CN219184637U - Prone position ventilation and decompression pad - Google Patents
Prone position ventilation and decompression pad Download PDFInfo
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- CN219184637U CN219184637U CN202320535225.1U CN202320535225U CN219184637U CN 219184637 U CN219184637 U CN 219184637U CN 202320535225 U CN202320535225 U CN 202320535225U CN 219184637 U CN219184637 U CN 219184637U
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- 238000009423 ventilation Methods 0.000 title claims abstract description 22
- 230000006837 decompression Effects 0.000 title claims description 23
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 42
- 238000002347 injection Methods 0.000 claims description 12
- 239000007924 injection Substances 0.000 claims description 12
- 238000005192 partition Methods 0.000 claims description 8
- 210000001503 joint Anatomy 0.000 claims description 7
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 210000003128 head Anatomy 0.000 description 39
- 210000002414 leg Anatomy 0.000 description 27
- 210000001015 abdomen Anatomy 0.000 description 4
- 239000004816 latex Substances 0.000 description 4
- 229920000126 latex Polymers 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 206010030113 Oedema Diseases 0.000 description 2
- 229920002323 Silicone foam Polymers 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 239000012790 adhesive layer Substances 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 210000001061 forehead Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 230000036316 preload Effects 0.000 description 2
- 230000007115 recruitment Effects 0.000 description 2
- 239000013514 silicone foam Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 208000013616 Respiratory Distress Syndrome Diseases 0.000 description 1
- 201000000028 adult respiratory distress syndrome Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000011318 facial edema Diseases 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 208000018875 hypoxemia Diseases 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
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- 230000036593 pulmonary vascular resistance Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- 208000026425 severe pneumonia Diseases 0.000 description 1
- 230000005808 skin problem Effects 0.000 description 1
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- 238000002627 tracheal intubation Methods 0.000 description 1
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- Mattresses And Other Support Structures For Chairs And Beds (AREA)
Abstract
Description
技术领域technical field
本实用新型涉及一种医用减压垫,特别是公开一种俯卧位通气减压垫。The utility model relates to a medical decompression cushion, in particular to a ventilating and decompression cushion for prone position.
背景技术Background technique
临床在治疗急性呼吸窘迫综合症、难治性低氧血症等重症肺炎患者时,需要通过俯卧位促进塌陷肺泡复张,改善肺内通气血流比,利用重力改善呼吸系统顺应性及促进肺内深部痰液引流。俯卧位通气可促进肺泡复张、改善氧合,从而降低肺血管阻力,降低右心室后负荷。另外,俯卧位时腹腔压力升高,回心血量增加,心脏前负荷及左心室后负荷增加,因此,俯卧位通气可增加有心脏前负荷储备功能患者的心输出量。但这类患者常常伴有经口/鼻气管插管或气管切开接呼吸机辅助呼吸,而患者俯卧位通气治疗时间一般在16小时以上,在此期间,患者始终保持俯卧的姿势,时间较长,容易出现颜面部水肿,眼部、额部、脸颊、鼻翼、肩膀、髋部、双膝、足尖等下垂部位皮肤压力性损伤等症状。为了缓解这些症状,一般采用硅酮泡沫辅料或软枕减压,但由于俯卧位通气治疗时间较长,临床目前减压措施效果较差,经常出现患者颜面部及骨隆突处或导管受压处皮肤问题,且硅酮泡沫辅料成本较高,无形中增加患者经济负担。In the clinical treatment of patients with severe pneumonia such as acute respiratory distress syndrome and refractory hypoxemia, it is necessary to promote collapsed alveolar recruitment through prone position, improve the ventilation-blood flow ratio in the lung, use gravity to improve the compliance of the respiratory system and promote lung Internal deep sputum drainage. Ventilation in the prone position can promote alveolar recruitment and improve oxygenation, thereby reducing pulmonary vascular resistance and reducing right ventricular afterload. In addition, in the prone position, the abdominal pressure increases, the blood returned to the heart increases, and the cardiac preload and left ventricular afterload increase. Therefore, ventilation in the prone position can increase the cardiac output of patients with cardiac preload reserve function. However, such patients are often accompanied by oral/nasal tracheal intubation or tracheotomy connected to a ventilator for assisted breathing, and the patient’s prone position ventilation treatment time is generally more than 16 hours. Long, prone to facial edema, eye, forehead, cheeks, nose, shoulders, hips, knees, toes and other sagging skin pressure injuries and other symptoms. In order to alleviate these symptoms, silicone foam accessories or soft pillows are generally used for decompression. However, due to the long treatment time of prone position ventilation, the current clinical decompression measures are not effective, and patients often suffer from pressure on the face, bone prominence or catheter. Skin problems, and the cost of silicone foam accessories is relatively high, which virtually increases the financial burden on patients.
由于患者直接俯卧平躺在病床床面,头部软枕由于支撑力不够,无法对机械通气患者有效抬离床面,对于长时间俯卧位通气的患者无法起到有效的减压效果,患者俯卧位通气时眼部、脸颊部及额部仍会出现不同程度的水肿或压力性损伤;同时,患者通常留置多种管道,由于普通病床的床面与患者的身体接触紧密,对于头颈部僵硬患者,俯卧位通气时呼吸机管路容易受到患者身体的压迫、扭曲,增加了俯卧位通气的操作难度,不能保证俯卧位通气时长。Since the patient is directly lying prone on the bed surface, the head soft pillow cannot effectively lift the mechanically ventilated patient off the bed surface due to insufficient support, and cannot effectively decompress the patient who has been ventilated in the prone position for a long time. Different degrees of edema or pressure injury will still occur in the eyes, cheeks and forehead during positional ventilation; at the same time, patients usually have a variety of indwelling tubes. For patients, the ventilator pipeline is easily compressed and twisted by the patient's body during prone position ventilation, which increases the difficulty of prone position ventilation and cannot guarantee the duration of prone position ventilation.
为了缓解对患者身体部位的压迫,申请号为:202122076560.3的实用新型专利,公开了一种名为气管切开患者俯卧位通气减压垫,其主要包括减压床垫,所述减压床垫的上表面后侧粘贴固定有通气减压垫本体,所述通气减压垫本体包括粘贴固定于减压床垫上表面的粘胶层,所述粘胶层上表面粘贴固定有固定板,且固定板上表面前侧向下倾斜,所述固定板的上表面固定装配有乳胶垫,所述减压床垫上开设有身体部位容纳槽组。通过所述乳胶垫来缓解身体各个部位的压力,其中通过乳胶交垫主体上表面前侧开设“U”形槽来容纳患者面部,避免对患者通气造成阻碍,然而在实际应用中,由于患者需要留置多种管道,管道通常从患者面部横向越过减压床垫与通气设备等医疗设备进行连接,由于减压床垫的表面整体呈平面,因此,患者的多种管道经常会因为外力,在于减压床垫的表面发生前后移动或拉扯,甚至因为移动过大而造成管道的扭曲和压迫,影响俯卧位通气时长。In order to alleviate the pressure on the patient's body parts, the utility model patent with the application number: 202122076560.3 discloses a ventilating decompression cushion in the prone position for patients with tracheotomy, which mainly includes a decompression mattress, and the decompression mattress The back side of the upper surface of the mattress is pasted and fixed with a ventilated decompression pad body, the ventilated decompressed pad body includes an adhesive layer pasted and fixed on the upper surface of the decompression mattress, the upper surface of the adhesive layer is pasted and fixed with a fixing plate, and The front side of the upper surface of the fixed plate is inclined downward, the upper surface of the fixed plate is fixedly equipped with a latex pad, and the decompression mattress is provided with a body part receiving groove group. The pressure on various parts of the body is relieved by the latex pad, wherein a "U"-shaped groove is opened on the front side of the upper surface of the latex pad main body to accommodate the patient's face, so as to avoid obstructing the patient's ventilation. However, in practical applications, due to the needs of the patient A variety of pipelines are left in place, and the pipelines usually cross the decompression mattress from the patient's face to connect with medical equipment such as ventilation equipment. Since the surface of the decompression mattress is generally flat, the various pipelines of the patient are often reduced due to external forces. The surface of the press mattress moves back and forth or pulls, and even the pipe is twisted and compressed due to excessive movement, which affects the duration of prone position ventilation.
另外,由于身体的每个部位产生的压迫程度和耐受程度都不同,在临床应用中发现,如果采用单一的通气减压垫、每个患者受力压迫部位都采用乳胶垫,那么在使用中,耐受度差的部位如眼部、脸颊部等仍然会出现不同程度的水肿或压力性损伤。In addition, because each part of the body produces different degrees of compression and tolerance, it has been found in clinical applications that if a single ventilation and decompression pad is used and latex pads are used for each patient's pressured parts, then in use , Parts with poor tolerance, such as eyes, cheeks, etc., will still have varying degrees of edema or pressure injury.
发明内容Contents of the invention
本实用新型的目的在于克服现有技术中存在的缺陷,提供一种能够减轻头部受压情况、确保患者留置管道通畅、分区对患者各部位进行减压的俯卧位通气减压垫。The purpose of the utility model is to overcome the defects in the prior art, and to provide a ventilating and decompressing pad for prone position, which can reduce the pressure on the head, ensure the unobstructed indwelling pipeline of the patient, and decompress various parts of the patient in different regions.
本实用新型是这样实现的:一种俯卧位通气减压垫,包括内部充气的气垫主体,所述气垫主体包括依次相连的头部垫、胸部垫和髋腿联合垫,所述髋腿联合垫由左腿部与右腿部组成,所述左腿部与右腿部之间设有“U”形间隙空槽,所述左腿部的两侧、右腿部的两侧分别设有固定带;The utility model is realized in the following way: a ventilating and decompressing cushion in a prone position, comprising an air cushion main body inflated inside, the air cushion main body comprising a head cushion, a chest cushion and a hip-leg joint pad connected in sequence, and the hip-leg joint pad It consists of a left leg and a right leg. A "U"-shaped gap is set between the left leg and the right leg. Both sides of the left leg and the right leg are respectively equipped with fixed bring;
所述头部垫的上表面为尾端低于头端的支撑斜面,所述支撑斜面上设有头部凹槽,所述头部凹槽的两侧设有横向贯穿所述头部凹槽中下部的管路限位凹槽,所述头部凹槽的上下边缘分别设有水囊条;The upper surface of the head pad is a support slope with the tail end lower than the head end, the support slope is provided with a head groove, and the two sides of the head groove are provided with transversely penetrating through the head groove. The lower pipeline limit groove, the upper and lower edges of the head groove are respectively provided with water bag strips;
所述胸部垫靠近所述头部垫处设有左右两个肩部水囊,所述左腿部上与右腿部上靠近所述胸部垫处分别设有髋部水囊。The chest pad is provided with two left and right shoulder water bladders near the head pad, and hip water bladders are respectively provided on the left leg and the right leg near the chest pad.
所述头部垫、胸部垫、左腿部和右腿部分别为独立的充气囊体。The head pad, the chest pad, the left leg and the right leg are respectively independent inflatable bladders.
所述支撑斜面所在平面与所述胸部垫顶面的夹角为165~175度。The included angle between the plane where the support slope is located and the top surface of the chest pad is 165-175 degrees.
所述头部垫的内部中间通过第一隔断将所述头部垫分为左侧头部垫和右侧头部垫,所述左侧头部垫和右侧头部垫的外侧侧面上分别设有第一充气接口。The inner middle of the head cushion divides the head cushion into a left head cushion and a right head cushion through a first partition, and the outer sides of the left head cushion and the right head cushion are respectively A first inflation interface is provided.
所述胸部垫的内部中间通过第二隔断将所述胸部垫分为左胸部和右胸部,所述左胸部和右胸部的外侧侧面上分别设有第二充气接口。The inner middle of the chest pad divides the chest pad into a left chest and a right chest through a second partition, and second inflatable interfaces are respectively provided on the outer sides of the left chest and the right chest.
所述水囊条的第一注水口位于所述头部垫的前侧侧壁上。The first water injection port of the water bag bar is located on the front side wall of the head cushion.
所述气垫主体的两侧分别设有拉手。Both sides of the main body of the air cushion are respectively provided with handles.
所述气垫主体的底部设有支撑垫或防滑垫。The bottom of the main body of the air cushion is provided with a support pad or an anti-skid pad.
所述肩部水囊的第二注水口、髋部水囊的第三注水口分别位于所述气垫主体的两侧侧壁上。The second water injection port of the shoulder water bag and the third water injection port of the hip water bag are respectively located on the two side walls of the main body of the air cushion.
本实用新型的有益效果是:通过充气式气垫主体和水囊的组合,针对患者不同部位进行减压;所述气垫主体的头部垫、胸部垫、左髋腿联合垫和右腿部分别为独立的充气囊体,使得每个充气囊体能够独立冲放气体,从而单独控制各个充气囊体的大小,根据减压自由调节软硬和高低程度;通过所述头部凹槽给气切患者预留足够的空间保持呼吸道通畅,通过所述水囊条对患者面部进行减压,通过支撑斜面对于患者的头部进行抬高,通过所述头部凹槽两侧的管路限位凹槽容纳机械通气患者的多种管道,防止管道位移、被压迫。患者胸部主要通过充气的胸部垫进行减压,但在患者的两侧肩部通过肩部水囊进行减压,水囊的流动性可保证骨隆突处所受压力持续变化,进而减压效果优于气垫和软枕。患者髋部通过所述髋部水囊进行减压,减轻患者两侧髂前上棘处受压,通过所述“U”形间隙空槽使得患者腹部悬空,防止患者腹部受压,通过所述固定带便于ICU俯卧位通气患者腹部及腿部导管的固定。The beneficial effects of the utility model are: through the combination of the inflatable air cushion main body and the water bag, decompression is performed on different parts of the patient; the head pad, chest pad, left hip and leg joint pad and right leg of the air cushion main body Independent inflatable bladders enable each inflatable bladder to flush and discharge gas independently, thereby individually controlling the size of each inflatable bladder, and freely adjusting softness, hardness, and height according to decompression; Reserve enough space to keep the airway unobstructed, decompress the patient's face through the water bag strip, raise the patient's head through the support slope, and pass the pipeline limit grooves on both sides of the head groove A variety of pipelines to accommodate mechanically ventilated patients to prevent pipeline displacement and compression. The chest of the patient is mainly decompressed through the inflatable chest pad, but the shoulders on both sides of the patient are decompressed through the shoulder water bladder. Better than air cushions and soft pillows. The patient's hip is decompressed through the hip water bladder, which relieves the pressure on the anterior superior iliac spine on both sides of the patient, and the patient's abdomen is suspended through the "U"-shaped gap to prevent the patient's abdomen from being compressed. The fixing belt facilitates the fixation of the abdominal and leg catheters in ICU prone position ventilation patients.
附图说明Description of drawings
图1是本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.
图2是本实用新型侧面的结构示意图。Fig. 2 is a schematic structural view of the side of the utility model.
其中:1、头部垫;2、胸部垫;3、髋腿联合垫;4、左腿部;5、右腿部;6、“U”形间隙空槽;7、固定带;8、支撑斜面;9、头部凹槽;10、管路限位凹槽;11、水囊条;12、第一注水口;13、肩部水囊;14、髋部水囊;15、第二注水口;16、第三注水口;17、第一隔断;18、第一充气接口;19、第二隔断;20、第二充气接口;21、拉手;22、支撑垫。Among them: 1. Head pad; 2. Chest pad; 3. Hip and leg joint pad; 4. Left leg; 5. Right leg; 6. U-shaped gap; 7. Fixing belt; 8. Support Inclined surface; 9. Head groove; 10. Pipeline limit groove; 11. Water bag bar; 12. First water injection port; 13. Shoulder water bag; 14. Hip water bag; 15. Second injection 16. The third water injection port; 17. The first partition; 18. The first inflatable interface; 19. The second partition; 20. The second inflatable interface; 21. The handle; 22. The support pad.
实施方式Implementation
根据附图1、图2,本实用新型一种俯卧位通气减压垫,包括内部充气的气垫主体,所述气垫主体包括依次相连的头部垫1、胸部垫2和髋腿联合垫3。所述头部垫1、胸部垫2、左腿部4和右腿部5分别为独立的充气囊体。所述气垫主体的两侧分别设有拉手21。所述气垫主体的底部设有支撑垫22或防滑垫。According to accompanying
所述髋腿联合垫3由左腿部4与右腿部5组成,所述左腿部4与右腿部5之间设有“U”形间隙空槽6,患者俯卧在气垫主体上时,患者腹部位于所述“U”形间隙空槽6内。所述左腿部4上与右腿部5上靠近所述胸部垫2处分别设有髋部水囊14。所述左腿部4的两侧、右腿部5的两侧分别设有固定带7,所述固定带7优选通过魔术贴或插扣相互固定,通过所述固定带7便于ICU俯卧位通气患者腹部及腿部导管的固定。The hip-
所述头部垫1的上表面为尾端低于头端的支撑斜面8,所述支撑斜面8所在平面与所述胸部垫2顶面的夹角a为165~175度。The upper surface of the
所述支撑斜面8上设有头部凹槽9,所述头部凹槽9的两侧设有横向贯穿所述头部凹槽9中下部的管路限位凹槽10,所述头部凹槽9的上下边缘分别设有水囊条11。所述水囊条11的第一注水口12位于所述头部垫1的前侧侧壁上。所述水囊条11可更好的减轻患者头部受压情况,所述管路限位凹槽10便于机械通气患者的管道放置,防止管道位移、被压迫。The
所述胸部垫2靠近所述头部垫1处设有左右两个肩部水囊13,所述肩部水囊13用于缓解患者的两侧肩压力,保证骨隆突处所受压力持续变化,从而达到良好的减压效果。所述肩部水囊13的第二注水口15、髋部水囊14的第三注水口16分别位于所述气垫主体的两侧侧壁上。The
所述头部垫1的内部中间通过第一隔断17将所述头部垫分为左侧头部垫和右侧头部垫,所述左侧头部垫和右侧头部垫的外侧侧面上分别设有第一充气接口18;所述左侧头部垫和右侧头部垫的内部互不相通,分别通过各自的第一充气接口18进行充气或放气,从而分别控制各自的充气程度以间接调节各自的软硬程度。The inner middle of the
所述胸部垫2的内部中间通过第二隔断19将所述胸部垫2分为左胸部和右胸部,所述左胸部和右胸部的外侧侧面上分别设有第二充气接口20。所述左胸部和右胸部的内部互不相通,分别通过各自的第二充气接口20进行充气或放气,从而分别控制各自的充气程度以间接调节各自的软硬程度。The inner middle of the
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