CN114129804B - Device for enema and rectal pressure detection of critical patient - Google Patents
Device for enema and rectal pressure detection of critical patient Download PDFInfo
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- CN114129804B CN114129804B CN202111300286.1A CN202111300286A CN114129804B CN 114129804 B CN114129804 B CN 114129804B CN 202111300286 A CN202111300286 A CN 202111300286A CN 114129804 B CN114129804 B CN 114129804B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
- A61M3/0208—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity before use
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/03—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
- A61B5/036—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs by means introduced into body tracts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
- A61M3/022—Volume; Flow rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
Abstract
The application discloses a device for enema and rectal pressure detection of critical patients, and particularly relates to the technical field of medical equipment. The intelligent control device comprises a central processing control unit, a liquid containing bag, a pressurizer, a flow regulator and an anal canal, wherein the central processing control unit comprises a box body, a display, a buzzer alarm and an electric wire, the display and the buzzer are arranged on the outer surface of the box body, the electric wire is arranged in the box body, a liquid inlet pipe is connected between the box body and the liquid containing bag, a liquid outlet pipe is connected between the box body and the pressurizer, the pressurizer is connected with the anal canal, the flow regulator is arranged on the anal canal, a pressure sensor is arranged in the anal canal, and an intra-abdominal pressure control unit, an enema control unit, a data storage unit and a temperature monitoring unit are further arranged in the box body. By adopting the technical scheme of the application, the problem of low efficiency of the conventional intra-abdominal high pressure detection method is solved, and the working efficiency of medical staff can be optimized by adopting an enema and rectal pressure detection mode.
Description
Technical Field
The application relates to the technical field of medical equipment, in particular to a device for enema and rectal pressure detection of critical patients.
Background
Intra-abdominal high pressure is a critical sign that can cause organ tissue hypoperfusion, and persistent intra-abdominal high pressure with new organ failure can develop into abdominal compartment syndrome, severely endangering patient life. Intra-abdominal hypertension is common in patients after severe acute pancreatitis, burns, abdominal trauma, sepsis, abdominal surgery, and is often monitored. Thus, intra-abdominal pressure has become the sixth vital sign following body temperature, blood pressure, heart rate, respiration, and oxygen saturation.
The intra-abdominal pressure is monitored by direct monitoring and indirect monitoring. The direct pressure measurement method is to place a catheter or a thick needle in the abdominal cavity, and directly measure the abdominal pressure by using a water pressure gauge, a pressure sensor, a laparoscopic pneumoperitoneum machine, an implanted inflatable air bag and the like, and although the direct pressure measurement method can accurately measure the intra-abdominal pressure, the direct pressure measurement method cannot be effectively popularized conventionally because of the risk of wound and easy infection. Indirect manometry refers to the indirect measurement of abdominal pressure by measuring the pressure of the bladder, rectum, stomach and upper and lower vena cava, wherein bladder pressure monitoring is a common method of intra-abdominal pressure measurement, but in clinical practice, bladder pressure measurement has the following problems: complicated operation links and a plurality of influencing factors for result accuracy.
Rectal pressure is measured and the pressure measurement device is used for entering the rectum to react the intra-abdominal pressure. Studies have shown that the rectum is surrounded by the peritoneum in anatomical locations and that the intra-rectal pressure is directly applied to the rectum as the intra-abdominal pressure changes, so that the intra-rectal pressure and intra-abdominal pressure are substantially consistent. The removal of intestinal contents such as enema, which is recommended by the world association of the inter-abdominal cavity syndrome in 2013 as an effective means (Grade 1D) for reducing intra-abdominal pressure, is often required to preserve anal canal exhaust, and the enema can enhance anal canal peristalsis by stimulating the reflex of defecation, and discharge the intestinal contents so as to achieve the effect of reducing intra-abdominal pressure. The actual scene of intra-abdominal pressure monitoring and clysis in the ward is as follows: enema and intra-abdominal pressure monitoring are performed by the rectum and urethra, respectively, and repeated procedures on the one hand lead to poor patient experience and on the other hand increase the risk of infection in critically ill patients and reduce the working efficiency of medical staff. Therefore, it is of great importance to find a device suitable for critical patients, which can perform simultaneous enema and rectal pressure detection.
Disclosure of Invention
The application aims to provide a device for enema and rectal pressure detection of critical patients, which solves the problems of low efficiency of the intra-abdominal high pressure detection method and the enema.
In order to achieve the above purpose, the technical scheme of the application is as follows: the utility model provides a device for critical patient's enema and rectum pressure detection, includes central processing control unit, flourishing liquid bag, pressurizer, flow regulator and anal canal, central processing control unit includes the box, sets up display and buzzer alarm at the box external surface and sets up the electric wire in the box, be connected with the feed liquor pipe between box and the flourishing liquid bag, be connected with the drain pipe between box and the pressurizer, the pressurizer is connected with anal canal, flow regulator sets up on anal canal, be equipped with pressure sensor in the anal canal, pressure sensor is connected with the electric connection of pressure sensor and pressure control unit in the abdomen, still be equipped with pressure control unit in the box, enema control unit, data storage unit and temperature monitoring unit, pressure control unit in the abdomen is used for controlling the frequency of rectum pressure monitoring, enema control unit is used for adjusting the frequency of enema according to pressure in the rectum that pressure control unit measured in the abdomen, data storage unit is used for storing pressure data in the abdomen and enema information that enema control unit carried out, temperature monitoring unit is used for heating the electric wire, temperature monitoring unit is connected with the buzzer alarm, temperature monitoring unit and temperature monitoring unit all are connected with the electric wire.
Further, when the intra-abdominal pressure measured by the pressure sensor is less than 12mmHg, the enema control unit controls the pressurizer to enema the patient 1-3 times/day;
when the intra-abdominal pressure measured by the pressure sensor is 12-15mmHg, the enema control unit controls the pressurizer to perform enema on the patient once every 6 hours;
when the intra-abdominal pressure measured by the pressure sensor is 16-20mmHg, the enema control unit controls the pressurizer to perform enema on the patient once every 4 hours;
when the pressure sensor measures an intra-abdominal pressure greater than 20mmHg, the enema control unit controls the pressurizer to perform enema on the patient every 2 hours.
Compared with the prior art, the beneficial effect of this scheme:
1. this scheme is intraductal through placing pressure sensor in anus, can make traditional enema and intra-abdominal pressure detect two into one, makes loaded down with trivial details flow obtain simplifying, optimizes medical personnel's time, improves work efficiency, also can make patient's experience feel in addition promote.
2. According to different intra-abdominal pressure values, different frequency enemas are performed, the acute gastrointestinal injury scores (Acute gastrointestinal injury, AGI) and clinical practice are used as guidance, different AGI are graded to different enema frequencies, and the method can enable clinical treatment to be more standard and unified.
3. Medical staff can check the intra-abdominal pressure value of a patient in real time and adjust the treatment scheme in time.
Drawings
FIG. 1 is a schematic diagram of a device for enema and rectal pressure detection of critically ill patients according to this application.
Detailed Description
The application is described in further detail below by way of specific embodiments:
reference numerals in the drawings of the specification include: the liquid containing bag 1, the box body 2, the display 3, the buzzer alarm 4, the electromagnetic valve 5, the pressurizer 6, the flow regulator 7, the anal canal 8 and the saccule 9.
Example 1
As shown in fig. 1: a device for enema and rectal pressure detection of critical patients comprises a central processing control unit, a liquid containing bag 1, a pressurizer 6, a flow regulator 7 and an anal canal 8. The central processing control unit comprises a box body 2, a display 3 and a buzzer alarm 4 which are arranged on the outer surface of the box body 2, and an electric wire which is arranged in the box body 2. A liquid inlet pipe is connected between the box body 2 and the liquid containing bag 1, a liquid outlet pipe is connected between the box body 2 and the pressurizer 6, and electromagnetic valves 5 electrically connected with the enema control unit are arranged on the liquid outlet pipe and the liquid inlet pipe. The pressurizer 6 is connected with the anal canal 8, the flow regulator 7 is arranged on the anal canal 8, the free end of the anal canal 8 is provided with a pressure sensor, and the pressure sensor is electrically connected with the intra-abdominal pressure control unit. The anal canal 8 is also communicated with a balloon 9, the balloon 9 is coated at one end of the anal canal 8 close to the pressure sensor, and the balloon 9 is inserted with a vent plug. When the anus pipe 8 is arranged and then the balloon 9 is inflated, the diameter of the balloon 9 is larger than the diameter of the anus opening after the balloon is inflated, so that the anus pipe 8 is ensured to be fixed in the rectum and not to slip, and the stability of the scheme is improved. When the anal canal 8 is required to be pulled out, the air in the air bag is only required to be exhausted. The box body 2 is also internally provided with an intra-abdominal pressure control unit, an enema control unit, a data storage unit and a temperature monitoring unit, wherein the intra-abdominal pressure control unit and the enema control unit are all an existing single chip microcomputer, the intra-abdominal pressure control unit is used for controlling the frequency of rectal pressure monitoring, and the intra-abdominal pressure control unit is electrically connected with a pressure sensor. The enema control unit is used for adjusting the frequency of the enema according to the rectal pressure measured by the intra-abdominal pressure control unit, the enema control unit is electrically connected with the intra-abdominal pressure control unit, the data storage unit is used for storing intra-abdominal pressure data measured by the intra-abdominal pressure control unit and information of the enema control unit for performing the enema, and the data storage unit is electrically connected with the intra-abdominal pressure control unit and the enema control unit respectively. The temperature monitoring unit is used for monitoring the temperature of the electric conduction wire heating enema liquid, the temperature monitoring unit is electrically connected with the electric conduction wire, and the display 3 and the buzzer alarm 4 are electrically connected with the pressure sensor.
When the multifunctional enema bag works, a proper amount of enema is filled in the liquid containing bag 1, then the anal canal 8 is arranged in the rectum of a patient, and the patient needs to keep a lateral position to prevent the pressure sensor in the anal canal 8 from being extruded or folded when the patient lies on the back, so that the problem of inaccurate monitoring data is avoided; the pressure sensor can sense the pressure change of the rectal wall at this time, and then converts the monitored pressure signal into an electric signal, and feeds back to the display 3 and the intra-abdominal pressure control unit. When intra-abdominal pressure is higher than 12mmHg, the honey alarm can give an alarm, so that medical staff is reminded. The intra-abdominal pressure control unit would then monitor the rectal pressure every 4 hours. The enema control unit can execute enema with different frequency according to different values of intra-abdominal pressure, and the corresponding relation is as follows:
when the intra-abdominal pressure measured by the pressure sensor is less than 12mmHg, the enema control unit controls the pressurizer 6 to perform enema on the patient for 1-3 times/day;
when the intra-abdominal pressure measured by the pressure sensor is 12-15mmHg, the enema control unit controls the pressurizer 6 to perform enema on the patient once every 6 hours;
when the intra-abdominal pressure measured by the pressure sensor is 16-20mmHg, the enema control unit controls the pressurizer 6 to perform enema on the patient once every 4 hours;
when the pressure sensor measures an intra-abdominal pressure greater than 20mmHg, the enema control unit controls the pressurizer 6 to enema the patient every 2 hours.
In addition, the clinician can also manually adjust the enema frequency according to the actual condition of the patient under the corresponding relation, so that the operation flexibility is fully ensured.
During clysis, the clysis control unit firstly opens the electromagnetic valve 5 on the liquid inlet pipe and simultaneously starts the electric guide wire, at the moment, the clysis liquid in the liquid containing bag 1 flows into the box body 2, and when the clysis liquid temperature is lower than the temperature preset by the temperature monitoring unit, the electric guide wire heats the clysis liquid to a proper temperature, so that the comfort level of a patient is improved. The temperature monitoring unit monitors the temperature of the enema liquid, and when the temperature reaches the preset temperature, the electric conducting wire is closed, the electromagnetic valve 5 and the pressurizer 6 on the liquid outlet pipe are opened, so that the heated enema liquid is injected into the rectum of a patient at a certain pressure to finish the enema operation, the enema liquid entering the patient can be set in advance by the flow regulator 7, and the enema liquid can be properly regulated according to the real-time condition.
When the intra-abdominal pressure control unit measures intra-abdominal pressure of the patient to be less than 15mmHg for two consecutive days, the intra-abdominal pressure control unit stops intra-abdominal pressure monitoring. And the data storage unit is capable of storing intra-abdominal pressure values and enema conditions.
The foregoing is merely exemplary of the present application and the details of construction and/or the general knowledge of the structures and/or characteristics of the present application as it is known in the art will not be described in any detail herein. It should be noted that modifications and improvements can be made by those skilled in the art without departing from the structure of the present application, and these should also be considered as the scope of the present application, which does not affect the effect of the implementation of the present application and the utility of the patent. The protection scope of the present application is subject to the content of the claims, and the description of the specific embodiments and the like in the specification can be used for explaining the content of the claims.
Claims (1)
1. A device for enema and rectal pressure detection of critically ill patients, characterized by: the enema device comprises a central processing control unit, a liquid containing bag, a pressurizer, a flow regulator and an anal canal, wherein the central processing control unit comprises a box body, a display and a buzzer alarm which are arranged on the outer surface of the box body, and an electric conduction wire which is arranged in the box body, a liquid inlet canal is connected between the box body and the liquid containing bag, a liquid outlet canal is connected between the box body and the pressurizer, the pressurizer is connected with the anal canal, the flow regulator is arranged on the anal canal, a pressure sensor is arranged in the anal canal, the pressure sensor is electrically connected with the intra-abdominal pressure control unit, the box body is also internally provided with an intra-abdominal pressure control unit, an enema control unit, a data storage unit and a temperature monitoring unit, the intra-abdominal pressure control unit is used for controlling the frequency of rectal pressure monitoring, the data storage unit is used for storing intra-abdominal pressure data measured by the intra-abdominal pressure control unit and enema information carried out by the enema control unit, the temperature monitoring unit is used for monitoring the temperature conduction of the electric conduction wire, and the temperature of the electric conduction wire is electrically connected with the buzzer and the electric pressure sensor, and the alarm unit are connected with the display and the alarm;
when the intra-abdominal pressure measured by the pressure sensor is less than 12mmHg, the enema control unit controls the pressurizer to perform enema on the patient for 1-3 times/day;
when the intra-abdominal pressure measured by the pressure sensor is 12-15mmHg, the enema control unit controls the pressurizer to perform enema on the patient once every 6 hours;
when the intra-abdominal pressure measured by the pressure sensor is 16-20mmHg, the enema control unit controls the pressurizer to perform enema on the patient once every 4 hours;
when the pressure sensor measures an intra-abdominal pressure greater than 20mmHg, the enema control unit controls the pressurizer to perform enema on the patient every 2 hours.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111300286.1A CN114129804B (en) | 2021-11-04 | 2021-11-04 | Device for enema and rectal pressure detection of critical patient |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202111300286.1A CN114129804B (en) | 2021-11-04 | 2021-11-04 | Device for enema and rectal pressure detection of critical patient |
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| CN114129804A CN114129804A (en) | 2022-03-04 |
| CN114129804B true CN114129804B (en) | 2023-10-20 |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN115105668A (en) * | 2022-05-23 | 2022-09-27 | 黑龙江省医院 | Traditional Chinese medicine enema device, enema method and automatic enema instrument |
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