CN221357952U - Patient self-operated visual colostomy lavage tube - Google Patents

Patient self-operated visual colostomy lavage tube Download PDF

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CN221357952U
CN221357952U CN202322723767.4U CN202322723767U CN221357952U CN 221357952 U CN221357952 U CN 221357952U CN 202322723767 U CN202322723767 U CN 202322723767U CN 221357952 U CN221357952 U CN 221357952U
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lavage
colostomy
visual
irrigation
patient
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王婷
符敏
栾贝贝
罗群
王晓灿
朱宇
何莲娣
苏周怡
陈天使
桂方方
姜海燕
王琴琴
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First Affiliated Hospital of Anhui Medical University
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First Affiliated Hospital of Anhui Medical University
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Abstract

The utility model provides a visual colostomy lavage tube of patient's self-operation formula, has solved the patient and has independently washed when clysis, can't see the internal aspect of colostomy, produces the fear, does not dare to lavage by oneself, leads to lavage effect poor, can not in time judge the unusual problem of intestinal wall hemorrhage; the device comprises a flushing pipe, wherein one end of the flushing pipe is fixedly connected with a cone-shaped lavage head, a plurality of liquid outlet holes are formed in the side face of the lavage head, the front end of the lavage head is fixedly connected with a detachable visible lens, and a layer of protective sleeve is coated outside the visible lens; the design can avoid the situation that the lavage effect is poor due to insufficient implantation length of the lavage tube and insufficient retention of lavage liquid in intestinal tracts; during clysis, the abnormal conditions such as intestinal wall hemorrhage and the like can be timely judged, unsafe events are avoided, and fear of self clysis of patients is reduced.

Description

一种患者自操作式可视结肠造口灌洗管A patient-operated visual colostomy irrigation tube

技术领域Technical Field

本实用新型属于医疗器具技术领域,特别是涉及一种患者自操作式可视结肠造口灌洗管。The utility model belongs to the technical field of medical instruments, in particular to a patient-operated visual colostomy irrigation tube.

背景技术Background technique

直肠癌是常见的消化道恶性肿瘤,其中低位性直肠癌发病率高达70%以上,目前结肠造口术被认为是治疗直肠癌有效的方式。结肠造口是指外科医生为了治疗某些肠道疾病而在腹壁上所做的人为开口,并将一段结肠肠管拉出开口外,翻转缝于腹壁,从而形成了肠造口。其作用就是代替原来的会阴部肛门行使排便功能,实际上是粪便出口的改道,也称之为“人工肛门”。我国结肠造口病人以每年10万例的速度增长。尽管造口挽救了病人生命,但是造口改变了病人原有的生理排便方式,造口处异味、粪便的刺激等影响了病人的躯体生理、精神心理和社会交往等,降低了病人的生活质量。Rectal cancer is a common malignant tumor of the digestive tract, among which the incidence of low-positioned rectal cancer is as high as over 70%. Currently, colostomy is considered to be an effective way to treat rectal cancer. A colostomy refers to an artificial opening made by a surgeon on the abdominal wall to treat certain intestinal diseases. A section of the colon is pulled out of the opening, turned over and sewed to the abdominal wall, thus forming an intestinal stoma. Its function is to replace the original perineal anus to perform the defecation function. In fact, it is a diversion of the fecal outlet, also known as an "artificial anus". The number of patients with colostomy in my country is increasing at a rate of 100,000 cases per year. Although the stoma saves the patient's life, it changes the patient's original physiological defecation method. The odor of the stoma and the stimulation of feces affect the patient's physical physiology, mental psychology and social interaction, and reduce the patient's quality of life.

结肠造口灌洗是将一定量的液体经造口注入结肠,刺激肠蠕动,使得肠内粪便和液体在短期内排出,有利于促进造口病人建立排便的规律性,消除或减轻造口处异味,减少造口周围皮肤并发症的发生,从而帮助病人重塑自我形象,降低医疗护理费用,改善生活质量。患者可通过亲自操作,增强自我护理能力;可适应排便方式变化,接受躯体形态改变,增强自信心,提高角色功能及社会归属感,缓解心理压力,减轻社交障碍,提高生活质量。Colostomy irrigation is to inject a certain amount of liquid into the colon through the stoma to stimulate intestinal peristalsis, so that the feces and liquid in the intestine are discharged in a short period of time. It is beneficial to promote the regularity of bowel movements in patients with stomas, eliminate or reduce the odor at the stoma, and reduce the occurrence of skin complications around the stoma, thereby helping patients reshape their self-image, reduce medical care costs, and improve their quality of life. Patients can enhance their self-care ability by doing it themselves; they can adapt to changes in defecation patterns, accept changes in body shape, enhance self-confidence, improve role functions and social belonging, relieve psychological pressure, reduce social barriers, and improve their quality of life.

然而,但临床中发现患者在进行结肠灌洗中存在以下问题:1、看不到结肠造口里面的肠管情况,导致灌洗管植入长度不够,灌洗液未能充分在肠道停留,导致灌洗效果不佳。2、部分患者因看不到结肠造口里面肠管情况,产生畏惧,不敢自行灌洗。3、部分患者因看不到结肠造口里面肠管情况,未能及时判断肠壁出血等异常,产生不安全事件。However, in clinical practice, it is found that patients have the following problems during colon irrigation: 1. The inability to see the intestinal tube inside the colostomy leads to insufficient implantation of the irrigation tube, and the irrigation fluid fails to stay in the intestine sufficiently, resulting in poor irrigation effect. 2. Some patients are afraid of not being able to see the intestinal tube inside the colostomy and dare not irrigate on their own. 3. Some patients fail to timely judge abnormalities such as intestinal bleeding because they cannot see the intestinal tube inside the colostomy, resulting in unsafe incidents.

实用新型内容Utility Model Content

针对上述技术问题,本实用新型提供了涉及一种患者自操作式可视结肠造口灌洗管,解决了患者自主灌肠清洗时,看不到结肠造口内部情况,产生畏惧,不敢自行灌洗,导致灌洗效果不佳,不能及时判断肠壁出血异常的问题。In view of the above technical problems, the utility model provides a patient-operated visual colostomy irrigation tube, which solves the problem that when patients do enema cleaning on their own, they cannot see the internal situation of the colostomy, which makes them afraid and dare not irrigate on their own, resulting in poor irrigation effect and inability to timely judge abnormal intestinal wall bleeding.

为了实现上述目的,本实用新型提供如下技术方案;包括冲洗管,所述冲洗管的一端固定连接有呈圆锥台型的灌洗头,所述灌洗头的侧面设有多个出液孔,所述灌洗头的前端固定连接有可拆卸的可视镜头,所述可视镜头的外部包覆一层防护套。In order to achieve the above-mentioned purpose, the utility model provides the following technical solution; it includes a flushing tube, one end of which is fixedly connected to a truncated cone-shaped irrigation head, a side of the irrigation head is provided with a plurality of liquid outlet holes, a front end of the irrigation head is fixedly connected to a detachable visual lens, and the outside of the visual lens is covered with a protective cover.

优选的,所述防护套包括具有弹性的胶皮套,所述胶皮套上一体式连接有透明片。Preferably, the protective cover comprises an elastic rubber cover, and a transparent sheet is integrally connected to the rubber cover.

优选的,所述可视镜头呈圆锥台型。Preferably, the visual lens is in the shape of a truncated cone.

优选的,所述可视镜头采用lieve4G监控器。Preferably, the visual lens adopts a lieve4G monitor.

优选的,所述可视镜头上固定连接有接头,所述灌洗头上设有与接头配合的插槽,所述接头的侧面设有外螺纹,所述插槽的内侧面设有内螺纹。Preferably, a connector is fixedly connected to the visual lens, a slot matching the connector is provided on the irrigation head, an external thread is provided on the side surface of the connector, and an internal thread is provided on the inner side surface of the slot.

优选的,所述可视镜头与灌洗头之间设有套在接头上的橡胶垫片。Preferably, a rubber gasket sleeved on the joint is provided between the visual lens and the irrigation head.

与现有技术相比,本实用新型的有益效果是:本装置在原有的结肠造口灌洗管前端增加可视镜头,镜头影像通过无线传输到患者手机软件,患者在插入灌洗管时,可以通过手机看到灌洗管前端情况,可避免灌洗管植入长度不够,灌洗液未能充分在肠道停留,导致灌洗效果不佳的情况;在灌肠时,可及时判断肠壁出血等异常,避免产生不安全事件,降低患者自行灌肠产生的畏惧。Compared with the prior art, the beneficial effects of the utility model are as follows: the device adds a visual lens to the front end of the original colostomy irrigation tube, and the lens image is transmitted wirelessly to the patient's mobile phone software. When the patient inserts the irrigation tube, he can see the front end of the irrigation tube through the mobile phone, which can avoid the situation that the irrigation tube is not implanted long enough, the irrigation fluid fails to fully stay in the intestine, and the irrigation effect is not good; during enema, abnormalities such as intestinal wall bleeding can be judged in time to avoid unsafe incidents and reduce the fear of patients doing enema on their own.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

附图用来提供对本实用新型的进一步理解,并且构成说明书的一部分,与本实用新型的实施例一起用于解释本实用新型,并不构成对本实用新型的限制。在附图中:The accompanying drawings are used to provide a further understanding of the present invention and constitute a part of the specification. Together with the embodiments of the present invention, they are used to explain the present invention and do not constitute a limitation of the present invention. In the accompanying drawings:

图1是本实用新型的整体结构示意图。FIG1 is a schematic diagram of the overall structure of the utility model.

图2是本实用新型中灌洗头与可视镜头连接的结构示意图。FIG. 2 is a schematic structural diagram of the connection between the irrigation head and the visual lens in the utility model.

图3是本实用新型中防护套的整体结构示意图。FIG3 is a schematic diagram of the overall structure of the protective cover in the present invention.

图中:1-冲洗管、2-灌洗头、3-出液孔、4-可视镜头、5-接头、6-插槽、7-橡胶垫片、8-胶皮套、9-透明片。In the figure: 1-flushing tube, 2-irrigation head, 3-liquid outlet, 4-visual lens, 5-connector, 6-slot, 7-rubber gasket, 8-rubber cover, 9-transparent sheet.

实施方式Implementation

现在结合附图对本实用新型作进一步详细的说明。附图为简化的示意图,仅以示意方式说明本实用新型基本结构,因此其仅显示与本实用新型有关的构成。The utility model is now described in further detail in conjunction with the accompanying drawings. The accompanying drawings are simplified schematic diagrams, which only illustrate the basic structure of the utility model in a schematic manner, and therefore only show the components related to the utility model.

参照图1-3所示,本实用新型包括冲洗管1,所述冲洗管1的一端固定连接有呈圆锥台型的灌洗头2,所述灌洗头2的侧面设有多个出液孔3,所述灌洗头2的前端固定连接有可拆卸的可视镜头4,所述可视镜头4的外部包覆一层防护套。1-3, the utility model includes a flushing tube 1, one end of which is fixedly connected to a truncated cone-shaped irrigation head 2, a side of which is provided with a plurality of liquid outlets 3, a front end of which is fixedly connected to a detachable visual lens 4, and the outside of the visual lens 4 is covered with a protective cover.

结肠造口灌洗是指通过结肠造口注入一定量的温水,结肠扩张后反射性收缩,肠腔内的粪便和液体经造口排出体外的过程。定时进行结肠灌洗可训练患者规律排便,提高生活质量,灌洗用品准备:灌洗系统(集水袋、带流量控制开关的引流管、圆锥形灌洗头、袖式引流袋、腰带和地盘、夹子)、热开水、冷开水、量杯、温度计、润滑剂、手套、造口护理用品;具体的灌洗步骤为:先将热开水带入量杯,再加入凉开水,用水温计测量水温38-40度(灌洗时36-38度);然后关闭流量控制开关,将37-39度的温水倒入集水袋中;接着,协助患者取半卧位或坐在马桶上;然后,将集水袋悬挂在合适高度处,即液面离肠口的高度约45-60cm,集水袋的下端连接冲洗管1,冲洗管1的另一端豫灌洗头2连通;随后,佩戴腰带和底盘,装上袖式引流袋,并将引流袋底端放入马桶或污桶内;在灌洗头2上抹上润滑油,打开调节器开关,排出管道内的空气;在灌洗头2上固定安装可视镜头4,可视镜头4与灌洗头2连接固定时,可视镜头4的外部包覆一层防护套,对可视镜头4进行防护,便于拆下重复使用;在插入灌洗头2时,镜头影像通过无线传输到患者手机软件上,便于实时观察肠腔内部情况;最后,再次打开调节器开关,集液袋内的冲洗液由灌洗管2、出液孔3进入肠腔。Colostomy irrigation refers to the process of injecting a certain amount of warm water through the colostomy, causing the colon to expand and reflexively contract, and the feces and fluid in the intestinal cavity to be discharged from the body through the stoma. Regular colon irrigation can train patients to have regular bowel movements and improve their quality of life. Preparation of irrigation supplies: irrigation system (water collection bag, drainage tube with flow control switch, conical irrigation head, sleeve drainage bag, belt and base, clip), hot water, cold water, measuring cup, thermometer, lubricant, gloves, stoma care supplies; the specific irrigation steps are: first bring hot water into the measuring cup, then add cold water, and use a thermometer to measure the water temperature of 38-40 degrees (36-38 degrees during irrigation); then turn off the flow control switch and pour 37-39 degrees warm water into the water collection bag; then, assist the patient to take a semi-recumbent position or sit on the toilet; then, hang the water collection bag at an appropriate height, that is, the height of the liquid surface from the intestinal opening is about 45-60cm, The lower end of the water collecting bag is connected to the flushing tube 1, and the other end of the flushing tube 1 is connected to the irrigation head 2; then, wear the belt and chassis, install the sleeve drainage bag, and put the bottom end of the drainage bag into the toilet or sewage bucket; apply lubricating oil on the irrigation head 2, turn on the regulator switch, and exhaust the air in the pipe; fix the visible lens 4 on the irrigation head 2, and when the visible lens 4 is connected and fixed to the irrigation head 2, the outside of the visible lens 4 is covered with a protective cover to protect the visible lens 4, which is convenient for removal and reuse; when the irrigation head 2 is inserted, the lens image is transmitted wirelessly to the patient's mobile phone software, which is convenient for real-time observation of the internal situation of the intestinal cavity; finally, turn on the regulator switch again, and the flushing fluid in the liquid collecting bag enters the intestinal cavity through the irrigation tube 2 and the liquid outlet 3.

其中,防护套包括具有弹性的胶皮套8,胶皮套8便于撑开套在可视镜头4上,所述胶皮套8上一体式连接有透明片9,透明片9由透明塑料材质制成,轻便,取材低廉、方便。The protective cover comprises an elastic rubber cover 8, which is convenient to be stretched and covered on the visual lens 4. A transparent sheet 9 is integrally connected to the rubber cover 8. The transparent sheet 9 is made of transparent plastic material, which is light, cheap and convenient.

其中,为了便于将可视镜头4和灌洗头2插入到肠腔内,所述可视镜头4呈圆锥台型。In order to facilitate the insertion of the visible lens 4 and the lavage head 2 into the intestinal cavity, the visible lens 4 is in the shape of a truncated cone.

具体的,所述可视镜头4采用lieve4G监控器,lieve4G监控器为现有产品,可通过无线技术与手机连接,当患者自行进行灌肠时,可通过手机实时观察肠腔内部情况,可避免灌洗管植入长度不够,灌洗液未能充分在肠道停留,导致灌洗效果不佳的情况;在灌肠时,可及时判断肠壁出血等异常,避免产生不安全事件,同时降低了患者自行灌肠的恐惧感。Specifically, the visual lens 4 adopts a lieve4G monitor, which is an existing product and can be connected to a mobile phone through wireless technology. When the patient performs enema on his own, he can observe the internal situation of the intestinal cavity in real time through the mobile phone, which can avoid the situation where the irrigation tube is not implanted long enough and the irrigation fluid fails to stay in the intestine sufficiently, resulting in poor irrigation effect; during enema, abnormalities such as intestinal wall bleeding can be judged in time to avoid unsafe incidents, while reducing the patient's fear of self-enema.

进一步的,为了实现可视镜头4与灌洗头2连接固定,所述可视镜头4上固定连接有接头5,所述灌洗头2上设有与接头5配合的插槽6,所述接头5的侧面设有外螺纹,所述插槽6的内侧面设有内螺纹。Furthermore, in order to achieve the connection and fixation between the visible lens 4 and the irrigation head 2, a connector 5 is fixedly connected to the visible lens 4, and a slot 6 cooperating with the connector 5 is provided on the irrigation head 2. The side of the connector 5 is provided with an external thread, and the inner side of the slot 6 is provided with an internal thread.

其中,所述可视镜头4与灌洗头2之间设有套在接头5上的橡胶垫片7。Wherein, a rubber gasket 7 sleeved on the joint 5 is provided between the visual lens 4 and the irrigation head 2 .

最后应说明的是:以上所述仅为本实用新型的优选实施例而已,并不用于限制本实用新型,尽管参照前述实施例对本实用新型进行了详细的说明,对于本领域的技术人员来说,其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。Finally, it should be noted that the above description is only a preferred embodiment of the utility model and is not intended to limit the utility model. Although the utility model is described in detail with reference to the above embodiments, those skilled in the art can still modify the technical solutions recorded in the above embodiments or replace some of the technical features therein with equivalents. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the utility model shall be included in the protection scope of the utility model.

Claims (6)

1.一种患者自操作式可视结肠造口灌洗管,包括冲洗管(1),其特征在于,所述冲洗管(1)的一端固定连接有呈圆锥台型的灌洗头(2),所述灌洗头(2)的侧面设有多个出液孔(3),所述灌洗头(2)的前端固定连接有可拆卸的可视镜头(4),所述可视镜头(4)的外部包覆一层防护套。1. A patient-operated visual colostomy irrigation tube, comprising an irrigation tube (1), characterized in that one end of the irrigation tube (1) is fixedly connected to an irrigation head (2) in the form of a truncated cone, a side of the irrigation head (2) is provided with a plurality of liquid outlet holes (3), a front end of the irrigation head (2) is fixedly connected to a detachable visual lens (4), and the outside of the visual lens (4) is covered with a protective cover. 2.根据权利要求1所述的一种患者自操作式可视结肠造口灌洗管,其特征在于,所述可视镜头(4)呈圆锥台型。2. A patient-operated visual colostomy irrigation tube according to claim 1, characterized in that the visual lens (4) is in the shape of a truncated cone. 3.根据权利要求2所述的一种患者自操作式可视结肠造口灌洗管,其特征在于,所述防护套包括具有弹性的胶皮套(8),所述胶皮套(8)上一体式连接有透明片(9)。3. A patient-operated visual colostomy irrigation tube according to claim 2, characterized in that the protective sleeve comprises an elastic rubber sleeve (8), and a transparent sheet (9) is integrally connected to the rubber sleeve (8). 4.根据权利要求3所述的一种患者自操作式可视结肠造口灌洗管,其特征在于,所述可视镜头(4)采用lieve4G监控器。4. A patient-operated visual colostomy irrigation tube according to claim 3, characterized in that the visual lens (4) adopts a lieve4G monitor. 5.根据权利要求4所述的一种患者自操作式可视结肠造口灌洗管,其特征在于,所述可视镜头(4)上固定连接有接头(5),所述灌洗头(2)上设有与接头(5)配合的插槽(6),所述接头(5)的侧面设有外螺纹,所述插槽(6)的内侧面设有内螺纹。5. A patient self-operated visual colostomy irrigation tube according to claim 4, characterized in that a connector (5) is fixedly connected to the visual lens (4), a slot (6) matching the connector (5) is provided on the irrigation head (2), an external thread is provided on the side of the connector (5), and an internal thread is provided on the inner side of the slot (6). 6.根据权利要求5所述的一种患者自操作式可视结肠造口灌洗管,其特征在于,所述可视镜头(4)与灌洗头(2)之间设有套在接头(5)上的橡胶垫片(7)。6. A patient-operated visual colostomy irrigation tube according to claim 5, characterized in that a rubber gasket (7) sleeved on the joint (5) is provided between the visual lens (4) and the irrigation head (2).
CN202322723767.4U 2023-10-11 2023-10-11 Patient self-operated visual colostomy lavage tube Active CN221357952U (en)

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