CN214858525U - Severe patient prone position is ventilated and is prevented pressing sore nursing mattress - Google Patents
Severe patient prone position is ventilated and is prevented pressing sore nursing mattress Download PDFInfo
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- CN214858525U CN214858525U CN202120598348.0U CN202120598348U CN214858525U CN 214858525 U CN214858525 U CN 214858525U CN 202120598348 U CN202120598348 U CN 202120598348U CN 214858525 U CN214858525 U CN 214858525U
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Abstract
The utility model discloses a nursing mattress for preventing pressure sores by ventilating in a prone position of a severe patient, which mainly comprises a mattress main body, wherein a shank adjusting area, a thigh adjusting area, a hip adjusting area, an abdomen vacancy area, a chest adjusting area, a chest lifting area, an intubation area and a head adjusting area are sequentially arranged on the mattress main body from one end; a plurality of auxiliary air bags are arranged in the shank adjusting area, the thigh adjusting area and the chest adjusting area; a hip air bag is arranged in the hip adjusting area, a hip air bag through groove is arranged in the middle of the hip air bag, a chest air bag through groove is arranged in the chest lifting area, and a plurality of head air bags are arranged in the head adjusting area; the auxiliary air bag, the hip air bag, the chest air bag and the head air bag are communicated with the main air pipe after being connected with the branch air pipe, the branch air pipe is provided with an adjusting valve, and the main air pipe is provided with an air pipe joint. The utility model discloses product head, chest, crotch, shank subregion lift gasbag can let the patient obtain comfortable prostrate gesture, and effectively avoids weighing wounded.
Description
Technical Field
The utility model relates to the technical field of medical equipment is relevant, concretely relates to severe patients prone position is ventilated and is prevented pressing sore nursing mattress.
Background
Acute Respiratory Distress Syndrome (ARDS) is a clinical syndrome caused by intrapulmonary and/or extrapulmonary causes, characterized by refractory hypoxemia, and is of great interest for high mortality. The causes of acute respiratory distress syndrome are various, and the pathogenesis of acute respiratory distress syndrome caused by different causes is also different. The clinical manifestations are acute onset, respiratory distress, hypoxemia which is 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 content involves: diagnosis and differential diagnosis, treatment monitoring and treatment guidance, critical degree and prognosis evaluation and the like; acute Respiratory Distress Syndrome (ARDS) therapy includes both mechanical and non-mechanical ventilation therapy, and effective treatments continue to be explored.
ARDS is a common disease seriously threatening the life of patients in the field of critical medicine, and in recent years, it has been found that performing Prone Position Ventilation (PPV) on ARDS patients can effectively improve the oxygenation status thereof.
Prone Position Ventilation (PPV) refers to the procedure of placing a patient in a prone position to dilate the lungs in the prolapsed area and improve the rate of ventilation and perfusion when performing mechanical ventilation. Years of clinical research proves that the prone position ventilation can improve the oxygen partial pressure of patients with acute lung injury/acute respiratory distress syndrome and improve oxygenation, the effective rate of treatment reaches 64-78%, and the oxygenation effect of at least 75% of patients in the prone position is obviously improved. Therefore, for these patients, prone position ventilation becomes a treatment option when the protective mechanical ventilation is not effective, and currently there is much acceptance to ensure at least a 12h daily prone position, i.e. a single long-time prone position ventilation, with conditional licensing suggesting continuous prone position ventilation.
Although prone position ventilation has more advantages, the incidence rate of pressure injury of patients with prone position ventilation is high, and nursing complications are more. For example, aspiration, conjunctival edema and skin mucosa injury caused by reflux of gastric contents easily occur, and blood pressure fluctuation, tracheal catheter prolapse and self-extubation caused by posture change, and compression, distortion, displacement, prolapse and the like of various drainage tubes and central and peripheral arteriovenous catheters are easily caused; the posture change can cause dysphoria and uncooperative disorder of the patient, and needs to increase the dosage of patient sedation and muscle relaxation agents, thereby bringing certain risks; rare complications such as nerve compression, muscle crush, venous congestion and the like can occur in a very small number of patients. Research also indicates that the risk of pressure sores in the prone position is greater than that in the supine position, the longer the prone position, the greater the risk of skin problems, especially the forehead, eyes, cheeks, nose and mandible, bilateral auricles, bilateral anterior sides of shoulder peaks, bilateral ribs, breast, bilateral anterior superior iliac spines, double elbow joints, knee joint patella surfaces, perineum and toes, and the like, the occurrence rate of pressure sores is as high as 46.1%, and the pressure sores and trachea cannula blockage are mostly multiple (more than 2), and research indicates that the pressure sores and trachea cannula blockage are the most common complications of patients with prone position ventilation. In addition, studies attempt to reduce the occurrence of skin pressure injury by increasing the number of times of turning over during prone position ventilation, and the results of the studies suggest that the occurrence rate of skin pressure injury is reduced, but the occurrence rate of complications such as blood pressure fluctuation caused by turning over, unplanned tube drawing, and reflux of nasal feeding patients is increased.
At present, the mode prevention skin pressure nature damage that the clinical adoption of prone position was ventilated is at underbody soft pillow, silica gel etc. takes place mostly, though soft pillow has certain decompression effect to pressurized skin to reduced the emergence of skin pressure nature damage to a certain extent, nevertheless have the limitation: firstly, the filling materials of the soft pillow are cotton wool, so that the soft pillow is easy to absorb water and not beneficial to drainage, the skin is easy to be wet, and the factors of pressure injury are increased; secondly, the material is soft and easy to extrude and deform, the supporting strength for the patient who is ventilated in the long-time prone position is not enough, and the nursing risks such as folding, shifting, slipping and the like of the artificial airway catheter are easy to occur; thirdly, some serious patients are in a coma state, and medical care personnel can hardly lift the patients for a long time to adjust different cushion blocks to be in proper positions; the cushion blocks used by patients with different heights are different in position and are inconvenient to adjust and use; fifth, the pressure injury of the private parts of male patients and the chest of female patients cannot be avoided well; sixthly, because the patient keeps the prone position for a long time, part of the patients have restlessness and the arms are not fixed, and the patients are easy to have medical accidents caused by tube drawing or excessive movement and the like. Related designs can be found in chinese patents 201620537983.7, 201620537987.5, 201620537989.4, 201620537991.1, 201920940714.9, etc.
Disclosure of Invention
Technical problem to be solved
In order to solve the problem that exists among the above-mentioned background art, the utility model relates to a severe patients prone position is ventilated and is prevented pressing sore nursing mattress, its aim at: the utility model provides a severe patient prone position is ventilated and is prevented pressing sore nursing mattress, satisfies different heights, sex patient and effectively prevents pressing sore nursing when carrying out the prone position treatment of ventilating, avoids patient's restlessness or the involuntary action to bring medical accident simultaneously.
(II) technical scheme
In order to achieve the above object, the utility model provides a following technical scheme:
the utility model provides a severe patient prone position is ventilated and is prevented pressing sore nursing mattress, mainly includes mattress main part 4, its characterized in that: the nursing mattress also comprises a bronchus 2, an adjusting valve 3, a main bronchus 5 and a bronchus connector 9, wherein a shank adjusting area 1, a thigh adjusting area 23, a crotch bone adjusting area 6, an abdomen vacancy area 15, a chest adjusting area 24, a chest lifting area 7, an intubation area 11 and a head adjusting area 12 are sequentially arranged on the mattress main body 4 from one end; a plurality of auxiliary air bags 17 are arranged in the shank adjusting area 1, the thigh adjusting area 23 and the chest adjusting area 24; a crotch air bag 22 is arranged in the crotch adjusting area 6, a crotch air bag through groove 18 is arranged in the middle of the crotch air bag 22, a chest air bag 21 is arranged in the chest lifting area 7, a chest air bag through groove 19 is arranged in the middle of the chest air bag 21, and a plurality of head air bags 20 are arranged in the head adjusting area 12; the auxiliary air bag 17, the hip air bag 22, the chest air bag 21 and the head air bag 20 are connected with the bronchus 2 and then communicated with the main air pipe 5, the bronchus 2 is provided with the regulating valve 3, and the main air pipe 5 is provided with the air pipe joint 9.
As a preferable scheme of the previous step, a right arm bracket 10 and a left arm bracket 13 are arranged on two sides of the head part of the mattress main body 4, and a plurality of fixing belts 8 are arranged on the right arm bracket 10 and the left arm bracket 13. The fixing belt 8 is used for fixing the upper limbs of the patient 25, and medical accidents caused by agitation or accidental actions of the patient are prevented.
As a preferable proposal of the previous step, a pudendum counter bore 16 is arranged in the middle of the crotch bone adjusting area 6. The pudendum counterbore 16 prevents pudendum organs of male patients from being crushed.
As a preferable scheme of the previous step, a chest counter bore 14 is arranged in the middle of the chest lifting area 7. The chest countersink 14 prevents compression injury in female patients, particularly patients having a chest operation.
In the above preferred embodiment, the abdominal cavity area 15 and the intubation tube area 11 are of a non-elevation structure. The abdominal cavity 15 may relieve bruising the patient 25 and may facilitate placement of a drainage tube, etc., and the intubation area 11 may facilitate intubation therapy, etc.
(III) advantageous effects
The utility model provides a severe patient prone position is ventilated and is prevented pressing sore nursing mattress possesses following beneficial effect:
1. the utility model discloses product head, chest, crotch, shank subregion lift gasbag can let the patient obtain comfortable prostrate gesture, and effectively avoids weighing wounded.
2. The middle parts of the air bags at the chest and the crotch of the utility model are provided with counter bores, which can avoid the pressing injury of the chest of female patients and the private parts of male patients; the neck and the lower side of the abdomen can be used for intubation, drainage and other treatments.
3. The utility model discloses the supplementary gasbag of product has the fine setting function, can satisfy different height size patients.
4. The utility model discloses the product has patient's upper limbs fixing device, can avoid patient's restless tube drawing or unexpected action medical accident in the morning.
5. The product of the utility model is simple in structure, be convenient for manufacturing and promote, product convenient to use can reduce medical personnel's working strength and the degree of difficulty, improves the security and the comfort level that the patient used the prone position treatment of ventilating, has further promoted the doctor-patient relation.
Drawings
FIG. 1 is a front view of the present invention;
fig. 2 is a top view of the present invention;
FIG. 3 is a schematic view of the airbag connection of the present invention;
FIG. 4 is a schematic view of the usage state of the present invention;
the multifunctional nursing bed comprises a lower leg adjusting area 1, a lower leg adjusting area 2, a bronchus 3, an adjusting valve 4, a mattress main body 5, a main tracheal tube 6, a hip bone adjusting area 7, a chest lifting area 8, a fixing band 9, a tracheal joint 10, a right arm bracket 11, an intubation area 12, a head adjusting area 13, a left arm bracket 14, a chest counter bore 15, an abdominal vacancy area 16, a pudendum counter bore 17, a sub-gasbag 18, a hip gasbag through groove 19, a chest gasbag through groove 20, a head gasbag 21, a chest gasbag 22, a hip gasbag 23, a thigh adjusting area 24, a chest adjusting area 25 and a patient.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Example (b):
as shown in fig. 1 to 4, a plurality of auxiliary air bags 17 are arranged in the shank adjusting area 1, the thigh adjusting area 23 and the chest adjusting area 24; a plurality of head air bags 20 are arranged in the head adjusting area 12; a crotch air bag 22 is arranged in the crotch adjusting area 6, and a crotch air bag through groove 18 is arranged in the middle of the crotch air bag 22; a chest air bag 21 is arranged in the chest lifting area 7, and a chest air bag through groove 19 is arranged in the middle of the chest air bag 21; the sub-airbag 17, the hip airbag 22, the chest airbag 21, and the head airbag 20 are connected to the bronchus 2 and then communicated with the main air tube 5. The bronchus 2 is provided with an adjusting valve 3 for adjusting the functions of inflation, closing and deflation. The main air pipe 5 is provided with an air pipe joint 9 for connecting with an air supply pipeline.
A private part counter bore 16 is arranged in the middle of the crotch bone adjusting area 6, and the private part counter bore 16 prevents the private part organs of male patients from being crushed;
a chest counter bore 14 is arranged in the middle of the chest lifting area 7, and the chest counter bore 14 prevents a female patient, particularly a patient 25 with a chest operation from causing crush injury;
the two sides of the head part of the mattress main body 4 are provided with a right arm bracket 10 and a left arm bracket 13. The right arm bracket 10 and the left arm bracket 13 are provided with a plurality of fixing belts 8, and the fixing belts 8 are used for fixing the upper limbs of the patient 25 to prevent medical accidents caused by agitation or accidental actions.
The abdominal cavity area 15 and the intubation area 11 cannot be lifted or lowered. The abdominal cavity 15 may relieve bruising the patient 25 and may facilitate placement of a drainage tube, etc., and the intubation area 11 may facilitate intubation therapy, etc.
The mattress main body 4 is sequentially and correspondingly provided with: a lower leg adjusting area 1, a thigh adjusting area 23, a crotch bone adjusting area 6, an abdominal vacancy area 15, a chest adjusting area 24, a chest lifting area 7, an intubation area 11 and a head adjusting area 12. According to the actual body type of the prone position of the patient, the air bags at different positions are controlled to be inflated, so that comfortable prone position ventilation treatment is achieved.
The specific implementation process comprises the following steps:
as shown in fig. 1 to 4, the implementation process includes the following steps:
1) the head, the chest, the crotch and the like of the patient 25 are correspondingly prostrated in the head adjusting area 12, the chest lifting area 7, the crotch bone adjusting area 6 and the lower leg adjusting area 1.
2) And adjusting an adjusting valve 3 on the bronchus 2 to enable the shank adjusting area 1, the crotch bone adjusting area 6, the chest lifting area 7 and the head adjusting area 12 to be lifted to proper positions.
3) According to the body types of patients 25 with different heights, the thigh adjusting area 23 and the chest adjusting area 24 are adjusted to proper heights, and the patients 25 are in a comfortable prone state.
4) The upper limbs of the patient are respectively placed on a right arm bracket 10 and a left arm bracket 13 which are arranged at two sides of the head position of the mattress main body 4.
5) The upper limbs of the patient 25 are fixed by the fixing belts 8 on the right arm bracket 10 and the left arm bracket 13, so that the medical accidents caused by agitation or accidental actions are prevented.
The design purpose is achieved.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents. To sum up, the utility model discloses reach anticipated purpose.
Claims (5)
1. The utility model provides a severe patient prone position is ventilated and is prevented pressing sore nursing mattress, mainly includes mattress main part (4), its characterized in that: the nursing mattress also comprises a bronchus (2), an adjusting valve (3), a main bronchus (5) and a gas pipe joint (9), wherein a shank adjusting area (1), a thigh adjusting area (23), a hip adjusting area (6), an abdomen vacancy area (15), a chest adjusting area (24), a chest lifting area (7), an intubation area (11) and a head adjusting area (12) are sequentially arranged on the mattress main body (4) from one end; a plurality of auxiliary air bags (17) are arranged in the shank adjusting area (1), the thigh adjusting area (23) and the chest adjusting area (24); a crotch air bag (22) is arranged in the crotch adjusting area (6), a crotch air bag through groove (18) is arranged in the middle of the crotch air bag (22), a chest air bag (21) is arranged in the chest lifting area (7), a chest air bag through groove (19) is arranged in the middle of the chest air bag (21), and a plurality of head air bags (20) are arranged in the head adjusting area (12); the auxiliary air bag (17), the hip air bag (22), the chest air bag (21) and the head air bag (20) are connected with the bronchus (2) and then communicated with the main air pipe (5), the bronchus (2) is provided with the regulating valve (3), and the main air pipe (5) is provided with the air pipe joint (9).
2. The severe patient prone position ventilation pressure sore prevention nursing mattress according to claim 1 is characterized in that: the mattress is characterized in that a right arm bracket (10) and a left arm bracket (13) are arranged on two sides of the head of the mattress main body (4), and a plurality of fixing bands (8) are arranged on the right arm bracket (10) and the left arm bracket (13).
3. The severe patient prone position ventilation pressure sore prevention nursing mattress according to claim 1 is characterized in that: a private part counter bore (16) is arranged in the middle of the crotch bone adjusting area (6).
4. The severe patient prone position ventilation pressure sore prevention nursing mattress according to claim 1 is characterized in that: a chest counter bore (14) is arranged in the middle of the chest lifting area (7).
5. The severe patient prone position ventilation pressure sore prevention nursing mattress according to claim 1 is characterized in that: the abdominal vacancy area (15) and the intubation area (11) are of non-lifting structures.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120598348.0U CN214858525U (en) | 2021-03-24 | 2021-03-24 | Severe patient prone position is ventilated and is prevented pressing sore nursing mattress |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120598348.0U CN214858525U (en) | 2021-03-24 | 2021-03-24 | Severe patient prone position is ventilated and is prevented pressing sore nursing mattress |
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| CN214858525U true CN214858525U (en) | 2021-11-26 |
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| CN202120598348.0U Expired - Fee Related CN214858525U (en) | 2021-03-24 | 2021-03-24 | Severe patient prone position is ventilated and is prevented pressing sore nursing mattress |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114831843A (en) * | 2022-03-26 | 2022-08-02 | 王继民 | Retina postoperative rehabilitation chair |
| CN115068233A (en) * | 2021-02-25 | 2022-09-20 | 雃博股份有限公司 | Air cushion bed and control method thereof |
-
2021
- 2021-03-24 CN CN202120598348.0U patent/CN214858525U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115068233A (en) * | 2021-02-25 | 2022-09-20 | 雃博股份有限公司 | Air cushion bed and control method thereof |
| CN115068233B (en) * | 2021-02-25 | 2023-11-24 | 雃博股份有限公司 | Air cushion bed and control method thereof |
| CN114831843A (en) * | 2022-03-26 | 2022-08-02 | 王继民 | Retina postoperative rehabilitation chair |
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