CN219461562U - Flexible interlayer protection device - Google Patents
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Abstract
Description
技术领域technical field
本实用新型涉及一种柔性夹层保护装置,尤其涉及一种用于预防“俯卧位通气”所致压力性损伤的柔性夹层保护装置。The utility model relates to a flexible interlayer protection device, in particular to a flexible interlayer protection device for preventing pressure damage caused by "prone position ventilation".
背景技术Background technique
在重症监护室(ICU的肺炎感染患者、呼吸窘迫症患者、医院呼吸科病房、老年科病房慢性阻塞性肺气肿等患者,为改善氧合、改善高碳酸血症、改善右心功能及利于肺保护性通气,重症监护室(ICU)医护人员、康复治疗师协同家属对清醒的重症患者实施俯卧位通气治疗,也就是“趴着”治疗。有效改善了肺通气/血流比例,气道内的分泌物也得到很好的引流。医护人员、呼吸康复治疗师、护工及家属会在头颈部、胸部、髋、小腿的位置分别放置枕头,以此悬空膝关节和/或肘关节,防止膝关节和/或肘关节周围软组织压力性损伤。但长时间(有建议每天至少12小时)的俯卧位通气患者,因骨性突出、营养不良等原因。在没有柔软支撑面缓解骨性突出对相应体表位置施压的情况下、使局部组织血液循环受阻,缺血缺氧,加上皮肤长期受到潮湿以及摩擦的影响,出现皮肤压力性损伤(俗称压疮)以及受压后的不用程度的神经损伤(如尺神经损伤)。例如,被枕头支起的膝盖依然会陷下,突出的髌骨和胫骨内侧髁受压后,周围的软组织会因为受压出现软组织压力性损伤;患者屈曲的肘关节也会发生皮肤压力性损伤等。再加上重症患者中基础疾病及高龄老年患者居多,本身具有慢性膝骨关节炎、膝关节内翻畸形、淋巴水肿、血管神经性病变等,再加上患者有不同程度的营养不良,低蛋白血症等疾病又加剧了继发性损伤的机率。In the intensive care unit (ICU patients with pneumonia infection, patients with respiratory distress, hospital respiratory ward, geriatric ward chronic obstructive emphysema, etc., in order to improve oxygenation, improve hypercapnia, improve right heart function and benefit Lung protective ventilation, intensive care unit (ICU) medical staff and rehabilitation therapists cooperate with family members to perform prone position ventilation treatment on conscious critically ill patients, that is, "tummy time" treatment. Effectively improve the lung ventilation/blood flow ratio, and the airway The secretions of the patient are also well drained. Medical staff, respiratory rehabilitation therapists, nurses, and family members will place pillows on the head, neck, chest, hips, and calves to suspend the knee and/or elbow joints to prevent Soft tissue pressure injury around the knee joint and/or elbow joint. However, patients who have been ventilated in the prone position for a long time (at least 12 hours a day) have bony protrusion, malnutrition, etc. Relieving bony protrusion without a soft support surface is harmful In the case of pressure on the corresponding body surface, the blood circulation of local tissues is blocked, ischemia and hypoxia, and the skin is affected by moisture and friction for a long time, resulting in skin pressure injury (commonly known as pressure sore) and the degree of disuse after pressure Nerve injury (such as ulnar nerve injury). For example, the knee supported by a pillow will still sink, and after the protruding patella and medial tibial condyle are compressed, the surrounding soft tissues will appear soft tissue pressure damage due to compression; Elbow joints can also suffer from skin pressure injuries, etc. In addition, most of the critically ill patients have underlying diseases and elderly patients, who themselves have chronic knee osteoarthritis, knee varus deformity, lymphedema, and vascular neuropathy, etc. The above patients have different degrees of malnutrition, and diseases such as hypoproteinemia have aggravated the probability of secondary damage.
气垫床是通过充气解决这一难题,但存在易漏气需充气,解压不均匀等缺点。而膝关节周围的皮肤肌肉较薄弱;并且无法做到髌骨的巨大骨性突出和髌骨与胫骨内侧髁过度时高低不平整的骨性突出的防压。The air bed solves this problem by inflating, but it has the disadvantages of easy air leakage and uneven decompression. The skin and muscles around the knee joint are weak; and it is impossible to prevent the huge bony protrusion of the patella and the uneven bony protrusion when the patella and the medial condyle of the tibia are excessive.
发明内容Contents of the invention
本实用新型要解决的技术问题是:在患者俯卧位通气时,如何避免膝关节和肘关节处出现软组织压力性损伤或神经损伤的问题。The technical problem to be solved by the utility model is: how to avoid soft tissue pressure injury or nerve injury at the knee joint and elbow joint when the patient is ventilating in the prone position.
为了解决上述技术问题,本实用新型的技术方案是提供了一种柔性夹层保护装置,其特征在于,包括第一高弹棉层,第一高弹棉层的外侧面上设有第二高弹棉层,第二高弹棉层的周边与第一高弹棉层连接,第二高弹棉层与第一高弹棉层之间设有至少一层固体凝胶层,第一高弹棉层两端分别设有阳面魔术贴条和阴面魔术贴条,阳面魔术贴条和阴面魔术贴条的位置一一对应,且数量相同;当使用时,阳面魔术贴条和阴面魔术贴条贴合连接。In order to solve the above technical problems, the technical solution of the present utility model is to provide a flexible interlayer protection device, which is characterized in that it includes a first high-elastic cotton layer, and a second high-elastic cotton layer is provided on the outer surface of the first high-elastic cotton layer. Cotton layer, the periphery of the second high-elastic cotton layer is connected with the first high-elastic cotton layer, at least one layer of solid gel layer is arranged between the second high-elastic cotton layer and the first high-elastic cotton layer, and the first high-elastic cotton layer There are positive Velcro strips and negative Velcro strips at both ends of the layer, the positions of the positive Velcro strips and the negative Velcro strips are one-to-one correspondence, and the numbers are the same; when in use, the positive Velcro strips and the negative Velcro strips fit together connect.
优选地,所述的阳面魔术贴条和阴面魔术贴条分别固定在第一高弹棉层外侧面的两端。Preferably, the positive Velcro strip and the negative Velcro strip are respectively fixed on the two ends of the outer surface of the first high elastic cotton layer.
优选地,所述的第一高弹棉层展开时为弧面结构,使用时为折弯结构,第二高弹棉层设于折弯结构中间的折弯处。Preferably, the first high-elastic cotton layer has a cambered structure when unfolded, and a bent structure when in use, and the second high-elastic cotton layer is arranged at the bend in the middle of the bent structure.
优选地,所述的第二高弹棉层的内侧面设有第一魔术贴片,第一高弹棉层的外侧面设有第二魔术贴片,第一魔术贴片和第二魔术贴片的形状面积均与第二高弹棉层相同,且第一魔术贴片和第二魔术贴片中一个为阳贴,另一个为阴贴,使得第一魔术贴片和第二魔术贴片能相互贴合;固体凝胶层的大小小于第二高弹棉层的大小,第二高弹棉层能完全覆盖住固体凝胶层。Preferably, the inner side of the second high-elastic cotton layer is provided with a first Velcro patch, the outer side of the first high-elastic cotton layer is provided with a second Velcro patch, the first Velcro patch and the second Velcro patch The shape and area of the sheets are the same as the second high-elastic cotton layer, and one of the first Velcro patch and the second Velcro patch is a positive sticker, and the other is a female sticker, so that the first Velcro patch and the second Velcro patch Can fit each other; the size of the solid gel layer is smaller than the size of the second high elastic cotton layer, and the second high elastic cotton layer can completely cover the solid gel layer.
本实用新型提供了网状透气、棉质亲肤、高弹棉层及中间夹有数层固体凝胶层组成的柔性夹层护膝或护肘,预防继发性膝关节或肘关节压力性损伤,起到保护膝关节或肘关节周围皮肤、血管、神经、淋巴等作用,避免因“俯卧位通气”导致的继发性伤害。同时配有S、M、L不同大小尺寸,可以根据不同患者的胖瘦体型、不同膝关节或肘关节骨性突出差异及不同体位及舒适度,可以自己选择添加固体凝胶层数量,以达到更舒适的佩戴感和更好的防压效果。The utility model provides a flexible interlayer knee protector or elbow protector composed of net-like air-permeable, cotton skin-friendly, high-elastic cotton layer and several layers of solid gel layer in the middle, which can prevent secondary knee joint or elbow joint pressure injury, To protect the skin, blood vessels, nerves, lymph, etc. around the knee joint or elbow joint, and avoid secondary injuries caused by "prone position ventilation". At the same time, it is equipped with different sizes of S, M, and L. You can choose the number of solid gel layers to add according to the fat and thin body shapes of different patients, differences in the bony protrusion of different knee joints or elbow joints, and different body positions and comfort levels. More comfortable wearing and better anti-pressure effect.
本实用新型的结构简便有效,使用方便,针对膝关节或肘关节各为2只一套。可清洗,多次使用;全棉亲肤,极少引起皮肤过敏反应,家属或患者清醒状态下都可使用。也可用于医院等医疗机构如重症监护室重症肺炎患者、呼吸科病房、老年科病房慢性阻塞性肺气肿患者、养老机构的肺功能下降患者;也可居家用于慢性支气管炎咳痰困难等患者,市场应用前景广泛。The utility model has a simple and effective structure and is easy to use, and there are two sets of knee joints or elbow joints respectively. It is washable and can be used multiple times; all cotton is skin-friendly and rarely causes skin allergic reactions, so it can be used by family members or patients when they are awake. It can also be used in hospitals and other medical institutions, such as patients with severe pneumonia in intensive care units, patients with chronic obstructive pulmonary emphysema in respiratory wards, geriatric wards, and patients with reduced lung function in nursing homes; it can also be used at home for chronic bronchitis with difficulty coughing up sputum, etc. Patients, the market application prospect is broad.
本实用新型的装置由亲肤的高弹棉制成,棉质透气不易过敏;骨性突出的防压部位更有可柔性选择数层固体凝胶层和高弹棉层的组合垫,有效缓解骨性突出造成对周围皮肤的压力,中间夹层的数层固体凝胶层替代了现有气垫床的充气减压功能,既有气垫的缓解压力作用,但无需气垫护具的漏气及充气的繁琐细节。并且舒适贴合在使用者的肘部或膝部,更好缓解了受压位置周围组织压力;The device of the utility model is made of skin-friendly high-elastic cotton, and the cotton is breathable and not easy to be allergic; the anti-pressure part with prominent bone is more flexible to choose a combination pad of several layers of solid gel layer and high-elastic cotton layer, which can effectively relieve the pain. Bone prominence causes pressure on the surrounding skin, and several layers of solid gel layers in the middle interlayer replace the air-inflated decompression function of the existing air mattress, which has the pressure-relieving effect of the air cushion, but does not need the air leakage and inflation of the air cushion protector. Red tape. And it fits comfortably on the user's elbow or knee, which better relieves the pressure on the surrounding tissue of the compressed position;
本实用新型的装置有很好的透气性,能避免皮肤潮湿;在护具装置的上下部位分别有两根柔软棉质的魔术贴,以最合适的松紧度固定护具,稳定性好。The device of the utility model has good air permeability and can avoid skin moisture; there are two soft cotton magic stickers on the upper and lower parts of the protective gear device, and the protective gear is fixed with the most suitable tightness, and the stability is good.
附图说明Description of drawings
图1为一种柔性夹层保护装置(柔性夹层护肘)展开时的内侧示意图;Fig. 1 is the inside schematic diagram when a kind of flexible interlayer protector (flexible interlayer elbow pad) is deployed;
图2为一种柔性夹层保护装置(柔性夹层护肘)展开时的外侧示意图;Fig. 2 is the outer schematic diagram when a kind of flexible interlayer protector (flexible interlayer elbow pad) is deployed;
图3为图2中第二高弹棉层连接第一高弹棉层的整体结构示意图;Fig. 3 is the overall structural schematic diagram of the second high-elastic cotton layer connecting the first high-elastic cotton layer in Fig. 2;
图4为图2中第二高弹棉层与第一高弹棉层之前包裹固体凝胶层的爆炸图;Fig. 4 is the exploded view of wrapping the solid gel layer before the second high elastic cotton layer and the first high elastic cotton layer in Fig. 2;
图5为一种柔性夹层保护装置(柔性夹层护肘)使用时的整体结构示意图;Fig. 5 is a schematic diagram of the overall structure of a flexible interlayer protective device (flexible interlayer elbow pad) in use;
图6为患者使用一种柔性夹层保护装置(柔性夹层护肘)时的示意图;Fig. 6 is the schematic diagram when the patient uses a kind of flexible interlayer protector (flexible interlayer elbow pad);
图7为一种柔性夹层保护装置(柔性夹层护膝)展开时的内侧示意图;Fig. 7 is a schematic view of the inside of a flexible interlayer protective device (flexible interlayer knee pad) when it is deployed;
图8为一种柔性夹层保护装置(柔性夹层护膝)展开时的外侧示意图;Fig. 8 is a schematic diagram of the outside of a flexible interlayer protective device (flexible interlayer knee pad) when it is deployed;
图9为一种柔性夹层保护装置(柔性夹层护膝)在魔术贴未绑定时的立体图;Fig. 9 is a perspective view of a flexible interlayer protective device (flexible interlayer knee pad) when the Velcro is not bound;
图10为图9中第二高弹棉层连接第一高弹棉层的整体结构示意图;Figure 10 is a schematic diagram of the overall structure of the second high-elastic cotton layer connected to the first high-elastic cotton layer in Figure 9;
图11为图9中第二高弹棉层与第一高弹棉层之前包裹固体凝胶层的爆炸图;Fig. 11 is the exploded view of wrapping the solid gel layer before the second high-elastic cotton layer and the first high-elastic cotton layer in Fig. 9;
图12为一种柔性夹层保护装置(柔性夹层护膝)使用时的整体结构示意图;Fig. 12 is a schematic diagram of the overall structure of a flexible interlayer protective device (flexible interlayer knee pad) in use;
图13为患者使用一种柔性夹层保护装置(柔性夹层护膝)时在髋正立位(保护膝前)的示意图;Fig. 13 is a schematic diagram of the hip upright position (before protecting the knee) when the patient uses a flexible sandwich protection device (flexible sandwich knee pad);
图14为患者使用一种柔性夹层保护装置(柔性夹层护膝)时在髋外旋位(保护内膝)的示意图。Fig. 14 is a schematic diagram of a patient using a flexible sandwich protector (flexible sandwich knee protector) in the external rotation position of the hip (protecting the inner knee).
具体实施方式Detailed ways
为使本实用新型更明显易懂,兹以优选实施例,并配合附图作详细说明如下。In order to make the utility model more comprehensible, preferred embodiments are described in detail below with accompanying drawings.
本实用新型提供了一种柔性夹层保护装置,为用于预防在重症监护室(ICU)的肺炎感染患者、呼吸窘迫综合症、呼吸科老年科病房慢性阻塞性肺炎患者、居家慢性支气管炎咳痰困难患者等需要进行“俯卧位通气”时导致压力性膝关节或肘关节损伤的护具。The utility model provides a flexible interlayer protective device, which is used for preventing patients with pneumonia infection in the intensive care unit (ICU), respiratory distress syndrome, patients with chronic obstructive pneumonia in the geriatric ward of the respiratory department, and chronic bronchitis at home to cough up sputum. Braces for stressful knee or elbow joint injuries in difficult patients such as those requiring "prone position ventilation".
实施例1Example 1
本实施例中,本实用新型的柔性夹层保护装置为适用于患者肘关节的柔性夹层护肘,如图1-图5所示,其包括第一高弹棉层1,第一高弹棉层1的外侧面上设有第二高弹棉层2,第二高弹棉层2的周边与第一高弹棉层1连接,第二高弹棉层2与第一高弹棉层1之间设有至少一层固体凝胶层3,第一高弹棉层1两端分别设有阳面魔术贴条4和阴面魔术贴条5,阳面魔术贴条4和阴面魔术贴条5的位置一一对应,且数量相同;当使用时,阳面魔术贴条4和阴面魔术贴条5贴合连接。阳面魔术贴条4和阴面魔术贴条5分别固定在第一高弹棉层1外侧面的两端。第一高弹棉层1展开时为弧面结构,使用时为折弯结构,第二高弹棉层2设于折弯结构中间的折弯处。本实施例中,第二高弹棉层2位于肘关节位置。In this embodiment, the flexible interlayer protector of the present invention is a flexible interlayer elbow protector suitable for the patient's elbow joint, as shown in Figures 1-5, which includes a first high-elastic cotton layer 1, a first high-elastic cotton layer 1 is provided with a second high-elastic cotton layer 2 on the outer surface, the periphery of the second high-elastic cotton layer 2 is connected with the first high-elastic cotton layer 1, and the connection between the second high-elastic cotton layer 2 and the first high-elastic cotton layer 1 There is at least one layer of solid gel layer 3 between them, and the two ends of the first high-elastic cotton layer 1 are respectively provided with positive Velcro strips 4 and negative Velcro strips 5, and the positions of the positive Velcro strips 4 and the negative Velcro strips 5 are the same. One corresponds, and the quantity is the same; when in use, the positive Velcro strip 4 and the negative Velcro strip 5 are fitted and connected. The positive Velcro strip 4 and the negative Velcro strip 5 are respectively fixed on the two ends of the outer surface of the first high elastic cotton layer 1 . The first high-elastic cotton layer 1 has an arc structure when unfolded, and a bent structure when in use, and the second high-elastic cotton layer 2 is arranged at a bend in the middle of the bent structure. In this embodiment, the second high elastic cotton layer 2 is located at the elbow joint.
第二高弹棉层2的内侧面设有第一魔术贴片,第一高弹棉层1的外侧面设有第二魔术贴片,第一魔术贴片和第二魔术贴片的形状面积均与第二高弹棉层2相同,且第一魔术贴片和第二魔术贴片中一个为阳贴,另一个为阴贴,使得第一魔术贴片和第二魔术贴片能相互贴合;固体凝胶层3的大小小于第二高弹棉层2的大小,第二高弹棉层2能完全覆盖住固体凝胶层3。The inner side of the second high-elastic cotton layer 2 is provided with a first Velcro patch, and the outer side of the first high-elastic cotton layer 1 is provided with a second Velcro patch, the shape area of the first Velcro patch and the second Velcro patch Both are the same as the second high-elastic cotton layer 2, and one of the first Velcro patch and the second Velcro patch is a positive patch, and the other is a negative patch, so that the first Velcro patch and the second Velcro patch can be attached to each other Together; the size of the solid gel layer 3 is smaller than the size of the second high elastic cotton layer 2, and the second high elastic cotton layer 2 can completely cover the solid gel layer 3.
第一高弹棉层1具有弹性、透气、亲肤的特性,作为该肘关节护具的主体材质,结构上做了柔性夹层的改进,即在肘关节部位分别增加了数块椭圆形的固体凝胶层3和一块第二高弹棉层2,使用数层固体凝胶层3的结构改进是为了弹性抗压、亲肤,适合不同类型患者的骨性结构、生理结构及不同体位需求。以此在使用者处于俯卧位通气治疗时,肩关节外旋、肘关节内侧的尺骨茎突受压,有效缓解了骨性突出造成的压力。并且高弹棉材质的透气性好;数层固体凝胶层3有更优秀的抗压和亲肤特性,避免了长期卧床、骨性突出压力、流汗等原因造成的局部皮肤的潮湿及周围组织的压力性损伤。同时考虑到不同体型的使用者,设计了S、M、L三款大小的尺寸;可以根据不同人群的骨性突出情况选择不同数量的固体凝胶层以做到更好的个性化防压效果。The first high-elastic cotton layer 1 has the characteristics of elasticity, breathability, and skin-friendly. As the main material of the elbow joint protector, a flexible interlayer is improved in structure, that is, several oval solids are added to the elbow joints. The gel layer 3 and a second high-elastic cotton layer 2 are improved by using several layers of solid gel layer 3 in order to be elastic and compressive, skin-friendly, and suitable for bone structure, physiological structure and different posture requirements of different types of patients. In this way, when the user is in the prone position for ventilation treatment, the shoulder joint is externally rotated and the ulnar styloid process on the inner side of the elbow joint is compressed, which effectively relieves the pressure caused by bony protrusion. And the high-elastic cotton material has good air permeability; several layers of solid gel layer 3 have better anti-compression and skin-friendly properties, avoiding local skin moisture and surrounding tissues caused by long-term bed rest, bony protruding pressure, sweating, etc. of pressure injuries. At the same time, considering users of different body types, three sizes of S, M, and L are designed; different numbers of solid gel layers can be selected according to the bony protrusion of different groups of people to achieve a better personalized anti-pressure effect .
柔性夹层护肘分为S、M、L型号,不分左右,分别为:Flexible interlayer elbow pads are divided into S, M, and L models, regardless of left and right, respectively:
步骤1:裁剪第一高弹棉层1;Step 1: Cut the first high elastic cotton layer 1;
S:裁剪出长度16cm,上宽23cm,下宽20cm的第一高弹棉层1,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长20cm(供护具屈曲时的弧度)。S: Cut out the first high-elastic cotton layer 1 with a length of 16cm, an upper width of 23cm, and a lower width of 20cm. The two sides are straight and the upper and lower arcs are approximately trapezoidal, and the apex of the two arcs is 20cm long (the arc for the buckling of the protective gear) .
M:裁剪出长度20cm,上宽26cm,下宽23cm的高弹棉层,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长25cm(供护具屈曲时的弧度)。M: Cut out a high-elastic cotton layer with a length of 20cm, an upper width of 26cm, and a lower width of 23cm. The two sides are straight and the upper and lower arcs are approximately trapezoidal.
L:裁剪出长度24cm,上宽29cm,下宽26cm的高弹棉层,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长29cm(供护具屈曲时的弧度)。L: Cut out a high-elastic cotton layer with a length of 24cm, an upper width of 29cm, and a lower width of 26cm. The two sides are straight, and the upper and lower arcs are approximately trapezoidal.
步骤2:裁剪出长轴9cm、短轴5cm、厚度0.5cm的椭圆形的固体凝胶层3若干;长轴10cm、短轴6cm的椭圆形的第二高弹棉层2。Step 2: Cut out several oval solid gel layers 3 with a major axis of 9 cm, a minor axis of 5 cm, and a thickness of 0.5 cm; and a second high-elastic cotton layer 2 of an oval shape with a major axis of 10 cm and a minor axis of 6 cm.
步骤3:裁剪出与步骤2中的第二高弹棉层2尺寸相同的魔术贴片(阴阳)两片,第一魔术贴片阳面以周长缝合的方式缝于步骤1中第一高弹棉层1的内侧;第二魔术贴片阴面以横向周长缝合的方式缝于步骤1中第一高弹棉层1的外侧中间(作为鹰嘴、尺骨茎突保护区)。Step 3: Cut out two Velcro patches (yin and yang) of the same size as the second high-elastic cotton layer 2 in step 2, and sew the positive side of the first Velcro patch to the first high-elastic cotton layer in step 1 by sewing the perimeter The inner side of the cotton layer 1; the negative side of the second Velcro patch is sewn in the middle of the outer side of the first high-elastic cotton layer 1 in step 1 (as the olecranon and ulnar styloid process protection area) in the mode of transverse perimeter suture.
将图3(第一高弹棉层1)以图2形式与魔术贴片周长围绕式缝合,图4中的固体凝胶层3为游离状态,不做缝合。Figure 3 (the first high-elastic cotton layer 1) is stitched around the perimeter of the Velcro patch in the form of Figure 2, and the solid gel layer 3 in Figure 4 is in a free state and is not stitched.
步骤4:选取长度为8cm长度的棉质的魔术贴条(分为阳面魔术贴条4和阴面魔术贴条5),分别将阳面魔术贴条4用棉线缝合在第一高弹棉层1的单侧上2/10,4/10,7/10,9/10处,阴面魔术贴条5用棉线缝合在第一高弹棉层1的另一侧上2/10,4/10,7/10,9/10处,如图2所示。Step 4: Select cotton Velcro strips with a length of 8 cm (divided into positive Velcro strips 4 and negative Velcro strips 5), and sew the positive Velcro strips 4 to the first high-elastic cotton layer 1 with cotton thread On one side at 2/10, 4/10, 7/10, 9/10, the negative Velcro strip 5 is sewn with cotton thread on the other side of the first high-elastic cotton layer 1 at 2/10, 4/10, 7 /10, 9/10, as shown in Figure 2.
如图6所示,本实用新型的使用过程如下:As shown in Figure 6, the use process of the present utility model is as follows:
1.先根据使用者的臂围选择相应尺寸的护肘,区分护具的上、下部(长的为上部、短的为下部),将椭圆的阴贴的中心对准使用者的鹰嘴部(即患者肘关节位置),然后将第一高弹棉层1顺着上下手臂包裹,当松紧合适时(可以伸进一根手指为宜),固定魔术贴条(即阳面魔术贴条4和阴面魔术贴条5),佩戴完毕。1. First select the corresponding size elbow pad according to the user's arm circumference, distinguish the upper and lower parts of the protective gear (the long one is the upper part, and the short one is the lower part), and align the center of the elliptical vaginal patch with the user's olecranon (i.e. the position of the patient's elbow joint), then wrap the first high-elastic cotton layer 1 along the upper and lower arms, and when the tightness is appropriate (it is advisable to extend a finger), fix the Velcro strip (i.e. the positive Velcro strip 4 and Velcro strip 5) on the negative side, after wearing.
2.触摸使用者鹰嘴、尺骨茎突的突出情况,根据骨性突出程度选择增减固体凝胶层3的数量(如图4所示),将固体凝胶层3叠放于伸直手臂的护具外侧的阴贴上,最后将第二高弹棉层2内侧的魔术贴片阳贴贴上并固定固体凝胶层3(如图3所示)。2. Touch the protrusion of the user's olecranon and ulnar styloid, choose to increase or decrease the number of solid gel layer 3 according to the degree of bony protrusion (as shown in Figure 4), and stack the solid gel layer 3 on the straight arm Finally, paste and fix the solid gel layer 3 on the inner side of the second high elastic cotton layer 2 and fix the solid gel layer 3 (as shown in Figure 3).
柔性夹层护肘的第一高弹棉层1两端采用魔术扣搭扣(魔术贴条),避免了肘关节周围皮肤、神经血管及周围组织因长时间压迫而导致的继发性损伤。The two ends of the first high-elastic cotton layer 1 of the flexible interlayer elbow adopt Velcro buckles (Velcro strips), which avoid secondary damage to the skin, neurovascular and surrounding tissues around the elbow joint due to long-term compression.
实施例2Example 2
本实施例中,本实用新型的柔性夹层保护装置为适用于患者膝关节的柔性夹层护膝,如图7-图12所示,其包括第一高弹棉层1,第一高弹棉层1的外侧面上设有第二高弹棉层2,第二高弹棉层2的周边与第一高弹棉层1连接,第二高弹棉层2与第一高弹棉层1之间设有至少一层固体凝胶层3,第一高弹棉层1两端分别设有阳面魔术贴条4和阴面魔术贴条5,阳面魔术贴条4和阴面魔术贴条5的位置一一对应,且数量相同;当使用时,阳面魔术贴条4和阴面魔术贴条5贴合连接。阳面魔术贴条4和阴面魔术贴条5分别固定在第一高弹棉层1外侧面的两端。第一高弹棉层1展开时为弧面结构,使用时为折弯结构,第二高弹棉层2设于折弯结构中间的折弯处。本实施例中,第二高弹棉层2位于膝关节位置。In this embodiment, the flexible interlayer protector of the present invention is a flexible interlayer knee protector suitable for the patient's knee joint, as shown in Figures 7-12, which includes a first high-elastic cotton layer 1, a first high-elastic cotton layer 1 The second high-elastic cotton layer 2 is provided on the outer surface of the outer surface, and the periphery of the second high-elastic cotton layer 2 is connected with the first high-elastic cotton layer 1. Between the second high-elastic cotton layer 2 and the first high-elastic cotton layer 1 There is at least one layer of solid gel layer 3, and the two ends of the first high-elastic cotton layer 1 are respectively provided with a positive Velcro strip 4 and a negative Velcro strip 5, and the positions of the positive Velcro strip 4 and the negative Velcro strip 5 are one by one. Corresponding, and the number is the same; when in use, the positive Velcro strip 4 and the negative Velcro strip 5 are fitted and connected. The positive Velcro strip 4 and the negative Velcro strip 5 are respectively fixed on the two ends of the outer surface of the first high elastic cotton layer 1 . The first high-elastic cotton layer 1 has an arc structure when unfolded, and a bent structure when in use, and the second high-elastic cotton layer 2 is arranged at a bend in the middle of the bent structure. In this embodiment, the second high elastic cotton layer 2 is located at the knee joint.
第二高弹棉层2的内侧面设有第一魔术贴片,第一高弹棉层1的外侧面设有第二魔术贴片,第一魔术贴片和第二魔术贴片的形状面积均与第二高弹棉层2相同,且第一魔术贴片和第二魔术贴片中一个为阳贴,另一个为阴贴,使得第一魔术贴片和第二魔术贴片能相互贴合;固体凝胶层3的大小小于第二高弹棉层2的大小,第二高弹棉层2能完全覆盖住固体凝胶层3。The inner side of the second high-elastic cotton layer 2 is provided with a first Velcro patch, and the outer side of the first high-elastic cotton layer 1 is provided with a second Velcro patch, the shape area of the first Velcro patch and the second Velcro patch Both are the same as the second high-elastic cotton layer 2, and one of the first Velcro patch and the second Velcro patch is a positive patch, and the other is a negative patch, so that the first Velcro patch and the second Velcro patch can be attached to each other Together; the size of the solid gel layer 3 is smaller than the size of the second high elastic cotton layer 2, and the second high elastic cotton layer 2 can completely cover the solid gel layer 3.
第一高弹棉层1具有弹性、透气、亲肤的特性,作为该膝关节护具的主体材质,并且在膝关节髌骨和胫骨内侧髁部位额外增加了数块椭圆形的固体凝胶层3和一块较长些的第二高弹棉层2,以此在使用者处于俯卧位通气治疗时,髋关节外旋、膝关节内侧的胫骨内侧髁受压,有效缓解了非常突出的膝关节髌骨和其他骨性突出造成的压力。并且高弹棉材质透气性好,固体凝胶层3有很好的减压作用,弥补了气垫护具易漏气需充气这一缺点;且根据不同患者的骨性结构及生理结构,或不同体位或舒适度可采用1块、2块或数块固体凝胶层3适时增减,实用有效。同时考虑到不同体型的使用者,设计了S、M、L三款大小的尺寸;以及可拆分式的分别位于第二高弹棉层2和第一高弹棉层1上的两片魔术贴片,可以根据不同人群的骨性突出情况选择不同数量的固体凝胶层3以做到更好的防压效果。避免了长期卧床、骨性突出受压后局部周围组织损伤以及局部潮湿引起的皮肤过敏等症状。The first high-elastic cotton layer 1 has the characteristics of elasticity, breathability, and skin-friendly, and is used as the main material of the knee joint brace, and several oval solid gel layers 3 are additionally added at the patella of the knee joint and the medial condyle of the tibia And a longer second high-elastic cotton layer 2, so that when the user is in the prone position for ventilation treatment, the hip joint is externally rotated and the medial tibial condyle on the inside of the knee joint is compressed, which effectively relieves the very prominent knee joint patella and other bony protrusions cause stress. And the high-elastic cotton material has good air permeability, and the solid gel layer 3 has a good decompression effect, which makes up for the shortcoming that the air cushion protector is easy to leak and needs to be inflated; and according to the bone structure and physiological structure of different patients, or different One, two or several solid gel layers 3 can be used to increase or decrease in time for body position or comfort, which is practical and effective. At the same time, taking into account users of different body types, three sizes of S, M, and L are designed; and two detachable magic pieces are respectively located on the second high-elastic cotton layer 2 and the first high-elastic cotton layer 1. For the patch, different numbers of solid gel layers 3 can be selected according to the bony protrusion of different groups of people to achieve a better anti-pressure effect. Long-term bed rest, local surrounding tissue damage after bony protrusion and compression, and skin allergies caused by local moisture are avoided.
柔性夹层护膝分为分为S、M、L型号,不分左右,分别为:Flexible interlayer knee pads are divided into S, M, and L models, regardless of left and right, respectively:
步骤1:裁剪第一高弹棉层1;Step 1: Cut the first high elastic cotton layer 1;
S:裁剪出长度35cm,上宽35cm,下宽27cm的第一高弹棉层1,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长45cm(供护膝屈曲时的弧度)。S: Cut out length 35cm, upper width 35cm, the first high-elastic cotton layer 1 of lower width 27cm, both sides are straight, the approximate trapezoid of upper and lower circular arc, wherein the vertex of two circular arcs is long 45cm (the radian when knee pad is flexed).
M:裁剪出长度40cm,上宽45cm,下宽35cm的第一高弹棉层1,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长50cm(供护膝屈曲时的弧度)。M: cut out length 40cm, upper width 45cm, the first high elastic cotton layer 1 of lower width 35cm, both sides are straight, the approximate trapezoid of circular arc up and down, wherein the apex of two circular arcs is long 50cm (the radian when knee pad is flexed).
L:裁剪出长度45cm,上宽55cm,下宽42cm的第一高弹棉层1,两边直、上下圆弧的近似梯形,其中两圆弧的顶点长55cm(供护膝屈曲时的弧度)。L: cut out length 45cm, upper width 55cm, the first high elastic cotton layer 1 of lower width 42cm, both sides are straight, the approximate trapezoid of circular arc up and down, wherein the vertex of two circular arcs is long 55cm (the radian when knee pad is flexed).
步骤2:裁剪长轴15cm、短轴14cm的椭圆形的固体凝胶层3若干;长轴23cm、短轴15cm的椭圆形的第二高弹棉层2。Step 2: Cut out several oval solid gel layers 3 with a major axis of 15 cm and a minor axis of 14 cm; and a second high-elastic cotton layer 2 of an oval shape with a major axis of 23 cm and a minor axis of 15 cm.
步骤3:裁剪出与步骤2中的第二高弹棉层2尺寸相同的魔术贴片(阴阳)两片,阳贴以周长缝合的方式缝于步骤2中第二高弹棉层2的内侧;阴贴以横向周长缝合的方式缝于步骤1中第一高弹棉层1的外侧中间(作为髌骨、胫骨内侧髁保护区)。Step 3: Cut out two Velcro patches (yin and yang) of the same size as the second high-elastic cotton layer 2 in step 2, and sew the positive patches to the second high-elastic cotton layer 2 in step 2 in a perimeter stitching manner Medial: Yin patch is sutured in the middle of the outer side of the first high elastic cotton layer 1 in step 1 (as the protection area of the patella and tibial medial condyle) in the way of transverse perimeter suture.
将图11(第二高弹棉层2)以图8形式与魔术贴片周长围绕式缝合,图11的固体凝胶层3为游离状态,可根据患者各种需求,放置数块固体凝胶层3,不做缝合。Figure 11 (the second high-elastic cotton layer 2) is sutured around the perimeter of the Velcro patch in the form of Figure 8. The solid gel layer 3 in Figure 11 is in a free state, and several solid gel layers can be placed according to the various needs of patients. Adhesive layer 3, without stitching.
步骤4:选取长度为17cm长度的棉质的魔术贴条(分为阳面魔术贴条4和阴面魔术贴条5),分别将阳面魔术贴条4用棉线缝合在第一高弹棉层1的单侧上2/10,4/10,7/10,9/10处,阴面魔术贴条5用棉线缝合在第一高弹棉层1的另一侧上2/10,4/10,7/10,9/10处。Step 4: Select cotton Velcro strips with a length of 17cm (divided into positive Velcro strips 4 and negative Velcro strips 5), and sew the positive Velcro strips 4 on the first high-elastic cotton layer 1 with cotton threads respectively. On one side at 2/10, 4/10, 7/10, 9/10, the negative Velcro strip 5 is sewn with cotton thread on the other side of the first high-elastic cotton layer 1 at 2/10, 4/10, 7 /10, at 9/10.
如图13、图14所示,本实用新型的使用过程如下:As shown in Figure 13 and Figure 14, the use process of the present utility model is as follows:
1.先根据使用者的腿围选择相应尺寸的护膝,区分护膝的上、下部(长的为上部、短的为下部),将椭圆的魔术贴片的阴贴的中心对准使用者的髌骨中心,然后将第一高弹棉层1分别以上部沿着大腿包裹下部沿着小腿包裹,当松紧合适时(可以伸进一根手指为宜),固定魔术贴条(即阳面魔术贴条4和阴面魔术贴条5),佩戴完毕。1. First select the knee pads of the corresponding size according to the user's leg circumference, distinguish the upper and lower parts of the knee pads (the long one is the upper part, and the short one is the lower part), and align the center of the elliptical Velcro patch with the user's patella Center, then wrap the first high-elastic cotton layer 1 with the upper part along the thigh and the lower part along the calf. When the tightness is suitable (it is advisable to extend a finger), fix the Velcro strip (that is, the positive Velcro strip 4 and the negative Velcro strip 5), after wearing.
2.触摸使用者髌骨、胫骨内侧髁的突出情况,根据骨性突出程度选择增减固体凝胶层3的数量(如图11所示),将固体凝胶层3叠放于伸直膝盖的护膝外侧的魔术贴片的阴贴上,最后将高弹棉魔术贴片的阳贴贴上,并固定固体凝胶层3(如图10所示)。2. Touch the prominence of the user's patella and medial tibial condyle, choose to increase or decrease the number of solid gel layers 3 according to the degree of bony prominence (as shown in Figure 11), and stack the solid gel layer 3 on the straightened knee Put on the yin patch of the Velcro patch on the outside of the knee pad, and finally stick the positive patch of the high-elastic cotton velcro patch, and fix the solid gel layer 3 (as shown in Figure 10).
3.清洗时,去除固体凝胶层3、第二高弹棉层2、魔术贴片部分,清洗,晾干后即可反复使用。3. When cleaning, remove the solid gel layer 3, the second high-elastic cotton layer 2, and the Velcro patch, wash and dry, and then use it repeatedly.
柔性夹层护膝通过网状全棉、亲肤透气为内衬;数层固体凝胶层3作为髌骨衬垫、高弹棉层作为胫骨内侧髁衬垫减压,有效缓解胫骨内侧髁到髌骨大小不同骨性突出的减压。The flexible interlayer knee pad is lined with mesh cotton, skin-friendly and breathable; several layers of solid gel layer 3 are used as the patella pad, and the high-elastic cotton layer is used as the medial tibial condyle pad for decompression, which can effectively relieve the difference in size from the medial tibial condyle to the patella. Decompression of bony protrusions.
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