Multifunctional integrated anal canal drainage device
Technical Field
The utility model relates to the technical field of medical equipment, specifically speaking relate to multi-functional integral type anal canal drainage device.
Background
Fecal Incontinence (FI) refers to the loss of the anal sphincter's ability to control the discharge of feces and gases, and is one of the defecating disorders. Fecal incontinence is often caused by improper nutrition in the intestines, frequent coughing, mechanical ventilation treatment, application of a large amount of broad-spectrum antibiotics, shifting of intestinal flora and other factors of patients suffering from serious illness and disturbance of consciousness. Incontinence-Associated Dermatitis (incontinent-Associated Dermatitis IAD) is the most common skin complication of patients with fecal Incontinence, and refers to inflammatory reaction caused by long-term or repeated exposure of the skin to urine and feces, sometimes with inconsistent reports of incidence of blisters or skin breakdown, and the FI incidence of long-term hospitalized patients is 46% as shown by studies of 5.6-50.0% of various foreign scholars. Several studies have demonstrated that fecal incontinence is more likely to develop than urinary incontinence, and that feces play a very important role in the formation process as a direct chemical irritant to the skin, containing lipolytic (lipid-digesting) and proteolytic (protein-digesting) enzymes that disrupt the stratum corneum. Further research results prove that frequent excretion of thin water is a main risk factor, the watery water contains more bile salts and pancreatic lipase, the activity of various enzymes is high, and the skin is damaged due to contact with the watery water.
The traditional method at present is as follows: the nursing methods of urine pad, anus scrubbing after defecation, urine pad and bed sheet replacement, medicine external application and the like are adopted. However, in clinical work, this method has been found to have a number of disadvantages: 1. if the excrement overflows continuously, the skin is easily broken to cause infection due to improper or frequent scrubbing, so that the pain of the patient is increased; 2. skin loss leads to incontinent dermatitis or pressure sores, difficulty in care work; 3. the treatment cost of the patient is greatly increased by prolonging the hospitalization time; 4. the nursing difficulty and workload are increased; 5. affecting other patients in the same room.
Therefore, the utility model of the anal canal drainage device is used for drainage of patients and ensures that the perineum and perianal skin of the patients are clean and dry. But the anal canal drainage device of prior art function is not comprehensive, at present, the suture is clinically adopted to fix as traumatic operation, easily cause patient infection, traditional adhesive plaster is fixed and can not fix the anal canal well and is easy to come off, partial adopts the air bag internal fixation and is easy to cause the patient to relieve oneself and uncomfortable, partial tissue is pressed at the same time, partial blood flow obstruction may be caused to cause complications, anal sphincter diastole leads to loose stool or drainage liquid overflows from the side of the drainage tube when the intra-abdominal pressure of the patient increases, and drainage effect can not be achieved. Other deficiencies, such as lack of efficacy in diluting the stool, easy clogging when the stool is more viscous; for example, the rehabilitation treatment of local injury and tissue edema of a patient cannot be carried out due to no medicine injection function; for example, no anal temperature sensing function.
SUMMERY OF THE UTILITY MODEL
The utility model aims at the defect of above-mentioned prior art, provide a multi-functional integral type anal canal drainage device, can be used to patient's drainage, use medicine, anus temperature detection and shit and collect, the drainage is effectual, is difficult for deviating from.
In order to realize the purpose, the technical scheme of the utility model is that:
the multifunctional integrated anal canal drainage device comprises a drainage main pipe 1 for draining loose excrement, a liquid injection branch pipe 2 which is used for injecting liquid medicine or flushing liquid and is attached to the inner side wall of the drainage main pipe 1, a viscous seepage absorption patch 9 for positioning, a guide wire 7 for dredging, an anal temperature measuring instrument and a negative pressure drainage bag 19; the top of the inlet end of the drainage tube is provided with a through hole 6, and the side wall of the drainage tube is provided with a square side hole 5; an umbrella-shaped structure 8 which is used for avoiding pollution and is provided with a viscous seepage absorbing paste is arranged at the position, close to the anus, of the main drainage pipe 1; the negative pressure drainage bag 19 consists of a bag body, a hose 18, a negative pressure connecting pipe 20 and a drainage valve 21; the anus temperature measuring instrument is composed of a temperature probe 12, a current signal amplifier 15, a power supply module 16 and a Bluetooth transmission chip component 17, and further comprises a computer data terminal, and the computer data terminal is provided with a Bluetooth signal receiving component.
The utility model discloses an integral type anal canal drainage device function is comprehensive, the drainage is responsible for 1 and is formed main lumen, it forms vice lumen to annotate liquid branch pipe 2, annotate liquid branch pipe 2 bottom and set up and annotate liquid pipe 11, can pour into different medicine or liquid into repeatedly through enemator or syringe, constipation patient can be to the rectum lavage, it is unobstructed to keep shitting, the liquid drainage after shitting and the lavage is collected, can be used to the sample inspection of shitting, it is unobstructed to guarantee that the patient draws the defecation, avoid anal edema and internal hemorrhoid varicose vein, the gentle defecation volume of patient anus of real-time supervision simultaneously, help the doctor to diagnose, guarantee that the patient is recovered, rectal and anal disease patient can be used to the rectum and doses, coma, fecal incontinence, intestinal fungus class maladjusted severe patient.
Further, the bottom end of the liquid injection branch pipe 2 is provided with a pipe plug 4 and a liquid injection pipe 11, and the liquid injection branch pipe 2 is connected with an enemator or a syringe according to requirements and is used for adding medicine or injecting flushing liquid.
Further, the drainage main pipe 1 and the liquid injection branch pipe 2 are silicone tubes and soft in texture. The head of the drainage main pipe 1 adopts a lubricating coating, is smooth and round, and relieves the discomfort of patients.
Further, annotate the liquid branch pipe 2 top and be provided with the notes liquid branch pipe cap 3 that can follow notes liquid thrust change and open and close, open when having liquid medicine or flushing fluid to annotate, otherwise close, get into when can avoiding defecate drainage and annotate liquid branch pipe 2 and arouse the pollution.
Further, seal wire 7 is from the drainage and is responsible for 1 side pipeline and stretch into, and the drainage is responsible for 1 inner wall and 7 junctures of seal wire and is provided with umbelliform structure 10 and avoids polluting, and 7 head ends of seal wire are circular, and length does not exceed drainage and is responsible for 1 length and avoids 7 damage local tissues of rectum, and there is a plastics head push-and-pull operation of being convenient for in the bottom.
Furthermore, the appearance of the drainage main pipe 1 is provided with length scales, and the viscous seepage absorption paste 9 for positioning and the umbrella-shaped structure 8 with the viscous seepage absorption paste can move according to the insertion length of the drainage pipe, so that the drainage pipe can meet the insertion length requirements of different patients.
Furthermore, the end of the drainage main pipe 1 is provided with a connector 22 connected with the drainage pipe, which is beneficial to being tightly sleeved with the drainage bag hose 18 and preventing the drainage bag hose from falling off in the using process.
Further, the temperature probe 12 on the head of the drainage main pipe 1 is a precision thermistor and is used for detecting the anal temperature and converting a temperature signal into an electric signal which is transmitted to the current signal amplifier 15 through a lead 14.
Further, the inner wall of the main drainage pipe 1 is provided with a branch pipe 13, and a lead 14 passes through the branch pipe to protect the lead 14.
Further, the negative pressure drainage bag 19 is provided with a negative pressure connection tube 20, which is connected with a negative pressure source to maintain negative pressure drainage.
Furthermore, the negative pressure drainage bag 19 is provided with volume scales, which can reflect the defecation amount and assist the diagnosis of doctors.
The clinical use of this integral type anal canal drainage device is: 1. enema and rectal lavage can keep the stool smooth and reduce the absorption of toxin; 2. the rectal administration effectively improves the curative effect; 3. the excrement drains, so that the generation of incontinent dermatitis can be effectively prevented and reduced, and the risks of urinary tract infection and pressure sore infection are reduced; 4. the collection of stool samples is convenient; 5. monitoring the anal temperature in real time to assist a doctor in diagnosis; 6. reduce the workload of nurses, keep the environment of the ward clean and avoid the excrement pollution and the cross infection.
Compared with the prior art, the beneficial effects of the utility model and the progress that gains are: the utility model discloses an integral type anal canal drainage device can be used to patient's drainage, medicine, anus temperature detection and shit collection, and the location is effectual, makes the drainage ware be difficult for deviating from, realizes and doctorses and nurses the effective cooperation of work.
Drawings
Fig. 1 is a schematic structural diagram of the present invention.
Description of reference numerals:
1-drainage main pipe 2-liquid injection branch pipe
3-filling branch pipe cap 4-filling branch pipe plug
5-Square side hole 6-penetration hole
7-guide wire 8-umbrella-shaped structure with viscous seepage absorbing paste
9-viscous seepage absorbing patch
Umbrella-shaped structure for avoiding pollution at junction of 10-guide wire and inner wall of drainage main pipe
11-syringe joint and injection tube 12-temperature probe
13-branch for passing of wire 14-wire
15-current signal amplifier 16-power supply module
17-Bluetooth transmission chip assembly 18-drainage bag hose
19-drainage bag 20-negative pressure connecting pipe
21-relief valve 22-drainage main pipe end and drainage pipe connection interface
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings by way of specific embodiments. The features and advantages of the present invention will become more apparent and more readily appreciated as the description proceeds.
As shown in figure 1, the integrated anal canal drainage device of the utility model mainly comprises a drainage tube, an anal temperature measuring instrument and a negative pressure drainage bag 19. The drainage tube comprises a drainage main tube 1 for draining the loose stool, a liquid injection branch tube 2 which is used for injecting liquid medicine or flushing liquid and is attached to the inner side wall of the drainage main tube 1, a liquid injection branch tube cap 3 which can be opened and closed along with the change of liquid injection thrust at the top end of the liquid injection branch tube 2, a tube plug 4 and a liquid injection tube 11 at the bottom end of the liquid injection branch tube 2, a viscous seepage absorption paste 9 for positioning and a guide wire 7 for dredging, wherein an umbrella-shaped structure 10 for avoiding pollution is arranged at the junction of the inner wall of the drainage main tube 1 and the guide; the top of the inlet end of the drainage tube is provided with a through hole 6, and the side wall of the drainage tube is provided with a square side hole 5; an umbrella-shaped structure 8 which is used for avoiding pollution and is provided with a viscous seepage absorbing paste is arranged at the position, close to the anus, of the main drainage pipe 1; the end of the drainage main pipe 1 is provided with a connector 22 connected with the drainage pipe, and is tightly sleeved with the drainage bag hose 18. The anal temperature measuring instrument comprises a temperature probe 12, a lead 14, a current signal amplifier 15, a power supply module 16 and a Bluetooth transmission chip component 17. The temperature probe 12 detects the anal temperature and converts the temperature signal into a current signal, the wire 14 transmits the current signal to the current signal amplifier 15 through the branch pipe 13 on the inner wall of the drainage main pipe 1, the current signal is transmitted to the Bluetooth signal receiving assembly of the computer data terminal through the Bluetooth transmission chip assembly 17 after being amplified, and the temperature probe monitors, analyzes and manages the body temperature information of the patient in real time and assists the diagnosis of a doctor. The power module 16 supplies power to maintain the operation of the bluetooth device. The negative pressure drainage bag 19 comprises a bag body, a hose 18, a negative pressure connecting pipe 20 and a relief valve 21. The hose 18 and the end of the drainage main pipe 1 are tightly sleeved with a connector 22 connected with the drainage pipe to drain the excrement into the bag. The negative pressure connecting pipe 20 is connected with a negative pressure source to maintain negative pressure drainage. The excrement in the drainage bag 19 can be cleared and discharged by unscrewing the drain valve 21.
The utility model discloses an integral type anal canal drainage device function is comprehensive, the drainage is responsible for 1 and is formed the main lumen, it forms vice lumen to annotate liquid branch pipe 2, can pour into different medicine or washing liquid into repeatedly through enemator or syringe, constipation patient can be to the rectum lavage, it is unobstructed to keep defecating, defecating and the liquid drainage after the lavage are collected, can be used to the sample inspection of defecating, it is unobstructed to guarantee that the patient draws the defecation, avoid anal edema and internal hemorrhoid varicose vein, the gentle defecation volume of patient's anus of real-time supervision simultaneously, help the doctor to diagnose, guarantee that the patient is recovered. Patients with anorectal diseases can be administered via rectum, and patients with coma, fecal incontinence, and intestinal bacteria disorder can be used for defecation drainage. The positioning effect of the viscous seepage absorption paste 9 is good, and the drainage tube is not easy to be separated; the arrangement of the penetrating holes 6 and the square side holes 5 ensures that drainage is smoother; the guide wire 7 can be pushed and pulled, and an effective dredging effect is achieved.
In a further preferred embodiment, the bottom end of the liquid injection branch pipe 2 is provided with a pipe plug 4 and a liquid injection pipe 11, and the liquid injection branch pipe 2 is connected with an enemator or a syringe according to requirements for adding medicine or injecting flushing liquid.
In a further preferred embodiment, the main drainage pipe 1 and the branch injection pipe 2 are made of high polymer materials and are soft. The head of the drainage main pipe 1 is made of lubricating materials, so that the head is smooth and round, and the discomfort of a patient is relieved.
In a further preferred embodiment, the top end of the liquid injection branch pipe 2 is provided with a liquid injection branch pipe cap 3 which can be opened and closed along with the change of liquid injection thrust, and the liquid injection branch pipe cap is opened when liquid medicine or flushing liquid is injected, or closed, so that the liquid injection branch pipe 2 is prevented from entering the liquid injection branch pipe to cause pollution when excrement is drained.
In a further preferred embodiment, the drainage main pipe 1 is provided with length scales, and the viscous seepage absorption paste 9 for positioning and the umbrella-shaped structure 8 with the viscous seepage absorption paste can move according to the embedded length of the drainage pipe, so that the drainage pipe can meet the requirements of different patients.
In a further preferred embodiment, the end of the drainage main pipe 1 is provided with a connector 22 connected with the drainage pipe, which is helpful for being tightly sleeved with the drainage bag hose 18 and preventing the drainage bag hose from falling off during use.
In a further preferred embodiment, the negative pressure drainage bag 19 is provided with a negative pressure connection tube 20, which is connected to a negative pressure source to maintain the negative pressure drainage.
The drainage tube can be kept for a long time, which is most suitable for about one week and can reach 1 month at most. If the blockage or the poor drainage occurs, the drainage can not be dredged and the drainage can be replaced at any time. The drainage bag 19 can be replaced at any time as required.
The clinical use of the negative pressure type integrated anal canal drainage device is as follows: 1. enema and rectal lavage can keep the stool smooth and reduce the absorption of toxin; 2. the rectal administration effectively improves the curative effect; 3. the excrement drains, so that the generation of incontinent dermatitis can be effectively prevented and reduced, and the risks of urinary tract infection and pressure sore infection are reduced; 4. the collection of stool samples is convenient; 5. monitoring the anal temperature in real time to assist a doctor in diagnosis; 6. reduce the workload of nurses, keep the environment of the ward clean and avoid the excrement pollution and the cross infection.
The utility model discloses an integral type anal canal drainage device can be used to patient's drainage, medicine, anus temperature detection and shit collection, and the location is effectual, makes the drainage ware be difficult for deviating from, realizes and doctorses and nurses the effective cooperation of work.
Examples
This is further illustrated below by way of an exemplary example.
The materials used were:
1. the drainage tube and the hose 18 are made of silica gel;
2. the length of the drainage tube is 35-40cm, and the drainage tube is placed in the body by about 5-10 cm; the model adopts 16 (inner diameter 5.3mm), 18 (inner diameter 6.0mm), 20 (inner diameter 6.7mm), 22 (inner diameter 7.3mm), 24 (inner diameter 8.0mm), 26 (inner diameter 8.7mm) and 28 (inner diameter 9.3 mm);
3. the drainage hose 18 has a length of 30 cm. The model adopts No. 22 (7.3mm), No. 24 (8.0mm), No. 26 (8.7mm) and No. 28 (9.3mm)
4. The inner diameter of the injection branch pipe 2 is 1.1mm, and the flow rate reaches 50 ml/min; the tail end of the syringe is connected with the outer cone joint, which meets the regulation of GB/T1962.1 or GB/T1962.2;
5. the distance between the head of the liquid injection branch pipe 2 and the head of the main drainage pipe 1 is 1cm, and the distance between the branch position of the liquid injection branch pipe 2 and the bottom end is 10 cm;
6. the head of the drainage tube adopts a lubricating coating;
7. the guide wire 7 is made of steel wire;
8. the pipeline adopts a double cavity, and can be used for washing enema and local application;
9. the temperature probe 12 adopts a high-precision thermistor;
10. the lead 14 is made of copper;
11. the drainage bag 19 is made of soft polyvinyl chloride.
The method is characterized in that:
the anal fistula drainage tube has the advantages that the safety is good, anastomotic leakage is a serious complication after rectal cancer anus protection, 5-15% of anastomotic leakage is researched in China in the past, a large amount of researches show that partial rectal cancer postoperative conventional retention drainage tube is a protection factor of postoperative anastomotic leakage, anal sphincter relaxation is facilitated, when the anal fistula drainage tube is applied to treatment after anastomotic leakage, the anal fistula drainage tube is usually placed for two weeks, and can be pulled out when body temperature and hemogram are normal and radiography does not leak outwards, the occurrence of incontinent dermatitis can be effectively reduced for severe patients with diarrhea, the pain of the patients is relieved, for severe patients with organophosphorus pesticide poisoning, secretions containing toxins can be timely discharged after retention of the drainage tube, meanwhile, direct drainage avoids stimulation of excrement containing organophosphorus to perianal skin and absorption of the toxins through perianal skin, abdominal distension can be quickly relieved before retention of the retention drainage tube after congenital giant colon reflux enema, the preparation time before children is shortened, multiple retention of intestinal tubes is facilitated, and the occurrence of anastomotic fistula can be effectively prevented after giant radical treatment.
the drainage tube has strong drainage force and obvious effect, different types are selected according to the age of patients, the 16-28 silicone tubes have larger caliber, the drainage and pressure reduction effect is obvious, gas and liquid can be discharged after operation, and loose stool can be discharged, so that the pressure in the intestinal canal is effectively reduced.
and thirdly, the retention time of the drainage tube needs to be proper, the retention time is not too long or too short, the purpose of protecting an anastomotic stoma can not be achieved if the retention time is too short, and dead cavities are easily caused if the retention time is too long, so that bacteria are propagated.
fourthly, after the drainage tube is placed in the body to a proper length, generally 5-10 cm., the drainage tube is inserted to a depth exceeding the anastomotic stoma, and the optimal position is 3-5cm above the anastomotic stoma.
for patients with rectal cancer, the amount, color, character and gas discharge condition of anal canal drainage liquid and intestinal cavity need to be monitored in real time, the drainage tube is prevented from folding, twisting and falling off particularly during the turnover after operation, the drainage is kept smooth, and for patients with severe organophosphorus pesticide poisoning, repeated clysis is facilitated after the drainage tube is left, the nature and amount of excrement are observed, and the monitoring is facilitated.
the double-cavity type can be injected with enema to flush or be injected with hemostatic drugs, such as norepinephrine and Yunnan white liquor, etc., to achieve the purpose of local hemostasis.
and the silica gel is placed in the intestinal cavity, the texture is flexible, the shape can be flattened and bent along with the intestinal tube, the tube cavity is large, and uniform side holes are formed around the tube wall, so that the effect of full drainage can be achieved.
⑧ the anus temperature measuring instrument is connected with the computer terminal through the Bluetooth to realize real-time monitoring, analysis ⑧ management of the body temperature information of the patient ⑧ assist the diagnosis of doctors.
⑨, the drainage bag 19 is used for collecting excrement and enema, can be used for the examination of samples and is helpful for the diagnosis of doctors.
Note the following:
when the drainage tube is placed, the action is gentle, and violent operation is avoided to prevent injury, the rectum anal tube or the low-position anastomotic stoma is generally and lightly placed above the anal sphincter, the rectum anal tube or the low-position anastomotic stoma does not need to be placed above the level of the anastomotic stoma and cannot press the front sacrum, so that the rupture and bleeding of the anterior sacral venous plexus are avoided.
secondly, a small number of patients can feel uncomfortable due to anus falling and expanding after placing the large-diameter drainage tube for 1-2 days, and the patients are convenient and frequent, generally disappear after adaptation, and do not need to be treated.
the drainage tube can be kept for a long time, the most suitable period is about 1 week, the longest period can reach one month, the drainage bag 19 can be replaced at any time according to needs, when the drainage bag 19 is replaced, the end of the drainage main tube 1 is provided with a connector 22 connected with the drainage tube, and the connector 22 is tightly sleeved with the drainage bag hose 18 to prevent the drainage tube from falling off.
The basic principles and the main features of the invention and the advantages of the invention have been shown and described above. It will be understood by those skilled in the art that the present invention is not limited to the above embodiments, and that the foregoing embodiments and descriptions are provided only to illustrate the principles of the present invention without departing from the spirit and scope of the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.