CN208851810U

CN208851810U - A kind of abdominal girdle used after gastrostomy patients

Info

Publication number: CN208851810U
Application number: CN201820715280.8U
Authority: CN
Inventors: 罗华友; 王昆华; 丁兰; 王华伟; 徐玉; 陈康; 田衍; 孙亮; 舒若; 雷丽霞
Original assignee: First Affiliated Hospital of Kunming Medical University
Current assignee: First Affiliated Hospital of Kunming Medical University
Priority date: 2018-05-15
Filing date: 2018-05-15
Publication date: 2019-05-14
Anticipated expiration: 2028-05-15

Abstract

The utility model discloses an abdominal belt used by patients with gastroenterostomy after operation, which comprises a belt body, and the belt body is provided with more than two drainage hole areas and more than two stoma hole areas, and the drainage hole area is There is an area with more than one vertical strip drainage hole, and is arranged on both sides of the abdomen with the belt body, a zipper track is arranged on the stoma hole area, the stoma display device is arranged on the zipper track and moves along it, and the stoma hole area is provided with a zipper track. The belt body is set on both sides of the abdomen; the abdominal belt can be adjusted according to the patient's body shape, stoma position and size difference, the stoma can be displayed in time, and the drainage tube can drain normally, which can meet the needs of different patients after stoma surgery. It can accelerate the healing of the patient's incision, and promote the recovery of the patient's postoperative exhaust and intestinal peristalsis function; it can also observe the patient's incision fluid exudation without opening the abdominal girdle, and has the function of early warning of excessive exudation.

Description

A kind of postoperative abdominal belt used of stomach and intestine colostomy patient

Technical field

The utility model belongs to medical instruments field, and in particular to a kind of postoperative abdominal belt used of stomach and intestine colostomy patient.

Background technique

Intestines stoma (intestinal stoma) is with a long history.Intestines stoma is mostly because disease, wound are made at first At referred to as naturality intestines stoma is wounded by stabbing, some is survived down with intestinal fistula early in ancient times soldier's abdomen has been mentioned in Bible Come.Purposefully, planned enterostomy only has two, three one-hundred-year histories.Enterostomy, which has become in surgical operation, most often to be applied One of capable art formula, it is that abdominal surgery acute disease is provisional or disease eradicates permanent remedy measures, is both to save patient's life The needs of life, and improve the means of patients ' life quality.

Most commonly terminal ileum or colonic diversion, are commonly called as artificial anus.Because treatment needs, one section of intestinal tube is pulled out abdomen Chamber, and by open seam together on incision of abdominal wall to void excreta or urine.Enterostomy is divided into the intestines to void excreta according to purpose The enterostomy (i.e. urinary tract stoma) of neostomy (i.e. artificial anus) and draining urine；It is divided into regulated intestines according to stoma controlling Neostomy and unregulated property enterostomy；It is divided into according to stoma position through intraperitoneal enterostomy and through neostomy outside abdominal cavity；Root It is divided into Enterostomy art and temporary enterostomy according to purposes；It is divided into single-chamber neostomy, two-chamber (loop according to stoma form Formula) neostomy and separation neostomy；It is divided into ileostomy and colostomy (cecostomy, liter knot according to stoma intestinal segment Enterostomy, transverse colostomy, colon descendens neostomy and sigmoidostomy).Enterostomy is all obtained all over the world Be widely applied, the whole world every year due to colorectal cancer, wound, inflammation, congenital abnormality and need row intestines stoma as many as up to hundreds of thousands of them: About 100,000 people of the annual patients with colostomy in the U.S., so far in existing 750,000 people of colostomy patients；The annual colonic diversion of Britain there are about 100000 people, about 10,000 people of ileal stoma；There are about 7000-8000 patients with colostomy every year in Hong Kong；Estimation China adds up to have so far 1000000 Enterostomy patients, and increase 100,000 or so newly every year.Needing the disease into intestines ostomy has: low level The carcinoma of the rectum, parenteral wound, bowel necrosis, intestinal obstruction, inflammatory bowel disease, anastomotic leakage, familial adenomatous polyposis, tumor of bladder and Baby's congenital hedratresia, Hirschsprung's disease and other congenital malformations etc..

Medical abdominal band is commonly found in the postoperative fixed notch of abdominal operation and prevents notch from bursting apart and fix intra-abdominal pressure relatively, common In general surgery and gynaecology and obstetrics operation, abdominal post-operation has become conventional measure using abdominal belt fixation.However, due to real in art Stomach and intestine stoma is applied, it is a little constant that this just gives abdominal belt wrapping used at present to bring:

1, existing abdominal belt can not directly observe post-surgical incisions sepage exudation situation, occur around sepage notch once generating Humidity, bacterium easily breed, it will a possibility that bringing infection；

2, the abdominal belt clinically used at present does not reserve corresponding stoma opening and stoma position is usually not fixed, and makes Used time usually requires medical worker and voluntarily cuts stoma hole site and correspondingly sized, and use is very complicated；

3, since patient's own foundation disease condition is different, intestinal tube diameter is different in size, in art stoma size also with Its different size of patient's art formula situation also difference；The modeling of size is come with above the stoma band clinically used at present Expect hole, corresponding aperture can be cut out according to stoma size；However, once binding abdominal belt, the stoma size cut out may nothing Method meets the needs of abdominal belt binding；

4, the reason of causing patient's stomach intestines ostomy is also different, has been basically divided into bacterium notch and aseptic incision, abdomen Taking no respective identification can allow medical personnel to understand notch situation rapidly, for being unfamiliar with other clinical medical matters works of patient Author is unable to judge accurately patient incision's basic condition when operating, and method used at present is that direct abdominal belt of opening is looked at straight Notch is observed, and the contaminated probability of notch can greatly increase；

5, without corresponding conduction hole on clinical abdominal belt used at present, abdominal operation needs to place abdomen, pelvic draining pipe When, the elastic band portion of the row that drainage tube can be connected across abdominal belt, abdominal belt knotting portion, patient moves or turns over often Can often drainage tube be made to give a discount, influence drainage effect, the intracorporal liquid of body can not be excreted to the outside of the body, and it is extensive that hydrops excessively influences patient It is multiple；

6, it when carrying out complicated stomach intestines ostomy, generally requires to place more drainage tubes, the drainage of drainage tube connection at present It can only be come out from one side when bag, a conduction hole, which is only arranged, can generate bad drainage effect, and such as the hydrops in opposite side cannot be fine Ground drains into this side；

7, since patient itself figure is fat or thin different, the abdominal belt size type of selection is also different, none fixes suitable Abdominal belt；Existing abdominal belt substantially has large, medium and small three kinds of models, and patient cannot select suitable abdominal belt, generally require carry out two Secondary purchase will cause the certain economic loss of patient；

8, postoperative function of intestinal canal recovery is an important indicator of patient's post-operative recovery, restores intestines peristalsis as early as possible, does sth. in advance It is helpful to whole recovery to carry out enteral nutrition；Each individual resume speed is different, and the abdominal belt used now does not promote It into the function of intestines peristalsis, can not be improved for patient is postoperative, patient restores slower.

Summary of the invention

To overcome existing technical deficiency, the utility model provides a kind of postoperative abdominal belt used of stomach and intestine colostomy patient, It can select suitable conduction hole according to patient size's size, stoma position, drainage tube position, adjust stoma hole site, promote to cut Mouth healing is accelerated function of intestinal canal and is restored, and can monitor wound extravasating, in time processing.

The utility model stomach and intestine colostomy patient postoperative abdominal belt used, including band body, draw with being provided with 2 or more on body Discharge orifice area, 2 or more stoma porose areas, drainage porose area is the region for being provided with more than one vertical bar shaped conduction hole, drains porose area It is arranged on abdomen two sides, stoma porose area with band body equipped with opening and closing track, stoma display device is arranged on opening and closing track and edge It is moved, and completes opening or closing for ostomy hole zone face, and stoma porose area is arranged with band body in abdomen two sides.

The opening and closing track is zipper comprising pull head I, pull head II, zipper teeth, pull head I, pull head II are arranged in zipper teeth It goes up and is matched therewith, pull head I, pull head II are located at stoma display device two sides.

The stoma display device includes 2 guide sleeves, built-in ring, and 2 guide sleeves are set with and are fixed on built-in ring, draw Two rack gears of sprocket are movably arranged on respectively in the outer groove of 2 guide sleeves.

The stoma display device includes 2 guide sleeves, connector I, connector II, and guide sleeve is scalable guide sleeve, It includes set I, set II, and I setting of set is in set II and slides along, and 2 sets I are connected by connector I, and 2 sets II pass through company Fitting II is connected, and two rack gears of zipper teeth are movably arranged on respectively in the outer groove of 2 guide sleeves, and viewing area is adjusted in the present apparatus The size in domain.

In the case where not adjusting abdominal belt position, stoma display device can be shown the stoma position of patient abdomen And it is used for the installation of ostomy bag.

One end is provided with interconnecting piece I on the band body, and the band body other end is provided with more than one interconnecting piece II, interconnecting piece I matches the perimeter with body for fixing belt body or adjustment with interconnecting piece II, and interconnecting piece is velcro or buckles Snap ring structure, or Other applicable connection structures.

It is provided with card pocket on the band body, for placing card, patient basis, modus operandi are marked on card And notch has free of contamination explanation, and medical personnel can be made to understand the correlation of patient and its notch, stoma within the shortest time Situation.

More than one sensor installation bag is provided on the band body, the inside is placed with humidity sensor, and is located at hand Art incision, humidity sensor are connect by single-chip microcontroller with buzzer, and single-chip microcontroller controls buzzer, single-chip microcontroller according to a conventional method It is arranged on band body with buzzer, sensor installation bag, in the position of abdomen, is arranged according to routine operation notch on abdominal belt Multiple installation bags select the sack for placing sensor as needed；Sensor installation bag can be dismountable sack, according to It needs mounted in suitable position.

It is provided with more than one magnetic bag on the band body, for placing magnetotherapy stone or magnet therapeutic plaster, effect is to promote Intestines peristalsis restores patient's gut function, accelerates patient and restores, shortens the hospital stays, mitigates patient economy burden, magnetic bag setting The position above intestines is covered in abdominal belt；Magnetic bag can be dismountable sack, as needed mounted in suitable position.

Draining the band body on porose area is elastic band, and vertical-shaped elastic band both ends are provided with the bar shaped drainage passed through for drainage tube Hole generates wholesome effect to drainage effect this avoid drainage tube discounting, and conduction hole has multiple, can place more drainages Pipe, reserved multiple conduction holes are placed for needing to place more drainage tube Shi Kecong different parts, different directions.

The utility model has the following beneficial effects: being cut to overcome after current gastrointestinal procedures medical abdominal band that can not directly observe operation Oral fluid body exudation situation cause to replace it is cumbersome, while stoma size and position and abdominal belt mismatch, patient when have pain in the loins and enteron aisle The technical problems such as functional rehabilitation is bad；The present apparatus by interconnecting piece, can be made according to patient size's difference, stoma position, size The stoma display device in oral pore area adjusts the position that ostomy hole is shown, to meet needs after different patient's neostomy；It can accelerate to suffer from Person's wound healing promotes patient's postoperative bowel, intestines peristalsis functional rehabilitation；Patient can also can be observed without opening abdominal belt i.e. to cut Oral fluid body oozes out situation, has the function of that advance alert sepage is excessive, and present apparatus structure is simple, effective, design is reasonable, operation It is convenient, it is suitable for industrialization production and marketing application.

Detailed description of the invention

Fig. 1 is present apparatus structural schematic diagram；

Fig. 2 is ostomy hole plot structure schematic diagram；

Fig. 3 is stoma display device and zipper schematic diagram；

Fig. 4 is stoma display device structure schematic diagram；

Fig. 5 is built-in ring structure schematic diagram；

Fig. 6 is the stoma display device of adjustable size and the structural schematic diagram of zipper；

Fig. 7 is the structural schematic diagram of the stoma display device of adjustable size；

In figure: 1- drains porose area；2- stoma porose area；3- bar shaped conduction hole；4- is opened and closed track；5- stoma display device；6- Interconnecting piece I；7- interconnecting piece II；8- card pocket；9- elastic band；10- band body；11- guide sleeve；Ring built in 12-；13- pull head I；14- Pull head II；15- zipper teeth；16- connector II；17- outer groove；18- connector I；19- set I；20- set II.

Specific embodiment

The utility model is described in further detail below by drawings and examples, but scope of protection of the utility model It is not limited to the content.

Embodiment 1: as shown in Figs. 1-5, the postoperative abdominal belt used of this stomach and intestine colostomy patient includes band body 10, is arranged on band body There is 2 drainage porose areas, 1,2 stoma porose area 2, drainage porose area is the region for being provided with 3 vertical bar shaped conduction holes 3, is drained on porose area Band body be elastic band 9, drainage porose area with band body be arranged on abdomen two sides, stoma porose area 2 be equipped with an opening and closing track 4, make The setting of mouth display device 5 is on opening and closing track and is moved along it, and stoma porose area 2 is with the setting of band body in abdomen two sides, opening and closing track 4 For zipper comprising pull head I 13, pull head II 14, zipper teeth 15, pull head I 13, pull head II 14 be arranged in zipper teeth 15 and and its It matches, pull head I 13, pull head II 14 are located at stoma display device two sides；Stoma display device 5 include 2 guide sleeves 11, 12,2 guide sleeves 11 of built-in ring are set with and are fixed on built-in ring 12, and two rack gears of zipper teeth 15 are movably arranged on 2 respectively In the outer groove 17 of a guide sleeve, the effect of pull head I 13, pull head II 14 on zipper is opposite.

Embodiment 2: as shown in Fig. 1,6,7, with embodiment 1, difference is present apparatus structure: stoma display device includes 2 A guide sleeve, connector I 18, connector II 16, guide sleeve are scalable guide sleeve comprising set I 19, set II 20, set I 19 are set It sets in set II 20 and slides along, 2 sets I 19 are connected by connector I, and 2 sets II 20 are connected by connector II, zipper Two rack gears of tooth 15 be movably arranged in the outer groove of 2 guide sleeves respectively (i.e. each rack gear be arranged in guide sleeve set I 19, It covers in II 20)；One end is provided with interconnecting piece I 6 on band body, and the band body other end is provided with 4 interconnecting pieces II 7, interconnecting piece I 6 and company Socket part II 7 matches the perimeter with body for fixing belt body or adjustment, and interconnecting piece is velcro, and interconnecting piece I is with hook seta Band, interconnecting piece II are the band with small, flexible fiber, card pocket 8 are provided on band body, and be located on stoma porose area, band 5 dismountable magnetic bags are provided on body, for placing magnetotherapy stone or magnet therapeutic plaster.

Embodiment 3: with embodiment 2, difference is present apparatus structure: being provided with 8 sensor installation bags, the inside on band body Humidity sensor is placed, and is located near operative incision, humidity sensor is connect by single-chip microcontroller with buzzer, humidity sensor It can be connected to single-chip microcontroller after being put into installation bag, single-chip microcontroller controls buzzer using usual manner, and interconnecting piece is buckle snap ring knot Structure.

Embodiment 4: with embodiment 2, difference is present apparatus structure: 2 dismountable sensor peaces are provided on band body Humidity sensor is placed in pack, the inside, and humidity sensor is connect by single-chip microcontroller with buzzer.

Claims

1. An abdominal girdle used after a gastroenterostomy patient, comprising a band body (10), characterized in that: the band body is provided with more than 2 drainage hole areas (1), more than 2 stoma holes Area (2), the drainage hole area is an area with more than one vertical strip drainage hole (3), the drainage hole area is arranged on both sides of the abdomen along with the belt body, and the stoma hole area (2) is provided with an opening and closing track (4). ), the stoma display device (5) is arranged on the opening and closing track and moves along it, and the stoma hole area (2) is arranged on both sides of the abdomen along with the belt body.

2. The abdominal girdle used for postoperative patients with gastroenterostomy according to claim 1, characterized in that: the opening and closing track (4) is a zipper, which comprises a slider I (13), a slider II (14), The zipper teeth (15), the slider I (13) and the slider II (14) are arranged on and matched with the zipper teeth (15), and the slider I (13) and the slider II (14) are respectively located on the stoma display both sides of the device.

3. The abdominal girdle used for postoperative patients with gastroenterostomy according to claim 2, wherein the stoma display device comprises two guide sleeves (11), a built-in ring (12), and two guide sleeves (11). ) is assembled and fixed on the built-in ring (12), and the two racks of the zipper teeth (15) are respectively movably arranged in the outer grooves (17) of the two guide sleeves.

4. The abdominal girdle used for postoperative patients with gastroenterostomy according to claim 2, characterized in that: the stoma display device comprises two guide sleeves, a connector I (18), a connector II (16), and the guide The sleeve is a telescopic guide sleeve, which includes a sleeve I (19) and a sleeve II (20). The sleeve I (19) is arranged in the sleeve II (20) and slides along it, and the two sleeves I (19) pass through the connector I (19). For fixing, the two sleeves II (20) are fixedly connected through the connecting piece II, and the two racks of the zipper teeth (15) are respectively movably arranged in the outer grooves of the two guiding sleeves.

5. The abdominal girdle used for postoperative patients with gastroenterostomy according to claim 1, wherein the upper end of the band body is provided with a connecting portion I (6), and the other end of the band body is provided with more than one connecting portion II (7), the connection part I (6) and the connection part II (7) are used to fix the belt body or adjust the circumference of the belt body.

6 . The abdominal belt used for postoperative patients with gastroenterostomy according to claim 1 , wherein a card bag ( 8 ) is arranged on the belt body. 7 .

7. The abdominal girdle used after surgery for patients with gastroenterostomy according to claim 1, characterized in that: the band body is provided with more than one sensor mounting bag, a humidity sensor is placed inside, and is located near the surgical incision, and the humidity The sensor is connected with the buzzer through the microcontroller.

8 . The abdominal belt used by patients with gastroenterostomy after operation according to claim 7 , wherein the belt body is provided with more than one magnetic therapy bag for placing magnetic therapy stones or magnetic therapy stickers. 9 .

9 . The abdominal girdle used for postoperative patients with gastroenterostomy according to claim 1 , wherein the band body on the drainage hole area is an elastic band ( 9 ). 10 .