and the following problems exist: firstly, the functions of the external counterpulsation treatment couch and the electric standing couch are single, which belong to devices which are separated from each other and exist independently, and in the actual use, patients need to be transferred between the external counterpulsation treatment couch and the electric standing couch, which is time-consuming and labor-consuming, and brings extra work for therapists and patients, thereby greatly influencing the treatment efficiency; second, since the respective functions of the external counterpulsation treatment couch and the electric standing couch are single and separated from each other, and the two treatment couch have the respective functions and limitations in the rehabilitation treatment of the patient, the two treatment couch cannot achieve the optimal synergistic or even enhanced treatment effect in the rehabilitation treatment process of the patient. For example, the most common problem in the use process of the electric standing bed is body position hypotension and the like, which is caused by insufficient regulation capability and adaptation capability of neuroendocrine to blood vessels when a long-term bedridden patient changes in body position in a disease state, the patient may suffer from body position hypotension and the like, and the electric standing bed does not have the function of adjusting blood pressure and the like, so that the patient faces cerebral perfusion reduction caused by body position hypotension during standing training, cerebral ischemia is further aggravated, and thus, for safety, the standing angle is usually required to be gradually increased for the patient on the basis of gradual adaptation slowly and overlength, so that the purpose of standing rehabilitation treatment can be achieved, but the efficiency and effect of standing training are greatly reduced. The existing external counterpulsation treatment bed is usually used for patients lying on the external counterpulsation treatment bed, and is only one training mode with the body position in a horizontal static state, and the treatment of increasing perfusion of important viscera in the non-horizontal state and even in the continuous lifting process of the dynamic body position is lacking, so that the comprehensive treatment effect is greatly reduced, and the optimal treatment effect cannot be realized.
In addition, the existing hyperbaric oxygen chamber does not have the combined functions of electric rising and external counterpulsation, so that patients cannot perform hyperbaric oxygen treatment, electric rising and external counterpulsation rehabilitation treatment at the same time. Therefore, a hyperbaric oxygen chamber with electric standing and external counterpulsation composite functions is needed, which not only can realize hyperbaric oxygen treatment, but also can utilize the standing function of an electric standing bed to perform standing training, and can also adjust blood pressure through counterpulsation technology, so that the body position hypotension and the like occurring in the standing process can be resisted, and thus, in the standing training process, the purpose of enabling a patient to safely realize standing as soon as possible can be achieved, and viscera rehabilitation can be simultaneously performed, thereby achieving the purpose of considering three treatment modes in the same time period and greatly improving rehabilitation efficiency and effect after integration in time and space.
Disclosure of Invention
The main object of the embodiments of the present disclosure is to provide a hyperbaric oxygen chamber with a combination of electromotive rising and external counterpulsation and a method for using the same, which solves at least one of the above technical problems.
A first aspect of the present disclosure provides a hyperbaric chamber having a combination electromotive force and external counterpulsation, comprising a hyperbaric chamber device (100) for providing a hyperbaric oxygen environment, and a split type external counterpulsation treatment device for providing a combination electromotive force and external counterpulsation; the split type external counterpulsation treatment device comprises: an outer cabin part (1) positioned outside the hyperbaric oxygen cabin equipment (100) and comprising an air pump (101) and an air storage tank (102), wherein the air pump (101) and the air storage tank (102) are communicated with each other in an air path; a treatment couch (2) within the hyperbaric oxygen chamber device (100) having a head-shoulder (21), an upper limb (22), a lumbar-hip (23), a lower limb (24) and a foot pad (25), the head-shoulder (21) being proximate a first end (11) of the treatment couch (2), the foot pad (25) being proximate a second end (12) of the treatment couch (2); and a drive section (3) arranged to drive the treatment couch (2) in rotation about the second end (12) such that the treatment couch (2) as a whole effects an electric lifting action; wherein, the waist and buttocks (23) are provided with buttock bag sleeves (41), and the lower limb part (24) is provided with thigh bag sleeves (42) and shank bag sleeves (43); the air pump (101) is arranged to be capable of performing an inflation or a suction operation on the hip cuff (41), the thigh cuff (42) and the shank cuff (43) to achieve an external counterpulsation function.
An embodiment according to the present disclosure is characterized in that the treatment couch (2) is provided with a base (20) below the first end (11) to support the treatment couch (2) inside the hyperbaric chamber device (100) at the first end (11).
According to an embodiment of the disclosure, the cabin exterior (1) comprises a drive motor, and an external power source for providing power to the drive motor; the driving part (3) comprises a hydraulic rod (31), one end of the hydraulic rod is connected with the driving motor, and the other end of the hydraulic rod is positioned on the treatment bed (2) and is close to the lower limb part (24); the hydraulic rod (31) is arranged to drive the treatment couch (2) in rotation by telescoping action.
According to an embodiment of the present disclosure, the drive (3) further comprises a support frame (32) located within the hyperbaric oxygen chamber device (100); the lower part of the supporting frame (32) is fixed at the bottom of the hyperbaric oxygen chamber device (100), and the upper part of the supporting frame is positioned on the treatment bed (2) and is close to the foot pad part (25); the treatment couch (2) is arranged to perform a rotational motion about the support frame (32) upon rotation.
According to an embodiment of the disclosure, the extravehicular element (1) is arranged in a basement (200) below the hyperbaric oxygen chamber device (100); the buttock bag sleeve (41), the thigh bag sleeve (42) and the shank bag sleeve (43) are communicated with the air pump (101) through an air pipeline (300).
According to an embodiment of the present disclosure, the gas line (300) comprises a first gas line (301) arranged at a position below the hip cuff (41), the thigh cuff (42) and the calf cuff (43), and a second gas line (302) extending along the support frame (32) towards the extravehicular element (1).
According to an embodiment of the present disclosure, the split-type external counterpulsation therapy apparatus further comprises a multi-parameter acquisition device (5) disposed within the hyperbaric oxygen chamber apparatus (100) for acquiring physiological signals of a patient; the physiological signal includes at least one of: an electrocardio signal, a heart rate signal, a heart rhythm signal, a blood pressure signal and a blood oxygen signal.
According to an embodiment of the present disclosure, the extravehicular element (1) further comprises a control device (6) for receiving the physiological signals acquired by the multi-parameter acquisition device (5); the control device (6) and the multi-parameter acquisition device (5) are connected with each other through a circuit by a lead (400); the wire (400) extends along the underside of the treatment couch (2) and then along the support frame (32) towards the extravehicular element (1).
According to an embodiment of the present disclosure, the hyperbaric chamber further comprises a monitoring station (500) arranged outside the hyperbaric chamber device (100); the monitoring station (500) is capable of interacting with the control device (6) in order for an operator to monitor physiological signals of the patient and to send control instructions to the control device (6).
According to an embodiment of the present disclosure, the control device (6) comprises a first control module (61) arranged to control the air pump (101) to inflate the hip cuff (41), the thigh cuff (42) and the calf cuff (43) upon detection of the electrocardiographic signal indicative of ventricular diastole.
According to an embodiment of the present disclosure, the control device (6) comprises a second control module (62) arranged to control the air pump (101) to pump the buttocks cuff (41), the thigh cuff (42) and the calf cuff (43) when the electrocardiographic signal is detected to indicate ventricular systole.
According to an embodiment of the present disclosure, the control device (6) comprises a third control module (63) arranged to control the driving part (3) to stop driving the rotation of the treatment couch (2) and to control the air pump (101) to increase the inflation or suction of the hip cuff (41), the thigh cuff (42) and the calf cuff (43) when the blood pressure signal is detected to indicate that the patient has a blood pressure drop due to the standing action but not exceeding a predetermined threshold.
According to an embodiment of the present disclosure, the control device (6) comprises a fourth control module (64) arranged to control the driving part (3) to drive the treatment couch (2) to rotate reversely to reduce the standing height of the patient and to control the air pump (101) to increase the inflation or suction actions of the hip cuff (41), the thigh cuff (42) and the calf cuff (43) when detecting that the blood pressure signal indicates that the blood pressure of the patient has dropped due to the standing action and exceeds a predetermined threshold.
According to the embodiment of the disclosure, a rotatable armrest (26) or a detachable support plate is further arranged on the upper limb part (22); the waist and hip (23) is also provided with a waist and abdomen fixing and binding belt (27) for fixing the waist and abdomen.
A second aspect of the present disclosure provides a method of using a hyperbaric chamber having a combination electromotive force and external counterpulsation, the hyperbaric chamber comprising a hyperbaric chamber device (100) for providing a hyperbaric environment, and a split type external counterpulsation treatment device for providing a combination electromotive force and external counterpulsation; the split type external counterpulsation treatment device comprises: an outer cabin part (1) positioned outside the hyperbaric oxygen cabin equipment (100) and comprising an air pump (101) and an air storage tank (102), wherein the air pump (101) and the air storage tank (102) are communicated with each other in an air path; a treatment couch (2) within the hyperbaric oxygen chamber device (100) having a head-shoulder (21), an upper limb (22), a lumbar-hip (23), a lower limb (24) and a foot pad (25), the head-shoulder (21) being proximate a first end (11) of the treatment couch (2), the foot pad (25) being proximate a second end (12) of the treatment couch (2); and a drive section (3) configured to drive the treatment couch (2) to rotate about the second end (12) and to cause the treatment couch (2) as a whole to perform an electromotive lifting action; wherein, the waist and buttocks (23) are provided with buttock bag sleeves (41), and the lower limb part (24) is provided with thigh bag sleeves (42) and shank bag sleeves (43); the air pump (101) is arranged to be capable of performing an inflation or a suction operation on the hip cuff (41), the thigh cuff (42) and the shank cuff (43) to realize an external counterpulsation function; the application method of the hyperbaric oxygen chamber with the combined functions of electric rising and external counterpulsation comprises the following steps: starting the hyperbaric oxygen chamber device (100) to provide a hyperbaric oxygen environment for the split type external counterpulsation treatment device; in a first operating mode, when an electrocardiograph signal of a patient is detected to represent ventricular diastole, controlling the air pump (101) to perform inflation actions on the hip pocket (41), the thigh pocket (42) and the shank pocket (43); and in a second working mode, when the electrocardiosignal is detected to represent ventricular contraction, controlling the air pump (101) to carry out air suction action on the buttock bag sleeve (41), the thigh bag sleeve (42) and the shank bag sleeve (43).
According to an embodiment of the present disclosure, the method for using the hyperbaric oxygen chamber with the combined functions of electromotive ascent and external counterpulsation further includes: in a third operation mode, when a blood pressure signal of the patient is detected to indicate that the blood pressure of the patient is reduced due to the standing action but the blood pressure does not exceed a preset threshold value, the driving part (3) is controlled to stop driving the treatment bed (2) to rotate, and the air pump (101) is controlled to increase the inflation action or the air suction action of the hip pocket (41), the thigh pocket (42) and the shank pocket (43).
According to an embodiment of the present disclosure, the method for using the hyperbaric oxygen chamber with the combined functions of electromotive ascent and external counterpulsation further includes: in a fourth operation mode, when the blood pressure signal is detected to indicate that the blood pressure of the patient is reduced due to the standing motion and exceeds a predetermined threshold value, the driving part (3) is controlled to drive the treatment couch (2) to reversely rotate so as to reduce the standing height of the patient, and the air pump (101) is controlled to increase the inflation motion or the suction motion of the hip cuff (41), the thigh cuff (42) and the calf cuff (43).
Compared with the prior art, the method has the following advantages: the hyperbaric oxygen cabin with the electric standing and external counterpulsation composite function can perform hyperbaric oxygen treatment, can adjust blood pressure through counterpulsation technology when realizing standing training of an electric standing bed, shortens the standing training process of a patient in time, achieves faster standing realization, and can simultaneously perform visceral organ rehabilitation treatment by using hyperbaric oxygen treatment and external counterpulsation function in the standing training process, thereby achieving the purpose of improving rehabilitation treatment efficiency and treatment effect in time and space.
Drawings
For a clearer description of the technical solutions of the present disclosure, the drawings that are needed in the description of the embodiments will be briefly introduced below, it being obvious that the drawings in the following description are only some embodiments of the present disclosure, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic structural view of a hyperbaric oxygen chamber with a combination of electromotive ascent and external counterpulsation according to an embodiment of the present disclosure.
Fig. 2 is a schematic structural diagram of a control device in a hyperbaric oxygen chamber with a combination of electromotive ascent and external counterpulsation according to an embodiment of the present disclosure.
Detailed Description
The technical solutions in the embodiments of the present disclosure will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present disclosure, and it is apparent that the described embodiments are only some embodiments, not all embodiments, of the present disclosure, and all other embodiments obtained by those skilled in the art without any inventive effort based on the embodiments in the present disclosure are included in the scope of protection of the present disclosure.
The inventors of the present disclosure found in the practice of long-term clinical rehabilitation that: the existing rehabilitation treatment equipment (including a hyperbaric oxygen chamber, an electric standing bed and an external counterpulsation treatment instrument) has the problems that the structure is simple, the function is single, the equipment can only be used one by one, double waste in time and space exists objectively, patients need to repeatedly transfer among different equipment, the time waste is caused, the equipment is very inconvenient, and the treatment efficiency is low; on the other hand, each device has its own limitations and disadvantages, and cannot overcome it and further improve its function, so the clinic faces the problem of how to improve the rehabilitation efficiency and effect.
For example, current hyperbaric oxygen chambers only perform pure hyperbaric oxygen therapy, and cannot perform electric rising and external counterpulsation therapy. The electric standing bed used in clinic and conventionally at present can fix a patient on the standing bed and can enable the patient to stand passively, but does not have the function of adjusting blood pressure, cannot actively prevent or even counter the postural hypotension in the treatment process, and does not have the function of carrying out important organ rehabilitation treatment such as heart, brain, kidney and the like in the standing training process. Therefore, when the electric standing bed is used, for safety, the standing angle of the patient needs to be gradually increased slowly and for a long time to achieve the purpose of standing treatment, but the efficiency and effect of standing training are greatly reduced, so that the treatment efficiency and effect of the early gold recovery period of the disease are greatly reduced.
The existing external counterpulsation therapeutic equipment for clinical application has the external counterpulsation function, and the display screen can display dynamic electrocardiogram and sleeve pressure, but the lower half part of the bed board is fixed, does not have the function of integrally standing, and also does not have devices such as foot supports, binding facilities for fixing limbs and trunk of a patient, armrests and supporting plates for supporting the forearm of the patient when standing. Therefore, the existing external counterpulsation treatment bed has the defect that a patient lies on the external counterpulsation treatment bed and does not have a standing function, so that standing training can not be performed while external counterpulsation is performed, the comprehensive treatment effect is greatly influenced, and better treatment effect can not be realized.
Therefore, the main objective of the embodiments of the present disclosure is to provide a hyperbaric oxygen chamber with electric standing and external counterpulsation composite functions, which not only can realize hyperbaric oxygen therapy, but also can perform standing training of an electric standing bed, and simultaneously can adjust blood pressure through counterpulsation technology, shorten the process of standing training of a patient in time, achieve faster standing, and can simultaneously use hyperbaric oxygen therapy and external counterpulsation to perform organ rehabilitation therapy in the standing training process, thereby achieving the purpose of improving rehabilitation therapy efficiency and therapeutic effect.
Embodiments relating to hyperbaric oxygen chambers with integrated electromotive rise and external counterpulsation
As shown in fig. 1-2, the disclosed embodiments provide a hyperbaric chamber with a combination of electromotive and external counterpulsation comprising a hyperbaric chamber device 100 (which is generally tank-shaped and has an inlet and window) for providing a hyperbaric environment, and a split-type external counterpulsation treatment device for providing a combination of electromotive and external counterpulsation.
The hyperbaric oxygen has the functions of promoting aerobic metabolism of cells, increasing oxygen content of the organism, improving metabolism of the organism, improving circulation, promoting discharge of harmful gas, relieving edema, reducing exudation, inhibiting growth and reproduction of anaerobic bacteria, promoting wound healing, enhancing curative effect of tumor chemoradiotherapy and preventing complications thereof, promoting repair of a nerve sheath membrane and regulating organism immunity. Hyperbaric oxygen is mainly used for treating toxic diseases such as acute carbon monoxide poisoning, sudden deafness, diabetes and cerebrovascular diseases, brain trauma, brain dysfunction, anaerobe infection, aseptic osteonecrosis, post-implantation, fracture, poor healing of trauma, malignant tumor and cyst herpes or pityriasis rosea of skin, viral encephalitis of nervous system, cerebral palsy, headache, multiple sclerosis, peripheral nerve injury and the like.
It should be noted that hyperbaric oxygen may be dangerous (such as fire, explosion, etc.) in the presence of electric spark, etc., and thus the inventors of the present disclosure have paid particular attention to this problem, designed a split type external counterpulsation treatment apparatus to avoid such a safety hazard, the basic design concept of which is to dispose a strong electric power part (such as 220V commercial power or 380V industrial power) related to the electric stand-up and external counterpulsation functions outside the hyperbaric oxygen chamber apparatus 100 and dispose a part other than the strong electric power (such as a part for collecting a human body surface current signal) inside the hyperbaric oxygen chamber apparatus 100, thereby improving the safety of the hyperbaric oxygen chamber of the present disclosure.
Referring to fig. 1, the split type external counterpulsation treatment apparatus includes: an extravehicular member 1 located outside the hyperbaric oxygen chamber apparatus 100, a treatment couch 2 located inside the hyperbaric oxygen chamber apparatus 100, and a drive section 3.
The outdoor unit 1 comprises an air pump 101 and an air storage tank 102, wherein the air pump 101 and the air storage tank 102 are communicated with each other in an air path. According to an embodiment of the present disclosure, the extravehicular member 1 may be disposed within a basement 200 below the hyperbaric oxygen chamber apparatus 100. By adopting the structural design of the basement (a side door capable of being opened or closed can be arranged), the air pump 101 and the air storage tank 102 can be conveniently replaced and maintained. Meanwhile, since the external member 1 is disposed at a position (for example, a position directly below) of the hyperbaric oxygen chamber device 100, the connection distance of the gas path and the circuit can be shortened, thereby more efficiently controlling the operation of the treatment bed 2. For example, the exterior member 1 may be shaped like a sofa bed or a gum or a box or cabinet.
The treatment couch 2 has a head-shoulder 21, an upper limb 22, a waist-hip 23, a lower limb 24, and a foot pad 25, the head-shoulder 21 being adjacent to the first end 11 of the treatment couch 2, the foot pad 25 being adjacent to the second end 12 of the treatment couch 2. In some embodiments, the entirety of the treatment couch 2, which is composed of the head and shoulder 21, the upper limb 22, the waist and hip 23, the lower limb 24, and the foot pad 25, is capable of supporting a patient lying on the treatment couch 2.
A driving part 3 configured to drive the treatment couch 2 to rotate around the second end 12, so that the whole treatment couch 2 realizes an electromotive standing motion; wherein, the hip part 23 is provided with a hip bag cover 41, and the lower limb part 24 is provided with a thigh bag cover 42 and a shank bag cover 43; the air pump 101 is configured to perform an inflation or a suction operation on the hip cuff 41, the thigh cuff 42, and the calf cuff 43 to achieve an external counterpulsation function (e.g., to raise blood pressure, to secure blood supply to important organs). In some embodiments, the driving part 3 may be driven by electric driving, so that the whole therapeutic bed 2 can be raised (as shown in the changing states of fig. 1-2). As an equivalent alternative, the driving part 3 can also be operated by manual operation, so that the whole treatment couch 2 can be lifted, and the driving way is also covered in the equivalent protection scope of the invention of electric lifting. The hip cuff 41, thigh cuff 42 and calf cuff 43 are in communication with the air pump 101 and air reservoir 102 in the outer member 1 over an air path (e.g. by an air tube or hose) to effect air communication, as well as inflation and deflation actions.
Preferably, the bottom of the buttock bag cover 41, the thigh bag cover 42 and the calf bag cover 43 are all fixed on the treatment bed 2, and can be used for fixing the trunk and the limbs (including buttocks, thighs and calves), compared with the existing external counterpulsation treatment apparatus, the patient is in a flat state, so the bag cover is not required to be fixed, the trunk and the limbs are not required to be considered to be fixed, the falling down of the bed is prevented, and the like.
It can be understood that, because the structural design of the hyperbaric oxygen cabin is adopted, and the hyperbaric oxygen cabin has the composite functions of electric standing and external counterpulsation, the hyperbaric oxygen cabin with the composite functions of electric standing and external counterpulsation can realize hyperbaric oxygen treatment, can also perform standing training of an electric standing bed, can adjust blood pressure through counterpulsation technology, shortens the process of standing training of a patient in time, achieves faster standing, and can simultaneously use hyperbaric oxygen treatment and external counterpulsation to perform organ rehabilitation treatment in the standing training process, thereby achieving the purpose of improving rehabilitation treatment efficiency and treatment effect.
In addition, due to the structural design of the split type external counterpulsation treatment apparatus, the strong electric part (such as the air pump 101, etc.) for realizing the functions of electric rising and external counterpulsation can be arranged outside the hyperbaric oxygen chamber apparatus 100 (such as in the basement 200 at the lower position), and the part (such as the treatment couch 2) outside the strong electric part is arranged inside the hyperbaric oxygen chamber apparatus 100, so that the damage of electric sparks, etc. can be prevented from being generated, and accidents (such as fire, explosion, etc.) of the hyperbaric oxygen chamber can be caused.
An embodiment according to the present disclosure is characterized in that the treatment couch 2 is provided with a base 20 below the first end 11 to support the treatment couch 2 inside the hyperbaric chamber device 100 at the first end 11. For example, the base 20 may be a cubic structure, such as a frame structure, preferably made of steel or wood, so as to provide a supporting function.
According to an embodiment of the present disclosure, the cabin exterior 1 comprises a drive motor (not shown), and an external power source (not shown) for providing power to the drive motor; the driving part 3 comprises a hydraulic rod 31, one end of which is connected with the driving motor, and the other end of which is positioned on the treatment bed 2 and is close to the lower limb part 24; the hydraulic rod 31 is arranged to drive the couch 2 in rotation by telescoping action.
In some embodiments, the hydraulic rod 31 may be driven by a driving motor (e.g., a hydraulic motor), which may have a structure of a lifting rod to cooperate with the driving motor, so as to implement an electric telescopic action, so as to implement an automatic telescopic function under electric control, and conveniently drive the treatment couch 2 to rotate. Preferably, the drive motor may be located within the hyperbaric oxygen chamber device 100, together with the extravehicular member 1 (e.g., basement 200). And one end of the hydraulic rod 31 is connected to the driving motor, and the other end is positioned on the treatment couch 2 and close to the lower limb 24, thereby avoiding electric spark or explosion caused by the introduction of strong electricity.
According to an embodiment of the present disclosure, the driving part 3 further comprises a support frame 32 located inside the hyperbaric oxygen chamber device 100; the lower part of the supporting frame 32 is fixed at the bottom of the hyperbaric oxygen chamber device 100, and the upper part is positioned on the treatment couch 2 and is close to the foot pad part 25; the couch 2 is arranged to perform a rotational motion about the support frame 32 when rotated.
In some embodiments, the support frame 32 is fixed, for example, at the bottom of the hyperbaric chamber device 100 (the hyperbaric chamber device 100 is typically a steel structure), while at the top a rotatable connection is achieved by means of a hinge or a swivel, etc. In this way, the therapeutic bed 2 can rotate around the supporting frame 32 under the telescopic action of the hydraulic rod 31, so that the therapeutic bed 2 can be integrally erected.
According to an embodiment of the present disclosure, the hip cuff 41, the thigh cuff 42, and the calf cuff 43 communicate with the air pump 101 through an air line 300. According to an embodiment of the present disclosure, the gas line 300 includes a first gas line 301 disposed at a position below the hip cuff 41, the thigh cuff 42, and the calf cuff 43, and a second gas line 302 extending along the support frame 32 toward the exterior of the cabin 1.
It will be appreciated that the gas line 300 includes the first gas line 301 and the second gas line 302, and by this gas path design, the gas path distance of the split type external counterpulsation treatment apparatus can be minimized, so that the inflation and deflation actions of the hip cuff 41, the thigh cuff 42, and the calf cuff 43 can be controlled more efficiently and accurately.
According to the embodiment of the disclosure, the upper limb 22 is also provided with a rotatable armrest 26 or a detachable support plate; the waist and buttocks 23 are also provided with a waist and abdomen fixing and binding belt 27 for fixing the waist and abdomen.
As an example, the rotatable armrest 26 may be rotated to a position flush with the bed (on both sides of the bed) when not performing standing exercises, to perform a stowing function. When standing training is needed, the patient can rotate to the direction vertical to the bed body, so that the patient can conveniently grasp and support the patient. In addition, the foremost rotatable armrest 26 may be provided with an electric button (which may be pressed by the patient autonomously when an untimely event occurs during the patient's ascent, thereby stopping the raising motion of the couch and even returning the couch to the lying position). The detachable support plate can be detached when standing training is not performed; and can be installed when standing training is needed, thereby facilitating the grasping and supporting of patients. The abdomen fixing binding belt 27 may be used to fix the abdomen (for example, by a hook and loop fastener or a buckle type).
Compared with the traditional electric standing bed, the hyperbaric oxygen chamber with the electric standing and external counterpulsation composite functions can overcome the defects that the traditional electric standing bed does not have the function of adjusting blood pressure, the standing process of a patient is very long and the like, can enable the patient to stand as early as possible, can also increase the organ rehabilitation functions such as blood supply and oxygen supply and the like, and is used for real-time multi-parameter monitoring, so that the traditional electric standing bed is fundamentally changed.
Compared with the prior external counterpulsation therapeutic equipment, the hyperbaric oxygen chamber with the electric standing and external counterpulsation composite functions can overcome the defects that the traditional external counterpulsation therapeutic equipment does not have the functions of standing and the like, can perform rehabilitation therapy for increasing blood supply and oxygen supply of organs, and can also perform training for standing and dynamic lifting and changing of body positions, so that the functions of lower limb muscles, tendons, bones and heart and lung are exercised, the crush injury to buttocks is reduced, the falling pneumonia is prevented, and the like, and the hyperbaric oxygen chamber is a fundamental change of the prior external counterpulsation therapeutic equipment.
In summary, the hyperbaric oxygen chamber with the electric standing and external counterpulsation combined functions solves the problem that comprehensive rehabilitation treatment equipment capable of simultaneously realizing hyperbaric oxygen treatment, external counterpulsation and standing training is lacking clinically at present, and can effectively recover important organs such as heart, brain, kidney and the like and simultaneously perform standing training. The blood centripetal backflow can be increased while the standing training is performed, the blood pressure is improved, and the blood supply of important viscera is enhanced, so that the standing training process of a patient can be shortened, and the efficiency and the effect of rehabilitation therapy are improved.
In the embodiment of the disclosure, the therapeutic bed 2 is driven to rotate around the second end 12 by the driving part 3 under the condition of high-pressure oxygen, so that the therapeutic bed 2 is integrally lifted; meanwhile, the hip bag sleeve 41, the thigh bag sleeve 42 and the calf bag sleeve 43 can be inflated or pumped through the air pump 101, so that the hyperbaric oxygen chamber with the electric standing and external counterpulsation composite function in the embodiment of the disclosure can realize the hyperbaric oxygen treatment and the standing function of an electric standing bed for standing training, and can also regulate the blood pressure through the counterpulsation technology, shorten the standing training process of a patient in time, achieve the aim of realizing standing faster, and can simultaneously use the hyperbaric oxygen treatment and the external counterpulsation function for organ rehabilitation treatment in the standing training process, thereby achieving the aim of improving the rehabilitation treatment efficiency and the treatment effect.
The inventor of the present disclosure also found that the currently commonly used external counterpulsation therapeutic apparatus and electric rising bed basically do not have a multi-parameter monitoring function, so that the currently used external counterpulsation therapeutic apparatus and electric rising bed do not have a life-indicating multi-parameter monitoring function, so that patients with related requirements lack necessary health monitoring equipment, and the treatment process has the risk of not finding problems in time.
Accordingly, according to an embodiment of the present disclosure, the split-type external counterpulsation therapy apparatus may further include a multi-parameter acquisition device 5 disposed within the hyperbaric oxygen chamber apparatus 100 for acquiring physiological signals of a patient; the physiological signal includes at least one of: an electrocardio signal, a heart rate signal, a heart rhythm signal, a blood pressure signal and a blood oxygen signal.
In some embodiments, the multi-parameter acquisition device 5 can dynamically monitor the electrocardio, heart rate, heart rhythm (acquired by structures such as electrodes), blood pressure (acquired by structures such as sleeves), blood oxygen (acquired by infrared modes) and the like in real time during the treatment process, and provide important reference prompts for timely finding risks and timely processing during the treatment process.
According to an embodiment of the present disclosure, the exterior part 1 further comprises a control device 6 for receiving physiological signals acquired by the multi-parameter acquisition device 5; the control device 6 and the multi-parameter acquisition device 5 are connected with each other through a wire 400 in a circuit manner; the lead 400 extends along the underside of the treatment couch 2 and then along the support frame 32 towards the outer member 1.
As an example, the control device 6 may be implemented by a structure such as a circuit board or a computer, which may be provided together with the exterior member 1 (for example, in the basement 200), and the control device 6 may also control the air pump 101 and the like (not shown in the drawings). The physiological signals acquired by the multi-parameter acquisition device 5 can be sent to the control device 6 for processing. The extension of the line 400 essentially in line with the gas line 300 here shortens the path of the line from the treatment couch 2 to the external part 1 and does not affect the circuit connection of the treatment couch 2 in the raised state (the line does not break, come loose or interfere with the operation of the operator).
As shown in fig. 1-2, the hyperbaric chamber further comprises a monitoring station 500 disposed outside of the hyperbaric chamber apparatus 100, according to an embodiment of the disclosure; the monitoring station 500 is capable of interacting with the control device 6 (e.g., via wired or wireless communication interactions) so that an operator monitors the patient's physiological signals and sends control instructions (e.g., related control signals or control instructions to control inflation, aspiration, collect physiological signals, etc.) to the control device 6.
It will be appreciated that the monitor stand 500 is designed to facilitate real-time detection and observation by an operator sitting in the room where the hyperbaric oxygen chamber is located (as shown in fig. 1), thereby ensuring medical safety. Furthermore, the operator can control the control device 6 in the external member 1 by means of wires or wirelessly (as shown in fig. 1), thereby controlling the motor-driven rising, external counterpulsation and other action treatments to the patient, as well as the acquisition of physiological signals to the patient. Moreover, the operator may also control the hyperbaric oxygen treatment environment within the hyperbaric chamber device 100.
According to an embodiment of the present disclosure, the control device 6 comprises a first control module 61 arranged to control the air pump 101 to inflate the hip cuff 41, the thigh cuff 42 and the calf cuff 43 upon detection of the electrocardiographic signal indicating a ventricular diastole.
As an example, the first control module 61 may determine that the received real-time electrocardiographic signal indicates ventricular diastole, and may perform the inflating operation on the hip cuff 41, the thigh cuff 42 and the shank cuff 43 by controlling the air pump 101 (the air pump 101 is also electrically connected to the control device 6), so as to implement the external counterpulsation function.
According to an embodiment of the present disclosure, the control device 6 comprises a second control module 62 arranged to control the air pump 101 to pump the buttocks cuff 41, the thigh cuff 42 and the calf cuff 43 when the electrocardiographic signal is detected to indicate ventricular systole.
As an example, the second control module 62 may determine that the received real-time electrocardiographic signal indicates ventricular systole, and may control the air pump 101 to perform the air pumping action on the hip cuff 41, the thigh cuff 42 and the shank cuff 43 (the air pump 101 is also electrically connected to the control device 6), so as to perform the function of external counterpulsation.
According to an embodiment of the present disclosure, the control device 6 comprises a third control module 63 arranged to control the driving part 3 to stop driving the rotation of the treatment couch 2 and to control the air pump 101 to increase the inflation or suction of the hip cuff 41, the thigh cuff 42 and the calf cuff 43 when the blood pressure signal is detected to indicate that the patient has a blood pressure drop due to the standing action but not exceeding a predetermined threshold value.
As an example, the third control module 63 may determine the received real-time blood pressure signal to detect that the blood pressure signal indicates that the patient has reduced blood pressure due to the standing motion but does not exceed a predetermined threshold (i.e., the blood pressure is reduced by a small amount), and at this time, may control the driving part 3 (e.g., a hydraulic rod, etc.) to stop driving the rotation of the treatment couch 2, and control the air pump 101 to increase the inflation or suction motion of the hip cuff 41, the thigh cuff 42, and the calf cuff 43. For example, when the blood pressure is detected to be slightly lower (not exceeding a preset threshold or within a certain numerical range), the bed body angle can be kept unchanged, a control signal for increasing the cuff pressure is output, so that the blood pressure is increased, when the blood pressure is increased to a normal range, the equipment working state at the moment is kept to work for more than 10 minutes, then the bed body angle is slowly increased for 5 degrees, the patient enters into an observed blood pressure state again, and standing training (for example, circulation is carried out until a standing target is reached) is continued.
According to an embodiment of the present disclosure, the control device 6 comprises a fourth control module 64 arranged to control the driving part 3 to drive the couch 2 to rotate reversely to lower the standing height of the patient and to control the air pump 101 to increase the inflation or suction of the hip cuff 41, the thigh cuff 42 and the calf cuff 43 when the blood pressure signal is detected to indicate that the blood pressure of the patient is reduced due to the standing action and exceeds a predetermined threshold.
As an example, the fourth control module 64 may determine the received real-time blood pressure signal to detect that the blood pressure signal indicates that the patient has a blood pressure drop due to the standing motion and exceeds a predetermined threshold (i.e., the blood pressure drop is large), at which time the driving part 3 (e.g., a hydraulic rod, etc.) may be controlled to drive the couch 2 to reversely rotate to reduce the standing height of the patient, and the air pump 101 may be controlled to increase the inflation or suction motion of the hip cuff 41, the thigh cuff 42, and the calf cuff 43. For example, when the blood pressure drop is detected to be obvious (exceeds a preset threshold value or is out of a certain range of values), the operator can be prompted by means of a blood pressure drop alarm, at the moment, the driving part 3 can be controlled to automatically reduce the rising height of the patient (even to a lying position), in the process, the blood pressure can be regulated and controlled by utilizing an external counterpulsation function, after the blood pressure rises steadily, the patient can slowly and gradually rise up the bed body, and standing training is continued.
Embodiments relating to methods of use of hyperbaric oxygen chambers with integrated electromotive and external counterpulsation
The embodiment of the disclosure also provides a use method of the hyperbaric oxygen chamber with the electric rising and external counterpulsation composite function, which adopts the hyperbaric oxygen chamber with the electric rising and external counterpulsation composite function, and the hyperbaric oxygen chamber comprises hyperbaric oxygen chamber equipment 100 for providing a hyperbaric oxygen environment and split external counterpulsation treatment equipment for providing the electric rising and external counterpulsation composite function; the split type external counterpulsation treatment device comprises: an external part 1 positioned outside the hyperbaric oxygen chamber device 100 and comprising an air pump 101 and an air storage tank 102, wherein the air pump 101 and the air storage tank 102 are communicated with each other in an air path; a treatment couch 2 within the hyperbaric chamber device 100 having a head and shoulder 21, an upper limb 22, a lumbar and hip 23, a lower limb 24, and a foot pad 25, the head and shoulder 21 being proximate to the first end 11 of the treatment couch 2, the foot pad 25 being proximate to the second end 12 of the treatment couch 2; and a driving part 3 configured to drive the treatment couch 2 to rotate around the second end 12 and to enable the whole treatment couch 2 to perform an electromotive lifting action; wherein, the hip part 23 is provided with a hip bag cover 41, and the lower limb part 24 is provided with a thigh bag cover 42 and a shank bag cover 43; the air pump 101 is provided to be capable of performing an inflation or suction operation on the hip cuff 41, the thigh cuff 42, and the shank cuff 43 to achieve an external counterpulsation function.
The application method of the hyperbaric oxygen chamber with the electric rising and external counterpulsation combined functions comprises the following steps: opening the hyperbaric oxygen chamber device 100 to provide a hyperbaric oxygen environment for the split type external counterpulsation treatment device; in the first operation mode, when detecting that the electrocardiograph signal of the patient indicates ventricular diastole, controlling the air pump 101 to perform inflation actions on the hip cuff 41, the thigh cuff 42 and the calf cuff 43; and in a second operation mode, when the electrocardiograph signal is detected to represent ventricular contraction, controlling the air pump 101 to perform air suction action on the hip cuff 41, the thigh cuff 42 and the shank cuff 43.
At present, comprehensive treatment equipment combining external counterpulsation, standing training, a multi-parameter monitor and hyperbaric oxygen functions is lacking clinically, so that the hyperbaric oxygen chamber with the electric standing and external counterpulsation composite function can overcome the defects of single structure and function, scattered treatment and low efficiency in the traditional equipment. By integrating various functions together, a more advanced device with a composite function is formed, and composite rehabilitation therapy can be performed on a patient from early rehabilitation, especially rehabilitation therapy of important organs such as heart, brain, kidney and the like is enhanced, so that the efficiency and the effect of clinical rehabilitation therapy can be greatly improved. At present, a rehabilitation device with a composite function does not exist clinically, particularly, a device which can perform standing training, hyperbaric oxygen and multi-parameter monitoring while rehabilitation of important organs represented by heart, brain, kidneys and the like is lacked, the composite function is developed, and particularly, the treatment device with the rehabilitation function of the important organs has important practical value and application prospect in clinical treatment, and the efficiency and the effect of clinical rehabilitation treatment can be greatly improved.
According to an embodiment of the present disclosure, the method for using the hyperbaric oxygen chamber with the combined functions of electromotive ascent and external counterpulsation further includes: in the third operation mode, when the detected blood pressure signal of the patient indicates that the patient has a blood pressure drop due to the standing motion but does not exceed the predetermined threshold value, the driving part 3 is controlled to stop driving the rotation of the treatment couch 2, and the air pump 101 is controlled to increase the inflation motion or the suction motion of the hip cuff 41, the thigh cuff 42, and the calf cuff 43.
According to an embodiment of the present disclosure, the method for using the hyperbaric oxygen chamber with the combined functions of electromotive ascent and external counterpulsation further includes: in the fourth operation mode, when it is detected that the blood pressure signal indicates that the patient has a blood pressure drop due to the standing motion and exceeds a predetermined threshold value, the driving part 3 is controlled to drive the couch 2 to reversely rotate to lower the standing height of the patient, and the air pump 101 is controlled to increase the inflation motion or the suction motion of the hip cuff 41, the thigh cuff 42, and the calf cuff 43.
When the hyperbaric oxygen chamber with the electric rising and external counterpulsation combined functions is used, an independent ID number can be set for each patient, each treatment process and each result are stored, and before each rehabilitation treatment, the personal ID number is input into the equipment of the present disclosure, and the information of the last treatment is called, so that the treatment of this time is guided. For example, in principle, the angle of the current standing should be slightly lower than the highest angle of the last standing by 5 °, so that the safety of the initial standing training can be ensured, and the standing height can be gradually increased to complete the current standing training target. The squeeze strength of the pouch for the present treatment can be set with reference to the previous squeeze strength.
In addition, the hyperbaric oxygen chamber with the electric pacing and external counterpulsation combined functions can also utilize the structural and functional advantages of the device in the use process, and perform external counterpulsation and standing training in the process of slowly and continuously repeating the pacing, so that the dynamic regulation and control of the nervous and endocrine systems of the organism on the cardiovascular system under the dynamic change of body positions can be fully mobilized, and the comprehensive rehabilitation treatment process of regulating and controlling the vascular system and the like, which integrates the external counterpulsation and dynamic pacing standing training functions, is continuous and dynamic, is realized. Therefore, the device disclosed by the invention can perform the rehabilitation of safe and rapid standing training while performing the rehabilitation of organs, and can adjust the posture hypotension in the standing process through the counterpulsation technology, and realize the dynamic regulation training of the blood pressure through repeated lifting, thereby achieving the efficiency and effect of improving the comprehensive training.
From the above description of embodiments, it will be clear to a person skilled in the art that the present disclosure may also be implemented by other structures, and the features of the present disclosure are not limited to the preferred embodiments described above. Any changes or modifications that would be obvious to one skilled in the art are intended to be included within the scope of the present disclosure.

Claims (8)

1. A hyperbaric oxygen chamber with the combined functions of electric pacing and external counterpulsation, which is characterized by comprising hyperbaric oxygen chamber equipment (100) for providing a hyperbaric oxygen environment and split type external counterpulsation treatment equipment for providing the combined functions of electric pacing and external counterpulsation;
the split type external counterpulsation treatment device comprises:
an outer cabin part (1) positioned outside the hyperbaric oxygen cabin equipment (100) and comprising an air pump (101) and an air storage tank (102), wherein the air pump (101) and the air storage tank (102) are communicated with each other in an air path;
a treatment couch (2) within the hyperbaric oxygen chamber device (100) having a head-shoulder (21), an upper limb (22), a lumbar-hip (23), a lower limb (24) and a foot pad (25), the head-shoulder (21) being proximate a first end (11) of the treatment couch (2), the foot pad (25) being proximate a second end (12) of the treatment couch (2); and
a drive section (3) arranged to drive the treatment couch (2) in rotation about the second end (12) and to cause the whole treatment couch (2) to perform an electric lifting action;
wherein, the waist and buttocks (23) are provided with buttock bag sleeves (41), and the lower limb part (24) is provided with thigh bag sleeves (42) and shank bag sleeves (43); the air pump (101) is arranged to be capable of performing an inflation or a suction operation on the hip cuff (41), the thigh cuff (42) and the shank cuff (43) to realize an external counterpulsation function;
Wherein the split type external counterpulsation treatment equipment further comprises a multi-parameter acquisition device (5) arranged in the hyperbaric oxygen chamber equipment (100) and used for acquiring physiological signals of a patient; the physiological signal includes the following: an electrocardiograph signal, a heart rate signal, a heart rhythm signal, a blood pressure signal, and an blood oxygen signal;
wherein the cabin outer part (1) further comprises a control device (6) for receiving the physiological signals acquired by the multi-parameter acquisition device (5); the control device (6) and the multi-parameter acquisition device (5) are connected with each other through a circuit by a lead (400); the lead (400) extends along the lower part of the treatment bed (2) and then extends along the support frame (32) towards the cabin outer part (1);
wherein the hyperbaric oxygen chamber further comprises a monitoring station (500) arranged outside the hyperbaric oxygen chamber device (100); the monitoring station (500) is capable of interacting with the control device (6) in order for an operator to monitor physiological signals of the patient and to send control instructions to the control device (6);
wherein the control device (6) comprises a first control module (61) arranged to control the air pump (101) to inflate the hip cuff (41), the thigh cuff (42) and the calf cuff (43) upon detection of the electrocardiographic signal indicative of ventricular diastole;
Wherein the control device (6) comprises a second control module (62) arranged to control the air pump (101) to pump air to the hip cuff (41), the thigh cuff (42) and the calf cuff (43) when the electrocardiographic signal is detected to indicate ventricular systole;
wherein the control device (6) comprises a third control module (63) configured to control the driving part (3) to stop driving the rotation of the treatment bed (2) and to control the air pump (101) to increase the inflation or suction action of the hip cuff (41), the thigh cuff (42) and the calf cuff (43) when the blood pressure signal is detected to indicate that the patient has a blood pressure drop due to the standing action but does not exceed a predetermined threshold;
wherein the control device (6) comprises a fourth control module (64) which is arranged to control the driving part (3) to drive the treatment bed (2) to rotate reversely to reduce the standing height of the patient and to control the air pump (101) to increase the inflation or the suction of the buttock cuff (41), the thigh cuff (42) and the calf cuff (43) when the blood pressure signal is detected to indicate that the blood pressure of the patient is reduced due to the standing action and exceeds a preset threshold;
Wherein the extravehicular element (1) is arranged in a basement (200) below the hyperbaric oxygen chamber device (100).
2. Hyperbaric chamber with combined electromotive and external counterpulsation according to claim 1, characterized in that the treatment couch (2) is provided with a base (20) below the first end (11) to support the treatment couch (2) inside the hyperbaric chamber device (100) at the first end (11).
3. Hyperbaric chamber with combined electromotive and external counterpulsation according to claim 2, characterized in that said external part (1) comprises a drive motor, and an external power source for powering said drive motor; the driving part (3) comprises a hydraulic rod (31), one end of the hydraulic rod is connected with the driving motor, and the other end of the hydraulic rod is positioned on the treatment bed (2) and is close to the lower limb part (24); the hydraulic rod (31) is arranged to drive the treatment couch (2) in rotation by telescoping action.
4. Hyperbaric chamber with combined electromotive and external counterpulsation according to claim 3, characterized in that said driving part (3) further comprises a support frame (32) inside said hyperbaric chamber device (100); the lower part of the supporting frame (32) is fixed at the bottom of the hyperbaric oxygen chamber device (100), and the upper part of the supporting frame is positioned on the treatment bed (2) and is close to the foot pad part (25); the treatment couch (2) is arranged to perform a rotational motion about the support frame (32) upon rotation.
5. Hyperbaric chamber with combined electromotive and external counterpulsation according to claim 4, wherein said hip cuff (41), said thigh cuff (42) and said calf cuff (43) are in communication with said air pump (101) via an air line (300).
6. The hyperbaric chamber with combined electromotive and external counterpulsation according to claim 5, wherein said gas lines (300) comprise a first gas line (301) disposed at a location below said hip cuff (41), said thigh cuff (42) and said calf cuff (43), and a second gas line (302) extending along said support frame (32) to said extravehicular element (1).
7. Hyperbaric chamber with combined functions of electromotive erection and external counterpulsation according to any of claims 1-6, characterized in that the upper limb (22) is also provided with a rotatable armrest (26) or a detachable support plate; the waist and hip (23) is also provided with a waist and abdomen fixing and binding belt (27) for fixing the waist and abdomen.
8. A method of using a hyperbaric chamber with a combination of electric pacing and external counterpulsation, characterized in that it employs a hyperbaric chamber with a combination of electric pacing and external counterpulsation, the hyperbaric chamber comprising a hyperbaric chamber device (100) for providing a hyperbaric oxygen environment, and a split external counterpulsation treatment device for providing a combination of electric pacing and external counterpulsation;
The split type external counterpulsation treatment device comprises:
an outer cabin part (1) positioned outside the hyperbaric oxygen cabin equipment (100) and comprising an air pump (101) and an air storage tank (102), wherein the air pump (101) and the air storage tank (102) are communicated with each other in an air path;
a treatment couch (2) within the hyperbaric oxygen chamber device (100) having a head-shoulder (21), an upper limb (22), a lumbar-hip (23), a lower limb (24) and a foot pad (25), the head-shoulder (21) being proximate a first end (11) of the treatment couch (2), the foot pad (25) being proximate a second end (12) of the treatment couch (2); and
a drive section (3) arranged to drive the treatment couch (2) in rotation about the second end (12) and to cause the whole treatment couch (2) to perform an electric lifting action;
wherein, the waist and buttocks (23) are provided with buttock bag sleeves (41), and the lower limb part (24) is provided with thigh bag sleeves (42) and shank bag sleeves (43); the air pump (101) is arranged to be capable of performing an inflation or a suction operation on the hip cuff (41), the thigh cuff (42) and the shank cuff (43) to realize an external counterpulsation function;
wherein the split type external counterpulsation treatment equipment further comprises a multi-parameter acquisition device (5) arranged in the hyperbaric oxygen chamber equipment (100) and used for acquiring physiological signals of a patient; the physiological signal includes the following: an electrocardiograph signal, a heart rate signal, a heart rhythm signal, a blood pressure signal, and an blood oxygen signal;
Wherein the cabin outer part (1) further comprises a control device (6) for receiving the physiological signals acquired by the multi-parameter acquisition device (5); the control device (6) and the multi-parameter acquisition device (5) are connected with each other through a circuit by a lead (400); the lead (400) extends along the lower part of the treatment bed (2) and then extends along the support frame (32) towards the cabin outer part (1);
wherein the hyperbaric oxygen chamber further comprises a monitoring station (500) arranged outside the hyperbaric oxygen chamber device (100); the monitoring station (500) is capable of interacting with the control device (6) in order for an operator to monitor physiological signals of the patient and to send control instructions to the control device (6);
wherein the extravehicular element (1) is arranged in a basement (200) below the hyperbaric oxygen chamber device (100);
the application method of the hyperbaric oxygen chamber with the combined functions of electric rising and external counterpulsation comprises the following steps:
starting the hyperbaric oxygen chamber device (100) to provide a hyperbaric oxygen environment for the split type external counterpulsation treatment device;
in a first operating mode, when an electrocardiograph signal of a patient is detected to represent ventricular diastole, controlling the air pump (101) to perform inflation actions on the hip pocket (41), the thigh pocket (42) and the shank pocket (43);
In a second working mode, when the electrocardiosignal is detected to represent ventricular contraction, the air pump (101) is controlled to carry out air suction action on the buttock bag sleeve (41), the thigh bag sleeve (42) and the shank bag sleeve (43);
in a third working mode, when the detected blood pressure signal of the patient indicates that the blood pressure of the patient is reduced due to the standing action but does not exceed a preset threshold value, the driving part (3) is controlled to stop driving the treatment bed (2) to rotate, and the air pump (101) is controlled to increase the inflation action or the air suction action of the buttock bag sleeve (41), the thigh bag sleeve (42) and the shank bag sleeve (43); and
in a fourth operation mode, when the blood pressure signal is detected to indicate that the blood pressure of the patient is reduced due to the standing motion and exceeds a predetermined threshold value, the driving part (3) is controlled to drive the treatment couch (2) to reversely rotate so as to reduce the standing height of the patient, and the air pump (101) is controlled to increase the inflation motion or the suction motion of the hip cuff (41), the thigh cuff (42) and the calf cuff (43).
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