Prone position auxiliary ventilation device
Technical Field
The utility model relates to the technical field of medical auxiliary instruments, in particular to a prone position auxiliary ventilation device for patients with severe pneumonia, pulmonary edema and the like.
Background
Prone position ventilation refers to natural breathing or mechanical ventilation of a patient in prone position, and is commonly used for treating severe pneumonia, pulmonary edema and other patients. The lungs of patients with severe pneumonia or pulmonary edema can have massive inflammatory exudation, resulting in pulmonary stuffiness changes in alveolar filling fluid; at this time, only a small amount of alveoli can exchange gas with surrounding pulmonary capillaries to complete ventilation in the place where the lung has actual change, and the actual change part of the lung and the distribution of ventilation parts are uneven, so that the actual change part of the patient cannot normally ventilate when the patient ventilates in the supine position, and only after repeated posture change (from the supine position to the prone position) is performed, the liquid in the lung can be dispersed to the inflated part under the action of gravity, and the part of the lung which is inflated after ventilation is given is increased, so that the ventilation effect is improved, and the hypoxia symptom is relieved. In addition, the prone position ventilation can also enable the lung to be relatively low in the chest by changing the body position of a patient, so that lung tissues are more easily expanded, the ventilation function of the lung is improved, and secretion in the airway is conveniently discharged.
When ventilation is carried out in the prone position, medical staff need to closely monitor vital signs such as heart rate, blood pressure, blood oxygen saturation and the like of a patient, and the facial and arm postures of the patient are replaced every two hours, so that choking and pressure sores are avoided. At present, when nursing a patient for prone position ventilation, medical staff mainly fills up pressure sore prevention pads on the face, the arms and the hips of the patient, and fills up a hard frame on the chest of the patient so as to lift the chest, and the frame is of a hollow structure, so that the chest compression can be reduced as much as possible. However, the existing complete equipment which is not specially used for supporting the prone position of the patient often uses articles such as a quilt, a pillow and the like for folding and self-making by medical staff; when in use, the position is difficult to control and fix, and the head and the face of a patient are inconvenient to observe; in addition, for the patient with trachea cannula, self-made device not only does not have the through-hole that trachea cannula can pass, but also inconvenient inclination when supporting the patient according to the use needs is adjusted, causes the patient to be pressed in same position for a long time, very easily forms pressure sore.
Disclosure of Invention
The utility model aims to provide a prone position auxiliary ventilation device.
In order to achieve the above purpose, the present utility model may adopt the following technical scheme:
The prone position auxiliary ventilation device comprises a supporting plate, wherein a lifting plate which rotates up and down is hinged to the top surface of the supporting plate; the face pillow with the air holes in the middle is connected to the rotating side edge of the lifting plate through a connecting plate, a pair of long holes are formed in the middle of the lifting plate, and the long holes correspond to the chest of a patient lying on the lifting plate; the supporting plate is connected with a pair of vibration seats corresponding to the long holes one by one through a spring group, a plurality of vibration bulges are uniformly distributed on the top surfaces of the two vibration seats, and when the lifting plate rotates upwards to the highest position, the two vibration seats are contained in the long holes, and when the lifting plate rotates downwards to the lowest position, the two vibration seats penetrate through the long holes and are propped against the chest of a patient lying on the lifting plate.
The utility model has the advantages that the lifting plate which rotates up and down is matched with the long hole formed in the middle of the lifting plate and the vibration seat which is connected to the supporting plate through the spring group, so that the lifting plate and the vibration seat alternately push up the chest of a prone position patient, when the lifting plate falls down and the vibration seat pushes up the chest of the patient, the chest is extruded to form a chest exhalation state, when the lifting plate lifts and supports the body of the patient, the chest part of the patient is not extruded by the vibration seat, and then the chest inhalation state is formed, the reciprocating change of the chest inhalation state and the exhalation state is realized, the lung of the prone position patient is subjected to the action of gravity alternately, so that lung tissues of the patient can be expanded more easily, the normal ventilation of the lung of the patient is ensured, the ventilation function of the lung is improved, the liquid in the lung is dispersed to the inflated part, the ventilation effect is improved, and the hypoxia symptom of the patient is relieved; in addition, vibration bulges uniformly distributed on the vibration seat can also assist in vibration when supporting the chest of a patient, so that secretion, sputum and the like in the airway can be conveniently discharged, and the airway of the patient is smoother.
Further, a driving part for driving the lifting plate to rotate up and down is arranged on the supporting plate; specifically, the driving part comprises a mounting groove arranged on the top surface of the supporting plate and a rotating rod arranged in the mounting groove and driven by a motor to rotate up and down, and the end, far away from the motor, of the rotating rod is hinged on the bottom surface of the lifting plate through a hinge lug, so that the rotating rod can be driven by the motor to rotate up and down, further the motorized lifting plate can be driven to rotate up and down easily, the lifting plate can be automatically lifted, and the labor is saved; in addition, in order to guarantee the stability when drive division drives lifter plate and rotates from top to bottom, drive division is followed the width direction symmetry of backup pad sets up two sets of, and at this moment, two sets of drive division can be by its synchronous upward or downward rotation of same foot control switch control, specifically penetrate the control line on the foot control switch from the side edge of backup pad and be connected with the motor on two sets of drive division respectively electricity to can be through trampling the upward rotation key or the downward rotation key on the foot control switch and drive two motors and rotate in step, realize the synchronous upward rotation of two bull sticks and rotate out the mounting groove, or synchronous downward rotation is received in the mounting groove, and then easily accomplish the upward rotation of lifter plate and lift and be the slope gesture, or the downward rotation is put to be the horizontality.
Further, a hip bearing cushion connected with the edge of the lifting plate is arranged at the hinge joint of the supporting plate and the lifting plate, and the hip of the patient is supported by the hip bearing cushion, so that the hip comfort of the patient lying on the lifting plate in a prone position is maintained.
Further, arm supporting cushions are arranged on the long edges of the left side and the right side of the top surface of the lifting plate along the length direction, arm clamping supporting grooves are formed in the arm supporting cushions, and arms of patients are supported through the arm supporting cushions, so that arm comfortableness of the patients lying prone on the lifting plate is kept.
Further, a face supporting cushion is attached to the top surface of the face pillow, the top surface of the face supporting cushion is a concave cambered surface matched with the face of a human body, and a communication hole corresponding to the ventilation hole is formed in the center of the face supporting cushion; the face of patient is supported through face bearing cushion to keep prone position prone patient's on the lifter plate facial travelling comfort, simultaneously, set up in the intercommunicating pore of face bearing cushion center department and can also be linked together with the bleeder vent, and then guarantee patient's normal ventilation or the normal penetration of trachea cannula.
Further, the face pillow is in sliding connection with the connecting plate, specifically, an arc-shaped chute is formed on the edge of the connecting side of the face pillow, and a sliding block matched with the arc-shaped chute is arranged on the edge of the connecting side of the connecting plate, so that the sliding block can move relatively along the chute, at the moment, the sliding block connected to the connecting plate is fixed, the arc-shaped chute formed on the face pillow moves, and further the angular rotation of the face pillow is realized; in addition, a through groove which is matched with the arc-shaped sliding groove is formed in the bottom surface of the face pillow, a positioning screw rod which penetrates through the through groove is connected to the bottom surface of the sliding block in a threaded mode, and a positioning head which can be propped and fixed on the bottom surface of the face pillow is arranged at the lower end of the positioning screw rod, so that the positioning head can be firmly propped and stuck on the bottom surface of the face pillow through screwing the positioning screw rod, and further the rotation position of the face pillow is fixed; at this time, a handle can be further arranged on one side edge of the face pillow so as to facilitate the rotation of the face pillow, and an elastic bandage for binding the head of a patient is connected on the other side edge of the face pillow opposite to the handle so as to facilitate the stable fixation of the head of the patient supported on the face pillow.
Further, the spring group comprises a plurality of vertical pressure springs arranged on the top surface of the supporting plate at intervals, and each group of vertical pressure springs gradually rises from the hinged end to the rotating end of the lifting plate, so that the vibration seat connected with the spring group can be in an inclined posture, and the inclined angle of the vibration seat is kept consistent with the inclined angle of the lifting plate when the lifting plate rotates upwards to the highest position, so that the vibration seat can be perfectly contained in the long hole when the lifting plate rotates upwards to the highest position.
Drawings
Fig. 1 is a schematic structural view of the present utility model.
Fig. 2 is a side view of the support plate of fig. 1 (with foot switch removed).
Fig. 3 is a schematic illustration of the connection plate to the headrest of fig. 1 (concealing the face support cushion).
Detailed Description
The following description of the embodiments of the present utility model will be made clearly and fully with reference to the accompanying drawings, in which it is evident that the embodiments described are only some, but not all embodiments of the utility model. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.
It should be noted that all directional indicators (such as up, down, left, right, front, and rear … …) in the embodiments of the present utility model are merely used to explain the relative positional relationship, movement, etc. between the components in a particular posture (as shown in the drawings), and if the particular posture is changed, the directional indicator is changed accordingly.
In the present utility model, unless specifically stated and limited otherwise, the terms "connected," "affixed," and the like are to be construed broadly, and for example, "affixed" may be a fixed connection, a removable connection, or an integral body; can be mechanically or electrically connected; either directly or indirectly, through intermediaries, or both, may be in communication with each other or in interaction with each other, unless expressly defined otherwise. The specific meaning of the above terms in the present utility model can be understood by those of ordinary skill in the art according to the specific circumstances.
As shown in fig. 1 to 3, the prone position auxiliary ventilation device of the present utility model comprises a supporting plate 1 having a rectangular structure, and a lifting plate 2 hinged on the top surface of the supporting plate 1 to rotate up and down. Specifically, a driving part capable of driving the lifting plate 2 to automatically rotate up and down is arranged on the supporting plate 1, and the driving part comprises a mounting groove 3 arranged on the top surface of the supporting plate 1, and a rotating rod 5 arranged in the mounting groove 3 and driven by a motor 4 to rotate up and down, wherein the end, far away from the motor 4, of the rotating rod 5 is hinged on the bottom surface of the lifting plate 2 through a hinge lug 6, namely: the hinge lug 6 is fixed on the bottom surface of the lifting plate 2, and then one end, far away from the motor 4, of the rotating rod 5 is hinged with the hinge lug 6 into a whole, so that the rotating rod 5 can be driven to rotate up and down through the motor 4, and further the motorized lifting plate 2 can be driven to rotate up and down easily, the lifting plate 2 can be automatically lifted, and labor is saved. In addition, in order to ensure the stability of the driving part when driving the lifting plate 2 to rotate up and down, the driving part can symmetrically set two groups along the width direction of the supporting plate 1, at this time, the two groups of driving parts can be controlled by the same foot control switch 7 to synchronously rotate up or down, specifically, a control wire 8 on the foot control switch 7 penetrates from the side edge of the supporting plate 1 and is electrically connected with motors 4 on the two groups of driving parts respectively, so that the two motors 4 can be driven to synchronously rotate by stepping on an upward rotation key 9 or a downward rotation key 10 on the foot control switch 7, and the synchronous upward rotation of the two rotating rods 5 is realized to rotate out of the mounting groove 3 or synchronously rotate down to be received in the mounting groove 3, thereby easily completing the upward rotation lifting of the lifting plate 2 to be in an inclined posture or the downward rotation to be in a horizontal posture.
The face pillow 12 for supporting the face of a patient is connected to the rotating side edge of the lifting plate 2 through the connecting plate 11, the middle part of the face pillow 12 is provided with an air hole 13, when the patient lies prone on the lifting plate 2, the face of the patient can be placed on the face pillow 12, and at the moment, the oral cavity and the nasal cavity of the face just face the air hole 13, so that ventilation or normal penetration of an endotracheal tube is ensured. In addition, in order to enhance the comfort of the patient's face being attached to the face pillow 12, the face support cushion 14 can be attached to the top surface of the face pillow 12, the top surface of the face support cushion 14 is a concave arc surface matched with the face of the human body, and the center of the face support cushion 14 is provided with a communication hole 15 corresponding to the ventilation hole 13, so that the face of the patient is supported by the face support cushion 14, the comfort of the face of the patient is ensured, and the communication hole 15 provided at the center of the face support cushion 14 can be correspondingly communicated with the ventilation hole 13, so that the mouth and nose of the patient can be normally ventilated, or the tracheal cannula inserted into the mouth of the patient can normally pass through the ventilation hole 13 and the communication hole 15.
A pair of long holes 16 are arranged in the middle of the lifting plate 2 side by side along the width direction, and the two long holes 16 correspond to the chest of a patient lying on the lifting plate 2 in a prone position; at this time, a pair of vibration seats 18 corresponding to the two long holes 16 one by one are connected to the supporting plate 1 through the spring set 17, a plurality of vibration protrusions 19 are uniformly distributed on the top surfaces of the two vibration seats 18, and when the lifting plate 2 rotates upward to the highest position, the two vibration seats 18 are correspondingly stored in the two long holes 16 one by one, and when the lifting plate 2 rotates downward to the lowest position, the two vibration seats 18 are propped against the chest of a patient lying on the lifting plate 2 through the two long holes 16. In addition, the spring set 17 should be composed of a plurality of vertical compression springs arranged on the top surface of the supporting plate 1 at intervals, and each set of vertical compression springs gradually rises from the hinged end to the rotating end of the lifting plate 2, so that the vibration seat 18 connected to the spring set can be in an inclined posture, and the inclination angle of the vibration seat 18 can be kept consistent with that of the lifting plate 2 when the lifting plate 2 rotates upwards to the highest position, so that the vibration seat 18 can be perfectly contained in the long hole 16 when the lifting plate 2 rotates upwards to the highest position, and the vibration seat 18 is ensured not to prop the chest of a patient at this time, but to support the body of the patient through the lifting plate 2.
In order to further improve the comfort level of the patient lying prone on the lifting plate 2, a hip bearing cushion 20 connected with the edge of the lifting plate 2 can be arranged at the hinge joint of the supporting plate 1 and the lifting plate 2, an arm bearing cushion 21 is arranged on the long edges of the left side and the right side of the top surface of the lifting plate 2 along the length direction, and an arm clamping bracket 22 is arranged on the arm bearing cushion 21, so that the hip of the patient can be supported by the hip bearing cushion 20, the hip comfort level of the patient lying prone on the lifting plate 2 is kept, the arm comfort level of the patient is kept by the arm bearing cushion 21, and the arm comfort level of the patient lying prone on the lifting plate 2 is kept, and the occurrence of pressure sore phenomenon is reduced as far as possible.
In addition, in the process that the patient lies prone on the lifting plate 2 for a long time, the conditions of blood circulation, pressure sore and the like of the head and the face of the patient need to be observed regularly, so that the face pillow 12 should be in sliding connection with the connecting plate 11, specifically, an arc-shaped chute 23 is formed on the connecting side edge of the face pillow 12, and a sliding block 24 matched with the arc-shaped chute 23 is arranged on the connecting side edge of the connecting plate 11, so that the sliding block 24 can move relatively along the arc-shaped chute 23, and at the moment, the sliding block 24 connected to the connecting plate 11 is fixed, the arc-shaped chute 23 formed on the face pillow 12 moves, and further the angle rotation of the face pillow 12 is realized; at this time, a through groove 25 corresponding to the arc chute 23 is formed on the bottom surface of the pillow 12, and a positioning screw 26 penetrating through the through groove 25 is screwed on the bottom surface of the slider 24, and a positioning head 27 capable of being fixed on the bottom surface of the pillow 12 is disposed at the lower end of the positioning screw 26, so that the positioning head 27 can be firmly attached to the bottom surface of the pillow 12 by screwing the positioning screw 26, and the rotation position of the pillow 12 is fixed. Of course, a handle 28 may be further disposed on one side edge of the face pillow 12, so as to facilitate rotation of the face pillow 12, and an elastic strap 29 for binding the head of the patient may be connected to the other side edge of the face pillow 12 opposite to the handle 28, so as to facilitate binding and fixing the head of the patient supported on the face pillow 12, and avoid slipping of the head of the patient during rotation of the face pillow 12.
When the device is used, a patient only needs to lie prone on the lifting plate 2 of the device, so that the hip of the patient is attached to the hip bearing cushion 20, the face is attached to the face bearing cushion 14 and the arms are attached to the arm bearing cushion 21 to form positioning; at this time, the chest of the patient just faces the two long holes 16 on the lifting plate 2, then medical staff can control the lifting plate 2 to reciprocate up and down through the foot control switch 7, so that the lifting plate 2 and the vibration seat 18 alternately push up the chest of the prone position patient, when the lifting plate 2 falls down and the chest of the patient is pushed up by the vibration seat 18, the chest can be extruded, and then the chest of the patient is in an expiration state, when the lifting plate 2 is lifted and supports the body of the patient, the chest of the patient is not extruded by the vibration seat 18, and then the inspiration state of the chest is formed, so that the chest of the prone position patient can reciprocate between the inspiration state and the expiration state, and the lungs can be ensured to be alternately acted by gravity (namely, when the vibration seat 18 pushes up the chest of the patient, the lungs of the patient are not stressed by gravity or are less by gravity, and when the lifting plate 2 supports the body of the patient, the lungs can bear greater gravity), so that lung tissues can be expanded more easily, normal ventilation of the lungs can be ensured, ventilation functions of the lungs can be improved, and the ventilation effect of the lungs can be dispersed to the ventilation position can be further improved, and the ventilation symptoms of the patient can be relieved. In addition, vibration bulges 19 uniformly distributed on the vibration seat 18 can also perform auxiliary vibration when supporting the chest of a patient, so that secretion, sputum and the like in the airway can be conveniently discharged, and the airway of the patient is smoother.