CN204563247U - Novel enteral nutrition pipe and enteral nutrition closed loop intelligence infusion system - Google Patents
Novel enteral nutrition pipe and enteral nutrition closed loop intelligence infusion system Download PDFInfo
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- CN204563247U CN204563247U CN201520213094.0U CN201520213094U CN204563247U CN 204563247 U CN204563247 U CN 204563247U CN 201520213094 U CN201520213094 U CN 201520213094U CN 204563247 U CN204563247 U CN 204563247U
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- nutrient solution
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Abstract
The utility model discloses a kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, comprise intestinal nutrient solution infusion tube and enteric cavity piezometry pipe, described enteric cavity piezometry pipe is positioned at outside intestinal nutrient solution infusion tube, and is connected with the sidewall of intestinal nutrient solution infusion tube; The lower port of described enteric cavity piezometry pipe is provided with the pressure transducer for detecting enteric cavity pressure; Intestinal nutrient solution infusion tube sidewall between the lower port and the lower port of enteric cavity piezometry pipe of intestinal nutrient solution infusion tube is evenly staggeredly distributed with 1-10 trophopore; Described intestinal nutrient solution infusion tube upper port is connected with nutritional solution infusion pump.The invention also discloses a kind of enteral nutrition closed loop based on small intestinal enteric cavity pressure intelligence infusion system, comprise nutritional solution infusion pump, enteric cavity pressure signal processing system, and the described novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure.This employing system of the present utility model can reduce intestinal tract complication, lower workload of accompanying and attending to, reduce medical expense, alleviate the present situation of " high cost of getting medical treatment ", making enteral nutrition can more effectively extensive use clinically, also establishing technical foundation for implementing enteral nutrition in community and family.
Description
Technical field
This utility model belongs to medical instruments field, specifically a kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure.
Background technology
The homergy of human body and good nutritional status are the important guarantees safeguarding vital movement.Any metabolism disorder or malnutrition all can affect the function of tissue, organ, worsen further and can make organ failure.The nutritional status of body and morbidity and mortality rate are closely-related.All can there is malnutrition in various degree in many critical illness, corrected if do not adopted vigorous measures, and is often difficult to give treatment to successfully.On basis organism metabolism being had to enough understanding, the foundation of effective import pathway, and various production in succession and the application meeting the little nutritional preparation of physiology, side reaction, professional Medical Degree smelting in modern age is treated and obtains very outstanding effect, saved the dirt life of many critical patients.
Total parenteral nutrition (total parenteral nutrition, TPN) is the nutrition supporting therapy developed rapidly in the later stage sixties 20th century, once in wide clinical application.But along with progressively going deep into of studying nutritional support theory and practice, people recognize that parenteral nutrition mainly exists three class complication, comprise: (1) technical complication: as the damage of pneumothorax, blood vessel injury, nerve or thoracic duct, the most serious air tap that has is trembled with fear, once it is serious that consequence occurs, even cause death; (2) metabolic complication: the electrolyte disturbance, trace element deficiency, the essential amino acids shortage that cause as supplementary deficiency, the hypoglycemia that carbohydrate metabolism disturbance causes or hyperglycemia, liver function injury, also can cause gallbladder inner bag mud and calculus, the rising of cholestasis regulating liver-QI zymogram, intestinal barrier function to go down in addition; (3) infection complication: as conduit sepsis.
Enteral nutrition (enteral nutrition, EN) is not only more reduced expenses than TPN, and more meets physiological status, is considered to the important measures recovering intestinal blood flow, improve intestinal function.Along with the development of enteral nutrition, in nutritional support process, metabolic complication greatly reduces.But in the implementation process of enteral nutrition, patient often there will be the intestinal tract complications such as abdominal distention, stomachache, diarrhoea.The generation of intestinal tract complication and the toleration of small intestinal to enteral nutrition closely related.Therefore further investigation and improve patient to the toleration of enteral nutrition to guidance clinical effectively implement enteral nutrition have important value.
Small intestinal is not only subject to the impact of enteral nutrition scheme, Small Intestine and paathogenic factor on the toleration of enteral nutrition, also by the impact of the factors such as nutrient composition, osmotic pressure, input time, speed, temperature, concentration and nutritive canal implantation mode, and the impact of these factors is often embodied a concentrated reflection of in the change of intestinal cavity pressure.
At present, domestic and international present Research and development trend as follows:
Nutritional support is considered to one of achievement of the most great man of 20th century medical circle, but is difficult to carry out without effective approach and preparation with cause in the 1950's as the enteral nutrition of nutritional support important component part.Nineteen fifty-seven be spaceman exploitation enteral nutrition preparation because normal growth, the reproduction of rat can be maintained, be applied to human body in nineteen sixty-five, enteral nutrition is progressively carried out clinical since then.
To 20th century the mid-80 along with being familiar with again intestinal function, especially the establishment of the new theory such as " intestinal mucosal barrier ", " in intestinal bacterial translocation " and " intestinal is a center organ of stress ", new ideas, the application and research of EN support is increasing.Enteral nutrition contributes to the integrity maintaining intestinal mucosa cells structure and fuction, support intestinal mucosal barrier, reduce the generation of enterogenic infection, and be considered to the important method improving cancer patient nutriture and quality of life, so the ratio of external clinical practice enteral nutrition is increased to 80% by original 20%, domesticly also to increase sharply.
But in concrete clinical implementation process, enteral nutrition can be easily accepted by the patient side by side.Too early, implement enteral nutrition too quickly and occur severe complication sometimes, such as bowel necrosis.At present enteral nutrition toleration is evaluated to the clinical manifestation of Main Basis patient, as gastrointestinal reactions such as abdominal distention, stomachache and diarrhoea, and lack the evaluation index of objectivity.
Because the intrinsic factor affecting little gut tolerance during enteral nutrition are that intestinal motility and absorption function two side draw, therefore the comprehensive objective evaluation index of objective indicator as little gut tolerance of searching above-mentioned two aspects of concentrated expression can be imagined, thus reach requirement that is accurate, comprehensive, objective evaluation.Chinese scholars is once using the research method of the mensuration of enteric cavity pressure as intestinal movement function, current research display: for the small intestinal accepting enteral nutrition, the change of enteric cavity pressure is the synthesis result of intestinal motility and absorption function change, is also the pathogenesis basis then occurring the intestinal tract complications such as abdominal distention, stomachache and diarrhoea.Therefore, small intestinal intestinal cavity pressure mensuration can concentrated expression intestinal motility and absorption function change overall condition.
Generally, when jejunal nutrition, any method of intubation is all a certain position being fixed on small intestinal, and every section of intestinal motility all shrinks-relaxes and hockets, namely each position enteral pressure is constantly change, so desirable intestinal nutrient solution input method automatically can speed input, input of slowing down when enteral voltage rise height when enteral pressure lowers, even minibreak, makes the change of enteral pressure play the effect intelligently adjusting infusion.This infusion methods has also taken into account the daily cycle property change of gastrointestinal physiological function, farthest can improve the toleration of small intestinal to enteral nutrition.
Utility model content
The purpose of this utility model is to provide a kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, to reduce intestinal tract complication, lowers workload of accompanying and attending to, reduces medical expense.
For achieving the above object, this utility model provides following technical scheme:
A kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, comprise intestinal nutrient solution infusion tube and enteric cavity piezometry pipe, described enteric cavity piezometry pipe is positioned at outside intestinal nutrient solution infusion tube, and is connected with the sidewall of intestinal nutrient solution infusion tube; The lower port of described enteric cavity piezometry pipe is provided with the pressure transducer for detecting enteric cavity pressure, and pressure transducer is positioned at 3.5-4.5cm place above intestinal nutrient solution infusion tube lower port; Intestinal nutrient solution infusion tube sidewall between the lower port and the lower port of enteric cavity piezometry pipe of intestinal nutrient solution infusion tube is evenly staggeredly distributed with 1-10 trophopore; Described intestinal nutrient solution infusion tube upper port is connected with nutritional solution infusion pump, and is enteral feeding intestinal nutrient solution by nutritional solution infusion pump.
As further program of the utility model: described pressure transducer is positioned at 4cm above intestinal nutrient solution infusion tube lower port.
As further program of the utility model: described trophopore is provided with 5-6.
As further program of the utility model: described pressure sensor design has isolation protective circuit.
Based on an enteral nutrition closed loop intelligence infusion system for small intestinal enteric cavity pressure, comprise nutritional solution infusion pump, enteric cavity pressure signal processing system, and the described novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure; The enteric cavity pressure signal of described enteric cavity pressure signal processing system to pressure transducer collection processes, and result is passed to flow-control module, described flow-control module is according to the control nutritional solution infusion pump to the result of enteric cavity pressure and the intestinal nutrient solution actual flow size adaptation of flow feedback module feedback.
As further program of the utility model: described enteric cavity pressure signal processing system comprises I-V change-over circuit, pre-amplification circuit, active band-pass filter, second amplifying circuit, analog-to-digital conversion module, iir digital filter, microcontroller and state indicator module; Described I-V change-over circuit is used for the current signal of pressure transducer to be converted to voltage signal; Pre-amplification circuit is used for voltage signal to amplify; Active band-pass filter is used for filtering and amplifies noise and Hz noise in rear voltage signal; Second amplifying circuit is used for again amplifying voltage signal; Analog-to-digital conversion module is used for voltage signal to be converted to digital signal; Iir digital filter is used for carrying out filtering to digital signal; Digital signal for the digital signal after accepting filter, and is converted into real pressure signal by microcontroller, then controls flow-control module according to pressure signal; Described state indicator module is for showing the execution result of flow-control module.
Compared with prior art, the beneficial effects of the utility model are: this employing system of the present utility model can reduce intestinal tract complication, lower workload of accompanying and attending to, reduce medical expense, alleviate the present situation of " high cost of getting medical treatment ", making enteral nutrition can more effectively extensive use clinically, also establishing technical foundation for implementing enteral nutrition in community and family.
Accompanying drawing explanation
Fig. 1 is the structural representation of the novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure.
Fig. 2 is the theory diagram of the enteral nutrition closed loop intelligence infusion system based on small intestinal enteric cavity pressure.
Detailed description of the invention
Be described in more detail below in conjunction with the technical scheme of detailed description of the invention to this patent.
Refer to Fig. 1, a kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, comprise intestinal nutrient solution infusion tube 1 and enteric cavity piezometry pipe 2, described enteric cavity piezometry pipe 2 is positioned at outside intestinal nutrient solution infusion tube 1, and is connected with the sidewall of intestinal nutrient solution infusion tube 1; The lower port of described enteric cavity piezometry pipe 2 is provided with the pressure transducer 11 for detecting enteric cavity pressure, and pressure transducer 11 is positioned at 3.5-4.5cm place above intestinal nutrient solution infusion tube 1 lower port, is preferably 4cm; Intestinal nutrient solution infusion tube 1 sidewall between the lower port and the lower port of enteric cavity piezometry pipe 2 of intestinal nutrient solution infusion tube 1 is evenly staggeredly distributed with 1-10 trophopore 21; Described intestinal nutrient solution infusion tube 1 upper port is connected with nutritional solution infusion pump, and is enteral feeding intestinal nutrient solution by nutritional solution infusion pump.
In this utility model, because charged pressure transducer needs to contact human body, and be inserted into little enteral to measure, so described pressure sensor design has isolation protective circuit, so as to avoid an accident.
Refer to Fig. 2, a kind of enteral nutrition closed loop based on small intestinal enteric cavity pressure intelligence infusion system, comprises nutritional solution infusion pump, enteric cavity pressure signal processing system, and the described novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure; Described enteric cavity pressure signal processing system processes the enteric cavity pressure signal that pressure transducer 11 gathers, and result is passed to flow-control module, described flow-control module is according to the control nutritional solution infusion pump to the result of enteric cavity pressure and the intestinal nutrient solution actual flow size adaptation of flow feedback module feedback.
In this utility model, described enteric cavity pressure signal processing system comprises I-V change-over circuit, pre-amplification circuit, active band-pass filter, second amplifying circuit, analog-to-digital conversion module, iir digital filter, microcontroller and state indicator module; Described I-V change-over circuit is used for the current signal of pressure transducer 11 to be converted to voltage signal; Pre-amplification circuit is used for voltage signal to amplify; Active band-pass filter is used for filtering and amplifies noise and Hz noise in rear voltage signal; Second amplifying circuit is used for again amplifying voltage signal; Analog-to-digital conversion module is used for voltage signal to be converted to digital signal; Iir digital filter is used for carrying out filtering to digital signal; Digital signal for the digital signal after accepting filter, and is converted into real pressure signal by microcontroller, then controls flow-control module according to pressure signal; Described state indicator module is for showing the execution result of flow-control module.
This utility model is first a kind of for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure by developing, and for collecting, analyzing small intestinal intestinal cavity pressure delta data, Real Time Observation also determines the intrinsic pressure scope of enteric cavity being applicable to enforcement enteral nutrition; And then develop can according to the closed loop of enteral pressure change enteral nutrition intelligence infusion signal processing system, namely based on the enteral nutrition closed loop intelligence infusion system of small intestinal enteric cavity pressure, this system can reduce intestinal tract complication, lower workload of accompanying and attending to, reduce medical expense, alleviating the present situation of " high cost of getting medical treatment ", make enteral nutrition can more effectively extensive use clinically, also establishing technical foundation for implementing enteral nutrition in community and family.
Above the better embodiment of this patent is explained in detail, but this patent is not limited to above-mentioned embodiment, in the ken that one skilled in the relevant art possesses, can also makes a variety of changes under the prerequisite not departing from this patent aim.
Claims (6)
1. the novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure, it is characterized in that, comprise intestinal nutrient solution infusion tube and enteric cavity piezometry pipe, described enteric cavity piezometry pipe is positioned at outside intestinal nutrient solution infusion tube, and is connected with the sidewall of intestinal nutrient solution infusion tube; The lower port of described enteric cavity piezometry pipe is provided with the pressure transducer for detecting enteric cavity pressure, and pressure transducer is positioned at 3.5-4.5cm place above intestinal nutrient solution infusion tube lower port; Intestinal nutrient solution infusion tube sidewall between the lower port and the lower port of enteric cavity piezometry pipe of intestinal nutrient solution infusion tube is evenly staggeredly distributed with 1-10 trophopore; Described intestinal nutrient solution infusion tube upper port is connected with nutritional solution infusion pump, and is enteral feeding intestinal nutrient solution by nutritional solution infusion pump.
2. according to claim 1 for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, it is characterized in that, described pressure transducer is positioned at 4cm above intestinal nutrient solution infusion tube lower port.
3. the novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure according to claim 1, it is characterized in that, described trophopore is provided with 5-6.
4. according to claim 1 for infusion nutrient solution and the novel enteral nutrition pipe conducting enteric cavity pressure, it is characterized in that, described pressure sensor design has isolation protective circuit.
5. the intelligence of the enteral nutrition closed loop based on a small intestinal enteric cavity pressure infusion system, comprise nutritional solution infusion pump, enteric cavity pressure signal processing system, and the novel enteral nutrition pipe for infusion nutrient solution and conduction enteric cavity pressure as described in one of claim 1-4; The enteric cavity pressure signal of described enteric cavity pressure signal processing system to pressure transducer collection processes, and result is passed to flow-control module, described flow-control module is according to the control nutritional solution infusion pump to the result of enteric cavity pressure and the intestinal nutrient solution actual flow size adaptation of flow feedback module feedback.
6. the intelligence of the enteral nutrition closed loop based on small intestinal enteric cavity pressure infusion system according to claim 5, it is characterized in that, described enteric cavity pressure signal processing system comprises I-V change-over circuit, pre-amplification circuit, active band-pass filter, second amplifying circuit, analog-to-digital conversion module, iir digital filter, microcontroller and state indicator module; Described I-V change-over circuit is used for the current signal of pressure transducer to be converted to voltage signal; Pre-amplification circuit is used for voltage signal to amplify; Active band-pass filter is used for filtering and amplifies noise and Hz noise in rear voltage signal; Second amplifying circuit is used for again amplifying voltage signal; Analog-to-digital conversion module is used for voltage signal to be converted to digital signal; Iir digital filter is used for carrying out filtering to digital signal; Digital signal for the digital signal after accepting filter, and is converted into real pressure signal by microcontroller, then controls flow-control module according to pressure signal; Described state indicator module is for showing the execution result of flow-control module.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104721949A (en) * | 2015-04-10 | 2015-06-24 | 嘉兴学院 | Intestinal nutrition close-loop intelligent infusion system based on small intestine intestinal cavity pressure |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104721949A (en) * | 2015-04-10 | 2015-06-24 | 嘉兴学院 | Intestinal nutrition close-loop intelligent infusion system based on small intestine intestinal cavity pressure |
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Granted publication date: 20150819 Effective date of abandoning: 20180323 |
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