CN217138460U - Fixed nursing chest strap for thoracic surgery - Google Patents
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械领域,特别涉及一种胸外科用固定护理胸带。The utility model belongs to the field of medical instruments, in particular to a fixed nursing chest belt for thoracic surgery.
背景技术Background technique
恶性肿瘤中,肺癌的病死率在世界上居第1位。并且,在肺癌患者中,非小细胞肺癌(NSCLC)约占80%。肺癌是预后最差的恶性肿瘤之一,因为肺癌早期无明显或特异性症状出现,80%以上的患者到医院就诊时,已失去了外科手术和多学科根治的最佳时机。目前肺癌的主要治疗模式还是多学科的综合治疗。对能手术治疗的患者,提倡以手术为主的综合治疗。近年来,胸腔镜手术已经成为部分非小细胞肺癌的重要治疗手段之一。每个肺癌患者在手术结束后回到监护室时,胸部会被医护人员打上胸带,其是起到固定胸壁,可以降低术后疼痛的作用。胸心外科手术,如心脏搭桥手术多数需要通过胸骨正中切口完成,其胸骨同样也需要术后捆绑固定,才可恢复胸骨的连续性和稳定性,但是胸骨恢复时间较长,在此期间很多因素容易导致胸骨捆绑松动,影响胸骨的恢复,所以需要患者穿戴一段时间的固定胸带,用于限制胸廓的活动幅度,起到保护胸骨的作用。Among malignant tumors, the mortality rate of lung cancer ranks first in the world. And, in lung cancer patients, non-small cell lung cancer (NSCLC) accounts for about 80%. Lung cancer is one of the malignant tumors with the worst prognosis. Because there are no obvious or specific symptoms in the early stage of lung cancer, more than 80% of patients have lost the best time for surgery and multidisciplinary radical treatment when they go to the hospital. At present, the main treatment mode of lung cancer is multidisciplinary comprehensive treatment. For patients who can be treated with surgery, comprehensive treatment based on surgery is advocated. In recent years, thoracoscopic surgery has become one of the important treatments for some non-small cell lung cancers. When each lung cancer patient returns to the intensive care unit after the operation, the medical staff will put a chest strap on the chest, which is used to fix the chest wall and reduce postoperative pain. Thoracic and cardiac surgery, such as heart bypass surgery, mostly needs to be done through the median sternum incision. The sternum also needs to be tied and fixed after surgery to restore the continuity and stability of the sternum. However, the recovery time of the sternum is long, and many factors are involved during this period. It is easy to cause the sternum to loosen and affect the recovery of the sternum. Therefore, the patient needs to wear a fixed sternum belt for a period of time to limit the range of motion of the thorax and protect the sternum.
目前在临床常用的胸带有两种,其一是棉质的胸带,是以布条一部分的缠绕形成固定加压的作用,连接时需要将两布条进行捆绑,其结构简单操作较繁琐,因为没有额外的固定装置,在患者穿戴期间多次打开护理很容易散开,再次缠绕操作时,也费时费力。所以达不到固定的时间从而影响效果,减弱了胸带的固定效果,而且患者一般需要佩戴三个月左右的胸带,目前使用的固定胸带舒适度较差,长期穿戴会引起患者的不适,不利于患者的身体痊愈。另一种是一体的以合成材料制成的胸带,穿戴方法十分方便,只需将两段的粘接扣相粘合,即可起到固定的作用,但不能根据患者的体型做到个性化的胸带贴合。目前市面上有胸带上配备有肩带的,协助固定胸带位置,防止其下滑,然而这种类似背心的穿戴方式,在临床上十分不便,患者术后,一般需要进行输液手臂插管,患者的手臂极难穿过肩带构成的圈内,需要提前将输液袋与输液管路同时或提前穿过去,提高了管路管理的难度与风险,对于病情较为严重的病人来说剧烈的动作也会造成病情的加重。At present, there are two kinds of chest straps commonly used in clinic. One is the cotton chest strap, which is formed by winding a part of the cloth strip to form a fixed and pressurized function. When connecting, the two cloth strips need to be bundled, and the structure is simple and the operation is cumbersome. , Because there is no additional fixing device, the nursing care is easily spread out when the patient is wearing it multiple times, and it is also time-consuming and labor-intensive when rewinding the operation. Therefore, the fixed time is not reached, which affects the effect and weakens the fixing effect of the chest strap. Moreover, patients generally need to wear a chest strap for about three months. The current fixed chest strap is less comfortable, and long-term wearing will cause discomfort to the patient. , is not conducive to the recovery of the patient's body. The other is an integrated chest strap made of synthetic materials, which is very convenient to wear. It only needs to glue the two pieces of adhesive buckles together, and it can play a fixed role, but it cannot be personalized according to the patient's body shape. Enhanced chest strap fit. At present, there are chest straps with shoulder straps on the market to help fix the position of the chest strap and prevent it from sliding down. However, this vest-like wearing method is very inconvenient in clinical practice. Patients generally need to intubate their arms for infusion after surgery. It is extremely difficult for the patient's arm to pass through the circle formed by the shoulder strap. It is necessary to pass the infusion bag and the infusion pipeline at the same time or in advance, which increases the difficulty and risk of pipeline management. It can also aggravate the condition.
实用新型内容Utility model content
本实用新型的目的在于提供一种便于穿戴且穿戴舒适的胸外科用固定护理胸带。The purpose of the utility model is to provide a fixed nursing chest belt for thoracic surgery that is easy to wear and comfortable to wear.
为了实现上述目的,本实用新型采用的技术方案为:一种胸外科用固定护理胸带,包括贴合背部的基垫,基垫两侧沿上下方向阵列布置有条形束带,两侧对应高度的束带一端构成拆卸式连接合围包裹躯干,基垫上部与肩带一端固连,肩带另一端与最上方束带构成拆卸式连接,所述束带上下叠合布置。In order to achieve the above purpose, the technical scheme adopted by the present invention is as follows: a fixed nursing chest strap for thoracic surgery, comprising a base pad that fits the back; One end of the high strap forms a detachable connection to enclose the trunk, the upper part of the base pad is fixedly connected with one end of the shoulder strap, the other end of the shoulder strap forms a detachable connection with the uppermost strap, and the straps are arranged in a superimposed manner.
进一步在于,肩带一端设置有插接公扣,插接公扣与最上方束带上侧的插接母扣构成拆卸式连接。实际使用时将肩带绕过肩部与最上方束带上的插接母扣快速扣合连接,插接公扣和插接母扣即为常见的塑料快速插接扣。Further, one end of the shoulder strap is provided with a plug-in male buckle, and the plug-in male buckle is detachably connected with the plug-in female buckle on the upper side of the uppermost strap. In actual use, the shoulder strap is passed around the shoulder and connected to the plug-in female buckle on the uppermost strap for quick connection. The plug-in male buckle and the plug-in female buckle are common plastic quick-release buckles.
进一步在于,所述束带的相互连接端设置有粘接扣。粘接扣即为魔术贴,分公母两面,一面是细软的纤维,另一面是带有勾刺的弹性纤维。公母相扣,在受到一定横力的情况下,富有弹性的勾被拉直,从绒圈上松掉而打开,然后又恢复原有的勾型。其使用便利开合方便,同时可以通过调整粘接扣的长度实现对不同体型患者的适配,也可以对不同病情患者的包裹力进行调整。Further, the interconnected ends of the straps are provided with adhesive buckles. The adhesive buckle is a Velcro, which is divided into male and female sides, one side is soft fiber, and the other side is elastic fiber with hooks. The male and female are interlocked. Under the circumstance of a certain horizontal force, the elastic hook is straightened, loosened from the loop and opened, and then the original hook shape is restored. It is convenient to use and easy to open and close, and at the same time, it can be adapted to patients of different sizes by adjusting the length of the adhesive buckle, and the wrapping force of patients with different conditions can also be adjusted.
进一步在于,所述肩带上设置有调节肩带长度的调节扣。使用时,首先将基垫贴合患者的后背,然后再把最上方的两侧束带拉至患者的胸前进行连接,将肩带绕过肩部与最上方束带进行连接,从上至下依次连接束带,连接完成后,通过调节扣调整肩带的长度使肩带拉紧束带,避免束带整体下落。调节扣为“日”字形卡扣通过尼龙带之间的摩擦力实现锁紧和固定,长时间使用后可能出现松动现象,需要医务人员将其收紧。Further, the shoulder strap is provided with an adjustment buckle for adjusting the length of the shoulder strap. When in use, first fit the base pad to the patient's back, then pull the uppermost side straps to the patient's chest for connection, and pass the shoulder straps around the shoulders to connect with the uppermost strap. Connect the straps in sequence from the bottom. After the connection is completed, adjust the length of the shoulder straps through the adjustment buckle to tighten the straps to prevent the straps from falling as a whole. The adjustment buckle is a "day"-shaped buckle to achieve locking and fixing through the friction between the nylon straps. After long-term use, it may become loose, and medical personnel need to tighten it.
进一步在于,所述束带由弹性材料制成。这样手术过程中在患者体内插入引流管,再将束带压合在引流管上,可以根据引流管的位置打开相对应的束带,然后再进行粘贴固定,也可以直接利用束带对引流管进行固定,可以对任何位置的胸管留出位置,同时也可以通过调整相邻胸带的空隙适当地的暴露伤口处,便于对伤口处敷料的观察,避免了每次查看伤口都要打开胸带的操作,并且将胸管固定在胸带的外面,同时有利于胸管引流的观察,避免了术后要求胸带加压包扎,但是由于无法观察到近伤口处的胸管的引流情况而打开胸带。同时便以适应不同体型的患者同时可以通过调节粘接扣的粘接长度实现约束力的变化,这样可以针对不同病情的患者提供不同的约束力。Further, the strap is made of elastic material. In this way, the drainage tube is inserted into the patient's body during the operation, and then the strap is pressed on the drainage tube. The corresponding strap can be opened according to the position of the drainage tube, and then the drainage tube can be pasted and fixed. The strap can also be used directly on the drainage tube. Fixing can leave a position for the chest tube at any position, and at the same time, the wound can be properly exposed by adjusting the gap between the adjacent chest straps, which facilitates the observation of the wound dressing and avoids opening the chest every time the wound is viewed. The operation of the strap, and the chest tube is fixed outside the chest strap, which is conducive to the observation of chest tube drainage, avoiding the need for chest strap compression dressing after surgery, but because the chest tube drainage near the wound cannot be observed. Open the chest strap. At the same time, it can be adapted to patients of different body types, and the binding force can be changed by adjusting the bonding length of the adhesive buckle, so that different binding forces can be provided for patients with different conditions.
进一步在于,所述基垫、束带、肩带上开设有若干个透气孔。这样可以有效对患者躯干部分进行透气,防止出现疮症。Further, a plurality of ventilation holes are opened on the base pad, the strap and the shoulder strap. This effectively ventilates the patient's torso and prevents sores.
进一步在于,所述束带由纯棉材料制成。纯棉材料舒适性和透气性较好,可直接贴合患者皮肤,防止患者的肩部和腋下受到磨损。纯棉材料也便于清洗重复利用,节约成本。Further, the belt is made of pure cotton material. The pure cotton material is comfortable and breathable, and can directly fit the patient's skin to prevent wear on the patient's shoulders and underarms. The pure cotton material is also easy to clean and reuse, saving costs.
进一步在于,所述基垫为贴合人体背部的硬质塑料件或金属件。对于部分存在脊椎问题的患者可以有效扶持患者背部。Further, the base pad is a hard plastic part or a metal part that fits the back of the human body. For some patients with spinal problems, it can effectively support the patient's back.
进一步在于,所述基垫为贴合人体背部的布状纤维材料构成,其内部设置有高分子材料制成的支撑骨架。布状纤维材料贴合性更好可以适用于不同体型的患者,并且支撑骨架保证了一定的支撑性避免患者在束带的长时间压迫下脊椎变形。Further, the base pad is composed of a cloth-like fiber material that fits the back of the human body, and a support frame made of a polymer material is arranged inside the base pad. The cloth-like fiber material has better fit and can be applied to patients of different body types, and the support frame ensures a certain degree of support to prevent the patient from deforming the spine under the long-term compression of the belt.
进一步在于,所述束带多层叠合式布置,所述肩带设置有至少两根。叠合式布置的束带保证即使单层束带出现脱落也不会影响束带的收束效果。肩带一般对称布置,至少为两根,可以为四根。肩带可以与最上层束带连接也可以与每一根束带都进行连接,额外的肩带可以通过粘接扣与每一根束带进行粘接。Further, the straps are arranged in a multi-layer stack, and at least two shoulder straps are provided. The superimposed arrangement of the belt ensures that even if the single layer of the belt falls off, it will not affect the binding effect of the belt. The shoulder straps are generally arranged symmetrically, at least two, and may be four. The shoulder straps can be attached to the top strap or to each strap, and additional shoulder straps can be attached to each strap with adhesive buckles.
工作原理:使用时首先将基垫贴合患者的后背,然后再把最上方的两侧束带拉至患者的胸前进行连接,将肩带绕过肩部与最上方束带进行连接,从上至下依次连接束带,连接两侧的束带包裹住躯干,然后这样可有效对患者的胸廓进行限制,而且肩带与束带进行连接可以有效可防止患者穿戴固定胸带时因重力或患者的运动造成胸带下滑。同时上下叠合布置的束带可以有效包裹住躯干,并且包裹力更加均匀,由于束带之间没有间隙也不会出现明显的勒痕,对于患者来说更加舒适。并且阵列布置的束带可以在患者需要进行伤口清理或者插管治疗时只需打开对应位置的束带,无需打开整个胸带即可完成伤口的检查和治疗,省时省力,节约人工成本减轻患者的痛苦。Working principle: When using, first fit the base pad to the patient's back, then pull the uppermost side straps to the patient's chest for connection, and connect the shoulder straps around the shoulders with the uppermost strap. Connect the straps in sequence from top to bottom, connect the straps on both sides to wrap the torso, and then this can effectively limit the patient's thorax, and the connection between the shoulder strap and the strap can effectively prevent the patient from wearing a fixed chest strap due to gravity Or the movement of the patient causes the chest strap to slip. At the same time, the upper and lower straps can wrap the torso effectively, and the wrapping force is more uniform. Since there is no gap between the straps and no obvious streaks, it is more comfortable for the patient. And the straps arranged in the array can only open the strap at the corresponding position when the patient needs to perform wound cleaning or intubation treatment, and the wound inspection and treatment can be completed without opening the entire chest strap, saving time and labor, saving labor costs and reducing the patient's burden. pain of.
附图说明Description of drawings
图1为本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the utility model.
图中:10、基垫;20、束带;21、插接母扣;22、粘接扣;30、肩带;31、插接公扣;32、调节扣。In the figure: 10, base pad; 20, strap; 21, plug-in female buckle; 22, adhesive buckle; 30, shoulder strap; 31, plug-in male buckle; 32, adjustment buckle.
具体实施方式Detailed ways
下面将结合本实用新型实施例,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.
一种胸外科用固定护理胸带,包括贴合背部的基垫10,基垫10两侧沿上下方向阵列布置有条形束带20,两侧对应高度的束带20一端构成拆卸式连接合围包裹躯干,基垫10上部与肩带30一端固连,肩带30另一端与最上方束带20构成拆卸式连接,所述束带20上下叠合布置。使用时首先将基垫10贴合患者的后背,然后再把最上方的两侧束带20拉至患者的胸前进行连接,将肩带30绕过肩部与最上方束带20进行连接,从上至下依次连接束带20,连接两侧的束带20包裹住躯干,然后这样可有效对患者的胸廓进行限制,而且肩带30与束带20进行连接可以有效可防止患者穿戴固定胸带时因重力或患者的运动造成胸带下滑。同时上下叠合布置的束带20可以有效包裹住躯干,并且包裹力更加均匀,由于束带20之间没有间隙也不会出现明显的勒痕,对于患者来说更加舒适。并且阵列布置的束带20可以在患者需要进行伤口清理或者插管治疗时只需打开对应位置的束带20,无需打开整个胸带即可完成伤口的检查和治疗,省时省力,节约人工成本减轻患者的痛苦。A fixed nursing chest strap for thoracic surgery, comprising a
肩带30一端设置有插接公扣31,插接公扣31与最上方束带20上侧的插接母扣21构成拆卸式连接。实际使用时将肩带30绕过肩部与最上方束带20上的插接母扣21快速扣合连接,插接公扣31和插接母扣21即为常见的塑料快速插接扣。One end of the
所述束带20的相互连接端设置有粘接扣22。粘接扣22即为魔术贴,分公母两面,一面是细软的纤维,另一面是带有勾刺的弹性纤维。公母相扣,在受到一定横力的情况下,富有弹性的勾被拉直,从绒圈上松掉而打开,然后又恢复原有的勾型。其使用便利开合方便,同时可以通过调整粘接扣22的长度实现对不同体型患者的适配,也可以对不同病情患者的包裹力进行调整。The interconnected ends of the
所述肩带30上设置有调节肩带30长度的调节扣32。使用时,首先将基垫10贴合患者的后背,然后再把最上方的两侧束带20拉至患者的胸前进行连接,将肩带30绕过肩部与最上方束带20进行连接,从上至下依次连接束带20,连接完成后,通过调节扣32调整肩带30的长度使肩带30拉紧束带20,避免束带整体下落。调节扣32为“日”字形卡扣通过尼龙带之间的摩擦力实现锁紧和固定,长时间使用后可能出现松动现象,需要医务人员将其收紧。The
所述束带20由弹性材料制成。这样的束带20便于医疗器械的插入例如外科医生布置引流管时可将对应伤口处的束带20打开,然后插入引流管,再将束带20压合在引流管上,直接利用束带20对引流管进行固定,可以对任何位置的胸管留出位置,同时也可以通过调整相邻胸带的空隙适当地的暴露伤口处,便于对伤口处敷料的观察,避免了每次查看伤口都要打开胸带的操作,并且将胸管固定在胸带的外面,同时有利于胸管引流的观察,避免了术后要求胸带加压包扎,但是由于无法观察到近伤口处的胸管的引流情况而打开胸带。同时便以适应不同体型的患者同时可以通过调节粘接扣22的粘接长度实现约束力的变化,这样可以针对不同病情的患者提供不同的约束力。The
所述基垫10、束带20、肩带30上开设有若干个透气孔。这样可以有效对患者躯干部分进行透气,防止出现疮症。The
所述束带20由纯棉材料制成。纯棉材料舒适性和透气性较好,可直接贴合患者皮肤,防止患者的肩部和腋下受到磨损。纯棉材料也便于清洗重复利用,节约成本。The
所述基垫10为贴合人体背部的硬质塑料件或金属件。对于部分存在脊椎问题的患者可以有效扶持患者背部。The
所述基垫10为贴合人体背部的布状纤维材料构成,其内部设置有高分子材料制成的支撑骨架。布状纤维材料贴合性更好可以适用于不同体型的患者,并且支撑骨架保证了一定的支撑性避免患者在束带20的长时间压迫下脊椎变形。The
所述束带20多层叠合式布置,所述肩带30设置有至少两根。叠合式布置的束带20保证即使单层束带出现脱落也不会影响束带的收束效果。肩带30一般对称布置,至少为两根,可以为四根。肩带30可以与最上层束带20连接也可以与每一根束带都进行连接,额外的肩带30可以通过粘接扣与每一根束带20进行粘接。The
在本说明书的描述中,参考术语“一个实施例”、“示例”、“具体示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本实用新型的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, description with reference to the terms "one embodiment", "example", "specific example", etc. means that a specific feature, structure, material or characteristic described in connection with the embodiment or example is included in the present invention. in at least one embodiment or example. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
以上内容仅仅是对本实用新型所作的举例和说明,所属本技术领域的技术人员对所描述的具体实施例做各种各样的修改或补充或采用类似的方式替代,只要不偏离实用新型或者超越本权利要求书所定义的范围,均应属于本实用新型的保护范围。The above contents are only examples and descriptions of the present invention, and those skilled in the art can make various modifications or supplements to the described specific embodiments or replace them in similar ways, as long as they do not deviate from the present invention or exceed The scope defined by the claims shall all belong to the protection scope of the present invention.
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