Prone position dressing treatment chair after ophthalmologic operation
Technical Field
The invention belongs to the technical field of ophthalmic surgery, and particularly relates to a prone position dressing chair after ophthalmic surgery.
Background
After complex vitrectomy + intraocular tamponade, the patient is forced to adopt a prone position which usually lasts for 7-14 days after surgery and needs to be maintained for at least 18-20 hours each day. It has been found that the longer the postoperative face-down position is maintained, the better the retinal tear closure and vision recovery. The existing prone position is realized by lying on a bed, the comfort of a patient is seriously influenced, the patient can have the problems of non-standard body position, poor compliance and the like. In addition, the patients with ophthalmology are generally old and have basic diseases such as diabetes and the like, and the head and the pressed part are easy to have a plurality of problems such as red skin, even pressure sores, unsmooth breathing and the like. The cold and hot compress in the existing prone position is inconvenient, and the wound is not convenient to recover quickly.
Disclosure of Invention
The first purpose of the invention is to provide an ophthalmologic postoperative prone position compress treatment chair capable of conveniently performing cold and hot compress in a prone position, and solve the problem that the cold and hot compress cannot be conveniently performed in the existing ophthalmologic postoperative prone position.
The second invention aims to further provide an ophthalmologic postoperative prone position dressing chair which is used for maintaining the prone position of the face of a patient after ophthalmologic operation and can limit the head when the patient normally sits, and the problem that the existing ophthalmologic postoperative prone position of the face can only be carried out on a bed is solved.
The technical problems are solved by the following technical scheme: the utility model provides an ophthalmology postoperative prone position applies and treats chair, includes the chair frame, connects the preceding travelling wheel on chair frame lower extreme front side, connects the back travelling wheel of chair frame rear end downside, connects the cushion on the chair frame, is located the back at cushion rear, is located two handrails of cushion left and right sides and is located the pushing hands of back rear end upper end, its characterized in that still includes the eye that is located back side and applies and treats the ware, link together through the connecting rod between back and the cushion, form two shank that are located the connecting rod left and right sides between back and the cushion and dodge the breach, the chair frame rear end is equipped with the back callus on the sole, two legs one-to-one when the patient face is on the cushion to the front seat are located two shank dodge in the breach and the foot supports on the back callus on the sole; be equipped with the layer board on the handrail, be equipped with the breathing hole on the layer board, the eye applies the ware and is located the below of connecting plate, the eye applies the ware and includes the open end orientation the reflector of breathing hole and the infrared ray LED who is located the reflector are equipped with the gas distribution chamber in the reflector, are equipped with a plurality of gas outlet channel along reflector circumference distribution in the wall portion of luminescent shield, and the gas distribution chamber is equipped with inlet manifold, and gas outlet channel's one end is through intercommunication passageway and gas distribution chamber intercommunication, and the other end link up the up end face that the reflector formed the air jet, be equipped with the entrance point in the gas outlet channel with the jet-propelled pipe that intercommunication passageway seal connected together, the jet-propelled the chamber of isolating in the gas outlet channel and surrounding in jet-propelled pipe periphery, the chamber of breathing in is equipped with the passageway of breathing in a perfect understanding the reflector inner peripheral face, and the entrance point of breathing in passageway is located infrared ray LED's below. When carrying out prone position and applying the treatment, the patient back of the body is sat forward on the cushion, and two legs are worn to establish two shank dodge in the breach, under the head put on the layer board and eyes mouth equate the respiratory orifice and align, guarantee respiratory usually. When cold compress is carried out, cold air is input from the air distribution cavity and then output from the air jet port, and the breathing holes are sprayed to the face and eyes of a patient, so that the cold compress effect is achieved. When carrying out the hot compress, make steam from cloth gas chamber input back from the jet orifice output and the respiratory orifice sprays patient's face and eyes on, play the effect to surface course hot compress, open infrared ray LED simultaneously and shine to play the effect of carrying out the hot compress to the wound depth. When hot compress is carried out, the jet pipe generates jet flow, so that air below the infrared LED in the reflecting cover is pumped away, and air above the infrared LED flows downwards, and wind formed beside the infrared LED plays a role in radiating the infrared LED. The hot compress mode can enough carry out the hot compress of surface nexine, adopts infrared ray LED as the light source power saving, and the steam of top layer hot compress usefulness simultaneously can be to reflector inside production wind and realize the heat dissipation to LED, has solved the heat dissipation problem that the LED periphery is surrounded by steam.
Preferably, the opening end of the reflecting cover is provided with a light-transmitting cover plate, the light-transmitting cover plate seals the opening end of the reflecting cover, the reflecting cover is provided with a plurality of air inlets, and the air inlets are positioned above the infrared LED. The heat dissipation effect can be prevented from being influenced by the fact that the sprayed hot gas flows back into the reflecting cover, and therefore the effect of improving the heat dissipation effect is achieved.
Preferably, the air inlet is hermetically connected with the outlet end of the air inlet pipe, and the inlet end of the air inlet pipe is positioned below the reflector. Can make the air that gets into in the reflector more keep away from the eye, the radiating effect is good.
Preferably, the air suction channel comprises an air suction hole in the wall part of the air suction cavity and an air suction pipe with an outlet end in sealing butt joint with the air suction hole, the inlet end of the air suction pipe forms the inlet end of the suction channel, and the air suction pipe is positioned in the reflector. The heat dissipation effect can be further improved.
Preferably, the opening direction line of the outlet of the suction channel and the opening direction line of the gas lance form an acute angle. The effect of the gas diffusion in the reflector can be improved.
Preferably, the gas outlet is in sealed butt joint with a gas outlet sleeve, a partition block is connected in the gas outlet sleeve in a sealing mode, communication holes which are communicated with the parts, located at the two ends of the partition block, of the gas outlet sleeve are formed in the partition block, and the distance from the central line of the opening, facing one end of the gas spraying hole, of the communication hole to the central line of the partition block is larger than the distance from the opening central line, far away from the exhaust hole, of the gas spraying hole to the central line of the partition block. This technical scheme can make the steam that flows out scatter for me to improve the hot compress effect.
Preferably, the infrared LED is provided with a radiator, and the radiator is connected with the reflecting cover through a connecting column. The heat dissipation effect is good.
The invention also comprises a supporting ring for supporting the face of a patient, the supporting ring is supported and supported by the supporting plate, the space surrounded by the supporting ring is aligned with the breathing hole, the supporting ring comprises a front half ring and a rear half ring, the front side of the front half ring is hinged to the top of the backrest through a transverse hinge shaft, the left end and the right end of the rear side are correspondingly hinged to the left end and the right end of the front side of the rear half ring through two transverse shaft pins one by one, the rear half ring is of an arc-shaped rod structure, the rear half ring can rotate to the space surrounded by the front half ring by using the transverse shaft pins as a shaft, and the front half ring is supported on the top end of the backrest when the front half ring rotates to the opening end forwards through the transverse hinge shaft; and when the rear half ring rotates to a space surrounded by the front half ring by taking the transverse shaft pin as a shaft and the front half ring rotates to the opening end forwards by taking the transverse hinge shaft as a position, the rear half ring is supported on the front half ring or the upper end part of the backrest. During recuperation, the back of a patient sits on the cushion forwards, and the two legs penetrate through the two leg avoiding notches and are supported on the supporting ring in the direction of the inner face, so that the prone position recuperation is realized. The breathing hole is arranged to ensure normal breathing and prevent interference of facial support caused by contact of the connecting plate with the face. After the prone position is kept on the bed for a long time, the patient is transferred to the bed to be nursed in the prone position, and the nurturing in the prone position is alternately carried out on the bed and the bed, so that the defects existing in the prior prone position only lying on the bed are overcome. When the prone position rehabilitation is not needed, the back of the patient sits on the cushion backwards, the rear half ring rotates to be located in a space surrounded by the front half ring by taking the transverse shaft pin as a shaft, the front half ring rotates to be forward of the opening end by taking the transverse hinge shaft as a position, and the head of the patient penetrates through the rear half ring to realize limiting, so that the patient does not need to maintain the head to be immobile by self force when moving, the discomfort of a wound is avoided, and the comfort when the patient sits is improved. The second object of the invention is achieved.
Preferably, when the back of the patient is seated on the cushion towards the backrest and the front half ring rotates to the open end forwards by the transverse hinge shaft, the head of the patient can lean against the rear half ring which rotates to be positioned in the space surrounded by the front half ring by taking the transverse shaft pin as a shaft.
Preferably, when the holding ring holds the face of the patient, the holding ring holds only the forehead and the bar of the patient. The supporting ring can be effectively prevented from touching the eyes.
Preferably, a supporting block is arranged in the front half ring; when the front half ring rotates to the position that the opening end faces forwards through the transverse hinge shaft and the rear half ring rotates to the position in the front half ring through the transverse shaft, the supporting block supports the rear half ring so that the rear half ring is held in the front half ring. The flatness of the upper end surface of the backrest can be improved, so that the comfort in the prone position is improved.
Preferably, the supporting block is positioned on the inner circumferential surface of the front half ring. The flatness of the upper and lower end surfaces of the holder can be improved. Thereby improving the safety and comfort in use.
Preferably, the support block is located at the front end of the front half ring, and the upper end surface of the support block is located on the same plane as the upper end surface of the front end of the front half ring. Can improve the comfort in the prone position.
Preferably, the push handle is connected with the backrest through a supporting plate. The goods supporting plate can be received to play a role of one object for two purposes.
Preferably, the front end of the chair frame is provided with a front foot cushion for supporting the feet of the patient when the face of the patient is facing the front seat on the cushion. The comfort of the user sitting on the back can be improved.
Preferably, the two rear travelling wheels are connected to two ends of a rear shaft, the rear shaft is rotatably connected to a chair frame, a driven chain wheel is arranged on the rear shaft, the chair frame is provided with a driving motor, a power output shaft of the driving motor is provided with a driving chain wheel, and the driving chain wheel is connected with the driven chain wheel through a transmission chain. When the electric bicycle is used, the electric bicycle can be driven to move forwards by the driving motor.
Preferably, the front road wheels are steering wheels. Steering can be conveniently realized.
Preferably, the connecting rod comprises a horizontal section and a vertical section, the front end of the horizontal section is connected with the cushion, the rear end of the horizontal section is connected with the lower end of the vertical section, and the upper end of the vertical section is connected with the backrest. The length of the horizontal section is more than 30 cm. The patient can keep the waist straight in a conscious way in the prone position, and the body deformity caused by the fact that the patient does not keep straight in the use process of the young people is avoided.
Preferably, the vertical section is of a lifting rod structure. The invention can adapt to people with different upper body heights and has good universality.
The invention has the beneficial effects that: the face prone position can be realized in a sitting posture; the head can be limited when the user sits normally; the head is prevented from shaking during moving to influence the operation wound; can conveniently carry out cold and hot compress in the prone position.
Drawings
FIG. 1 is a schematic top view of a first embodiment;
FIG. 2 is a left side view of the first embodiment;
FIG. 3 is a schematic top view of an eye applicator;
FIG. 4 is a schematic cross-sectional view of an eye applicator;
FIG. 5 is a schematic view of the spacer as viewed along the axis of the outer sleeve;
FIG. 6 is a schematic sectional view A-A of FIG. 8;
FIG. 7 is a schematic top view of the second embodiment of the retainer ring in an expanded state;
FIG. 8 is a schematic left side view of the second embodiment of the retainer ring in an expanded state;
FIG. 9 is a schematic top view of the second embodiment with the retaining ring in a closed position;
FIG. 10 is a left side view of the first embodiment of the retainer ring in a closed position.
In the figure: the chair comprises a chair frame 1, front travelling wheels 2, rear travelling wheels 3, a seat cushion 4, a backrest 5, armrests 6, a pushing hand 7, a supporting ring 8, a rear shaft 9, a driven sprocket 10, a driving motor 11, a driving sprocket 12, a transmission chain 13, a front foot pad 14, a connecting rod 15, a leg avoiding gap 16, a horizontal section 17, a vertical section 18, a rear foot pad 19, a supporting plate 20, a breathing hole 21, a front half ring 22, a rear half ring 23, a transverse hinge shaft 24, a transverse shaft pin 25, an upper end surface 27 of the front half ring front end, an eye compress 28, a reflective cover 29, an infrared LED30, a radiator 31, a connecting column 32, an air distribution cavity 33, an air inlet main pipe 34, an air outlet channel 35, a communicating channel 36, an air outlet 37, an air injection pipe 38, an air suction cavity 39, an air suction channel 40, an inlet end 41 of the air inlet channel, an air suction hole 42, an air suction pipe 43, a light-transmitting cover plate 44, an air inlet 45, an air inlet pipe 46, an inlet end 47 of the air inlet pipe, a light-transmitting cover plate 44, an air inlet pipe, The gas outlet sleeve 48, the partition block 49, the communication hole 50, an opening 51 at one end of the communication hole facing the gas injection hole, the heightening block 52 and an opening 53 at one end of the gas injection hole far away from the gas exhaust hole.
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.
First embodiment, referring to fig. 1 to 6, an ophthalmologic postoperative prone position treatment chair comprises a chair frame 1, front walking wheels 2 connected to the front side of the lower end of the chair frame, rear walking wheels 3 connected to the lower side of the rear end of the chair frame, a seat cushion 4 connected to the chair frame, a backrest 5 located behind the seat cushion, two armrests 6 located on the left and right sides of the seat cushion, and a pushing handle 7 located at the upper end of the rear part of the backrest. The two rear traveling wheels are connected to two ends of a rear shaft 9, the rear shaft is rotatably connected to a chair frame, a driven sprocket 10 is arranged on the rear shaft, a driving motor 11 is arranged on the chair frame, a driving sprocket 12 is arranged on a power output shaft of the driving motor, and the driving sprocket is connected with the driven sprocket through a transmission chain 13. The front road wheels are steering wheels. The backrest and the cushion are connected together through a connecting rod 15. Two leg avoiding gaps 16 positioned at the left side and the right side of the connecting rod are formed between the backrest and the cushion. The connecting rod includes horizontal segment 17 and vertical section 18, and the front end of horizontal segment links together with the cushion, and the rear end links together with the lower extreme of vertical section, and the upper end of vertical section links together with the back. The length of the horizontal section is more than 30 cm. The vertical section is of a lifting rod structure. The rear end of the chair frame is provided with a rear foot pad 19. When the face of the patient is seated on the cushion forwards, the two legs are correspondingly positioned in the two leg avoiding notches one by one, and the feet are supported on the back foot cushion. The supporting plate 20 is arranged on the handrail. The armrests are connected with the backrest through the supporting plate. The splint is provided with a breathing hole 21.
The invention also includes an eye compress 28 located on the back side of the backrest, the eye compress being located below the connection plate. The eye applicator includes a reflector 29 with an open end facing the breathing orifice and an infrared LED30 located within the reflector. The infrared LED is provided with a heat sink 31 which is connected to the reflector by a connecting post 32. An air distribution cavity 33 is arranged in the reflector, and an air inlet main pipe 34 is arranged in the air distribution cavity. The wall portion of the light-emitting cover is internally provided with a plurality of air outlet channels 35 distributed along the circumferential direction of the reflector, one end of each air outlet channel is communicated with the air distribution cavity through a communication channel 36, the other end of each air outlet channel penetrates through the upper end face of the reflector to form an air nozzle 37, the air outlet channel is internally provided with an air jet pipe 38 with an inlet end connected with the communication channel in a sealing manner, the air jet pipe is isolated in the air outlet channel to surround an air suction cavity 39 on the periphery of the air jet pipe, the air suction cavity is provided with an air suction channel 40 penetrating through the inner circumferential surface of the reflector, and the inlet end 41 of the air suction channel is positioned below the infrared LED. The suction channel comprises suction holes 42 in the wall of the suction chamber and a suction duct 43 with an outlet end in sealed abutment with the suction holes, the inlet end of the suction duct constituting the inlet end of the suction channel, the suction duct being located in the reflector. The opening direction line of the outlet of the air suction channel and the opening direction line of the outlet of the air injection pipe form an acute angle. The open end of the reflector is provided with a light-transmitting cover plate 44 which closes the open end of the reflector, the reflector is provided with a plurality of air inlets 45, and the air inlets are positioned above the infrared LED. The inlet holes are sealingly connected to the outlet end of an inlet duct 46, the inlet end 47 of which is located below the reflector. The air jet is in sealed butt joint with an air outlet sleeve 48, the air outlet sleeve is internally and hermetically connected with a partition block 49, a communication hole 50 for communicating the parts of the air outlet sleeve, which are positioned at the two ends of the partition block, is arranged in the partition block, and the distance from the central line of an opening 51 at one end of the communication hole, which faces the air jet, to the central line of the partition block is greater than the distance from the central line of an opening 53 at one end of the air jet, which is far away from the air exhaust hole, to the central line of the partition block.
When in use, the user can sit on the cushion with the back facing, the face is placed on the supporting plate, and the eyes, the nose and the mouth are aligned with the breathing holes. When cold compress is carried out, cold air is input from the air distribution cavity and then output from the air jet port, and the breathing holes are sprayed to the face and eyes of a patient, so that the cold compress effect is achieved. When carrying out the hot compress, make steam from cloth gas chamber input back from the jet orifice output and the breathing hole sprays patient's face and eyes on, play the effect to surface course hot compress, open infrared ray LED simultaneously and shine on the operation wound to play the effect of deep hot compress. During hot compress, the jet pipe generates jet flow, so that air below the infrared LED in the reflecting cover is pumped away, the air above the infrared LED flows downwards, and the outside air enters the reflecting cover, thereby forming wind beside the infrared LED and the radiator to play a role in radiating the infrared LED.
The second embodiment is different from the first embodiment in that:
referring to fig. 7 to 10, the present invention further includes a support ring 8 for supporting the face of the patient. The front end of the chair frame is provided with a front foot cushion 14 which supports the feet of the patient when the face of the patient faces forwards and the seat is on the cushion. The space surrounded by the supporting ring is aligned with the breathing hole. The holding ring rests on the pallet.
The supporting ring comprises a front half ring 22 and a rear half ring 23, the front side of the front half ring is hinged to the top of the backrest through a transverse hinge shaft 24, the left end and the right end of the rear side of the front half ring are hinged to the left end and the right end of the rear half ring through two transverse shaft pins 25 in a one-to-one correspondence mode, and the rear half ring is of an arc-shaped rod structure. The supporting plate is provided with a heightening block 52, when the supporting ring is arranged on the supporting plate, the supporting ring is arranged on the supporting plate between the front half ring and the rear half ring, the front end of the rear half ring is arranged on the heightening block, and the upper surface of the front half ring and the upper surface of the rear half ring are positioned on the same surface.
When the patient carries out prone position recuperation, the back is sat forward on the cushion, and two legs wear to establish two shank dodge in the breach, and the foot supports on the back foot pad, and facial orientation supports on holding the ring, and the respiratory hole alignment is equated to nose eyelid mouth, holds the ring and only holds the forehead and the lower bar of holding the patient this moment.
The rear half ring can rotate to a space surrounded by the front half ring by taking the transverse shaft pin as an axis. The front half ring is supported on the top end of the backrest when the front half ring rotates to the opening end forwards by a transverse hinge shaft. When the rear half ring rotates to be located in a space surrounded by the front half ring by taking the transverse shaft pin as a shaft and the front half ring rotates to the opening end forwards by taking the transverse hinge shaft as a position, the rear half ring is supported on the front half ring or the upper end part of the backrest, and the embodiment specifically comprises the following steps: the inner peripheral surface of the front half ring is provided with a supporting block 26, the supporting block is integrally rotated by taking the transverse hinge shaft as a shaft to enable the supporting ring to move forwards to the open end of the front half ring and be supported on the upper end surface of the backrest, at the moment, the open end of the front half ring exceeds the front surface of the backrest forwards, then, the rear half ring is rotated to be positioned in the front half ring by the transverse shaft pin and is supported on the supporting block to enable the rear half ring to be supported in the front half ring, and at the moment, the open end of the rear half ring also moves forwards. The supporting block is positioned on the inner circumferential surface of the front half ring. The supporting block is positioned at the front end of the front half ring, and the upper end surface of the supporting block and the upper end surface 27 of the front end of the front half ring are positioned on the same surface.
When the back of a patient sits on the cushion backwards, the feet of the patient are supported on the front foot cushion, the front half ring rotates to the position that the opening end faces forwards through the transverse hinge shaft, the rear half ring rotates to be located in the front half ring, and the head of the patient leans against the rear half ring.