CN114145900A - Stoma base plate for preventing prolapsed intestinal canal after enterostomy of newborn - Google Patents

Abstract

The invention discloses an ostomy base plate for preventing the prolapse of an intestinal canal after a neonatal enterostomy, which comprises a sticking plate, wherein the sticking plate is 10cmx8cm ellipse, the middle of the sticking plate is provided with a round hole with the diameter of 1cm, the round hole is communicated with the bottom of a cover body, a layer of transparent film is arranged outside the sticking plate, the surface of the film is provided with a cutting ring, the cutting ring consists of a group of concentric circles, the diameters of the cutting ring are respectively 1cm, 2cm and 3cm from the center to the outside, the bottom of the cover body is tightly adhered with the sticking plate, the diameter of the bottom of the cover body is 3cm, the height of the bottom of the cover body is 2cm, the top of the cover body is provided with a discharge opening with the diameter of 1cm and the height of 0.5cm, the discharge opening and the cover body are integrally formed, and four drainage openings are arranged around the bottom of the cover body. Avoid prolapse again, thereby reducing complications after neonate ostomy, promoting recovery of sick children and shortening hospitalization time.

Description

Stoma base plate for preventing prolapsed intestinal canal after enterostomy of newborn

Technical Field

The invention relates to the technical field of medical treatment, in particular to an ostomy base plate for preventing prolapsed intestinal canal after enterostomy of a newborn.

Background

The stoma prolapse refers to the condition that the intestinal loop turns outwards from the inside of the intestinal stoma, the length of the intestinal loop can reach more than several centimeters and 20cm, and the intestinal loop prolapse is one of the most serious complications after the intestinal stoma operation. The stoma prolapse is often accompanied by enterostomy hemorrhage, edema, ulcer, dermatitis, etc., and in severe cases, intestinal torsion, obstruction, and even intestinal necrosis may occur.

Major factors in the development of enterostomy prolapse include surgical factors:

such as an oversized abdominal wall opening;

1. the enterostomy position: enterostomy does not choose to pull out on the rectus abdominis muscle, lacking the muscle support of the rectus abdominis muscle;

2. weakness of abdominal wall: due to the weak strength of the abdominal wall caused by physiological reasons and the like, factors such as increased abdominal pressure and the like finally cause the mucous membrane of the enterostomy to be pulled out, and the length of the pulled-out intestinal loop is lengthened along with the increase of the abdominal pressure;

3. increase of abdominal pressure: various factors that cause an increase in abdominal pressure may cause enterostomy prolapse.

And neonates, due to their own particularities: 1. no self-consciousness, so no self-protection consciousness to the enterostomy exists; 2. the newborn has poor abdominal wall muscle tissue development, and infants suffering from enterostomy often have poor nutrition due to digestive system diseases, so that the abdominal rectus muscle is difficult to touch and influences the stoma positioning, and the weak abdominal wall easily causes stoma prolapse due to overhigh abdominal pressure; 3. abdominal pressure is high: after an enterostomy, the infant usually cry severely due to pain and stimulation, fasting or insufficient milk, and the like, resulting in high abdominal pressure. Therefore, newborns are a high risk group for developing enterostomy prolapse.

At present, the mode of treating stoma prolapse is manual reduction and operation re-fixation, secondary operation can increase the wound and pain of children patients, increase treatment cost, induce doctor-patient dispute and the like, and the intestinal stoma which can be reduced by the manual reduction can not be re-fixed by the operation generally; however, even after the manipulation, the stoma prolapse may occur again due to the above reasons.

At present, there is no nursing product for preventing enterostomy prolapse in the market, and the nursing product is usually returned by a manual method and then is assisted and fixed by a nipple when the enterostomy prolapse occurs (firstly, a small hole is cut at the convex end of the nipple, then, the nipple is covered on an exposed intestinal canal, and finally, the stoma bottom plate is used for pressurizing and fixing on the outer layer), but the method has some problems:

1. when the nipple is put into an intestinal canal, the protruding end of the nipple can stimulate intestinal mucosa to cause complications such as local erosion, bleeding and even necrosis of the intestinal mucosa.

2. The protruding end of the nipple is easy to slip out of the intestinal canal, and pressure injury can occur under the continuous pressurization of the stoma chassis, so that the enterostoma and surrounding skin are stimulated, and enterostoma bleeding, edema and marginal skin hyperplasia are caused.

3. The operation is complicated, the nursing difficulty is big, needs many people to cooperate the operation at every turn, increases clinical care work load and extravagant manpower.

Disclosure of Invention

The invention aims to provide a stoma base plate for preventing prolapsed intestinal canals after enterostomy of newborns, which aims to solve the problems that the conventional nipple protruding end put into the intestinal canal in the background art can stimulate intestinal mucosa to cause complications such as local erosion, bleeding and even necrosis of the intestinal mucosa, the nipple protruding end easily slips out of the intestinal canal, pressure injury can occur under the continuous pressurization of the stoma base plate to stimulate enterostomy and surrounding skin to cause enterostomy bleeding, edema and edge skin hyperplasia, the operation is complex, the nursing difficulty is high, multiple persons are required to cooperate to operate each time, the clinical nursing workload is increased, and the labor is wasted.

In order to achieve the purpose, the invention provides the following technical scheme: an ostomy base plate for preventing prolapsed intestinal canal of neonatal enterostomy comprises a sticking disc 1, wherein the sticking disc is 10cm x8cm oval, a round hole with the diameter of 1cm is formed in the middle of the sticking disc, and the round hole is communicated with the bottom of a cover body. The outer side of the pasting disc is provided with a layer of transparent film, the surface of the film is provided with a cutting ring, the cutting ring is composed of a group of concentric circles, and the diameters of the cutting ring are respectively 1cm, 2cm and 3cm from the center to the outside.

As a preferred scheme of the invention: cover body bottom closely bonds with pasting the dish, and cover body bottom diameter is 3cm, highly is 2cm, and the top is equipped with the diameter and is 1cm, highly is 0.5 cm's escape orifice, and the escape orifice is the integrated shaping with the cover body, be equipped with four drainage mouths around the cover body bottom, the drainage mouth is semiellipse shape and size and is: 0.5cm x 0.5cm, the cover body is made of transparent material.

As a preferred scheme of the invention: paste and be equipped with circular fixing device outward, circular fixing device diameter is 7cm, and circular fixing device is equipped with first buckle outward, circular fixing device adopts threaded connection mode and makes the pocket bag body coupling, the buckle plays secondary fixed action, respectively be equipped with two triangle-shaped fixing device about circular fixing device is outer, triangle-shaped fixing device closely bonds with pasting the dish, be equipped with 2 circular apertures on the triangle-shaped fixing device, circular aperture diameter is 0.3cm, triangle-shaped fixing device is used for pasting the external fixation of dish.

As a preferred scheme of the invention: the bag making body is a capsular structure and capsular structure one side is equipped with the opening, is equipped with thread fixing device on the opening and carries out threaded connection with pasting the dish 1, the last second buckle that is equipped with of thread fixing device, the second buckle forms the secondary with pasting the block mouth on the dish and fixes after docking, makes bag body lower part and is equipped with an excrement export, and goes out the back department and be equipped with the sealing strip, the sealing strip can go out the back to the excrement and seal.

As a preferred scheme of the invention: the round small holes are symmetrically arranged.

As a preferred scheme of the invention: the outer edge of the bottom of the pasting disc is fixedly provided with fixing glue.

As a preferred scheme of the invention: one end of the pasting disc is in a long strip shape, and the other end of the pasting disc is in an oval shape.

As a preferred scheme of the invention: the cutting ring is made of soft rubber materials.

As a preferred scheme of the invention: paste the top fixed mounting of dish 1 and have first retainer plate, the middle part avris of first retainer plate is provided with three screw thread section of thick bamboos, the inside threaded connection of screw thread section of thick bamboo has the screw rod, the one end fixed mounting of screw rod has first nut, three the screw thread section of thick bamboo top threaded connection of the relative department in first retainer plate top position has the second nut, screw rod one end fixed mounting has the fixture block.

As a preferred scheme of the invention: paste the middle part fixed mounting of dish and have the installation piece, the mouth has been seted up at the middle part of installation piece, the sliding seat is installed to two bisymmetry in the top of installation piece, a plurality of sliding seat top sliding connection has the slider, the one end of slider is provided with the bayonet socket, the internally mounted of bayonet socket has two support columns, the one end fixed mounting of support column has the rubber block.

Compared with the prior art, the invention has the beneficial effects that:

1) the base plate of the two-piece ostomy bag is improved, so that the problem that the intestinal canal is easy to prolapse after a newborn operation can be effectively prevented, the prolapsed intestinal canal can be limited, and secondary prolapse can be avoided, so that complications after the newborn ostomy can be reduced, the recovery of a child patient can be promoted, the hospitalization time can be shortened, and meanwhile, the cover body is of a hollow design and made of soft transparent materials, the intestinal canal can be limited from being separated, and meanwhile, the intestinal mucosa can not be stimulated to cause local erosion, bleeding and the like of the mucosa;

2) transparent material then more does benefit to the caregiver and observes the intestines tube, and in time the discovery is unusual, in addition, is equipped with a plurality of drainage mouths on this cover body, including the main drainage mouth at top and four supplementary drainage mouths of bottom, therefore it can carry out fine drainage to the intestinal discharge, and on the one hand, it can reduce the emergence of seepage, has just also avoided the emergence of liquid dung dermatitis simultaneously, and on the other hand, it can reduce the change frequency of making mouthful chassis, practices thrift and makes mouthful nursing materials's use cost.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic view of a spray screw fastening device according to the present invention;

FIG. 3 is a schematic view of a first retaining ring according to the present invention;

fig. 4 is a schematic view of the mounting block structure of the present invention.

In the figure: 1. sticking a disc; 2. a circular hole; 3. cutting a ring; 4. a circular fixing device; 5. a first buckle; 6. a triangular fixing device; 7. a circular aperture; 8. a cover body; 9. a drain port; 10. a drainage opening; 11. a second buckle; 12. a threaded fastener; 13. a ostomy bag body; 14. a sealing strip; 15. a first retainer ring; 151. a threaded barrel; 152. a screw; 153. a clamping block; 154. a first nut; 155. a second nut; 16. mounting blocks; 161. making an stoma; 17. a sliding seat; 171. a slider; 172. a bayonet; 173. a support pillar; 174. a rubber block.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-4, the present invention provides a technical solution: the utility model provides a prevent mouthful chassis of making of neonate's enterostomy back intestines tube prolapse, is including pasting dish 1, pastes dish 1 and is 10cm x8cm ellipse, and the centre is seted up the diameter and is 1 cm's round hole 2, and round hole 2 communicates with each other with the cover body 8 bottom, pastes the dish 1 and has a layer of transparent film outward, and the film surface is equipped with cuts out circle 3, cuts out circle 3 and comprises a set of concentric circle, cuts out 3 diameters of circle and outwards be 1cm, 2cm and 3cm respectively by the center.

In this embodiment: cover body 8 bottom and paste dish 1 and closely bond, and cover body 8 bottom diameter is 3cm, highly is 2cm, and the top is equipped with the diameter and is 1cm, highly is 0.5 cm's escape orifice 9, and escape orifice 9 and the cover body 8 are the integrated into one piece, are equipped with four drainage mouths 10 around the cover body 8 bottom, and drainage mouth 10 is semiellipse shape and size and is: 0.5cm x 0.5cm, and the cover body 8 is made of transparent material.

In this embodiment: paste and be equipped with circular fixing device 4 outward from dish 1, circular fixing device 4 diameter is 7cm, circular fixing device 4 is equipped with first buckle 5 outward, circular fixing device 4 adopts the threaded connection mode and makes the pocket bag body 13 be connected, first buckle 5 plays the secondary fixation effect, respectively be equipped with two triangle-shaped fixing device 6 about circular fixing device 4 is outer, triangle-shaped fixing device 6 closely bonds with pasting dish 1, be equipped with 2 circular apertures 7 on the triangle-shaped fixing device 6, circular aperture 7 diameter is 0.3cm, triangle-shaped fixing device 6 is used for pasting the external fixation of dish 1.

In this embodiment: the bag making body 13 is of a bag-shaped structure, an opening is formed in one side of the bag-shaped structure, a thread fixing device 12 is arranged on the opening and is in threaded connection with the pasting disc 1, a second buckle 11 is arranged on the thread fixing device 12, the second buckle 11 and a clamping opening in the pasting disc 1 are in butt joint to form secondary fixation, an excrement outlet is formed in the lower portion of the bag making body 13, a sealing strip 14 is arranged at the position after the excrement outlet, and the sealing strip 14 can seal the excrement outlet.

In this embodiment: the round small holes 7 are symmetrically arranged.

In this embodiment: the outer edge of the bottom of the pasting disc 1 is fixedly provided with fixing glue.

In this embodiment: one end of the sticking disc 1 is in a long strip shape, and the other end of the sticking disc 1 is in an oval shape.

In this embodiment: the cutting ring 3 is made of soft rubber material.

In this embodiment: the top fixed mounting who pastes dish 1 has first retainer plate 15, and the middle part avris of first retainer plate 15 is provided with three screw thread section of thick bamboos 151, and the inside threaded connection of screw thread section of thick bamboo 151 has screw rod 152, and the one end fixed mounting of screw rod 152 has first nut 154, and the screw thread section of thick bamboo 151 top threaded connection of the relative department in three first retainer plates 15 top position has second nut 155, and screw rod 152 one end fixed mounting has fixture block 153.

When the device is used specifically, in order to avoid postoperative stoma prolapse often accompanied with enterostoma hemorrhage, edema, ulcer, dermatitis and the like, intestinal torsion, blockage and even intestinal necrosis can be generated in severe cases, and the situation of enterostoma prolapse is generated, the first fixing ring 15 is stably fixed through the adhesive tape arranged at the bottom of the adhesive disc 1, the three screws 152 rotate in the internal thread of the thread cylinder 151, the screws 152 rotate through the first screw cap 154 at one end, so that the fixture block 153 at one end of the screws 152 blocks the enterostoma prolapse in the rotating process of the first screw cap 154, in order to prevent the overlarge opening of the abdominal wall of an operation, the enterostoma prolapse under the next situation is treated, when the enterostoma is not pulled out in the abdominal rectus muscle and lacks muscle support of the abdominal rectus muscle, or the abdominal wall strength is weak due to physiological reasons and the like, and mucous membranes such as abdominal pressure increase and the like are added, so as to avoid the enterostoma prolapse, the length of the prolapsed intestinal loop is lengthened with the increase of the abdominal pressure, thereby blocking the prolapse condition.

In this embodiment: the middle part fixed mounting who pastes dish 1 has installation piece 16, and the opening 161 has been seted up at the middle part of installation piece 16, and sliding seat 17 is installed to two liang of symmetries in the top of installation piece 16, and a plurality of sliding seat 17 top sliding connection has slider 171, and the one end of slider 171 is provided with bayonet socket 172, and the internally mounted of bayonet socket 172 has two support columns 173, and the one end fixed mounting of support column 173 has rubber block 174.

During the specific use, will paste dish 1 and paste and make mouthful operation open-ended avris, slide block 17 on the piece 16 through manual slidable mounting, it is close to each other two liang of bayonet socket 172 of being convenient for through slide block 17's slip, make the rubber block 174 of support column 173 one end to make mouthful prolapse to the intestines and extrude fixedly, it is suitable to keep the elasticity, it limits to the intestines tube to observe to avoid crushing, prevent deviating from, also can pressurize fixedly to deviating from the intestines tube after receiving back, prevent prolapse once more, frame bayonet socket 172 can not stimulate the bleeding that the intestines mucosa arouse the mucosa to hollow design, the erosion etc.

The working principle is as follows: it is flat bottom to make the pocket with current two-part, design into local arch (cover body 8 promptly), flat mouthful chassis of making on every side, on the one hand can limit to the intestines tube, prevent to deviate from, on the other hand, also can pressurize fixedly to the intestines tube after deviating from and receiving, prevent prolapse once more, hollow design can not amazing the bleeding that the intestines mucous membrane arouses the mucous membrane, the erosion etc., cover body 8 adopts soft transparent material simultaneously, be favorable to the caregiver to observe the intestines tube, in time discover unusually and handle, be equipped with a plurality of excretory orifices 9 on the cover body 8, four drainage mouth 10 including the excretory orifice 9 at top and bottom, it can be fine carry out the drainage to the discharge, avoid the seepage, alleviate the complication, thereby make things convenient for caregiver's nursing, practice thrift the use cost of making the pocket.

Preparation before pasting: cleaning and wiping skin around a stoma with warm water or normal saline, measuring the diameter of the intestinal stoma with a stoma ruler, cutting the base plate with scissors around a central circular hole 2 of the sticking plate 1 and along a cutting ring 3 to make the diameter of the base plate larger than 1-2mm of the actual diameter of the stoma 161, rounding off the remaining burrs after cutting with fingers, and finally covering the sticking plate 1 with two hands for later use;

sticking the ostomy bag: firstly, confirming the direction, wherein the fixing devices of the pasting disk 1 are positioned at the left side and the right side of the body and kept parallel, then uniformly coating leakproof paste around the stoma 161, then removing the transparent film on the pasting disk 1, leading the opening of the pasting disk 1 to be aligned with the enterostomy for pasting, keeping the whole pasting disk 1 flatly pasted on the skin around the stoma, firstly manually retracting the intestinal canal for the patient suffering from the stoma prolapse, then carrying out the operation, and if necessary, carrying out the cooperation of two persons;

lightly pressing the periphery of the enterostomy by fingers to ensure that the pasting disc 1 is pasted with the skin around the enterostomy more firmly;

sticking the ostomy bag body 13: after the thread fixing device 12 of the ostomy bag body 13 is matched with the thread fixing device 12 of the pasting disc 1, the bag body is slightly rotated, and after the clamping opening of the bag body is superposed with the clamping opening on the pasting disc 1, the threaded connection is finished;

reinforcing the sticking disc 1 again: use the simple and easy waistband of self-control, connect respectively and paste the dish 1 round hole 2 of left and right sides triangle-shaped fixing device 6, then fix around infant's belly a week, keep the elasticity suitable, the frequent observation avoids weighing wounded.

Replacing the ostomy bag: spraying the medical adhesive remover on the contact surface of the adhesive disc 1 of the ostomy bag and the skin, then slightly tearing off the bag body 13 of the ostomy bag, and repeating the above steps.

Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes, modifications, equivalents, and improvements may be made without departing from the spirit and scope of the invention.

Claims (10)

1. The utility model provides a prevent mouthful chassis of making of neonate's enterostomy back intestines tube prolapse, includes pastes dish (1), its characterized in that, paste dish (1) for 10cm x8cm ellipse, and the centre is seted up diameter and is 1 cm's round hole (2), round hole (2) and cover body (8) bottom communicate with each other, paste dish (1) outer have a layer transparent film, the film surface is equipped with cuts out circle (3), cuts out circle (3) and comprises a set of concentric circle, cuts out circle (3) diameter and outwards is 1cm, 2cm and 3cm respectively by the center.

2. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: the cover body (8) bottom with paste dish (1) and closely bond, cover body (8) bottom diameter is 3cm, highly is 2cm, and the top is equipped with the diameter and is 1cm, highly is 0.5 cm's escape orifice (9), and escape orifice (9) and the cover body (8) are the integrated into one piece, be equipped with four drainage mouths (10) around the cover body (8) bottom, drainage mouth (10) are semiellipse shape and size and do: 0.5cm x 0.5cm, the cover body (8) is made of transparent material.

3. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: paste dish (1) and be equipped with circular fixing device (4) outward, circular fixing device (4) diameter is 7cm, and circular fixing device (4) are equipped with first buckle (5) outward, circular fixing device (4) adopt threaded connection mode and make the pocket bag body (13) be connected, first buckle (5) play the secondary fixed action, circular fixing device (4) respectively are equipped with two triangle-shaped fixing device (6) about outer, triangle-shaped fixing device (6) with paste dish (1) and closely bond, be equipped with 2 circular aperture (7) on triangle-shaped fixing device (6), circular aperture (7) diameter is 0.3cm, triangle-shaped fixing device (6) are used for pasting the external fixation of dish (1).

4. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 3, wherein: it is equipped with the opening to make the pocket bag body (13) to be a saccular structure and saccular structure one side, is equipped with thread fixing device (12) on the opening and carries out threaded connection with pasting dish (1), be equipped with second buckle (11) on thread fixing device (12), second buckle (11) and paste the block mouth on dish (1) and form the secondary after-docking fixed, make pocket bag body (13) lower part and be equipped with an excrement export, and go out the back department and be equipped with sealing strip (14), sealing strip (14) can go out the back to the excrement and seal up.

5. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 3, wherein: the round small holes (7) are symmetrically arranged.

6. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: the outer edge of the bottom of the pasting disc (1) is fixedly provided with fixing glue.

7. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: one end of the pasting disc (1) is in a long strip shape, and the other end of the pasting disc (1) is in an oval shape.

8. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: the cutting ring (3) is made of soft rubber materials.

9. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: paste the top fixed mounting of dish (1) and have first retainer plate (15), the middle part avris of first retainer plate (15) is provided with three screw thread section of thick bamboos (151), the inside threaded connection of screw thread section of thick bamboo (151) has screw rod (152), the one end fixed mounting of screw rod (152) has first nut (154), three the screw thread section of thick bamboo (151) top threaded connection who locates relatively on first retainer plate (15) top position has second nut (155), screw rod (152) one end fixed mounting has fixture block (153).

10. An ostomy base plate for preventing prolapse of the intestine following enterostomy in a newborn infant according to claim 1, wherein: paste the middle part fixed mounting of dish (1) and have installation piece (16), make mouth (161) have been seted up at the middle part of installation piece (16), sliding seat (17), a plurality of are installed to the two bisymmetry in top of installation piece (16) sliding seat (17) top sliding connection has slider (171), the one end of slider (171) is provided with bayonet socket (172), the internally mounted of bayonet socket (172) has two support columns (173), the one end fixed mounting of support column (173) has rubber block (174).

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