CN115177514A - Baliao-Zhongliao acupoint positioning and deep catgut embedding device bag and using method - Google Patents

Abstract

The invention discloses a device bag for locating and deep catgut embedding at Baliao-Zhongliao acupoints, which comprises a bag body capable of being opened and closed, wherein a plurality of object placing grooves are arranged in the bag body, and a triangular vernier caliper, a catgut embedding needle, a catgut embedding, a sterile needle tube, a sterile pair of forceps, a post-operation woundplast and a hole towel are arranged in the object placing grooves; the needle tube adopts a hollow cylindrical tip design, so that the entry resistance is reduced, and a longitudinal circular side opening is arranged on the inclined plane of the tip and used for inserting the implant line; the poly glycolide-lactide self-expansion embedding wire is used as a preferred material for deep acupoint embedding: the purity is higher, and the side effect is less; the stimulation quantity can be continuously fixed, and the flexibility of the needle tube can ensure that the needle tube is not easily broken when being carried into the deep part of the sacrum; is more reasonable.

Description

Baliao-Zhongliao acupoint positioning and deep catgut embedding device bag and using method

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a device bag for locating and deep catgut embedding of an Baliao-Zholiao acupoint and a using method.

Background

The acupoint catgut embedding method is to embed catgut embedding needle into acupoint of human body, replace needle with catgut, and utilize the continuous stimulation of catgut to acupoint to prevent and treat diseases. The acupoint catgut embedding is to embed a catgut in a subcutaneous fat layer or a muscle layer, and belongs to superficial catgut embedding. For deep acupuncture points, particularly deep bony acupuncture points, the catgut embedding operation is less at present.

However, the embedding lines used in the existing acupoint embedding lines in the market are mostly catgut lines or protein lines. Because the absorption is faster in a human body, the duration of the continuous stimulation effect on the acupuncture points is shorter, and the long-time stimulation for maintaining the effect quantity cannot be achieved. The absorption of catgut in organism is carried out under the action of protease, the decomposition and absorption speed of the catgut is mainly determined by the action of protease of macrophage at the implanted part, and the absorption time is not easy to control. The absorption of poly (glycolide-lactide) is the result of chemical hydrolysis of long-chain molecular ester bond under the action of body fluid, the degradation products are carbon dioxide and water, and the degradation time of the poly (glycolide-lactide) can be controlled from several weeks to several months according to the different proportion of the copolymer components. Can avoid the defects of nonuniform fibers, high decomposition speed, unstable absorption and the like of the catgut. In addition, compared with the traditional catgut, the novel poly (glycolide-lactide) catgut embedding material has the advantages of difficult allergy, small local rejection reaction, lower infection risk and the like. Polyglycolide (PGLA) has been approved by the U.S. food and drug administration for use in medical fields such as absorbable surgical sutures, sustained drug release, orthopedic fixation, tissue engineering scaffolds, etc. due to its good biocompatibility and biodegradability. Currently, PGLA (90/10) is one of the most widely used absorbable sutures in clinical applications. In addition, PLGA can also be used as an auxiliary material of sustained-release preparations such as medical operation anti-adhesion membranes, skin grafts, microspheres, implants and the like. Although PGLA has been widely used in acupoint minimally invasive catgut implantation, the defects of poor swelling performance of the catgut body and the like still exist, and the stimulation effect generated continuously after implantation is insufficient. Therefore, researchers mix and modify the fibers so as to obtain better medical fibers. For example, the use of two or more highly biocompatible textile materials in a ratio blend can overcome the problem of undesirable swelling properties of pure PGLA. Chitosan is one of common natural fiber-based medical textile materials, is a product of chitosan deacetylation, has excellent performances of biocompatibility, blood compatibility, safety, biodegradability and the like, and has immunoregulatory activities of antibiosis, hemostasis, pain relief and the like. Researches show that the PGLA braided wire is coated with a chitosan solution (the mass fraction of the chitosan solution is 3.5 percent) and then is dried by heating, so that the prepared PGLA embedded wire has excellent self-expansibility, flexibility and degradability. The PGLA self-expanding implantation line basically meets the requirements of high compatibility, high flexibility and durable fixation of nerve stimulation amount of the minimally invasive implantation line of the deep acupuncture point (Zhongliao acupuncture point). The PGLA self-expanding embedded wire is a novel wire body used in the field of minimally invasive embedding in recent years, and becomes a new hope of deep acupoint minimally invasive embedding.

The existing acupoint catgut embedding mainly realizes the effects of local weight loss or continuous acupoint stimulation by embedding catgut to slowly liquefy fat or stimulate muscle fibers. Less is involved in directly stimulating the sacral nerve and adjusting the function of the bladder channel to treat pelvic floor diseases. The sacral nerve is divided into anterior sacral nerve and posterior sacral nerve in the course of descending in the sacral canal, and respectively passed through 4 pairs of anterior sacral orifices and posterior sacral orifices. The sacral nerve has a wide connection with afferent and efferent fibers of somatic nerves and visceral nerves in the brain and spinal cord. The Baliao acupoint has a close relationship with the posterior sacral foramen, and the recent researchers believe that the Baliao acupoint is located in the posterior sacral foramen. In recent years, researchers in the field of anesthesia and dissection have increasingly studied the Baliao acupoint or the posterior sacral foramen, and the Baliao acupoint has become more and more widely used in acupuncture and moxibustion. Acupuncture and moxibustion has been used to treat diseases of pelvic organs such as urine, abnormal stool and diseases of the reproductive system, however, in more than ten years, the traditional acupuncture point selection and manipulation methods for treating these diseases have been changed, which is manifested by the emphasis on the sacral acupuncture point of the bladder, which is the core of the point of Baliao, and the more and more emphasis on deep needling of Baliao. And the angle of countless practices suggests that the deep insertion is essential for the broad and good therapeutic effect of the point Baliao. When the needling reaches a certain depth, the needling sensation radiated to the anterior vagina, the lower abdomen and the pelvic cavity can be generated, and the unique curative effect on diseases of the reproductive system and the urinary system and the function regulation of the bladder can be achieved. Research shows that the action mechanism of Baliao acupoint is mainly based on sacral nerve stimulation, and the sacral nerve can be effectively stimulated only when the depth of acupuncture reaches a certain degree (at least enters the sacral posterior foramen). In clinical practice of acupuncture, the pelvic floor disease is mostly treated by using Baliao acupoint deep acupuncture and low-frequency electric acupuncture; the sacral nerve stimulation therapy is also developed abroad, and the electrical stimulator is implanted in the sacral posterior foramen (Baliao acupoint) to achieve the treatment purpose. The former requires frequent needling and the latter is expensive. How to reduce the times of needling (deep needling) of a patient to a hospital and reduce the medical burden, and the deep acupoint minimally invasive catgut embedding has certain application value. The deep acupoint minimally invasive catgut embedding only needs to be operated once in 15 days, and the cost is far lower than the implantation price of the electric stimulator. The deep (bony) acupoint catgut embedding is different from the traditional acupoint catgut embedding, and becomes another new direction of acupoint minimally invasive catgut embedding. On one hand, the deep (bony) acupoint catgut embedding technology continuously regulates the bladder meridian function through direct deep nerve stimulation, solves a new disease (symptom) group, and on the other hand, embodies a new operation technology of catgut embedding after the prior acupoint detection. At present, the deep catgut implantation treatment on Baliao points is clinically applied to actually benefit from much.

The clinical acupuncture on the point of Baliao directly stimulates the sacral nerve, has good clinical curative effect on various pelvic floor diseases, and has wide application. However, the current problem of body surface location of Baliao is a difficult point for clinical practice in acupuncture and moxibustion in traditional Chinese medicine. The clinical acupuncture on Baliao points mostly adopts the fuzzy positioning of hand feeling, which undoubtedly causes certain obstruction to the accuracy and quickness of acupuncture. The eight liao points belong to the bony ducts. Currently, the location of Baliao points is mainly indicated by body surface marking, i.e. the location of the foramen is calculated by the posterior superior iliac spine, the sacral angle and the sacral canal fissure. However, the rate of variation between the sacrum and the posterior sacral foramen is high in humans, and the number of posterior sacral foramen and the position of the highest point of the sacral canal hiatus are not limited to a few. Three-dimensional reconstruction is carried out on 290 routine pelvic cavity CT examination patient data, and the variation situation of the posterior sacral foramen (Baliao acupoint) is distinguished, classified, analyzed and displayed: the total rate of variation in the posterior sacral foramen (Baliao) was 20.34% (59/290), and the types of variation included vertebral body number variation (4-vertebra variation, 6-vertebra variation), fusion variation (lumbosacral fusion, sacral-caudal fusion, lumbosacral fusion + sacral-vertebra 4 variation), and mixed type. The number of the vertebral bodies is changed, the number of the sacral nerves is changed, the difficulty of point selection is increased by fusing the changed and mixed types, and the posterior superior iliac spine is not changed generally. Therefore, locating the Baliao point using the sacral angle or the sacral median crest as a bony landmark is not the best approach. In comparison, the posterior superior iliac spine generally has no variation, and is more suitable for the location of Baliao, no matter whether the body is fat or thin, and is obvious on the body surface (the prone position is a shallow pit). The location of the Zhongliao acupoint is just "from the posterior superior iliac spine to the posterior midline as a connecting line, which is taken as the side length, downwards as an equilateral triangle, and the vertex of the inverted equilateral triangle". The accurate positioning of the points of the posterior superior iliac spine and the posterior midline (both fixed points) creates a precondition for deep catgut embedding. In the clinical practical catgut embedding process, the stimulation amount of catgut embedding is larger than that of a single acupuncture, so that catgut embedding at the Chinese liao points on both sides can generate the clinical curative effect, all catgut embedding at the Chinese liao points is not needed, and the catgut embedding wound at multiple points of a patient is reduced to a certain extent.

Finally, the thread burial needles used for the existing acupoint thread burial are both hard needle tubes and sharp inclined plane cutting edge structures similar to syringe needles, and are both needle tube needle inserting operations. The structure and the operation method are only suitable for superficial catgut embedding, the hard needle tube has a certain influence on the probing point of deep bony acupuncture points, and the sharp edge easily causes damage to nerves (sacral nerves). As described above, the deep (bony) acupoint catgut embedding adopts the operation technique of probing the acupoint first and then embedding the catgut, and if the needle is inserted by using the traditional hard needle tube with a sharp edge, the depth of the needle insertion is deep, so that the wound on the peripheral tissues and sacral nerves is large in the process of continuously adjusting the depth and the direction of the needle point to find the needle sensation, bleeding is caused, and the like, and the deep acupoint catgut embedding operation is not suitable. The optimum sacral nerve position is found by probing the acupoint with a slender and soft catgut embedding needle, and then the needle tube and the catgut embedding needle are directly fed under the guidance of the catgut embedding needle, so that the pain of a patient and the mechanical injury of nerves can be reduced to the maximum extent.

Disclosure of Invention

In order to solve the problems, the invention discloses a device bag for positioning the Baliao-Zhongliao acupoint and embedding the thread in the deep part and a using method thereof.

In order to achieve the purpose, the technical scheme of the invention is as follows:

a device bag for locating and deep thread burying at Baliao-Zhongliao acupoint comprises a bag body capable of being opened and closed, wherein a plurality of storage grooves are arranged in the bag body, and a triangular vernier caliper 1, a thread burying needle 1 bag, a poly (glycolide-lactide) self-expansion buried thread 1 bag, an aseptic needle tube 1 bag, an aseptic forceps 1, a post-operation band-aid 1 bag and a hole towel 1 bag are arranged in each storage groove.

Preferably, the triangular vernier caliper comprises a transverse edge, a bevel edge, a transverse edge slider, a bevel edge slider, a hinge frame I, a hinge frame II, a limiting column, a transverse edge groove, a bevel edge groove, a sucker I and a sucker II, wherein the transverse edge is connected with the bevel edge through a connecting bolt, the sucker I is arranged at the lower end of the connecting bolt, the bevel edge is arranged above the transverse edge, the transverse edge is opposite to the bevel edge and provided with the transverse edge groove and the bevel edge groove, the transverse edge slider is arranged in the transverse edge groove, the bevel edge slider is arranged in the bevel edge groove, a through strip hole is formed in the transverse edge groove, the sucker II is arranged at the lower end of the transverse edge slider and penetrates through the strip hole to be arranged at the back of the transverse edge, the hinge frame I is connected with the hinge frame through a lockable bolt, one end of the hinge frame I is tightly attached to the surface of the transverse edge slider, one end of the hinge frame II is tightly attached to the surface of the bevel edge slider, the transverse edge slider is fixedly connected with the transverse edge slider through a claw bolt, the front end of the bevel edge slider, a tip is arranged at the front end of the bevel edge slider, and scales are arranged on the transverse edge and the surface of the bevel edge.

Preferably, the bottom of the bevel edge groove is provided with a positioning groove.

Preferably, the transverse edge groove and the bevel edge groove are both T-shaped grooves, and correspondingly, the transverse edge sliding block and the bevel edge sliding block are T-shaped blocks.

Preferably, the thread burial needle comprises a needle handle and a needle body, the diameter of the needle body is 0.3mm, the length of the needle body is 100mm, marks are arranged on the needle body every 10mm, a circle of red strip-shaped marks are arranged at the position of 98mm of the tail end of the needle body (the tail end of the needle body refers to one end close to the needle handle), the diameter of the needle handle is larger than or equal to that of the needle body, small salient points are arranged on the surface of the needle handle, and the length of the needle handle is 20mm.

Preferably, the diameter of the sterile needle tube is 1mm, the length of the sterile needle tube is 100mm, the side surface of the tail end of the sterile needle tube is provided with an inward concave annular arc bead, the length of the arc bead is 5-10mm, the tail end of the sterile needle tube is in a hollow conical shape, a circular side opening is arranged below the conical surface, and the diameter of an inner hole of the tail end of the sterile needle tube is 0.35-0.4mm.

Preferably, the thread burial needle and the sterile needle tube are made of stainless steel materials.

Preferably, the inner edge and the outer edge of the side opening are formed into circular arc chamfers.

Preferably, 2 catgut embedding needles are arranged in the 1 catgut embedding needle, and the gauge of the catgut embedding needle is 0.3mm × 100mm.

Preferably, the 1-pack poly (lactide-co-glycolide) self-expansion embedded wire is designed to be folded, the folding angle is about 30 degrees (the angle is fixed in the production process and can be directly taken out and used), and the specification and model of the embedded wire are 4/0, the length is 2cm (single side is 1 cm), and 4 pieces are arranged.

Preferably, 2 needle tubes are arranged in the 1 pack of sterile needle tubes.

Preferably, 6 pieces of band-aid are arranged in the 1 pack of post-operation band-aid.

Preferably, 1 hole towel is filled in the 1 bag of hole towels, the specification of the hole towels is 50cm by 50cm, and the diameter of each round hole is 17cm.

The implementation mode of the positioning and deep catgut embedding of the Baliao-Zhongliao acupoint comprises the following steps:

s1: preparation before surgery

S11: selecting an environment

A sterile treatment room, a disposable sterile drape for a treatment bed, and a disposable mask worn by medical staff;

s12: preparation instrument

Burying the bag at the deep acupuncture point (Zhongliao acupuncture point) once, and checking whether the instrument in the bag is complete and intact; 75% alcohol and iodine, sterilized cotton ball (swab), disposable rubber glove, etc.

S2: selecting treatment points

The method for locating the Zhongliao point by using the triangular vernier caliper under the condition of fixing the posterior superior iliac spine and the posterior midline (the same horizontal line) comprises the following steps:

the left hand is used as the pressing hand and the right hand is used as the stabbing hand

S21: opening the transverse edge and the bevel edge of the caliper to a maximum angle of 60 degrees, wherein the bevel edge touches the limiting column;

s22: touching the posterior sacrum of the patient by a pressing hand to find the highest point A of the posterior superior iliac spine, and fixing the sucking disc at the point A in an adsorbing manner;

s23: the transverse edge of the caliper is vertically arranged with the rear median line, the intersection point of the transverse edge and the rear median line is B, a press hand is used for stabilizing the caliper, a stabber hand is used for moving the transverse edge slide block, and the transverse edge slide block is locked after the position is in place, so that the sucking disc II at the lower end of the transverse edge slide block is adsorbed and fixed at the point B;

s24: remembering the scale of the transverse edge, then moving the bevel edge slide block to the same scale, firstly locking a lockable bolt between the first hinge frame and the second hinge frame, and then rotating the claw bolt to fix the bevel edge slide block;

s25: the part aligned with the apex is the point C of the Chinese liao acupoint to be found, and the red mark point is formed by pressing;

s3: preparation for surgery

Selecting a proper position by a patient in a prone position and a lower abdomen bolster;

sterilizing the operation part (bilateral Zhongliao acupoints) with 0.5% iodophor, sterilizing from the middle point of the connecting line of the two acupoints to the outer radius of 20cm, deiodinating with 75% ethanol, continuously sterilizing for 3 times, spreading sterile hole towel, and placing the treatment point (bilateral Zhongliao acupoints) in the middle of the hole towel;

the hands of the doctor are cleaned with soapy water and flushed with running water, then wiped with 75% ethanol or 0.5% iodophor, and then the doctor wears sterile gloves;

s4: surgical method

The left hand is used as the pressing hand and the right hand is used as the stabbing hand

Inserting needles: pressing the index finger and the thumb of the hand to tighten the skin on two sides of the disinfected acupuncture point, pricking the thumb, the index finger and the middle finger of the hand to hold the needle (0.3 mm x 100mm thread burying needle), pricking the middle finger or the ring finger tip of the hand to be supported beside the puncture point, pushing the needle tip to prop against the skin, quickly and directly pricking into the skin, slowly pushing the needle to generate a breakthrough feeling, then entering the sacral posterior orifice to the depth of the sacral nerve, and keeping the needle until the perineum radiation feeling of the patient appears;

and (3) getting on line: pressing a hand-held sterile needle tube, stabbing a hand-held forceps, clamping the 30-degree bevel-shaped embedded planting line by the forceps, inserting one end of the 30-degree bevel-shaped embedded planting line upwards (towards the upper opening of the needle tube) into a side opening of the lower opening of the needle tube, and inserting the 30-degree bevel-shaped embedded planting line to a folding point of about 1.0 cm;

thread delivery: holding the needle tube with the thread by the thumb, the index finger and the middle finger of the stabbing hand, stabilizing the needle handle of the thread burial needle by the index finger and the thumb of the pressing hand, sleeving the thread burial needle from the needle handle at the lower opening of the needle tube, slowly pushing the needle into the subcutaneous part along the thread burial needle, and pushing the needle tube to the level position of the red annular mark of the upper opening of the needle tube and the needle handle of the thread burial needle;

withdrawing the needle and retaining the thread: after the thumb and the forefinger of the stabbing hand withdraw from the needle core, the thumb, the forefinger and the middle finger hold the needle tube and rotate for 360 degrees, the stabbing hand withdraws from the needle tube, and simultaneously the pressing hand presses the needle hole by using a sterile dry cotton ball (swab);

after operation: and (3) sticking the adhesive bandage on the needle eye, removing the adhesive bandage after 3 to 4 hours, resting the postoperative patient for 30 minutes, closely paying attention to the vital signs of the postoperative patient, and immediately carrying out symptomatic treatment if abnormal conditions occur.

Indication A and course of treatment

(1) Currently, it is only applicable to various pelvic floor diseases, such as (1) urinary system diseases: post-stroke micturition disorder, spinal cord injury neurogenic bladder, stress incontinence, postpartum urinary retention, juvenile enuresis, post-prostatic micturition disorder, post-uterine dysuria, post-anorectal dysuria, mixed urinary incontinence, diabetic neurogenic bladder, female non-neurogenic detrusor contractile dysfunction, female overactive bladder, bladder dysfunction, and the like. (2) Gynecological diseases: dysmenorrhea, auxiliary delivery, female pelvic inflammation, female reproductive function reduction, hysteromyoma, etc. (3) Anorectal diseases: constipation, anorectal postoperative complications, anorectal neurosis, fecal incontinence after spinal cord injury, cerebral apoplexy dyschezia, fecal incontinence, infantile rectocele, hemorrhoid, etc. (4) Diseases of the locomotor system: lumbosacral pain, ankylosing spondylitis, lumbar intervertebral disc prolapse, etc. (5) Andrological disease: impotence, chronic prostatitis of type III, benign prostatic hyperplasia, etc. (6) And others: cauda equina nerve injury, vaginal delivery pelvic floor dysfunction, genital herpes, etc.

(2) 1 course of treatment is performed 3 times at 15 days intervals.

Note about B

(1) The adopted needles and threads are disposable medical products, so that two needles are guaranteed for one person, and the needles are destroyed according to the regulations after use, thereby avoiding iatrogenic cross infection and guaranteeing safety and sanitation.

(2) The treatment process is aseptic operation, and the local part is kept dry and clean within 24 hours after the operation;

(3) After catgut implantation, the local part has feelings of soreness, numbness, distension and pain, which is the reaction of needle feeling after the acupuncture point stimulation. The constitution is more weak or the local meridians are not smooth, and the general duration is about 1 to 2 days.

(4) A method for preventing and treating broken needles;

(5) Treating according to the motion sickness immediately when the motion sickness occurs;

(6) Strenuous activity is prohibited on the day after the operation;

(7) After the catgut is buried, wind cold can be avoided, emotion can be regulated, light diet is taken as the main food, and smoke, wine, seafood and spicy stimulating food are avoided;

(8) If the part of the patient has red, swollen and hot pain after catgut embedding, the patient should contact with a doctor to perform corresponding anti-infection treatment.

C taboo

(1) Skin diseases, inflammation, ulcer, and damage of local skin;

(3) There are other various diseases that cause dysfunction in absorption and repair of skin and subcutaneous tissues;

(4) Those with blood coagulation disorder or heart, brain, kidney failure, or severe metabolic disease;

(5) The lower abdomen and lumbosacral part of pregnant women, and other acupuncture points where acupuncture is contraindicated;

(6) The patient is nervous, sweaty, tired or hungry.

The invention has the beneficial effects that:

1. the novel equipment and the novel method for embedding the wires at the deep bony acupuncture points (the Chinese liao acupuncture points) of the human body are designed, the structure is novel, the operation method is scientific, the positioning is accurate and rapid, the embedded wires are reasonable in quality, the treatment effect is good, and the popularization is worth;

2. the invention adopts the triangular vernier caliper to accurately and quickly position the Zhongliao point, utilizes the equilateral triangle principle, and can conveniently and quickly position the point (Zhongliao point) at the position opposite to the top point under the condition of fixing the posterior superior iliac spine and the posterior midline;

3. the needle core is inserted into the needle probing hole, the needle tube is sent into the embedding line and the operation method of depth control is adopted, so that accurate embedding of the line around the nerve can be achieved, the pain of a patient is effectively relieved, and nerve injury and deep bleeding are avoided;

4. the needle tube adopts a hollow cylindrical tip design, reduces the entry resistance, and is provided with a longitudinal round side opening on the inclined plane of the tip for inserting the implant line; the inner edge and the outer edge of the side opening form arc chamfers, and the side opening cannot be cut and embedded with a planting line; the upper opening of the needle tube is flush with the red annular mark of the needle handle of the thread burial needle, namely the inclined plane of the tip of the needle tube is increased by 2mm, and the round side opening is flush with the needle tip;

5. the invention adopts the poly (glycolide-lactide) self-expansion embedding wire as the preferred material of the deep acupoint embedding wire: compared with catgut, the poly (lactide-co-glycolide) self-expansion embedded line prepared by the chitosan solution coating has higher purity and smaller side effect; more importantly, the self-expansion characteristic of the sacrum implant can ensure that the implant line can continuously fix the stimulation amount within a certain time period, and the flexibility of the sacrum implant can also ensure that the sacrum implant is not easy to break off when the needle tube is carried into the deep part of the sacrum; as the deep acupoint embedding material, the poly (glycolide-lactide) self-expansion embedding wire is more reasonable;

6. solves the problem of clinically treating pelvic floor diseases by stimulating the Baliao point with a linear acupuncture, reduces the times of acupuncture treatment of patients in hospitals, and lightens the medical burden of the patients.

Drawings

FIG. 1 is a schematic diagram of an apparatus package according to the present invention.

Fig. 2 is a schematic view of the triangular vernier caliper according to the present invention.

Fig. 3 is a cross-sectional side view of the present invention.

Figure 4 is a cross-sectional view of the hypotenuse of the present invention.

FIG. 5 is a drawing showing the triangular vernier caliper folded in a retracted state according to the present invention.

FIG. 6 is a diagram illustrating the operating status of the vernier caliper according to the present invention.

Fig. 7 is a schematic view of a thread burial needle according to the present invention.

Figure 8 is a schematic view of a sterile syringe according to the present invention.

Fig. 9 is an enlarged view of the end of the sterile needle cannula of the present invention shown at 9.

Fig. 10 is a schematic view of a buried implant line according to the present invention.

List of reference symbols:

1. transverse edges; 2. bevel edge, 3, transverse edge slide block; 4. the device comprises a bevel edge sliding block 5, hinge frames I and 6, hinge frames II and 7, a lockable bolt 8, a scale 9, a connecting bolt 10, a limiting column 11, a claw bolt 12 and a transverse edge groove; 13. the disposable medical needle comprises a bevel edge groove, 14, a tip, 15, a first suction cup, 16, a second suction cup, 17, a bag body, 18, a triangular vernier caliper, 19, a thread embedding needle, 20, a poly (glycolide-co-lactide) self-expansion thread embedding material, 21, an aseptic needle tube, 22, aseptic forceps, 23, a post-operation band-aid, 24, a positioning groove, 25, a needle handle, 26, a needle body, 27, a mark, 28, a red strip-shaped mark, 29, a small salient point, 30, a needle tube, 31, an arc-shaped bead, 32, a side opening, 33, a chamfer, 34, an inner hole, 35, a rear median line, 36, a long hole, 37 and a hole towel.

Detailed Description

The present invention will be further illustrated with reference to the accompanying drawings and specific embodiments, which are to be understood as merely illustrative of the invention and not as limiting the scope of the invention.

As shown in the figure, the device bag for locating the Baliao-Zhongliao acupoint and burying the thread in the deep part comprises a bag body 17 which can be opened and closed, wherein a plurality of object placing grooves are arranged in the bag body, a triangular vernier caliper 1 handle 18, a thread burying needle 1 bag 19, a poly (glycolide-lactide) self-expansion buried thread 1 bag 20, an aseptic needle tube 1 bag 21, aseptic forceps 1 branch 22, a post-operation woundplast 1 bag 23 and a hole towel 1 bag 37 are arranged in the object placing grooves, wherein 2 thread burying needles are arranged in 1 thread burying needle, and the specification of the thread burying needle is 0.3mm × 100mm; the specification and model of the 1-pack poly (glycolide-lactide) self-expansion embedding wire is 4/0, the length is 2cm, and 4 pieces are arranged; 2 needle tubes are arranged in the 1 pack of sterile needle tubes; 6 pieces of post-operation band-aid are arranged in the 1 pack of post-operation band-aid; 1 hole towel is arranged in the 1 bag of hole towels.

The device bag for locating the Baliao-Zhongliao acupoint and burying the thread in the deep part has the advantages that all articles are placed in the bag body at ordinary times, the bag body 1 has certain hardness, is similar to a box body and is not easy to crush, the articles can be quickly taken out by connecting the middle zipper or the sliding cover, internal tools are sorted and orderly placed, the rapid treatment is facilitated, and the treatment efficiency is improved.

The triangular vernier caliper comprises a transverse edge 1, a bevel edge 2, a transverse edge slider 3, a bevel edge slider 4, a hinge frame I5, a hinge frame II 6, a limiting column 10, a transverse edge groove 12, a bevel edge groove 13, a first sucker 15 and a second sucker 16, wherein the transverse edge 1 and the bevel edge 2 are rectangular straight ruler shapes, scales 8 (front and back surfaces) are arranged on the surfaces of the transverse edge 1 and the bevel edge 2, the transverse edge 1 is connected with the bevel edge 2 through a connecting bolt 9, the first sucker 15 is arranged at the lower end of the connecting bolt 9, the bevel edge 2 is arranged above the transverse edge 1, a transverse edge groove 12 and a bevel edge groove 13 are arranged on the opposite surface of the transverse edge 1 and the bevel edge 2 (from the view of figure 2, the bevel edge groove 13 cannot be seen, and is drawn on the back surface of the bevel edge 2 for easy understanding), the transverse edge slider 3 is arranged in the transverse edge groove 12, the bevel edge slider 4 is arranged in the bevel edge groove 13, the transverse groove 12 and the bevel groove 13 are both T-shaped grooves, correspondingly, the transverse slider 3 and the bevel slider 4 are both T-shaped blocks, a through strip hole 36 is arranged inside the transverse groove 12, a suction cup second 16 is arranged at the lower end of the transverse slider 3 and penetrates through the strip hole to be arranged on the back of the transverse edge 1 (the transverse slider and the bevel slider are integrated and move simultaneously), the hinge frame first 5 and the hinge frame second 6 are connected together through a lockable bolt 7, one end of the hinge frame first 5 is clung to the surface of the transverse slider 3, one end of the hinge frame second 6 is clung to the surface of the bevel slider 4, the transverse slider 3 and the bevel slider 4 are fixedly connected through a cleat bolt 11, as shown in figure 3, the cleat bolt 11 can fix the transverse slider 3 (including one end of the hinge frame first 5), and similarly, in figure 4, the cleat bolt 11 can fix the bevel slider 4 (including one end of the hinge frame second 6), the cleat bolts 11 are loosened, the transverse side sliding block 3 and the bevel side sliding block 4 can move freely to drive the hinge frame I5 and the hinge frame II 6 to move, the directions of the transverse side sliding block 3 and the bevel side sliding block 4 are opposite, the transverse side sliding block 3 faces upwards, the bevel side sliding block 4 faces downwards, the cleat bolts of the transverse side sliding block 3 can be screwed downwards along the long holes to adsorb the sucking disc II 16 on the surface of skin, the front ends of the cleat bolts of the bevel side sliding block are provided with the tips 14 (used for making acupuncture point positioning marks on the skin), in addition, the limiting columns 10 are arranged on the side faces (close to the connecting bolts 9) of the front ends of the transverse side 1, and when the transverse side 1 and the bevel side 2 are unfolded, the bevel side 2 rotates to 60 degrees and can touch the limiting columns 10 to limit angles.

In addition, a positioning groove 24 is formed at the bottom of the bevel edge groove 13, as shown in fig. 4, so that the claw bolt 11 can be conveniently screwed.

The triangular vernier caliper 18 of the present invention may also be used with the transverse edge 1 and the oblique edge 2 substantially together, as shown in fig. 5, for ease of placement into a kit.

The triangular vernier caliper 18 is used for finding a Zhongliao point before treatment, and by utilizing the equilateral triangle principle, under the condition of fixing the posterior superior iliac spine and the posterior midline, the position over against the apex is the Zhongliao point, so that the positioning can be conveniently and quickly carried out.

After finding the Zhongliao point, other articles in the device bag are required to be used for deep catgut embedding, the polyglycolide self-expansion implanting wire 20 is adopted to be folded into an angle of 30 degrees (the angle is fixed in the production process and can be directly used), as shown in figure 10, the specification and the type of the implanting wire are 4/0, the length is 2cm (single side is 1 cm), the needle inserting adopts the combination of the implanting needle 19 and the sterile needle tube 21, and the implanting needle and the sterile needle tube are made of stainless steel materials.

The thread embedding needle 19 comprises a needle handle 25 and a needle body 26, as shown in fig. 7, the diameter of the needle body 26 is 0.3mm, the length of the needle body is 100mm, marks 27 are arranged on the needle body every 10mm (the needle inserting depth can be conveniently estimated), a circle of red strip-shaped marks 28 are arranged at 98mm positions of the tail end of the needle body 26, the diameter of the needle handle 25 is larger than or equal to that of the needle body 26, small convex points 29 (surface roughening treatment) are arranged on the surface of the needle handle 25, friction force is increased, the needle inserting is facilitated, and the length of the needle handle 25 is 20mm (approximately 1/5 of the length of the needle body 26).

The diameter of the sterile needle tube 21 is 1mm, the length of the sterile needle tube is 100mm, as shown in fig. 8, the side face of the tail end of the sterile needle tube is provided with an inward concave annular arc bead 31, the length of the arc bead 31 is 5-10mm, the sterile needle tube is convenient to hold by hand, the tail end of the sterile needle tube is in a hollow cone shape, a circular side opening 32 (convenient for threading) is arranged below the cone surface, when the sterile needle tube 21 is used, a needle body 26 is firstly inserted into an acupuncture point, then the sterile needle tube 21 is taken up, a tail end inner hole 34 is aligned to a needle handle 25 and sleeved with the needle handle, the diameter of the sterile needle tube tail end inner hole 34 is 0.35-0.4mm, and the thread embedding needle 19 can be just put in

The implementation mode of the positioning and deep catgut embedding of the Baliao-Zhongliao acupoint comprises the following steps:

s1: preparation before application

S11: selecting an environment

A sterile treatment room, a disposable sterile drape for a treatment bed, a barrier gown for medical staff and a disposable mask;

s12: preparation instrument

The disposable deep acupuncture point (Zhongliao acupuncture point) is wrapped in a bag, and whether the apparatus in the bag is complete and intact is checked; 75% alcohol and iodine, sterilized cotton ball (swab), disposable rubber glove, etc.

S2: selecting treatment points

The method for locating the Zhongliao point by using the triangular vernier caliper 18 under the condition of fixing the posterior superior iliac spine and the posterior midline (the same horizontal line) is as follows:

taking the left hand as the pressing hand and the right hand as the stabbing hand as an example, as shown in FIG. 6

S21: opening the transverse edge 1 and the bevel edge 2 of the caliper to a maximum angle of 60 degrees, wherein the bevel edge 2 touches the limiting column 10;

s22: touching the posterior sacrum of the patient by a pressing hand to find the highest point A of the posterior superior iliac spine, and adsorbing and fixing the first sucking disc 15 at the point A;

s23: the transverse edge 2 of the caliper is vertically arranged with the rear median line 35, the intersection point of the transverse edge 2 and the rear median line is B, a press hand stabilizes the caliper, a stabber moves the transverse edge slide block 3, and the transverse edge slide block 3 is locked after the position is in place, so that the suction cup II 16 at the lower end of the slide block is adsorbed and fixed at the B point;

s24: remembering the scale of the transverse edge, then moving the bevel edge slide block 4 to the same scale, firstly locking a lockable bolt 7 between a first hinge frame 5 and a second hinge frame 6, and then rotating a claw bolt to fix the bevel edge slide block 4;

s25: the part aligned with the apex 14 is the point C of the Chinese liao acupoint to be found, and the red mark point is formed after pressing;

s3: ready for operation

Selecting a proper position by a patient in a prone position and a lower abdomen bolster;

sterilizing the operation part (bilateral Zhongliao acupoints) with 0.5% iodophor, sterilizing the part from the middle point of the connecting line of the two acupoints to the outer radius of 20cm, deiodinating with 75% ethanol, continuously sterilizing for 3 times, spreading sterile hole towel, and placing the treatment point (bilateral Zhongliao acupoints) in the middle of the hole towel;

the hands of the doctor are cleaned with soapy water and flushed with running water, then wiped with 75% ethanol or 0.5% iodophor, and then the doctor wears sterile gloves;

s4: surgical method

Take the left hand as the pressing hand and the right hand as the stabbing hand as an example

Inserting needles: pressing the forefinger and the thumb of the hand to tighten the skin on two sides of the disinfected acupuncture point, holding a needle (a 0.3mm × 100mm thread-embedding needle) by the thumb, the forefinger and the middle finger of the stabbing hand, supporting the tip of the middle finger or the ring finger of the stabbing hand beside the puncture point, enabling the tip of the needle to prop against the skin, quickly and directly puncturing the needle into the skin, slowly pushing the needle to generate a breakthrough feeling, then entering the posterior sacral foramen to the depth of sacral nerves, and keeping the needle when the radiation feeling of the perineum or the anus of the patient occurs;

and (3) getting on line: pressing the hand-held sterile needle tube 21, stabbing the hand-held tweezers, clamping the 30-degree folded angle embedded planting line by the tweezers, inserting one end of the embedded planting line upwards (towards the direction of the upper opening of the needle tube) into the side opening 32 of the lower opening of the needle tube, and inserting the embedded planting line to the folded point of about 1.0 cm; the inner and outer edges of the measuring opening are formed into arc-shaped chamfers 33 as shown in fig. 9, so that the embedded planting lines can move smoothly, and the embedded planting lines cannot be cut by sharp corners at the measuring opening;

thread delivery: holding the needle tube with the thread by the thumb, the index finger and the middle finger of the stabbing hand, stabilizing the needle handle of the thread burying needle by the index finger and the thumb of the pressing hand, sleeving the thread burying needle into the inner hole 34 of the needle tube 21 from the needle handle 25, slowly pushing the needle into the subcutaneous part along the thread burying needle to the position where the upper opening of the needle tube is flush with the red annular mark 28 of the needle handle of the thread burying needle (the red annular mark is 98mm to the needle point, the length of the sterile needle tube is 100mm, when the upper opening of the needle tube is flush with the red annular mark, namely, the extending length of the sterile needle tube is deeper than the needle point by 2mm, and ensuring that the round side opening is flush with the needle point);

withdrawing the needle and retaining the thread: after the thumb and the forefinger of the stabbing hand withdraw from the needle core, the thumb, the forefinger and the middle finger hold the needle tube and rotate for 360 degrees, the stabbing hand withdraws from the needle tube, and simultaneously the pressing hand presses the needle hole by using a sterile dry cotton ball (swab);

after operation: and (3) sticking the needle eye with the adhesive bandage, removing the adhesive tape after 3 to 4 hours, resting the postoperative patient for 30 minutes, paying close attention to the vital signs of the postoperative patient, and immediately performing symptomatic treatment if abnormal conditions occur.

According to the method, the triangular vernier caliper is adopted to accurately and quickly position the Zhongliao acupoint, the needle core is inserted into the needle to probe the acupoint, the needle tube is fed into the embedding line and the operation method of depth control is adopted, so that accurate line embedding around nerves can be achieved, the pain of a patient is effectively relieved, and nerve injury and deep hemorrhage are avoided; the problem of treating pelvic floor diseases by stimulating Baliao points with linear acupuncture is solved, the times of acupuncture treatment of patients in hospitals are reduced, and the medical burden of the patients is relieved; the needle tube adopts a hollow cylindrical tip design to reduce the entering resistance, and a longitudinal round side opening is arranged on the inclined plane of the tip for inserting the implant line; the poly glycolide-lactide self-expansion embedding wire is used as a preferred material for deep acupoint embedding: the purity is higher, and the side effect is less; more importantly, the self-expansion characteristic of the sacrum implant can ensure that the implant line can continuously fix the stimulation amount within a certain time period, and the flexibility of the sacrum implant can also ensure that the sacrum implant is not easy to break off when the needle tube is carried into the deep part of the sacrum; as a deep acupoint embedding material, the poly (glycolide-lactide) self-expansion embedding wire is more reasonable.

In clinical practical application, the time of the patient for self-describing catgut embedding treatment is obviously shortened than before, and the patient feels smooth and has smooth process. The former thick thread embedding needle (tube) is often painful due to long-time exploration near the acupuncture point, so that the discomfort is obviously relieved at present, and the worry that local severe bleeding is caused is avoided. The catgut embedding part has continuous mild acid swelling feeling, but can bear the pain and does not influence normal life and work. After the collagen line treatment, the feeling of acid swelling is usually only generated on the first day, and the feeling of acid swelling is basically not generated later. The symptom of the patient is obviously improved on the first day, and the stimulation quantity is reduced along with the absorption of the collagen line, so that the symptom is not obviously improved gradually.

It should be noted that the above-mentioned contents only illustrate the technical idea of the present invention, and the protection scope of the present invention is not limited thereby, and it is obvious to those skilled in the art that several modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations fall within the protection scope of the claims of the present invention.

Claims (10)

1. An eight-liao-zhonliao acupoint positioning and deep catgut embedding device bag comprises a bag body which can be opened and closed, and is characterized in that: the bag body is internally provided with a plurality of storage grooves, and the storage grooves are internally provided with a triangular vernier caliper 1 handle, a thread embedding needle 1 bag, a poly (glycolide-lactide) self-expansion embedded thread 1 bag, an aseptic needle tube 1 bag, aseptic tweezers 1 branch, a post-operation band-aid 1 bag and a hole towel 1 bag.

2. The device bag for Baliao-Zholiao acupoint positioning and deep catgut embedding of claim 1, which is characterized in that: the triangular vernier caliper comprises a transverse edge, an oblique edge, a transverse edge sliding block, an oblique edge sliding block, a first hinge frame, a second hinge frame, a limiting column, a transverse edge groove, an oblique edge groove, a first sucker and a second sucker, wherein the transverse edge is connected with the oblique edge through a connecting bolt, the first sucker is arranged at the lower end of the connecting bolt, the oblique edge is arranged above the transverse edge, the transverse edge and the oblique edge are opposite to each other and are provided with the transverse edge groove and the oblique edge groove, the transverse edge sliding block is arranged in the transverse edge groove, the oblique edge sliding block is arranged in the oblique edge groove, a through strip hole is formed in the transverse edge groove, the lower end of the transverse edge sliding block is provided with the second sucker, the second sucker penetrates through the strip hole and is arranged on the back face of the transverse edge, the first hinge frame and the second hinge frame are connected together through a lockable bolt, one end of the first hinge frame is tightly attached to the surface of the transverse edge sliding block, one end of the second hinge frame is fixedly connected with the oblique edge sliding block through a cleat bolt, the front end of the oblique edge sliding block is provided with a tip, the limiting column is arranged on the side face of the transverse edge, and the oblique edge are provided with scales.

3. The device bag for Baliao-Zholiao acupoint positioning and deep catgut embedding of claim 2, which is characterized in that: and a positioning groove is formed at the bottom of the bevel edge groove.

4. The device bag for Baliao-Zholiao acupoint positioning and deep catgut embedding of claim 2, which is characterized in that: the transverse edge groove and the bevel edge groove are both T-shaped grooves, and correspondingly, the transverse edge sliding block and the bevel edge sliding block are T-shaped blocks.

5. The package of claim 1, wherein the pack comprises a pack for placement of the Baliao-Baliao acupoint and for deep catgut embedding: the thread embedding needle comprises a needle handle and a needle body, the diameter of the needle body is 0.3mm, the length of the needle body is 100mm, marks are arranged on the needle body every 10mm, a circle of red strip-shaped imprints are arranged at the position of 98mm at the tail end of the needle body, the diameter of the needle handle is larger than or equal to that of the needle body, small salient points are arranged on the surface of the needle handle, and the length of the needle handle is 20mm.

6. The Baliao-Zholiao acupoint positioning and deep catgut embedding device package as claimed in claim 5, characterized in that: the diameter of the sterile needle tube is 1mm, the length of the sterile needle tube is 100mm, the side face of the tail end of the sterile needle tube is provided with an inward concave annular arc bead, the length of the arc bead is 5-10mm, the tail end of the sterile needle tube is in a hollow conical shape, a circular side opening is formed below the conical surface, and the diameter of an inner hole of the tail end of the sterile needle tube is 0.35-0.4mm.

7. The package of claim 1, wherein the pack comprises a pack for placement of the Baliao-Baliao acupoint and for deep catgut embedding: the thread burial needle and the sterile needle tube are made of stainless steel materials.

8. The Paliao-Zholiao acupoint positioning and deep catgut embedding device package as claimed in claim 6, wherein: the inner edge and the outer edge of the side opening form circular arc chamfers.

9. The device bag for Baliao-Zholiao acupoint positioning and deep catgut embedding of claim 1, which is characterized in that: 2 wire embedding needles are arranged in the 1 wire embedding needle, and the specification of the wire embedding needle is 0.3mm × 100mm; the specification and model of the 1-pack poly (glycolide-lactide) self-expansion embedding wire is 4/0, the length is 2cm, and 4 pieces are arranged; 2 needle tubes are arranged in the 1 pack of sterile needle tubes; 6 pieces of post-operation band-aid are arranged in the 1 pack of post-operation band-aid; the 1 bag of hole towels are filled with 1 hole towel, the specification of the hole towels is 50cm x 50cm, and the diameter of each round hole is 17cm.

10. The embodiment of claim 1, wherein the deep catgut is a line located at the point of Baliao-Baliao: the method comprises the following steps:

s1: preparation before surgery

S11: selecting an environment

A sterile treatment room, a disposable sterile drape for a treatment bed, a barrier gown for medical staff and a disposable mask;

s12: preparation instrument

A disposable deep thread burying device bag is used for checking whether instruments in the bag are complete and intact, and 75% alcohol, an iodine, a sterilized cotton ball and disposable rubber gloves are prepared;

s2: selecting treatment points

The method for locating the Zhongliao acupoint with the triangular vernier caliper under the condition of fixing the posterior superior iliac spine and the posterior midline comprises the following steps:

the left hand is used as the pressing hand and the right hand is used as the stabbing hand

S21: opening the transverse edge and the bevel edge of the caliper to a maximum angle of 60 degrees, wherein the bevel edge touches the limiting column;

s22: touching the posterior sacrum of the patient by a pressing hand to find the highest point A of the posterior superior iliac spine, and fixing the sucking disc at the point A in an adsorption manner;

s23: the transverse edge of the caliper is vertically arranged with the rear median line, the intersection point of the transverse edge and the rear median line is B, a press hand is used for stabilizing the caliper, a stabber hand is used for moving the transverse edge slide block, and the transverse edge slide block is locked after the position is in place, so that the sucking disc II at the lower end of the transverse edge slide block is adsorbed and fixed at the point B;

s24: remembering the scale of the transverse edge, moving the bevel edge slide block to the same scale, firstly locking a lockable bolt between the first hinge frame and the second hinge frame, and then rotating the claw bolt to fix the bevel edge slide block;

s25: the part aligned with the apex is the point C of the Chinese liao acupoint to be found, and the red mark point is formed by pressing;

s3: ready for operation

Selecting a proper position of a patient in a prone position and a lower abdomen bolster;

sterilizing at the points of Zhongliao with 0.5% iodophor, sterilizing from the middle point of the connecting line of Zhongliao at both sides to the outer radius of 20cm, removing iodine with 75% ethanol, continuously sterilizing for 3 times, and spreading sterile hole towel with the points of Zhongliao at both sides in the middle of the hole towel;

the hands of the doctor are cleaned with soapy water and flushed with running water, then wiped with 75% ethanol or 0.5% iodophor, and then the doctor wears sterile gloves;

s4: surgical method

The left hand is used as the pressing hand and the right hand is used as the stabbing hand

Inserting needles: pressing the forefinger and the thumb of the pressing hand to tighten the skin on two sides of the disinfected acupuncture point, pricking the thumb, the forefinger and the middle finger of the pricking hand to hold the needle, pricking the middle finger or the ring finger of the pricking hand to the side of the puncture point, pressing the needle tip against the skin, quickly and directly pricking the skin, slowly pushing the needle to generate a breakthrough feeling, then entering the sacral posterior foramen to the depth of the sacral nerve, and keeping the needle until the radiation feeling of the perineum of the patient appears;

getting on line: pressing a hand-held sterile needle tube, stabbing a hand-held forceps, clamping the 30-degree folded angle-shaped embedded plant line by the forceps, inserting one end of the embedded plant line upwards into a side opening of a lower opening of the needle tube, and inserting the embedded plant line to a folded point of about 1.0 cm;

thread delivery: the needle tube with the thread is held by the thumb, the index finger and the middle finger of the stabbing hand, the index finger and the thumb of the pressing hand stabilize the needle handle of the thread burial needle, the lower opening of the needle tube is sleeved into the thread burial needle from the needle handle, the thread burial needle is slowly pushed into the subcutaneous part along the thread burial needle, and the needle tube is pushed to the flush position of the upper opening of the needle tube and the red annular mark of the needle handle of the thread burial needle;

withdrawing the needle and retaining the thread: after the thumb and the forefinger of the stabbing hand withdraw from the needle core, the thumb, the forefinger and the middle finger hold the needle tube to rotate for 360 degrees, then the needle tube is withdrawn, and simultaneously the hand is pressed to press the needle hole by using a sterile dry cotton swab;

after operation: and (3) sticking the adhesive bandage on the needle eye, removing the adhesive bandage after 3 to 4 hours, resting the postoperative patient for 30 minutes, closely paying attention to the vital signs of the postoperative patient, and immediately carrying out symptomatic treatment if abnormal conditions occur.

Images