CN115252318A - A prevent device that stifles for prone position ventilation therapy - Google Patents

A prevent device that stifles for prone position ventilation therapy Download PDF

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Publication number
CN115252318A
CN115252318A CN202210923894.6A CN202210923894A CN115252318A CN 115252318 A CN115252318 A CN 115252318A CN 202210923894 A CN202210923894 A CN 202210923894A CN 115252318 A CN115252318 A CN 115252318A
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patient
seat
fine
prone position
plate
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关淏
伦冰
崔红霞
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Zhengzhou University Third Affiliated Hospital Henan Maternity and Child Health Care Hospital
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Zhengzhou University Third Affiliated Hospital Henan Maternity and Child Health Care Hospital
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Priority to CN202210923894.6A priority Critical patent/CN115252318A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

本发明公开了一种用于俯卧位通气疗法的防窒息装置,包括底座,所述底座上端面设置有头部支撑机构,所述头部支撑机构一侧设置有托板座,所述托板座下端连接有距离调整机构,所述距离调整机构安装于底座内部,且与底座之间为转动连接,所述托板座上端转动连接有托板,且托板与托板座之间设置有角度调节机构。通过本装置可以在患者的呼气管道被挤压时,及时对患者的头部姿态进行调节,从而有效避免不良事件的发生,同时通过设有的距离调整机构、角度调节机构和头部支撑机构,可以对托板位置以及托板的倾斜角度和患者初始俯卧位姿态下头部的位置进行调节,不仅有利于患者最佳俯卧位姿态的摆放,同时可以使装置适用于不同身材的患者。

Figure 202210923894

The invention discloses an anti-suffocation device for prone position ventilation therapy. The lower end of the seat is connected with a distance adjustment mechanism, the distance adjustment mechanism is installed inside the base and is connected with the base in rotation, the upper end of the support plate seat is rotatably connected with a support plate, and a support plate is arranged between the support plate and the support plate seat. Angle adjustment mechanism. The device can adjust the patient's head posture in time when the patient's exhalation pipe is squeezed, thereby effectively avoiding the occurrence of adverse events. , the position of the support plate, the inclination angle of the support plate and the position of the head of the patient in the initial prone position can be adjusted, which is not only conducive to the placement of the patient's optimal prone position, but also makes the device suitable for patients of different sizes.

Figure 202210923894

Description

Anti-asphyxia device for prone position ventilation therapy
Technical Field
The invention relates to the field of medical auxiliary instruments, in particular to an anti-asphyxia device for prone position ventilation therapy.
Background
Acute respiratory distress syndrome is a clinical syndrome caused by intrapulmonary and/or extrapulmonary causes, characterized by refractory hypoxemia, and is of great interest because of high mortality. The causes of acute respiratory distress syndrome are various, and the pathogenesis of acute respiratory distress syndrome caused by different causes is different. The clinical manifestations are acute onset, respiratory distress, hypoxemia difficult to be corrected by conventional oxygen therapy, and the like; at present, the diagnosis and severity stratification of ARDS are mostly internationally defined by Berlin definition, and the differential diagnosis of ARDS with various diseases is required. The clinical examination contents relate to: diagnosis and differential diagnosis, treatment monitoring and treatment guidance, critical degree and prognosis evaluation and the like; treatment of acute respiratory distress syndrome includes both mechanical and non-mechanical ventilation therapies, and effective treatments continue to be explored.
Treatment of acute respiratory distress syndrome includes both mechanical ventilation therapy and non-mechanical ventilation therapy. Mechanical ventilation is the primary treatment for patients with acute respiratory distress syndrome. According to different mechanical ventilation modes, the method can be divided into non-invasive ventilation and invasive ventilation, the non-invasive ventilation depends on a mask for ventilation, the invasive ventilation depends on a tracheal cannula or a tracheotomy catheter for ventilation, and the two modes need to depend on specific illness conditions to determine the time; at present, the mechanical ventilation strategy for patients with acute respiratory distress syndrome mainly comprises the following: lung protective ventilation strategy: such as small tidal volume ventilation, pressure-limited ventilation, permissive hypercapnia, inverse ventilation, PEEP applications, and the like; lung patency strategy: the specific technology comprises the following steps: pulmonary atelectasis, optimal PEEP application, and selection of mechanical ventilation modes; mechanical ventilation adjuvant therapy: such as intra-airway administration, prone position ventilation, extracorporeal pulmonary oxygenation technology and the like.
Patient prone position ventilation refers to a method in which a patient takes a prone position for mechanical ventilation. The medicine is an auxiliary measure for treating acute respiratory distress syndrome, and the mechanism of the medicine utilizes the action of gravity to increase the blood flow of the front chest and the ventilation of the back and improve the gas exchange. The ventilation method is mainly suitable for patients with severe pulmonary diseases, such as acute respiratory distress syndrome, and can not maintain oxygenation required by normal human bodies through high-intensity breathing machine support. The advantage of this ventilation is that it facilitates blood-gas exchange in the lungs close to the back, improving oxygenation. Typically, two to three treatments are administered a day, each lasting about 20-30 minutes, with care being taken to observe the patient's vital signs during the treatment.
Under the condition that auxiliary equipment is incomplete, the implementation process of prone position ventilation needs at least four or more medical workers to complete together, meanwhile, the risk of certain complications is increased due to the prone position ventilation, and accidents of patients occur in the prone position state, and the documents of emergency treatment methods are few. Therefore, it is recommended that ventilation in prone position should be implemented under sufficient human and material guarantee and complete risk prevention measures and emergency plans.
The existing solution is to set up air cushions at the lower side of the face and the body of the patient when the patient takes the prone position, and set corresponding grooves at the position of the pipeline to prevent the trachea and the like from being extruded, so as to play a preventive role, but does not provide the solution when the pipeline is extruded, and the patient still needs to be closely monitored by trained medical personnel, and the complexion and the vital sign of the patient can be observed at any time, so that the patient can find abnormality in time, and the safety of the prone position ventilation process can be ensured. To this end, we propose an anti-asphyxia device for prone position ventilation therapy.
Disclosure of Invention
The invention mainly aims to provide an anti-asphyxia device for prone position ventilation therapy, which can effectively solve the problems in the background art.
In order to achieve the purpose, the invention adopts the technical scheme that:
the utility model provides a prevent device of suffocation for prone position therapy of ventilating, includes the base, the base up end is provided with the head supporting mechanism who is used for supporting patient's head and cheek, head supporting mechanism one side is provided with the layer board seat, layer board seat lower extreme is connected with the distance guiding mechanism who adjusts the interval between layer board seat and the head supporting mechanism, distance guiding mechanism installs inside the base, and be connected for rotating between the base, layer board seat upper end is rotated and is connected with the layer board that is used for supporting patient's upper limbs and laminates mutually with patient's thorax position, and is provided with the angle adjustment mechanism who is used for adjusting the inclination angle value between layer board and the layer board seat between layer board seat and the layer board seat.
Further, head supporting mechanism includes bottom plate and roof, terminal surface and base fixed connection under the bottom plate, and be provided with the dirt proof boot between bottom plate and the roof, the dirt proof boot is the rail state and seals the space between bottom plate and the roof, through the dirt proof boot that sets up, not only can play dirt-proof effect, can shelter from head supporting mechanism internals simultaneously, prevents to press from both sides the patient in the in-process of adjusting the head position, the bottom plate upper end is rotated and is connected with the pneumatic cylinder, pneumatic cylinder spindle nose rotates and is connected with the dead lever, the dead lever tip outside is rotated and is connected with symmetry and is two sets of push rods that the slope set up, and is located the push rod other end of upside and is connected with the roof rotation, and the push rod other end that is located the downside rotates with the bottom plate to be connected, through the control pneumatic cylinder extension, can promote the dead lever to the direction removal of keeping away from the pneumatic cylinder to promote the push rod in the dead lever outside, make the contained angle between the adjacent push rod increase gradually, can promote the roof to the direction removal of keeping away from the bottom plate along with the contained angle increase between the push rod, make the whole height increase of roof, thereby lifting patient's head.
Further, the dead lever middle part outside is rotated and is connected with the connecting rod, the connecting rod other end is rotated and is connected with the trip lever, trip lever end connection has the bracket, the bracket outside is rotated and is connected with the rotation seat, rotate seat lower extreme and roof up end fixed connection, when the dead lever when keeping away from the removal of pneumatic cylinder direction, the dead lever promotes the connecting rod and removes, and the connecting rod promotes the trip lever and removes, and the trip lever drives the bracket and overturns around its rotation center of being connected with the roof, makes patient's head inclination change, and then changes the inclination of patient's cervical vertebra, is favorable to putting of patient's best prone position gesture, can prevent simultaneously that patient's cervical vertebra pressurized from leading to the emergence of adverse event.
Further, the bracket is the circular-arc setting of symmetry, and its middle part fretwork, this kind of setting can make patient's oral cavity and nasal cavity expose externally, be convenient for lay of respiratory tube, leave sufficient space for the respiratory tube simultaneously, can prevent that respiratory tube from being oppressed, its interior terminal surface is provided with the air cushion that partly encircles, the air cushion contacts with patient's forehead and cheek position department, can reliably support patient's head formation, can not cause the extrusion to patient skin simultaneously, soft air cushion can the deformation volume great when receiving the extrusion, when the pipeline is extruded to patient's face, can reduce the pipeline by extruded degree through soft air cushion, avoid appearing the not smooth condition of oxygen supply.
Further, distance adjustment mechanism includes the slide cartridge, slide cartridge symmetric distribution is in the inside of base, and with sliding connection between the base, the inside rotation of slide cartridge is connected with first threaded rod, first threaded rod one end is rotated with the base and is connected, other end fixedly connected with distance adjustment hand wheel, the relative side end face of slide cartridge rotates and is connected with the board of twisting, twist board middle part fixedly connected with support column, the support column other end and layer board seat fixed connection, through rotating distance adjustment hand wheel, distance adjustment hand wheel drive slide cartridge slides inside the base, make the board of twisting move to suitable position, twist to move support column and tray seat and move, tray seat drive layer board and move to suitable position, can make patient's cervical vertebra be in the state of stretching naturally, can make the device be applicable to the patient of different stature simultaneously, in addition, set up the slide cartridge of symmetry, and be connected for rotating between slide cartridge and the board, when changing the slide cartridge position of one side, can drive the layer board of installing at its upside through the rotation of twisting board and carry out whole rotation, and then can adjust patient's overall position, be favorable to the putting of the best prone position gesture of patient.
Further, angle adjustment mechanism includes the fixing base, the fixing base is installed in the up end of layer board seat, and the inside tip of fixing base rotates and is connected with the second threaded rod, second threaded rod one end fixedly connected with angle adjustment hand wheel, and the second threaded rod outside rotates and is connected with the slider, slider lower extreme inboard and fixing base sliding connection, and the slider upper end rotates and is connected with the fine setting subassembly, be connected for rotating between the fine setting subassembly other end and the layer board, through rotation angle adjustment hand wheel, angle adjustment hand wheel drive slider moves on the horizontal direction, and the slider drives the fine setting subassembly and takes place to rotate, makes fine setting subassembly inclination change, and the fine setting subassembly promotes the layer board and rotates around its center of rotation with the layer board seat, makes the inclination of layer board change, is favorable to the up end of layer board and the inseparable laminating of patient's thorax, makes layer board inclination's adjustable range further enlarge simultaneously, and this kind of setting can make the device be applicable to the patient of different statures.
Further, the fine setting subassembly is including the connecting rod axle of fine setting sleeve and symmetric distribution in fine setting sleeve both sides, through threaded connection between fine setting sleeve and the connecting rod axle, can change the extension length of connecting rod axle through rotating the fine setting sleeve, thereby can adjust the whole effective length of fine setting subassembly, and then can carry out further fine adjustment to the inclination of layer board, make layer board inclination's adjustable range further enlarge, be favorable to the up end and the patient thorax of layer board closely to laminate, and be located the connecting rod axle and the slider rotation of fine setting sleeve downside and be connected, the connecting rod axle that is located the fine setting sleeve upside rotates with the layer board and is connected.
Furthermore, a through groove is formed in the axis position of the upper end face of the base, and the supporting column slides in the through groove.
Further, the device comprises the following steps:
the device is placed on a sickbed, a patient is in a prone posture, a chest cavity is attached to a supporting plate, a forehead depends on the upper end of an air cushion, cheeks of the patient are in close attachment with the air cushion, a distance adjusting hand wheel is rotated and drives a sliding cylinder to slide in a base, a torsion plate is moved to a proper position, the torsion plate drives a supporting column and a tray seat to move, and the tray seat drives the supporting plate to move to a proper position, so that cervical vertebrae of the patient are in a natural stretching state;
after the position of the supporting plate is adjusted, rotating an angle adjusting hand wheel, driving a sliding block to move in the horizontal direction by the angle adjusting hand wheel, driving a fine adjustment component to rotate by the sliding block, changing the inclination angle of the fine adjustment component, changing the extension length of a connecting rod shaft by rotating a fine adjustment sleeve to adjust the effective length of the fine adjustment component, and pushing the supporting plate to rotate around the rotating center of the supporting plate and a supporting plate seat by the fine adjustment component to enable the upper end surface of the supporting plate to be tightly attached to the chest cavity of a patient;
and step three, when the suffocation condition of the patient occurs, switching on a power supply of the hydraulic cylinder, enabling the hydraulic cylinder to stretch and push the fixed rod to move towards the direction far away from the hydraulic cylinder, driving the push rods on two sides to rotate, enabling an included angle between the adjacent group of push rods to gradually increase, enabling the push rods to push the top plate connected with the push rods to move upwards, enabling the head of the patient to move upwards along the vertical direction, meanwhile, enabling the fixed rod to push the connecting rod to move, enabling the connecting rod to push the turnover rod, enabling the bracket to rotate around a rotating center connected with the top plate, enabling the head of the patient to lift a certain angle, enabling the trachea squeezed by the face of the patient to be unfolded, enabling the trachea to be rearranged again, observing vital sign values of the patient, and enabling the head of the patient to gradually recover to an initial state by controlling the hydraulic cylinder to shrink after the blood oxygen concentration of the patient rises to a safe value.
Compared with the prior art, the invention has the following beneficial effects:
(1) The device can timely adjust the head posture of the patient when the expiratory pipeline of the patient is extruded, and the adjusting process is automatic operation, and the head position of the patient does not need to be manually adjusted by medical staff, so that adverse events can be effectively avoided, and the suffocation phenomenon of the patient caused by untimely adjustment can be prevented;
(2) The distance between the supporting plate and the head supporting mechanism and the inclination angle of the supporting plate can be adjusted through the arranged distance adjusting mechanism and angle adjusting mechanism, so that the supporting plate is attached to the chest cavity of a patient, the optimal prone posture of the patient can be placed conveniently, and the device can be suitable for patients of different sizes;
(3) Through the head supporting mechanism who sets up, drive mechanism moves in the middle of the flexible drive through the control hydraulic stem to can lift the angle of patient's head whole height and cervical vertebra, adjust the position of head under the initial prone position gesture of patient, prevent that patient's cervical vertebra from receiving the extrusion, be favorable to putting of patient's best prone position gesture.
Drawings
Fig. 1 is a schematic view of the overall structure of an anti-asphyxia device for prone position ventilation therapy according to the present invention;
fig. 2 is a schematic view showing a state of use of an anti-asphyxia apparatus for prone position ventilation therapy according to the present invention;
FIG. 3 is a schematic view of the mounting structure of the head support mechanism of the present invention;
FIG. 4 is a schematic view of the mounting structure of the connecting rod of the present invention;
FIG. 5 is a schematic view of an installation structure of the distance adjustment mechanism of the present invention;
FIG. 6 is a schematic view of the overall structure of the distance adjustment mechanism;
fig. 7 is a schematic view of the overall structure of the angle adjustment mechanism.
In the figure: 1. a base; 2. a head support mechanism; 201. a base plate; 202. a top plate; 203. a dust-proof sleeve; 204. a hydraulic cylinder; 205. fixing the rod; 206. a push rod; 207. a connecting rod; 208. a turning rod; 209. a bracket; 210. a rotating seat; 211. an air cushion; 3. a pallet base; 4. a distance adjusting mechanism; 401. a slide cylinder; 402. a first threaded rod; 403. a distance adjusting hand wheel; 404. a torsion plate; 405. a support column; 5. a support plate; 6. an angle adjusting mechanism; 601. a fixed seat; 602. a second threaded rod; 603. an angle adjusting hand wheel; 604. a slider; 605. a fine tuning component; 605a, a fine tuning sleeve; 605b, link shaft.
Detailed Description
The present invention will be further described with reference to the following detailed description, wherein the drawings are for illustrative purposes only and are not intended to be limiting, and certain features are omitted, enlarged or reduced in size to better illustrate the detailed description, and are not intended to represent the actual product.
Example 1
As shown in fig. 1-7, an anti-asphyxia device for prone position ventilation therapy comprises a base 1, a head supporting mechanism 2 is arranged on the upper end face of the base 1, a supporting plate seat 3 is arranged on one side of the head supporting mechanism 2, a distance adjusting mechanism 4 is connected to the lower end of the supporting plate seat 3, the distance adjusting mechanism 4 is installed inside the base 1 and is rotatably connected with the base 1, a supporting plate 5 is rotatably connected to the upper end of the supporting plate seat 3, and an angle adjusting mechanism 6 is arranged between the supporting plate 5 and the supporting plate seat 3.
Head supporting mechanism 2 includes bottom plate 201 and roof 202, terminal surface and base 1 fixed connection under the bottom plate 201, and is provided with dirt proof boot 203 between bottom plate 201 and the roof 202, and dirt proof boot 203 is the rail state and seals the space between bottom plate 201 and the roof 202, and bottom plate 201 upper end is rotated and is connected with pneumatic cylinder 204, pneumatic cylinder 204 main shaft end is rotated and is connected with dead lever 205, and the dead lever 205 tip outside is rotated and is connected with the symmetry and is two sets of push rods 206 that the slope set up, and the push rod 206 other end that is located the upside rotates with roof 202 to be connected, and the push rod 206 other end that is located the downside rotates with bottom plate 201 to be connected.
The outer side of the middle of the fixed rod 205 is rotatably connected with a connecting rod 207, the other end of the connecting rod 207 is rotatably connected with a turning rod 208, the end of the turning rod 208 is connected with a bracket 209, the outer side of the bracket 209 is rotatably connected with a rotating seat 210, and the lower end of the rotating seat 210 is fixedly connected with the upper end face of the top plate 202.
The bracket 209 is symmetrically arranged in a circular arc shape, the middle part of the bracket is hollow, and the inner end surface of the bracket is provided with a semi-surrounding air cushion 211.
The distance adjusting mechanism 4 comprises a sliding barrel 401, the sliding barrel 401 is symmetrically distributed inside the base 1 and is in sliding connection with the base 1, a first threaded rod 402 is rotatably connected inside the sliding barrel 401, one end of the first threaded rod 401 is rotatably connected with the base 1, a distance adjusting hand wheel 403 is fixedly connected with the other end of the first threaded rod, a torsion plate 404 is rotatably connected with one end face of the sliding barrel 401 opposite to the other end of the first threaded rod, a supporting column 405 is fixedly connected to the middle of the torsion plate 404, and the other end of the supporting column 405 is fixedly connected with the supporting plate base 3.
The angle adjusting mechanism 6 comprises a fixed seat 601, the fixed seat 601 is installed on the upper end face of the supporting plate seat 3, the end part inside the fixed seat 601 is rotatably connected with a second threaded rod 602, one end of the second threaded rod 602 is fixedly connected with an angle adjusting hand wheel 603, the outer side of the second threaded rod 602 is rotatably connected with a sliding block 604, the lower end of the sliding block 604 is connected with the fixed seat 601 in a sliding mode, the upper end of the sliding block 604 is rotatably connected with a fine adjusting component 605, and the other end of the fine adjusting component 605 is rotatably connected with the supporting plate 5.
The fine adjustment assembly 605 comprises a fine adjustment sleeve 605a and link shafts 605b symmetrically distributed on two sides of the fine adjustment sleeve 605a, the fine adjustment sleeve 605a is connected with the link shafts 605b through threads, the link shaft 605b positioned on the lower side of the fine adjustment sleeve 605a is rotatably connected with the slider 604, and the link shaft 605b positioned on the upper side of the fine adjustment sleeve 605a is rotatably connected with the supporting plate 5.
A through groove is formed in the axis position of the upper end face of the base 1, and the supporting column 405 slides in the through groove.
By adopting the technical scheme: when in use, the device is placed on a sickbed, so that a patient is in a prone posture, the chest cavity is attached to the supporting plate 5, the forehead is leaned on the upper end of the air cushion 211, the cheeks of the patient are positioned at the air cushion 211 to be tightly attached, the bracket 209 is symmetrically arranged in a circular arc shape, the middle part of the bracket is hollow, the oral cavity and the nasal cavity of the patient can be exposed outside by the arrangement, the respiratory tube can be conveniently placed, sufficient space is reserved for the respiratory tube to prevent the respiratory tube from being pressed, the semi-surrounding air cushion 211 is arranged on the inner end surface of the bracket, the air cushion 211 is contacted with the forehead and the cheek of the patient, the head of the patient can be reliably supported, meanwhile, the skin of the patient can not be pressed, the deformation of the soft air cushion 211 is larger when the face of the patient is pressed to the pipeline, the degree of the pressed pipeline can be reduced by the soft air cushion 211, and the situation of unsmooth oxygen supply is avoided, the distance adjusting hand wheel 403 is rotated, the distance adjusting hand wheel 403 drives the sliding cylinder 401 to slide in the base 1, the twisting plate 404 is moved to a proper position, the twisting plate 404 drives the supporting column 405 and the tray seat 3 to move, the tray seat 3 drives the supporting plate 5 to move to a proper position, the cervical vertebra of a patient is in a natural extension state, meanwhile, the device is suitable for patients with different statures, after the position of the supporting plate 5 is adjusted, the angle adjusting hand wheel 603 is rotated, the angle adjusting hand wheel 603 drives the sliding block 604 to move in the horizontal direction, the sliding block 604 drives the fine adjusting component 605 to rotate, the inclination angle of the fine adjusting component 605 is changed, the upper end surface of the supporting plate 5 is favorably and tightly attached to the chest cavity of the patient, the device is suitable for patients with different statures, the effective length of the fine adjusting component 605 is adjusted by rotating the fine adjusting sleeve 605a to change the extension length of the connecting rod shaft 605b, the arrangement further expands the adjustable range of the inclination angle of the supporting plate 5, the fine adjustment assembly 605 pushes the supporting plate 5 to rotate around the rotation center of the supporting plate 5 and the supporting plate seat 3, so that the upper end surface of the supporting plate 5 is tightly attached to the chest cavity of a patient, when the patient is suffocated, the power supply of the hydraulic cylinder 204 is switched on, the hydraulic cylinder 204 extends to push the fixing rod 205 to move in the direction away from the hydraulic cylinder 204 and drive the push rods 206 on both sides to rotate, so that the included angle between the adjacent group of push rods 206 is gradually increased, the top plate 202 can be pushed to move in the direction away from the bottom plate 201 along with the increase of the included angle between the push rods 206, the overall height of the top plate 202 is increased, the head of the patient is lifted, the head of the patient is moved upwards in the vertical direction, meanwhile, the fixing rod 205 pushes the connecting rod 207 to move, the connecting rod 207 pushes the turning rod 208 to enable the bracket 209 to rotate around a rotating center connected with the top plate 202, so that the head of a patient is lifted by a certain angle, the trachea extruded by the face of the patient is unfolded, the trachea and the trachea are rearranged, the vital sign value of the patient is observed, and after the blood oxygen concentration of the patient rises to a safe value, the head position of the patient is gradually restored to an initial state by controlling the hydraulic cylinder 204 to contract.
Example 2
As shown in fig. 1-7, an anti-asphyxia device for prone position ventilation therapy comprises a base 1, a head supporting mechanism 2 is arranged on the upper end face of the base 1, a supporting plate seat 3 is arranged on one side of the head supporting mechanism 2, a distance adjusting mechanism 4 is connected to the lower end of the supporting plate seat 3, the distance adjusting mechanism 4 is installed inside the base 1 and is rotatably connected with the base 1, a supporting plate 5 is rotatably connected to the upper end of the supporting plate seat 3, and an angle adjusting mechanism 6 is arranged between the supporting plate 5 and the supporting plate seat 3.
Head supporting mechanism 2 includes bottom plate 201 and roof 202, terminal surface and base 1 fixed connection under the bottom plate 201, and is provided with dirt proof boot 203 between bottom plate 201 and the roof 202, and dirt proof boot 203 is the rail state and seals the space between bottom plate 201 and the roof 202, and bottom plate 201 upper end is rotated and is connected with pneumatic cylinder 204, pneumatic cylinder 204 main shaft end is rotated and is connected with dead lever 205, and dead lever 205 tip outside is rotated and is connected with the symmetry and is two sets of push rods 206 that the slope set up, and is located the push rod 206 other end of upside and is rotated with roof 202 and be connected, is located the push rod 206 other end of downside and rotates with bottom plate 201 and is connected.
Dead lever 205 middle part outside rotates and is connected with connecting rod 207, and the connecting rod 207 other end rotates and is connected with upset pole 208, and upset pole 208 end connection has bracket 209, and the bracket 209 outside rotates and is connected with and rotates seat 210, rotates seat 210 lower extreme and roof 202 up end fixed connection.
The bracket 209 is symmetrically arranged in a circular arc shape, the middle part of the bracket is hollow, and the inner end surface of the bracket is provided with a semi-surrounding air cushion 211.
The angle adjusting mechanism 6 comprises a fixed seat 601, the fixed seat 601 is installed on the upper end face of the supporting plate seat 3, the end part inside the fixed seat 601 is rotatably connected with a second threaded rod 602, one end of the second threaded rod 602 is fixedly connected with an angle adjusting hand wheel 603, the outer side of the second threaded rod 602 is rotatably connected with a sliding block 604, the lower end of the sliding block 604 is connected with the fixed seat 601 in a sliding mode, the upper end of the sliding block 604 is rotatably connected with a fine adjusting component 605, and the other end of the fine adjusting component 605 is rotatably connected with the supporting plate 5.
The fine adjustment assembly 605 comprises a fine adjustment sleeve 605a and link shafts 605b symmetrically distributed on two sides of the fine adjustment sleeve 605a, the fine adjustment sleeve 605a is connected with the link shafts 605b through threads, the link shaft 605b positioned on the lower side of the fine adjustment sleeve 605a is rotatably connected with the slider 604, and the link shaft 605b positioned on the upper side of the fine adjustment sleeve 605a is rotatably connected with the supporting plate 5.
By adopting the technical scheme: the device provided by the invention can also be used for placing the optimal prone posture of a patient, and related researches show that different treatment effects can be caused by the posture angle difference of the prone position. On the basis of combining the horizontal prone position with the high-foot low prone position of the head, when the inclination angle is more than 20 degrees, the PaO in the patient body 2 /FiO 2 The specific value is obviously improved when the supine position is changed into the prone position, and the oxygenation index of a patient is improved better in combination with the prone position with high head and low feet. Relevant researches prove that the mechanical ventilation patient adopts a prone position with a low head, a high foot and a high inclination, the gravity drainage effect can be enhanced, and meanwhile, the function of reducing the gravity drainage is achievedRelieving the compression of the heart and mediastinum on the prolapsed lung region improves patient oxygenation. The blood oxygen improvement is most obvious under the condition that the prone position angle of the patient is 30-45 degrees, and adverse events are easy to occur to the patient under the condition of the prone position of 0-5 degrees. When the device is used, the angle adjusting hand wheel 603 is rotated, the angle adjusting hand wheel 603 drives the sliding block 604 to move in the horizontal direction, the sliding block 604 drives the fine adjustment component 605 to rotate, so that the inclination angle of the fine adjustment component 605 is changed, the extension length of the connecting rod shaft 605b is changed by rotating the fine adjustment sleeve 605a so as to adjust the effective length of the fine adjustment component 605, the fine adjustment component 605 pushes the supporting plate 5 to rotate around the rotation center of the supporting plate and the supporting plate seat 3, so that the upper end surface of the supporting plate 5 is tightly attached to the chest cavity of a patient, the upper limb of the patient is integrally lifted to an inclined state of 30-45 degrees, then the power supply of the hydraulic cylinder 204 is switched on, the hydraulic cylinder 204 extends to push the fixing rod 205 to move in the direction away from the hydraulic cylinder 204 and drives the push rods 206 at two sides to rotate, so that the included angle between the adjacent groups of the push rods 206 is gradually increased, the push rod 206 pushes the top plate 202 connected with the push rod to move upwards to drive the head position of the patient to move upwards along the vertical direction, so that the cervical vertebra and the back of the patient are on the same line, the patient can keep the prone position angle in a state of 30-45 degrees, and the best treatment effect is favorably achieved, the distance between the supporting plate 5 and the head supporting mechanism 2 and the inclination angle of the supporting plate 5 can be adjusted through the arranged distance adjusting mechanism 4 and the angle adjusting mechanism 6, so that the supporting plate 5 is attached to the chest cavity of the patient, the optimal prone position posture of the patient is favorably arranged, meanwhile, the device is suitable for patients with different statures, the middle transmission mechanism is driven to move by controlling the extension and retraction of the hydraulic rod 201 through the arranged head supporting mechanism 2, the overall height of the head and the angle of the cervical vertebra of the patient can be lifted, and the position of the head of the patient under the initial prone position posture can be adjusted, prevent the cervical vertebra of the patient from being extruded, and is favorable for placing the optimal prone posture of the patient.
The foregoing shows and describes the general principles and features of the present invention, together with the advantages thereof. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (9)

1.一种用于俯卧位通气疗法的防窒息装置,包括底座(1),其特征在于:所述底座(1)上端面设置有头部支撑机构(2),所述头部支撑机构(2)一侧设置有托板座(3),所述托板座(3)下端连接有距离调整机构(4),所述距离调整机构(4)安装于底座(1)内部,且与底座(1)之间为转动连接,所述托板座(3)上端转动连接有托板(5),且托板(5)与托板座(3)之间设置有角度调节机构(6)。1. An anti-suffocation device for prone position ventilation therapy, comprising a base (1), characterized in that: the upper end surface of the base (1) is provided with a head support mechanism (2), and the head support mechanism ( 2) One side is provided with a pallet seat (3), and the lower end of the pallet seat (3) is connected with a distance adjustment mechanism (4). The distance adjustment mechanism (4) is installed inside the base (1) and is connected to the base (1) are connected by rotation, and the upper end of the supporting plate seat (3) is rotationally connected with the supporting plate (5), and an angle adjustment mechanism (6) is set between the supporting plate (5) and the supporting plate seat (3) . 2.根据权利要求1所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述头部支撑机构(2)包括底板(201)和顶板(202),所述底板(201)下端面与底座(1)固定连接,且底板(201)与顶板(202)之间设置有防尘套(203),所述防尘套(203)呈围栏状态将底板(201)与顶板(202)之间的空间进行封闭,所述底板(201)上端转动连接有液压缸(204),所述液压缸(204)主轴端转动连接有固定杆(205),所述固定杆(205)端部外侧转动连接有对称且呈倾斜设置的两组推杆(206),且位于上侧的推杆(206)另一端与顶板(202)转动连接,位于下侧的推杆(206)另一端与底板(201)转动连接。2. An anti-suffocation device for prone position ventilation therapy according to claim 1, characterized in that: the head support mechanism (2) includes a bottom plate (201) and a top plate (202), and the bottom plate ( 201) The lower end surface is fixedly connected to the base (1), and a dustproof cover (203) is provided between the bottom plate (201) and the top plate (202). The space between the top plates (202) is closed, the upper end of the bottom plate (201) is rotatably connected to a hydraulic cylinder (204), the main shaft end of the hydraulic cylinder (204) is rotatably connected to a fixed rod (205), and the fixed rod ( 205) Two groups of push rods (206) arranged symmetrically and obliquely are connected to the outer side of the end, and the other end of the push rod (206) on the upper side is connected to the top plate (202) in rotation, and the push rod (206) on the lower side ) The other end is rotationally connected with the bottom plate (201). 3.根据权利要求2所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述固定杆(205)中部外侧转动连接有连杆(207),所述连杆(207)另一端转动连接有翻转杆(208),所述翻转杆(208)端部连接有托架(209),所述托架(209)外侧转动连接有转动座(210),所述转动座(210)下端与顶板(202)上端面固定连接。3. The anti-suffocation device for prone position ventilation therapy according to claim 2, characterized in that: a connecting rod (207) is rotatably connected to the outside of the middle part of the fixing rod (205), and the connecting rod (207) ) the other end is rotatably connected with a flip lever (208), the end of the flip lever (208) is connected with a bracket (209), and the outer side of the bracket (209) is rotatably connected with a swivel seat (210), and the swivel seat (210) lower end is fixedly connected with top plate (202) upper end surface. 4.根据权利要求3所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述托架(209)呈对称的圆弧状设置,且其中部镂空,内端面设置有半环绕的气垫(211)。4. The anti-suffocation device for prone position ventilation therapy according to claim 3, characterized in that: the bracket (209) is arranged in a symmetrical arc shape, and the middle part is hollowed out, and the inner end surface is provided with Half-surround air mattress (211). 5.根据权利要求1所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述距离调整机构(4)包括滑筒(401),所述滑筒(401)对称分布在底座(1)的内部,且与底座(1)之间为滑动连接,所述滑筒(401)内部转动连接有第一螺纹杆(402),所述第一螺纹杆(402)一端与底座(1)转动连接,另一端固定连接有距离调节手轮(403),所述滑筒(401)相对的一侧端面转动连接有扭转板(404),所述扭转板(404)中部固定连接有支撑柱(405),所述支撑柱(405)另一端与托板座(3)固定连接。5. An anti-suffocation device for prone position ventilation therapy according to claim 1, characterized in that: the distance adjustment mechanism (4) includes sliding cylinders (401), and the sliding cylinders (401) are symmetrically distributed Inside the base (1) and slidingly connected with the base (1), the sliding cylinder (401) is connected with a first threaded rod (402) in rotation, and one end of the first threaded rod (402) is connected to the The base (1) is rotatably connected, and the other end is fixedly connected with a distance adjustment handwheel (403). The opposite end of the slider (401) is rotatably connected with a torsion plate (404), and the middle part of the torsion plate (404) is fixed A support column (405) is connected, and the other end of the support column (405) is fixedly connected with the pallet seat (3). 6.根据权利要求1所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述角度调节机构(6)包括固定座(601),所述固定座(601)安装于托板座(3)的上端面,且固定座(601)内部端部转动连接有第二螺纹杆(602),所述第二螺纹杆(602)一端固定连接有角度调节手轮(603),且第二螺纹杆(602)外侧转动连接有滑块(604),所述滑块(604)下端内侧与固定座(601)滑动连接,且滑块(604)上端转动连接有微调组件(605),所述微调组件(605)另一端与托板(5)之间为转动连接。6. An anti-suffocation device for prone position ventilation therapy according to claim 1, characterized in that: the angle adjustment mechanism (6) includes a fixing seat (601), and the fixing seat (601) is installed on The upper end surface of the pallet seat (3), and the inner end of the fixed seat (601) is rotatably connected with a second threaded rod (602), and one end of the second threaded rod (602) is fixedly connected with an angle adjustment handwheel (603) , and the outer side of the second threaded rod (602) is rotatably connected to a slider (604), the inner side of the lower end of the slider (604) is slidably connected to the fixed seat (601), and the upper end of the slider (604) is rotatably connected to a fine-tuning assembly ( 605), the other end of the fine-tuning assembly (605) and the supporting plate (5) are connected by rotation. 7.根据权利要求6所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述微调组件(605)包括微调套筒(605a)和对称分布在微调套筒(605a)两侧的连杆轴(605b),所述微调套筒(605a)与连杆轴(605b)之间通过螺纹连接,且位于微调套筒(605a)下侧的连杆轴(605b)与滑块(604)转动连接,位于微调套筒(605a)上侧的连杆轴(605b)与托板(5)转动连接。7. An anti-suffocation device for prone position ventilation therapy according to claim 6, characterized in that: the fine-tuning assembly (605) includes fine-tuning sleeves (605a) and symmetrically distributed on the fine-tuning sleeves (605a) The connecting rod shafts (605b) on both sides, the fine-tuning sleeve (605a) and the connecting rod shaft (605b) are connected by threads, and the connecting rod shaft (605b) on the lower side of the fine-tuning sleeve (605a) is connected to the slide The block (604) is rotatably connected, and the connecting rod shaft (605b) located on the upper side of the fine-tuning sleeve (605a) is rotatably connected to the supporting plate (5). 8.根据权利要求6所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:所述底座(1)上端面中轴线位置处开设有通槽,且支撑柱(405)在通槽中滑动。8. An anti-suffocation device for prone position ventilation therapy according to claim 6, characterized in that: a through groove is opened at the central axis of the upper end surface of the base (1), and the support column (405) is slide in the slot. 9.根据权利要求1-6任意一项所述的一种用于俯卧位通气疗法的防窒息装置,其特征在于:该装置的使用步骤如下:9. An anti-suffocation device for prone position ventilation therapy according to any one of claims 1-6, characterized in that: the steps of using the device are as follows: 步骤一,将装置放置于病床上,使患者呈俯卧位姿态,胸腔与托板(5)相贴附,额头依靠在气垫(211)上端,并使患者脸颊处于气垫(211)紧密贴合,转动距离调节手轮(403),距离调节手轮(403)带动滑筒(401)在底座(1)内部滑动,使扭转板(404)移动至适当位置,扭转板(404)带动支撑柱(405)和托盘座(3)移动,托盘座(3)带动托板(5)移动至适当位置,使患者颈椎处于自然舒展状态;Step 1, place the device on the hospital bed so that the patient is in a prone position, the chest is attached to the support plate (5), the forehead rests on the upper end of the air cushion (211), and the patient’s cheeks are placed in the air cushion (211) to closely fit, Turn the distance adjustment handwheel (403), and the distance adjustment handwheel (403) drives the slider (401) to slide inside the base (1), so that the torsion plate (404) moves to an appropriate position, and the torsion plate (404) drives the support column ( 405) and the tray seat (3) move, and the tray seat (3) drives the support plate (5) to move to an appropriate position, so that the patient's cervical spine is in a state of natural stretching; 步骤二,待托板(5)位置调节完成后,转动角度调节手轮(603),角度调节手轮(603)带动滑块(604)在水平方向上移动,滑块(604)带动微调组件(605)发生转动,使微调组件(605)倾斜角度发生改变,并通过转动微调套筒(605a)改变连杆轴(605b)的伸展长度以调节微调组件(605)的有效长度,微调组件(605)推动托板(5)围绕其与托板座(3)的转动中心转动,使托板(5)上端面与患者胸腔紧密贴合;Step 2, after the position adjustment of the supporting plate (5) is completed, turn the angle adjustment handwheel (603), the angle adjustment handwheel (603) drives the slider (604) to move in the horizontal direction, and the slider (604) drives the fine-tuning assembly (605) rotates to change the inclination angle of the fine-tuning assembly (605), and change the extension length of the connecting rod shaft (605b) by rotating the fine-tuning sleeve (605a) to adjust the effective length of the fine-tuning assembly (605), the fine-tuning assembly ( 605) Push the support plate (5) to rotate around the rotation center of the support plate (5) and the support plate seat (3), so that the upper end surface of the support plate (5) fits closely with the chest cavity of the patient; 步骤三,当患者出现窒息情况时,接通液压缸(204)的电源,液压缸(204)伸展推动固定杆(205)向远离液压缸(204)的方向移动,并带动两侧的推杆(206)转动,使相邻的一组推杆(206)之间的夹角逐渐变大,推杆(206)推动与其连接的顶板(202)上移,使患者头部位置沿垂直方向上移,与此同时,固定杆(205)推动连杆(207)移动,连杆(207)推动翻转杆(208),使托架(209)围绕与顶板(202)连接的转动中心转动,使患者头部抬起一定角度,使被患者面部挤压的气管舒展开,待重新整理气管气管,并观察患者生命体征值,待患者血氧浓度上升至安全值后,通过控制液压缸(204)收缩,使患者头部位置逐渐恢复至初始状态。Step 3: When the patient suffers from suffocation, turn on the power of the hydraulic cylinder (204), the hydraulic cylinder (204) stretches and pushes the fixed rod (205) to move away from the hydraulic cylinder (204), and drives the push rods on both sides (206) is rotated so that the angle between adjacent groups of push rods (206) gradually increases, and the push rods (206) push the top plate (202) connected to it to move upward, so that the position of the patient's head moves upward along the vertical direction. At the same time, the fixed rod (205) pushes the connecting rod (207) to move, and the connecting rod (207) pushes the turning rod (208), so that the bracket (209) rotates around the rotation center connected with the top plate (202), so that The patient's head is raised at a certain angle to stretch the trachea squeezed by the patient's face. After the trachea and trachea are rearranged, the patient's vital signs are observed. After the patient's blood oxygen concentration rises to a safe value, the hydraulic cylinder (204) is controlled to Contraction, so that the position of the patient's head gradually returns to the original state.
CN202210923894.6A 2022-08-02 2022-08-02 A prevent device that stifles for prone position ventilation therapy Pending CN115252318A (en)

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Application publication date: 20221101