CN217409542U - Stomach tube - Google Patents
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- CN217409542U CN217409542U CN202220197016.6U CN202220197016U CN217409542U CN 217409542 U CN217409542 U CN 217409542U CN 202220197016 U CN202220197016 U CN 202220197016U CN 217409542 U CN217409542 U CN 217409542U
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Abstract
Description
技术领域technical field
本实用新型实施例涉及医疗器械技术领域,特别是涉及一种胃管。The embodiments of the utility model relate to the technical field of medical devices, in particular to a gastric tube.
背景技术Background technique
胃管最早由美国医生发明并首先提倡使用。一般由鼻孔插入,经由咽部,通过食管到达胃部,其作用是抽空胃内积气、积液,减轻腹胀及减少毒素吸收,从而保持胃肠道空虚,防止呕吐、积血,减轻消化道的压力,从而有利于胃肠道功能的恢复。应用胃管进行胃肠减压由来已久,临床实践经验证明,胃管不仅可以治疗急性胃扩张、麻痹性肠梗阻,使胃、十二指肠溃疡穿孔及粘连性肠梗阻的患者免于手术治疗而获得痊愈,而且有助于防止胃肠手术后吻合口的胀裂和腹部各种手术后的腹部胀气。The gastric tube was first invented and first advocated by American doctors. It is usually inserted through the nostrils, passes through the pharynx, and reaches the stomach through the esophagus. Its function is to evacuate the gas and fluid in the stomach, reduce abdominal distension and reduce the absorption of toxins, so as to keep the gastrointestinal tract empty, prevent vomiting and blood accumulation, and relieve the digestive tract. pressure, which is conducive to the recovery of gastrointestinal function. The application of gastric tube for gastrointestinal decompression has a long history. Clinical experience has proved that gastric tube can not only treat acute gastric dilatation and paralytic ileus, but also save patients with gastric and duodenal ulcer perforation and adhesive intestinal obstruction from surgery. It can be cured after treatment, and it helps to prevent the distention of the anastomotic stoma after gastrointestinal surgery and abdominal distention after various abdominal operations.
吞咽障碍属于脑卒中后患者最常引发的功能障碍之一,常表现为:食物难以下咽、水分缺失、甚至无法启动吞咽动作、引起吞食障碍等症状,无法为人体提供所必须的营养,而且容易引起误吸,导致吸入性肺炎,不利于患者机体的康复,更严重者可引起异物窒息而死亡。为此,脑卒中后吞咽困难患者除进行吞咽训练外,在吞咽功能尚未恢复的情况下,还需进行鼻饲饮食以保证机体的营养需求。传统的鼻饲法是将胃管从鼻插入固定,长期胃管的固定容易对患者鼻腔造成二次损伤,另外,对于单纯吞咽障碍而四肢肌力正常的患者或鼻咽癌、舌癌放化疗后引起吞咽障碍的患者,也在形象上大打折扣,新型的鼻饲法是将胃管从嘴部穿入,间歇性打液,置入时打餐,进食完后拔掉。通过耐心指导操作,教会患者固定及确定在胃内方法,患者可自行进行操作,既减轻了护理人员工作,也锻炼了患者的自理能力,让更多患者回归家庭、回归社会;同时进食完拔管保证了患者自然的形象,多次的反复操作,对患者的吞咽功能也进行了多次启动喉上抬吞咽训练。但是又引入新的问题——牙齿咬合动作对胃管有干涉。Dysphagia is one of the most common functional disorders of post-stroke patients. It is often manifested as: difficulty swallowing food, lack of water, or even inability to initiate swallowing, causing dysphagia and other symptoms, unable to provide the human body with necessary nutrition, and It is easy to cause aspiration and lead to aspiration pneumonia, which is not conducive to the recovery of the patient's body. In more serious cases, it can cause foreign body suffocation and death. For this reason, in addition to swallowing training, patients with dysphagia after stroke need to take a nasogastric feeding diet to ensure the body's nutritional needs when the swallowing function has not recovered. The traditional nasogastric feeding method is to insert the gastric tube from the nose for fixation. The long-term fixation of the gastric tube is likely to cause secondary damage to the patient's nasal cavity. In addition, for patients with simple dysphagia and normal limb muscle strength, or after radiotherapy and chemotherapy for nasopharyngeal cancer and tongue cancer. The image of patients with dysphagia is also greatly reduced. The new type of nasogastric feeding method is to insert the gastric tube through the mouth, give fluid intermittently, eat a meal while inserting it, and pull it out after eating. By patiently guiding the operation, the patient is taught how to fix and determine the method of placing it in the stomach, and the patient can perform the operation by himself, which not only reduces the work of the nursing staff, but also exercises the patient's self-care ability, allowing more patients to return to their families and society; The tube ensures the natural image of the patient, repeated operations for many times, and the swallowing function of the patient has also been activated for many times by starting the swallowing training with laryngeal lift. But it introduces a new problem - the occlusal action of the teeth interferes with the gastric tube.
实用新型内容Utility model content
本实用新型的目的是:提供一种胃管,避免牙齿咬合动作对胃管进食的干涉。The purpose of the utility model is to provide a gastric tube, which avoids the interference of the teeth occlusion on the feeding of the gastric tube.
该胃管包括管体和牙套。其中,管体一端设有进液口,另一端的端面设有封堵部,靠近所述封堵部一端的侧壁设有若干个通孔;牙套安装在所述管体靠近所述进液口的一段,所述管体穿过所述牙套。The gastric tube includes a tube body and a mouthpiece. One end of the pipe body is provided with a liquid inlet, the end face of the other end is provided with a blocking part, and the side wall near one end of the blocking part is provided with several through holes; the mouthpiece is installed on the pipe body close to the liquid inlet A section of the mouth, and the tube body passes through the mouthpiece.
可选地,所述牙套与所述管体可滑动连接。Optionally, the mouthpiece is slidably connected to the tube body.
可选地,胃管还包括囊袋和充气管,所述囊袋固定安装于所述管体,所述囊袋用于胀接胃的贲门,所述充气管用于为囊袋充气且沿所述管体侧壁向所述进液口方向延伸。Optionally, the gastric tube further includes a pouch and an inflation tube, the pouch is fixedly installed on the tube body, the pouch is used to inflate the cardia of the stomach, and the inflation tube is used to inflate the pouch and extend along the tube body. The side wall of the pipe body extends toward the liquid inlet.
可选地,所述充气管穿过所述牙套。Optionally, the inflation tube passes through the mouthpiece.
可选地,所述充气管远离所述囊袋的一端与所述管体分离设置。Optionally, one end of the inflation tube away from the bladder is provided separately from the tube body.
可选地,所述囊袋环绕所述管体固定。Optionally, the bladder is secured around the tubular body.
可选地,所述管体在所述进液口一端设有孔塞。Optionally, the pipe body is provided with a hole plug at one end of the liquid inlet.
可选地,所述管体的侧壁设有刻度。Optionally, a scale is provided on the side wall of the pipe body.
可选地,所述牙套的上下表面呈波浪状。Optionally, the upper and lower surfaces of the mouthpiece are wavy.
本实用新型实施例的胃管与现有技术相比,具有以下有益效果:Compared with the prior art, the gastric tube of the embodiment of the present invention has the following beneficial effects:
该胃管包括管体和牙套。其中,管体一端设有进液口,另一端的端面设有封堵部,靠近封堵部一端的侧壁设有若干个通孔;牙套安装在管体靠近进液口的一段,管体穿过牙套。鼻饲前将胃管经唇部插入病人胃内,借由胃管的自然弯曲度,将胃管前段紧贴口咽后壁,平稳、轻缓且敏捷推入至胃部,当胃管经过胃部时嘱咐患者做吞咽动作,保证胃管进入胃内,再运用回抽胃液等方法确认胃管前端在胃内的位置。胃管固定后,灵活调整牙套位置方便牙齿咬合。因管体穿过牙套,故牙齿咬合动作不会对管体进食造成干涉。即是,本实用新型实施例提供的胃管解决了牙齿咬合动作对胃管进食有干涉的技术问题。The gastric tube includes a tube body and a mouthpiece. One end of the pipe body is provided with a liquid inlet, the end face of the other end is provided with a blocking part, and the side wall near one end of the blocking part is provided with several through holes; through the braces. Before nasogastric feeding, the gastric tube is inserted into the patient's stomach through the lips. With the natural curvature of the gastric tube, the anterior section of the gastric tube is closely attached to the posterior wall of the oropharynx, and is pushed into the stomach smoothly, gently and quickly. When the gastric tube passes through the stomach At the time, the patient was instructed to do a swallowing action to ensure that the gastric tube entered the stomach, and then used methods such as withdrawing gastric juice to confirm the position of the front end of the gastric tube in the stomach. After the gastric tube is fixed, the position of the braces can be adjusted flexibly to facilitate the occlusion of the teeth. Because the tube body passes through the braces, the occlusion of the teeth will not interfere with the feeding of the tube body. That is, the gastric tube provided by the embodiment of the present invention solves the technical problem that the occlusion of the teeth interferes with the feeding of the gastric tube.
附图说明Description of drawings
图1是本实用新型实施例胃管的示意图。1 is a schematic diagram of a gastric tube according to an embodiment of the present invention.
其中,10、管体;11、进液口;12、封堵部;13、通孔;14、刻度;20、牙套;30、囊袋;40、充气管;50、孔塞。Among them, 10, pipe body; 11, liquid inlet; 12, blocking part; 13, through hole; 14, scale; 20, braces;
具体实施方式Detailed ways
为了便于理解本实用新型,下面结合附图和具体实施例,对本实用新型进行更详细的说明。下面所描述的本实用新型不同实施例中所涉及的技术特征只要彼此之间未构成冲突就可以相互结合。In order to facilitate the understanding of the present utility model, the present utility model will be described in more detail below with reference to the accompanying drawings and specific embodiments. The technical features involved in the different embodiments of the present invention described below can be combined with each other as long as they do not conflict with each other.
请具体参考图1,其给出了本实用新型实施例胃管的示意图。该胃管包括管体10和牙套20。管体10从嘴部插入,伸入胃部,用于输入食物、药物或者抽出胃液等。牙套20用于牙齿夹持固定作用,避免牙齿咬合动作对胃管进液的干扰。具体地,胃管的一端设有进液口11,该进液口11安装时位于嘴唇靠外侧;另一端的端面设有封堵部12,靠近封堵部12一端的侧壁设有若干个通孔13,该通孔13用于连通管体10内部和胃。牙套20安装在管体10靠近进液口11的一段,可以理解的是,管体10穿过牙套20。Please refer specifically to FIG. 1 , which shows a schematic diagram of a gastric tube according to an embodiment of the present invention. The gastric tube includes a
为了匹配不用患者的食道长度,适应性较强地安装胃管,牙套20与管体10可滑动连接,或者是牙套20/管体10上还设有固定装置,经匹配牙套20和管体10与患者的安装位置后,固定装置起到卡紧固定的作用。固定装置可以是销轴等零部件,本实施新型不在此一一描述。In order to match the length of the esophagus of different patients and install the gastric tube with strong adaptability, the
本胃管还包括囊袋30和充气管40。囊袋30起到固定作用,在充气后,卡于胀接胃的贲门。贲门位于食管和胃的交界处,准确地说,位于第11胸椎体左侧、第7肋软骨后方,距腹前壁约10cm,与中切牙相距约40cm处。充气管40用于为囊袋30充气。具体地,囊袋30充气后呈球状设置,环绕管体10固定。当然,囊袋30充气后还可以呈椭球形、纺锤形,只要是囊袋30中部可以形成凸起的形状皆可,本实用新型不在此做出局限。The present gastric tube also includes a
充气管40连通外界空气和囊袋30,优选地,充气管40依附于管体10设置,充气管40沿管体10侧壁向进液口11方向延伸。可以理解的是,充气管40附着于管体10,随同管体10穿过牙套20。为了避免管体10进液与充气管40进气相互干涉,管体10靠近充气管40的一端与充气管40岔开设置。可以理解的是,充气管40可用于注水,水流入囊袋30也可以涨大囊袋30实现囊袋30卡紧贲门的作用。The
为了保持管体10卫生,在闲置期间管体10应做好密封工作,优选地,管体10在进液口11一端设有孔塞50。孔塞50应当是一端横截面小于管体10横截面,另一端横截面应大于管体10横截面。另外,孔塞50应当是类似于橡胶等弹性材料,具有一定的形变能力。In order to keep the
为了方便观察管体10伸入到食管或胃管的具体位置,管体10的侧壁设有刻度14。另外,为方便牙齿咬合牙套20,牙套20的上下表面呈波浪状。同样,牙套20也选用橡胶等弹性材料。优选地,胃管选用亲肤材料,还具有较强的形变能力。In order to facilitate the observation of the specific position where the
本实用新型胃管的操作步骤:鼻饲前将胃管经唇部插入病人胃内,具体做法是护理人员为患者选择合适的仰卧体位或端坐位,用纱布蘸取石蜡油包裹胃管的前端,借由胃管的自然弯曲度,将胃管前段紧贴口咽后壁,平稳、轻缓且敏捷推入至胃部,当胃管经过咽喉部时嘱咐患者做吞咽动作,增加咽喉部弧度,保证胃管进入胃内,再运用回抽胃液、在胃管水囊里注入5-10毫升水,观察患者呼吸情况,等方法确认胃管前端在胃内的位置,从胃管里注入200~300ml/次食物量,每日给予4-5次间歇性鼻饲。The operation steps of the gastric tube of the utility model: before the nasogastric feeding, the gastric tube is inserted into the stomach of the patient through the lips. With the natural curvature of the gastric tube, the anterior section of the gastric tube is pressed against the posterior wall of the oropharynx, and is pushed into the stomach smoothly, gently and quickly. Ensure that the gastric tube enters the stomach, then withdraw gastric juice, inject 5-10 ml of water into the gastric tube water bladder, observe the patient's breathing, and other methods to confirm the position of the front end of the gastric tube in the stomach, and inject 200~ 300ml/time food volume, intermittent nasal feeding 4-5 times a day.
另外,为保证胃管的干净卫生,应每次清洗胃管,晾干后方才下次使用,每隔4周更换胃管。对患者还应进行以下训练:①吞咽康复训练:指导患者在插胃管过程中进行舌肌训练,比如进行舌尖抬高、舌部左右摆动以及伸缩等运动,可辅以压舌板或者勺子施加阻力以进行舌肌的抗阻训练;②颊肌训练:指导患者咬筷子进行吮吸训练,后进行鼓腮和吐气等动作;③吞咽训练:每次为患者插胃管过程中进行嘱咐病人进行吞咽动作,观察患者喉上抬情况;④呼吸训练:患者进行吹气球等吹气训练;⑤舌头的灵活度训练,用吸舌器吸住舌头左右牵拉。In addition, in order to ensure the cleanliness of the gastric tube, the gastric tube should be cleaned every time and dried before the next use, and the gastric tube should be replaced every 4 weeks. The following training should also be carried out for patients: ① Swallowing rehabilitation training: instruct patients to perform tongue muscle training during gastric tube insertion, such as lifting the tip of the tongue, swinging the tongue from side to side, and stretching, which can be supplemented by a tongue depressor or a spoon. resistance training of tongue muscles; ② cheek muscle training: instruct the patient to bite chopsticks for sucking training, and then perform actions such as puffing the cheeks and exhaling; ③ swallowing training: every time the patient is intubated with a gastric tube, the patient is instructed to swallow 4. Breathing training: the patient performs air-blowing training such as balloon blowing; 5. Tongue flexibility training, using a tongue suction device to suck the tongue and pull it left and right.
综上,本实用新型实施例提供一种胃管,包括管体10、牙套20、囊袋30、充气管40等结构。管体10在胃中的一端有若干个通孔13,液体食物从通孔13流出。管体10上有刻度14线方便观察管体10插入胃内的长度。管体10的另一端是进液口11,药物和食物可用注食器通过这里注入,并且进液口11设有孔塞50,不需要注食的时候可以将进液口11塞上。另外,管体10上有一个囊袋30,可以通过充气管40注入水或者空气,起到固定胃管的作用。管体10上设有可移动且移动后可固定的牙套20,用于固定胃管在病人口腔里。To sum up, the embodiment of the present invention provides a gastric tube, which includes a
需要说明的是,本实用新型的说明书及其附图中给出了本实用新型的较佳的实施例,但是,本实用新型可以通过许多不同的形式来实现,并不限于本说明书所描述的实施例,这些实施例不作为对本实用新型内容的额外限制,提供这些实施例的目的是使对本实用新型的公开内容的理解更加透彻全面。并且,上述各技术特征继续相互组合,形成未在上面列举的各种实施例,均视为本实用新型说明书记载的范围;进一步地,对本领域普通技术人员来说,可以根据上述说明加以改进或变换,而所有这些改进和变换都应属于本实用新型的保护范围。It should be noted that the description of the present utility model and the accompanying drawings provide preferred embodiments of the present utility model, but the present utility model can be realized in many different forms, and is not limited to the description in the present specification. Examples, these examples are not used as additional limitations to the content of the present invention, and the purpose of providing these examples is to make the understanding of the disclosure content of the present invention more thorough and comprehensive. Moreover, the above-mentioned technical features continue to be combined with each other to form various embodiments not listed above, which are all regarded as the scope of the description of the present utility model; further, for those of ordinary skill in the art, it can be improved or transformation, and all these improvements and transformations should belong to the protection scope of the present invention.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN117679617A (en) * | 2023-12-28 | 2024-03-12 | 苏州神韵医疗器械有限公司 | A convenient positioning gastric tube based on gastric pouch measurement |
| CN117679617B (en) * | 2023-12-28 | 2026-04-07 | 苏州神韵医疗器械有限公司 | Portable positioning stomach tube based on gastric capsule measurement |
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