CN201342026Y

CN201342026Y - Body position holding mat

Info

Publication number: CN201342026Y
Application number: CNU2009200675726U
Authority: CN
Inventors: 胡永善; 顾玲
Original assignee: Huashan Hospital of Fudan University
Current assignee: Huashan Hospital of Fudan University
Priority date: 2009-02-09
Filing date: 2009-02-09
Publication date: 2009-11-11
Anticipated expiration: 2019-02-09

Abstract

The utility model belongs to the field of medical appliances, in particular to a body position holding mat capable of keeping a correct body position when a paralysed patient stays in bed. Serial body position holding mats comprising coats and cores are made according to general anatomical features of a human body, wherein, the coats are made of cotton materials, and the cores are made of ventilated spongy materials; the body position holding mat is in the shape of a right-angled trapezoid or a rectangular parallelepiped or a right-angled triangular trapezoid or a concave shape. The body position holding mats with different shapes can be selected according to different applying parts of the patient so as to keep correct body posture; the clinical application effect shows that the patient feels comfortable, time for keeping correct body position is longer, complications for the paralysed patient that stays in bed for a long time can be reduced, and limb function of the patient can be helped to restore; and the body position holding mat can be used for rehabilitation therapies of muscle contracture, spasm, articular contracture, shoulder-hand syndromes, shoulder drops, outside rotation of the coxa joints or drop feet and the like.

Description

Position keeps pad

Technical field

This utility model belongs to medical instruments field, relates to the rehabilitation medical nursing device, and be specifically related to a kind of position of the correct posture in paralysed patient when bed that keeps and keep pad,

Background technology

In recent years, quickening, work pressure of competition, the change of dietary structure and bad life style along with people's rhythm of life, the progress and the development in science and technology of society, industry and traffic are flourishing day by day, and accidental injuring event such as increases at a variety of causes, the prevalence of cerebrovascular, craniocerebral trauma, spinal cord injury is risen year by year and be the trend of becoming younger, become the formidable enemy of harm humans health.There is obstacle of limb movement (hemiplegia, paraplegia, quadriplegia) in many patients of cerebrovascular, craniocerebral trauma, spinal cord injury, cerebral tumor postoperative, have a strong impact on patient's quality of life, bring white elephant for family and society.The successful experience of prior art shows that rehabilitation can effectively improve the every dysfunction of paralysed patient, improves life quality, significantly reduces the various economic expenditure of society.Therefore, rehabilitation is subject to people's attention, and has become the important component part of treatment.

Modern rehabilitation medicine thinks that rehabilitation nursing is the composition of rehabilitation, is the important leverage part that realizes the integral rehabilitation plan.Body position nursing care comprises that correct position is put and the positive position conversion, is the important content of bed paralysed patient nursing, and patient's prognosis is had significant impact.The most normal difficult problem that runs into of bed paralysed patient is amyotrophy, the arthrogryposis that carrying out property spasm causes, this be since the spinal reflex of abnormal motion patterns such as stretch reflex, flexion of upper limb muscular reflex, extensor of leg reflection hyperfunction due to.

At present in clinical nursing activity, many paralysed patients are because nursing is improper and the rehabilitation position support pad of shortage specialty, amyotrophy, joint stiffness, deformity have appearred, multiple complications such as dislocation of shoulder, upper limb flexion contracture, hip joint outward turning, knee joint extension contracture, drop foot delay and have influenced patient's integral rehabilitation effect.

Therefore, rehabilitation Body position nursing care correct, system can prevent that above-mentioned multiple complications from appearring in the patient.

Summary of the invention

The purpose of this utility model is to overcome the deficiencies in the prior art, provides a kind of position of the correct posture in paralysed patient when bed that can keep to keep pad.This utility model helps patient's implementation specification rehabilitation Body position nursing care is set about from the modern rehabilitation nursing technique, provides position to keep pad, can reduce the generation of paralysed patient complication, helps functional rehabilitation, obtains clinical effectiveness preferably.

This utility model position keeps the anatomical features of pad according to the human body whole body, position is good, the patient is comfortable and patient's actual needs is made serial position maintenance pad in order to keep, this utility model position keeps pad to comprise overcoat 1 and cover core 2, described overcoat adopts cotton material preparation, the preferred grey sheeting of this utility model; Described cover core adopts gas permeable material preparation, the sponge material that this utility model is preferably harder; Described overcoat parcel cover core; Its profile is: right angle ladder type or rectangular build or right angle trigonometry ladder type or " recessed " type.

In the use, maintenance and adjustment at patient, family members, the clear and definite correct posture of nurse improve under the significant prerequisite the motor function of rehabilitation paralysed patient, cooperate the nursing staff, the correct position that uses keeps pad series, use the difference at position according to the patient, select the position of different profiles and different-format to keep pad that position is put to keep correct, clinical result of use shows, it is comfortable that the patient feels, the position time that keeps correct is longer, more of a specified duration, helps the rehabilitation of sickbed patients allomeric function.

This utility model position keeps pad series to have following advantage:

Good permeability, elastic reset is good, softness is comfortable, can alleviate the long caused muscular soreness of limbs bed rest time; Not yielding behind this position maintenance pad pressurized, play support, fixation to keeping the correct clinostatism posture of limbs; Blood vessel is with neural near simultaneously also being difficult for being expressed to.Overcome in the rehabilitation Body position nursing care, usually changed position, made the prone position retention time of functional position very short, do not reached the defective of complication prevention because of muscular soreness.

Lack of standardization in view of present China rehabilitation hemiplegia clinostatism patient's nursing, this utility model in conjunction with the rehabilitation nursing Professional knowledge, makes every effort to meet the characteristics of hemiplegia sickbed patients rehabilitation according to patient's rehabilitation situation, realizes normalized Body position nursing care.Lack the present situation of relevant rehabilitation Body position nursing care knowledge in conjunction with at present China patient, family members, nurse, use this position to keep pad series to seem particularly important.This utility model can be used for preventing the generation of complication such as muscle contracture, spasm, arthrogryposis, shoulder one hand syndrome, shoulder drops, hip joint outward turning, drop foot, helps reaching reasonable rehabilitation effect.

This position keeps pad serial good effect, with low cost, and is safe in utilization, reliable, simple, is fit to China's national situation, is worthy to be popularized.

For the ease of understanding, below will describe in detail the present invention by specific embodiment.It needs to be noted that these descriptions only are exemplary descriptions, do not constitute limitation of the scope of the invention.

Description of drawings

Fig. 1 is the sketch map of 1～No. 6 position maintenance pad,

Interim, 1: overcoat, 2: the cover core;

The A:1 position keeps pad, and the B:2 position keeps pad, and the C:3 position keeps pad,

The D:4 position keeps pad, and the E:5 position keeps pad, and the F:6 position keeps pad.

Position kept the use sketch map of pad when Fig. 2 was the Ipsilateral clinostatism.

Fig. 3 is that the position when being good for clinostatism keeps pad to use sketch map.

Position when Fig. 4 is dorsal position keeps pad to use sketch map.

The specific embodiment

Embodiment 1

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 1 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; Its profile is: the side is a right-angled trapezium, and trapezoid upper base is 18cm, and going to the bottom is 25cm, and height is 20cm, and the orthogonal length in bottom surface is 70cm.

Embodiment 2

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 2 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; Its profile is rectangular build: the bottom surface is a rectangle, long 70cm, wide 13cm, prismatical high 20cm.

Embodiment 3

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 3 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; The rectangular triangle ladder type of its profile: the bottom surface is a rectangle, long 60cm, and wide 20cm, the side is made of right angled triangle and rectangle, the long 15cm of incline.

Embodiment 4

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 4 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; Its profile is " recessed " type: its side view is " recessed " shape, and another side is a rectangle, and wherein half garden that radius is 10cm is established in the centre of " recessed " shape face, the long 20cm of side rectangle, and wide 15cm, the bottom surface is the long 35cm of rectangle, wide and orthogonal wide coincidence the in side.

Embodiment 5

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 5 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; Its profile is rectangular build: its bottom surface is a rectangle, long 35cm, wide 10cm, the high 15cm of incline post.

Embodiment 6

Adopt cotton material to prepare position and keep the pad overcoat 1 of (be called for short: No. 6 position keeps pad); Adopt harder sponge material preparation cover core 2, described overcoat parcel cover core; The rectangular triangle ladder type of its profile: its side is a right angled triangle, a right angle length of side 25cm, with orthogonal long coincidence the in bottom surface, another right angle length of side 10cm, the bottom surface orthogonal wide be 20cm.

Embodiment 7 clinical uses

With hemiplegic patient is example:

After being admitted to hospital, the hemiplegia sickbed patients promptly bring into use position to keep pad series.Adopt Ipsilateral clinostatism, strong lateral position, the alternative method of dorsal position, changed clinostatism once in per 1～2 hour, keep limbs and each excellent function position, joint, increase patient's comfort.

1) Ipsilateral clinostatism: this clinostatism is a most important position in all positions, and the Ipsilateral clinostatism can be strengthened the Ipsilateral sensory stimuli, prevention limb spasm, odd-shaped generation; Patient's the whole limb of suffering from is elongated, and strong hands can be free movable, should encourage the patient to take the Ipsilateral clinostatism.

During the Ipsilateral clinostatism, upper limb: No. 6 positions keep filling up under omoplate, and pectoral girdle is fully protracted, 90-130 ° of shoulder joint flexing, and keep outward turning, outer exhibition position; Forearm supinated or neutral position; Elbow stretches; Wrist joint back is stretched, and finger stretches, opens, the thumb abduction, and the centre of the palm is upwards.During the Ipsilateral clinostatism, trunk is faced upward after a while, keeps about 45～60 ° with bed, be held in trunk with No. 1 position maintenance advance expenditure after, held stationary.Lower limb: the hip joint inward turning, protract, little bend; Knee joint is little bends; Ankle joint is put neutral position, and the ankle dorsiflex can be filled up No. 4, No. 5 positions and be kept pad in the middle of two lower limb, increase patient's comfort.

2) strong lateral position: the Ipsilateral pectoral girdle fully protracts, 90-130 ° of shoulder joint flexing, and the elbow wrist stretches, and upper limb places No. 2 positions in front to keep on the pad, and finger stretches; During lateral position, trunk and bed surface meet at right angles, keep advance expenditure to be held in trunk with No. 1 position after, keep trunk steady; Suffer from lower limb to anteflexion hip, go down on one's knees, the ankle dorsiflex of trying one's best, the shape of seemingly marking time keeps on the pad for prefixion 2,4, No. 5, can fill up 4, No. 5 positions in the middle of two lower limb and keep pad.

3) dorsal position: this clinostatism easily brings out muscle spasm, easily causes brothers' deformity, should use less as far as possible.It is unsuitable too high that head is put pillow, keeps pad suffering from No. 6 position of shoulder underlay, in case contract behind the shoulder, dislocation of shoulder; Upper limb stretches slightly abduction and places No. 3 positions to keep pad, forearm supinated, the elbow wrist stretches, the centre of the palm upwards, finger stretches, opens; Pad No. 6 positions in hip joint place keep pad, make pelvis forward, in case contract, suffer from the lower limb outward turning behind the hip, keep suffering from lower limb and stretch, and available 4, No. 5 positions keep the pad pad at one's knees, and knee joint is in the wrong slightly; Allow the patient vola can step down in No. 2 positions and keep cocking the foot 90 ° on the pad, keep bending hip, going down on one's knees the ankle dorsiflex.

4) conversion of position requires every 2h to change once in principle, but need adjust according to patient's age, nutriture etc. are appropriate.

The use result shows, position keeps pad series to help the recovery of rehabilitation hemiplegia sickbed patients allomeric function, improved patient's quality of life, the patient is had may recover self care ability greatlyyer, thereby alleviated the long-term dependence of patient, therefore had good social benefit and economic benefit for society, family and medical institutions.

Claims

1, position keeps pad, it is characterized in that comprising overcoat (1) and cover core (2), described overcoat parcel cover core; Its profile is: right angle ladder type or rectangular build or right angle trigonometry ladder type or " recessed " type.

2, keep pad by the described position of claim 1, it is characterized in that described overcoat adopts the cotton material preparation; Described cover core adopts ventilative sponge material preparation.

3, keep pad by the described position of claim 1, it is characterized in that it is 18cm that described right angle ladder type position keeps the trapezoid upper base of pad, going to the bottom is 25cm, and height is 20cm, and the orthogonal length in bottom surface is 70cm.

4, keep pad by the described position of claim 1, it is characterized in that it is rectangle that described rectangular build position keeps the bottom surface of pad, long 70cm, wide 13cm, prismatical high 20cm.

5, keep pad by the described position of claim 1, it is characterized in that it is rectangle that described right angle trigonometry ladder type position keeps the bottom surface of pad, long 60cm, wide 20cm; The side is made of right angled triangle and rectangle, the long 15cm of incline.

6, keep pad by the described position of claim 1, it is characterized in that described " recessed " type position keeps the side view of pad to be " recessed " shape, another side is a rectangle, wherein half garden that radius is 10cm is established in the centre of " recessed " shape face, the long 20cm of side rectangle, wide 15cm, the bottom surface is the long 35cm of rectangle, wide and orthogonal wide coincidence the in side.

7, keep pad by the described position of claim 1, it is characterized in that it is rectangle that described rectangular build position keeps its bottom surface, bottom surface of pad, long 35cm, wide 10cm, the high 15cm of incline post.

8, keep pad by the described position of claim 1, it is characterized in that it is right angled triangle that described right angle ladder type position keeps the trapezoid side of pad, a right angle length of side 25cm, with orthogonal long coincidence the in bottom surface, another right angle length of side 10cm, the bottom surface orthogonal wide be 20cm.