JP2008264290A - Human body region measuring instrument - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a human body region measuring instrument which is used to measure a degree of a bone projection quantitatively and is operated so easily that even a beginner can measure easily. <P>SOLUTION: The human body region measuring instrument 10 includes a rectangular, plate-like main body 11 of the instrument and a long, movable measuring element 30 provided to slide in a direction perpendicular to a pair of long sides 12, 12 in the central part of the pair of the facing long sides of the main body 11. Protruding parts 13, 13 which make contact with right and left gluteal muscles D, D of a human body are respectively provided on both end parts of at least one of the long sides 12, 12 in a manner to face mutually, and a display part 50 for confirming the relative travel distance of the movable measuring element 30 and the main body 11 is provided at their contact part. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  This invention determines and / or measures the degree of progression of pressure ulcers in a patient, measures the amount of protrusion of the sacrum to obtain useful information necessary for prevention of pressure ulcers, and measures the degree of swelling (edema) of the human body The present invention relates to a human body part measuring instrument capable of measuring the above.

  Conventionally, patients with paralysis due to cerebrovascular and spinal cord disorders who are forced to stay in bed for a long time in the medical field, or who are unable or difficult to change their position by themselves such as senile psychiatric disorder, senile dementia, terminal stage of malignant tumor, etc. The pressure ulcer that is often seen in the country is regarded as a problem.

  A pressure ulcer is a skin ulcer that is caused by necrosis of the tissue at the site because the skin or subcutaneous tissue is compressed by the weight of the body and the local blood flow is blocked by the bone protrusion of the body. In the advanced one, the bone tissue is exposed and has a characteristic that it is difficult to heal, which is also called floor rubbing.

  Pressure ulcers occur at sites where the load concentrates on the bone protrusions, such as the sacrum, ribs, occipital region, and shoulder blades, when they are treated for a long time in the supine position. Above all, the generally triangular sacrum located at the lowest part of the lumbar vertebrae between the left and right gluteal muscles that hits the back of the human lumbar region is a bilateral muscle line that connects the upper part of the left and right gluteal muscles by living in a supine position. The sacral part tends to protrude from both gluteal muscle lines and tend to become pressure ulcers.

  Several methods are known for determining the degree of progression of pressure ulcers, but the OH (Oura / Horita) scale, a type of risk assessment tool for the prevention of pressure ulcers, is a risk factor. And is used as a criterion for determining the degree of pressure ulcer progression.

  As a method for measuring the bone protrusion amount of the sacrum, a method using a moire method or a laser beam is generally known, and also described in the following JP-A Nos. 2001-418 and 2003-305024. There is known a bone protrusion degree determination device that measures the amount of bone protrusion of a sacrum.

  The moire method and the method using a laser are expensive and expensive for measurement, and thus are not suitable for use in nursing care.

  Further, as shown in FIG. 11, the bone protrusion degree inspection apparatus related to pressure ulcer described in Japanese Patent Application Laid-Open No. 2001-418 includes a shape reading unit 100 that measures the shape of the cross-sectional outline on the back surface of the human body. ing. The shape reading means 100 includes a pair of reference elements 102, 102, a plurality of measuring elements 103, 103,... Disposed between the reference elements at equal intervals, and the reference element 102 and the measuring element 103. Supporting means 104 that holds the movable member vertically movable, a transfer plate 105 that engages with the reference element 102 and the measuring element 103 and changes to a predetermined shape following the raising and lowering of each measuring element 103, and the transfer plate 105 In order to depict the shape of the transfer plate 105, a holding means 106 for an exposing means (not shown) arranged adjacent to the transfer plate 105 is provided. However, in order to use this device for examining the degree of protrusion of bone according to pressure ulcers, a pair of reference elements 102, 102 and a plurality of measuring elements 103, 103, ... are operated, and the measurement process is complicated and diverse. It is difficult to handle because it is a large device that is difficult to handle and has a complicated structure.

Moreover, the pathological bone protrusion degree determination apparatus described in Japanese Patent Application Laid-Open No. 2003-305024 includes a main shaft portion 201 and both ends of the main shaft portion 201 in the length direction of the main shaft portion 201 as shown in FIG. It consists of two leg portions 202 extending at right angles to the same direction, and for determining the degree of protrusion of the sacrum from both gluteal muscle lines, the length of the main shaft portion 201 is 140-200 mm, The leg 202 has a length of 15 to 25 mm and is made of a transparent plastic for disposable purposes. In this pathological bone protrusion degree judging device, it has a simple structure and can be easily measured by a person other than an expert, but the bone protrusion degree cannot be quantitatively measured. Moreover, since it is a simple structure, it can be manufactured at a low cost.
Japanese Patent Laid-Open No. 2001-418 JP 2003-305024 A

  As seen on the OH (Oura / Horita) scale, if the pathological bone protrusion can be evaluated in roughly three stages, the purpose can be achieved in general nursing care. However, it is desirable that the degree of bone protrusion can be measured quantitatively in order to investigate the causal relationship between pressure ulcers and various occurrence factors and therapeutic effects.

  Therefore, an object of the present invention is to provide a human body part measuring instrument that can quantitatively measure the degree of bone protrusion and that can be easily measured even by a beginner. Furthermore, it is an object of the present invention to provide a human body part measuring instrument that is excellent in measurement reproducibility and also has convenience of storage and carrying.

  In order to solve the above-mentioned problem, the invention according to claim 1 is directed to a substantially rectangular plate-shaped instrument body and a center portion of a pair of long sides facing each other in a direction perpendicular to the pair of long sides. A human body part measuring instrument having a long body moving measuring element provided so as to be slidable, and at least both ends of the one long side have protrusions that can contact the left and right buttocks of the human body. Each of the contact points between the movement measuring element and the instrument main body is provided with a display unit that can confirm the relative movement amount of the two.

  The invention according to claim 2 has, in addition to the configuration according to claim 1, at least one of the protrusions has an auxiliary movement measuring element movable in a direction parallel to the movement measuring element, A contact portion between the auxiliary movement measuring element and the fixture main body or the fixed side member of the protruding portion is provided with an auxiliary display unit that can confirm a relative movement amount of the auxiliary movement measuring element and the fixed side member. It is characterized by having.

  According to a third aspect of the present invention, in addition to the configuration according to the second aspect, the auxiliary display unit has a maximum value displayed on the display unit as a minimum value. It is characterized in that an index is provided so that a value corresponding to the amount is added.

  According to a fourth aspect of the present invention, in addition to the configuration according to any one of the first to third aspects, the movable measuring element is movable while sliding in contact with both of the pair of opposed protrusions. A guide member is provided.

  According to a fifth aspect of the present invention, in addition to the configuration according to any one of the first to fourth aspects, the pair of opposed projecting portions are provided only on one of the long sides of the instrument body. And the total length of the movable measuring element is formed to be the same dimension as the sum of the passing dimension of the pair of long sides and the total length of the protruding portion, and the end surface of the moving measuring element is the length of the pair of long sides. It is characterized by being able to protrude from either.

  According to a sixth aspect of the present invention, in addition to the configuration according to any one of the first to fifth aspects, the thickness of the projecting portion, the moving measuring element, and the auxiliary measuring element is equal to the thickness of the instrument body. It is characterized by being contained within the dimensions.

  According to the first aspect of the present invention, the stationary side member composed of the substantially rectangular plate-shaped instrument body and the protruding portion protruding from the instrument body, and the movement of the elongated body slidably provided on the instrument body Since it consists of two members, such as a measuring element, it can be manufactured at low cost. In addition, the measurement operator makes contact with the left and right hips of the human body so that the left and right protrusions are in contact with each other. Since the degree of bone protrusion is displayed on the display unit, even a beginner can easily measure the degree of bone protrusion quantitatively.

  According to the second aspect of the invention, in addition to the effect of the configuration of the first aspect, the measurable range is expanded by using the auxiliary movement measuring element when the movement limit of the movement measuring element is reached. Is done. Therefore, when the total length of the moving probe is equal to the sum of the length of the long side of the instrument body and the total length of the protruding part, when not in use, the predetermined measuring dimension from the protruding part of the auxiliary moving measuring element The size is reduced by the protruding dimension, and the convenience of storing and carrying the measuring instrument itself is improved.

  According to the third aspect of the present invention, in addition to the effect of the configuration according to the second aspect, the auxiliary display unit has a sum value of the maximum movement amount of the movement measuring element and the movement amount of the auxiliary movement measuring element. As a result, it is possible not only to save the trouble of adding the movement amount of the auxiliary movement measuring element to the maximum movement amount of the movement measuring element, but also to perform a quick and accurate measurement operation without causing a calculation error.

  According to the fourth aspect of the present invention, in addition to the effect of the configuration according to any one of the first to third aspects, the sliding movement of the moving probe relative to the instrument body by the guide action of the protrusion and the guide member. Since the moving operation of the moving probe is performed without difficulty, the generation of stress that deforms the measuring instrument is suppressed, and the measurement accuracy can be maintained over a long period of time.

  According to invention of Claim 5, in addition to the effect by the structure as described in any one of Claims 1 thru | or 4, the long side of the instrument main body by which the protrusion part is not provided is made into the right and left collar parts of a human body. It is possible to measure the depth of the dent from the long side of the instrument main body that is in contact with the left and right buttocks of the human body to the sacrum by contacting the sacrum with the moving probe. it can. In addition, by assigning the long side of the instrument body to other parts of the human body, it is possible to measure the depth of the dents in places other than the buttocks. Can be measured.

  According to invention of Claim 6, in addition to the effect by the structure as described in any one of Claims 1 thru | or 5, all the components other than an instrument main body, such as a protrusion part, a movement measuring element, and an auxiliary measuring element, are included. Since it is stored within the plate thickness dimension of the instrument body, it is not bulky in the plate thickness direction. Therefore, the measuring instrument itself can be easily stored and is convenient to carry.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
Embodiment 1 of the Invention

  1 to 4 show a human body part measuring instrument according to Embodiment 1 of the present invention.

  As shown in the front view of FIG. 1, a human body part measuring instrument 10 according to Embodiment 1 of the present invention has a plate-like instrument body 11 having a substantially rectangular outer shape in front view and a pair of instrument bodies 11 facing each other. There is a moving measuring element 30 slidably provided in the direction perpendicular to the long sides 12 and 12 at the center of the long sides 12 and 12, and the left and right buttocks of the human body at both ends of the long side 12 Each of the protrusions 13 that can come into contact with D and D is provided, and the pair of protrusions 13 and 13 are arranged to face each other across the long side 12 (projecting downward in FIG. 1). ). In addition, in the human body part measuring instrument 10 according to Embodiment 1 of the invention shown in FIG. 1, the shape is bilaterally symmetric about the center line of the moving probe 30.

  The protrusions 13 and 13 are integrally formed with the same thickness as the instrument main body 11, and as shown in the front view showing the use state of FIG. The flat contact part 14 which can contact the collar parts D and D of this is provided.

  Here, the protrusions 13 and 13 are not limited to being formed integrally with the instrument body 11, but may be detachable, and the shape is not limited to a plate-like rectangle, Depending on the shape, an arbitrary shape such as a prism or cylinder may be adopted. In addition, although the tip of the contact portion 14 of the protrusions 13 and 13 shown in the figure is flat, the present invention is not limited to this, and a mountain shape in which a part of the tip protrudes outward may be adopted. . In this case, depending on the shape of the protrusions 13 and 13, the peak of the angle corresponds to the left and right hips D and D of the human body depending on the shape of the protrusions 13 and 13. It may be determined in consideration of the state of contact.

  As shown in the plan view of FIG. 2, the instrument main body 11 includes a first layer 11 a that constitutes the front surface, a second layer 11 b that constitutes the intermediate portion, and a third layer 11 c that constitutes the back surface. .

  FIG. 3 is a front view showing a state in which the first layer of the instrument body is removed.

  As shown in FIG. 3, the movable measuring element 30 is slidable on the second layer 11 b of the instrument body 11 at the center of the long sides 12, 12 of the instrument body 11 in the direction perpendicular to the long sides 12, 12. A probe guide portion 15 formed of a concave portion accommodated in the second layer 11b is formed so as to penetrate the thickness direction of the second layer 11b.

  The illustrated instrument body 11 is formed by a laminated three-layer structure. However, the first layer and the second layer, or the second layer and the third layer may be integrally formed as necessary. The whole of the first layer to the third layer can be partially or entirely integrated.

  Further, a groove is provided in the outer surface portion of the instrument main body 11 so that the movement measuring element 30 slides in the groove, or the instrument main body 11 slides across the plate thickness direction. It is also possible to change the shape of the moving probe 30.

  The moving measuring element 30 shown in FIG. 3 has a vertically long cross shape, and protrudes right and left in the right-angle direction at the measuring element main body 32 having a vertically long rectangular portion and the central portion of the length direction of the measuring element main body 32. A locking portion 33 is formed. Abutting portions 31 that contact the sacral portion S are provided at both longitudinal ends of the movement measuring element 30. The total length I of the moving probe 30 is adjusted to the same dimension as the combined dimension B of the pair of long sides 12 and 12 of the instrument body 11 and the height h of the protrusions 13 and 13. Therefore, the lower end of the locking part 33 of the movement measuring element 30 with respect to the instrument body 11 is at the lowest position of the moving measuring element 30 where the lower end of the movement measuring element 30 comes into contact with the locking receiving part 16 described later. The end surface and the end surface of the contact portion 14 of the protruding portion 13 are aligned on the same straight line.

  The moving probe 30 is formed to have a thickness substantially the same as the thickness of the second layer 11b of the instrument body 11, and is provided at the center of the long sides 12, 12 of the second layer 11b of the instrument body 11. It is slidably accommodated in the probe guide 15.

  The probe guide 15 has a rectangular wide width that is slightly larger than the width contacting the left and right end surfaces of the locking portion 33 of the moving probe 30 and shorter than the passing dimension B of the pair of long sides 12 and 12. In addition to the portion 17, it includes notches 17 a and 17 a having a width dimension through which the measuring element main body 32 passes. As shown in FIG. 3, the notches 17 a and 17 a are arranged in the vertical direction so as to be orthogonal to the pair of long sides 12 and 12 of the instrument body 11. When the cutout portions 17a and 17a are combined with the first layer 11a, the second layer 11b, and the third layer 11c constituting the instrument main body 11, as shown in the plan view of FIG. It appears as a guide hole 18 for guiding.

  Further, in FIG. 3, on the second layer 11 b of the instrument body 11, a latch receiving portion 16 that latches with the latch portion 33 of the moving probe 30 is provided with notches 17 a and 17 a through which the probe body 32 passes. It is formed so as to extend on both sides. That is, the locking part 33 of the movement measuring element 30 is locked to the locking receiving part 16, thereby preventing the movement measuring element 30 from falling off from the instrument body 11 without permission. As a result, even if an operation for strongly moving the moving probe 30 into and out of the instrument body 11 is performed, the moving probe 30 will not be detached from the instrument body 11, so that the measurement work can be performed with peace of mind. Can do.

  As shown in FIG. 4B, the display unit 50 uses the long side 12 part on the upper side of the pair of long sides 12 and 12 of the instrument main body 11 as an index 51, and the length of the measurement body 32 of the moving measurement body 30. It is comprised with the scale 52 provided in the direction.

  The amount of movement of the moving probe 30 can be read by viewing the numerical value of the scale 52 that coincides with the index 51 by the display unit 50 configured as described above. Thereby, by the numerical value (bone protrusion amount) showing the distance of the contact part 14 of the protrusion part 13 which contacts the right and left buttocks D and D of a human body, and the contact part 31 of the movement measuring element 30 which contacts the sacrum part S. It can be measured quantitatively.

  The instrument body 11, the protrusion 13, the movement measuring element 30, and the auxiliary movement measuring element 40 to be described later can be formed of materials that are appropriately selected. Silicon rubber or urethane rubber is used for a portion that comes into contact with a human body part such as the contact portion 14 of the protruding portion 13 that contacts the left and right buttocks D, D of the human body or the contact portion 31 of the moving probe 30 that contacts the sacrum S. It is preferable to reduce irritation to the human body by coating with a rubber system such as polyurethane or a resin system such as polyurethane or soft plastic.

  The specific dimensions of the human body part measuring instrument 10 according to the first embodiment of the invention configured as described above follow the OH (Oura / Horita) scale, for example, the center of the moving probe 30 (human body part measuring instrument). The distance K from the center of 10) to the inside of the left and right protrusions 13 and 13 is preferably set to 80 mm, and the height h of the protrusions 13 and 13 is preferably set to 40 mm. According to the human body region measuring instrument 10 according to Embodiment 1 of the present invention in which each component is adjusted to the above dimensions, the amount of bone protrusion of the sacral portion S of 0 to 40 mm can be measured.

  Next, a method for measuring the amount of bone protrusion using the human body part measuring instrument according to Embodiment 1 having the above-described configuration will be described.

  According to the human body part measuring instrument 10 according to the first embodiment of the present invention, as shown in FIG. 4, the instrument is placed on the line segment connecting the sacral part S of the lean patient and the upper parts of the left and right gluteal muscles D, D. Bring the body part measuring instrument 10 in a state where the moving probe 30 protrudes to the lowermost part with respect to the main body 11, and the protrusions 13, 13 are located above the left and right gluteal muscles D, D with the sacrum S as the center. By bringing the end face of the abutting portion 14 into contact, the distance from the both gluteal muscle lines X to the sacral portion S can be measured.

  That is, as shown in FIG. 4A, when the patient is in a normal state, the sacral portion S is recessed from the bilateral muscle lines X. There is no contact with the part S.

  On the other hand, as shown in FIG. 4B, in the case of a pressure ulcer patient or a patient who is likely to have pressure ulcers, the sacral region S is in a state of protruding from the upper part of the left and right gluteal muscles D, D. The contact part 31 of the moving probe 30 in contact with S is pushed into the instrument body 11 side, and the contact parts 14 and 14 of the left and right protrusions 13 and 13 are the upper parts of the left and right ribs D and D. The moving probe 30 stops at the position where it touches. At this time, the measuring element main body 32 on the upper side of the moving measuring element 30 protrudes from the long side 12 of the instrument main body 11 by the same dimension as the dimension in which the moving measuring element 30 is pushed into the instrument main body 11.

  Thereby, the sacrum part S and both cruciform muscles X are observed by visually observing a place where the long side 12 on the upper side of the instrument body 11 is in contact with the scale 52 provided on the probe body 32 of the moving probe 30. Distance, that is, the amount of bone protrusion Z from the upper part of both gluteal muscles D, D can be read.

  According to the human body part measuring instrument 10 as described above, since the moving measuring element 30 at the center of the long side 12 is used so as to be directed to the sacrum S, it is automatically left and right with the sacrum S as a reference. The contact part 14 of the protrusion part 13 in the position separated by equal distance will contact the upper part of the left and right gluteal muscles D and D.

  Further, in the human body part measuring instrument 10 according to the first embodiment, the instrument main body 11 is formed of a plate-like body, and the movable measuring element 30 is slidable in a direction orthogonal to the long side 12 of the instrument main body 11. Since all the structural members other than the instrument main body 11 such as the projecting portion 13 and the movement measuring element 30 are accommodated within the thickness dimension of the instrument main body 11, they are not bulky in the thickness direction. Therefore, the measuring instrument itself can be made thin. Further, even when the moving probe 30 is moved to the lowermost position, the moving probe 30 is contained within the outline formed by the instrument main body 11 and the pair of protrusions 13 and 13, so It is small and easy to carry.

  [Embodiment 2 of the Invention]

  A human body part measuring instrument according to Embodiment 2 of the present invention is shown in FIGS.

  As shown in FIG. 5, the human body part measuring instrument 10 according to the second embodiment of the present invention has an auxiliary movement that is movable in a direction parallel to the moving probe 30 on one protrusion 13 of the instrument body 11. An auxiliary display unit 53 that has a measuring element 40 and that can confirm the relative amount of movement between the instrument main body 11 and the distal end portion 42 of the auxiliary moving measuring element 40 at the contact portion between the auxiliary moving measuring element 40 and the instrument main body 11. Is provided.

  The protrusions 13 and 13 are formed to have different left and right height dimensions. That is, in FIG. 5, the height of the right protrusion 13 is lower than that of the left protrusion 13. That is, the right protrusion 13 is formed at the lower end of the right protrusion 13 by a height that the substantially rectangular tip 42 of the auxiliary movement measuring element 40 protrudes, and the left protrusion 13 is formed. And the height of the right protrusion 13 and the tip 42 are combined to form the same height.

  When the human body part measuring instrument 10 according to the second embodiment of the present invention configured as described above is used, in the usage state diagram of the human body part measuring instrument shown in FIG. 13, the end surface of the abutting portion 14 is brought into contact with the left gluteal muscle D, and the end surface of the abutting portion 44 of the distal end portion 42 of the right protruding portion 13 is brought into contact with the right gluteal muscle D. Measure the amount of bone protrusion from the top of D.

  As shown in FIG. 5, the display unit 50 forms a guide window 23 through the first layer 11 a of the instrument body 11 on the front side of the probe body 32 of the moving probe 30. A scale 52 is provided along the longitudinal direction of the guide window 23, and a part of the scale 52 is numbered. Further, an index member 34 including a convex portion having an index 51 at the center in the length direction of the moving probe 30 is provided. Thereby, the amount of movement of the moving measuring element 30 is read by visually observing the number of the scale 52 that coincides with the index 51 by the display unit 50 including the scale 52 provided on the instrument body 11 and the index 51. Can do.

  Here, the indicator member 34 is not necessarily formed on the convex portion, and the indicator 51 may be provided directly on the measuring element main body 32. In the display unit 50 configured as described above, the same effect as that of the display unit 50 according to the first embodiment of the present invention can be obtained, and the structure can be simplified.

  In FIG. 5, the auxiliary display unit 53 is provided with a scale 54 in the vertical direction at the right end of the long side 12 of the instrument body 11, and a part of the scale 54 is numbered. The operation piece 43 is provided with an index 55. An auxiliary display unit 53 is configured by the scale 54 of the instrument body 11 and the index 55 of the operation piece 43. The scale 54 of the auxiliary display unit 53 describes a numerical value that increases according to the amount of protrusion from the protruding portion 13 of the tip end portion 42 with the maximum value (2 cm) displayed on the display unit 50 being the minimum value (2 cm). Yes. Thereby, by reading the numerical value on the scale 54 indicated by the index 55 of the operation piece 43, the value obtained by adding the maximum movement amount of the movement measuring element 30 and the movement amount of the auxiliary movement measuring element 40 can be known. Therefore, there is no need to add movement amounts of the movement measuring element 30 and the auxiliary movement measuring element 40 in the head, and measurement errors due to calculation errors are eliminated. If the auxiliary display portion 53 is also provided on the back side (not shown), the measurement result can be seen from the front side and the back side, so that the convenience can be further improved.

  Further, a scale 56 for measuring the diameter of the pressure sore as a numerical value on at least one of the front side and the back side along the long side 12 of the instrument body 11 on the side where the protruding portion 13 is not provided. May be provided. Thereby, the size of a pressure ulcer can be measured.

  FIG. 6 is a front view showing a state in which the first layer of the instrument body is removed.

  In the second layer 11b of the instrument body 11, in FIG. 6, an auxiliary measurement comprising a recess that slidably accommodates an auxiliary movement measuring element 40 in a direction parallel to the movement measuring element 30 in the central part of the right-side protruding part 13. The child guide part 20 is formed so as to penetrate the plate thickness direction of the second layer 11 b of the instrument body 11. The auxiliary probe guide portion 20 is a rectangular auxiliary probe guide portion 24 formed in the protruding portion 13 with a width slightly larger than the width dimension contacting the left and right end face portions of the probe main body 41 of the auxiliary moving probe 40. And a widened recess that extends to the top of the auxiliary probe guide 24 and reaches the right end of the instrument body 11 is formed.

  When the first layer 11a, the second layer 11b, and the third layer 11c constituting the instrument body 11 are combined, the operation piece 43 of the auxiliary movement measuring element 40 is provided on the side surface of the instrument body 11 of the second layer 11b. There is an opening 22 that is sized to restrict the amount of movement in the vertical direction.

  In FIG. 6, the auxiliary movement measuring element 40 includes a vertical rectangular measuring element main body 41 and a rectangular tip end part 42 having substantially the same width as the protrusion 13 provided at the lower end of the measuring element main body 41 in the length direction. And an operating piece 43 that protrudes from the upper end of the measuring element main body 41 in the length direction. Further, the auxiliary movement measuring element 40 is formed to have a thickness substantially the same as the thickness of the second layer 11b of the instrument body 11, and the distal end portion 42 has one of the left and right gluteal muscles D and D. A contact portion 44 having a flat surface in contact with the gluteal muscle D is provided.

  And the operation piece 43 provided in the auxiliary | assistant movement measuring element 40 has the upper surface and lower surface of the operation piece 43 in each latching receiving part 21a, 21b of the upper surface of the opening part 22 of the instrument main body 11, and a lower surface. By locking, the movement of the auxiliary movement measuring element 40 in the vertical direction is restricted, and the auxiliary movement measuring element 40 is prevented from being detached from the instrument main body 11.

  Here, the plate thickness of the operation piece 43 and the tip portion 42 of the portion protruding from the outline composed of the instrument body 11 and the pair of protrusions 13 and 13 is the same as that of the instrument body 11 and the protrusion 13. May be.

  FIG. 7 shows a modification of the auxiliary display unit of the second embodiment of the present invention.

  In this modification, the auxiliary display unit 53 is provided on the front side of the measuring element main body 41 of the auxiliary movement measuring element 40 in the same manner as the display unit 50, and the guide window 23 is formed through the first layer 11a of the instrument main body 11. is doing. A scale 54 is provided along the longitudinal direction so as to contact the guide window 23, and a number is attached to a part of the scale 54. Thereby, since the operation piece 43 which protrudes from the outline of the instrument main body 11 is lost, the aesthetics of the measurement instrument itself can be improved. In the case of this modification, the operation when the auxiliary movement measuring element 40 is taken in and out from the right protrusion 13 can be moved by moving the indicator member 34 or the tip 42 exposed from the guide window 23. .

  Next, a method for measuring the bone protrusion amount using the human body part measuring instrument according to Embodiment 2 of the present invention having the above-described configuration will be described.

  According to the human body region measuring instrument according to Embodiment 2 of the present invention, as shown in FIGS. 8 (a) and 8 (b), the sacral portion S and the upper part of the left and right gluteal muscles D, D of the lean patient are shown. The human body part measuring instrument 10 in a state where the moving probe 30 protrudes to the lowest position with respect to the instrument main body 11 is taken on the line segment to be connected. Then, the end surface of the abutting portion 14 of the protruding portion 13 that does not include the auxiliary movement measuring element 40 is brought into contact with the upper part of the left or right gluteal muscle D with the sacrum S as the center. Next, the end surface of the abutment portion 44 of the distal end portion 42 of the auxiliary movement measuring element 40 provided on the other protrusion 13 is brought into contact with the upper portion of the other gluteal muscle D so that the sacral portion extends from the both gluteal muscle lines X. The distance Z1 + Z2 to S can be measured.

  As shown in FIG. 8A, in the case of a pressure ulcer patient or a patient who is likely to have a pressure ulcer, the sacral region S protrudes from the upper parts of the left and right gluteal muscles D and D. The contact portion 31 of the moving probe 30 that is in contact with the device is pushed into the instrument body 11 side. That is, as shown in FIG. 8A, the end surface of the contact portion 14 of the left protrusion 13 is brought into contact with the left gluteal muscle D, and the contact portion of the tip portion 42 of the right auxiliary movement measuring element 40 is contacted. At the position where the end face of 44 is in contact with the upper part of the right gluteal muscle D, the moving probe 30 stops. And since the index 51 part of the movement measuring element 30 moves by the same dimension as the dimension in which the movement measuring element 30 is pushed into the instrument main body 11, by visually observing the place where the scale 52 and the index 51 of the instrument main body 11 coincide. The distance between the sacrum S and the both gluteal muscle lines X, that is, the amount of bone protrusion Z from the upper part of both gluteal muscles D and D can be read.

  Next, as shown in FIG. 8 (b), in the case of a patient whose pressure ulcer has progressed further than in FIG. 8 (a), the auxiliary movement measuring element 40 is further pushed down by the operation piece 43 on the right side to The contact part 44 of the part 42 is moved until it contacts the upper part of the right gluteal muscle D. Thereby, since the index 55 part of the auxiliary movement measuring element 40 moves by the same dimension as the dimension to which the auxiliary movement measuring element 40 has moved, by visually observing the location where the index 55 part and the scale 54 coincide with each other, It is possible to read the distance between the sacrum portion S and both gluteal muscle lines X, that is, the amount of bone protrusion Z1 + Z2 from above the both gluteal muscles D and D. At this time, the display unit 53 of the auxiliary movement measuring element 40 can read the bone protrusion amount Z1 + Z2 as a numerical value obtained by adding the movement amount of the auxiliary movement measuring element 40 to the maximum movement amount of the movement measuring element 30.

  Further, as shown in FIG. 8C, in the case of a patient in which the sacral portion S does not protrude on the line segment connecting the upper parts of the left and right gluteal muscles D, D, the protruding portion 13 side is directed upward. The long side 12 portion without the portions 13 and 13 is used so as to contact the upper part of the left and right gluteal muscles D and D. Then, the movement measuring element 30 is pushed down to bring the contact portion 31 into contact with the sacral portion S, and the portion where the scale 52 and the index 51 of the instrument main body 11 coincide with each other is visually observed. The depth Y of the recess can be read.

  According to the human body part measuring instrument 10 according to the second embodiment of the present invention having the above-described configuration, by providing the auxiliary movement measuring element 40, the heights of the left and right protrusions 13, 13 are reduced. Can do. Thereby, compared with the thing which is not equipped with the auxiliary | assistant movement measuring element 40, since the total height of the human body part measuring instrument 10 can be restrained low, size reduction can be made more. Therefore, it becomes easier to carry and store.

  In addition, the same components as those in the first embodiment of the present invention are denoted by the same reference numerals, and the description of the configuration and the usage method will be omitted.

  Embodiment 3 of the Invention

  9 and 10 show a human body part measuring instrument according to Embodiment 3 of the present invention.

  As shown in FIG. 9, the human body part measuring instrument 10 according to the third embodiment of the present invention is movable on the moving probe 30 while sliding on both of the pair of opposed projecting portions 13 and 13. A guide member 35 is provided.

  As shown in FIG. 10, the moving probe 30 is formed in a rectangular shape that is slidably provided at the center of a pair of long sides 12, 12 facing each other in a long and narrow rectangular plate-shaped instrument body 11. A strip-shaped guide member 35 is provided at the lower end portion of the probe main body 32 so as to extend right and left in the direction perpendicular to the probe main body 32. The guide member 35 is formed to be slightly longer than the inner dimensions of the projecting portions 13 and 13 that face each other, and the lower end portions of both ends in the longitudinal direction of the guide member 35 are slightly cut out to be engaged with the locking portions 36 and 36. Is formed.

  As shown in FIG. 10, the protrusions 13, 13 have guide grooves 19, 19 made of a recess that penetrates the second layer 11 b of the protrusion 13, over almost the entire length of the protrusions 13, 13. The protrusions 13 and 13 are formed so as to open to the inner side. Locking receiving portions 25, 25 on the lower side are formed at the lower ends of the protruding portions 13, 13 so as to close the guide grooves 19, 19 in the width direction. The upper side latch receiving portions 26, 26 are formed on the same straight line as the lower long side 12 of the second layer 1b of the instrument body 11, and the upper surface of the guide member 35 comes into contact therewith. .

  Therefore, both ends in the longitudinal direction of the guide member 35 can move up and down in the guide grooves 19 and 19 so as to be sandwiched between the first layer 11a and the third layer 11c of the protrusions 13 and 13. And the latching | locking parts 36 and 36 of the lower surface of the guide member 35 contact | abut to the latching receiving parts 25 and 25 of the lower end part of the protrusion parts 13 and 13, and a downward movement is controlled.

  Thereby, the movement measuring element 30 is restricted from moving in the vertical direction, and the moving measuring element 30 is prevented from being detached from the instrument body 11.

  The human body part measuring instrument 10 according to the third embodiment of the present invention configured as described above is an instrument of the moving probe 30 by the guide action of the guide grooves 19 and 19 of the protrusions 13 and 13 and the guide member 35. The sliding motion with respect to the main body 11 is performed smoothly. Thereby, since the moving operation of the moving probe 30 is performed without difficulty, the generation of stress that deforms the measuring instrument can be suppressed, and the measurement accuracy can be maintained over a long period of time.

  The moving probe 30 is a guide having an appropriate shape corresponding to the probe main body 32, or an arbitrary shape such as a frame shape, a lattice shape, or a triangular shape as the shape and structure of the probe main body 32. By increasing the rigidity of the member 35, for example, by increasing the area of the guide member 35, it is possible to prevent the shape of the moving probe 30 from being deformed.

  It should be noted that the human body part measuring instrument 10 according to the first to third embodiments of the present invention is such that the protruding part 13 side is directed upward and the long side 12 part without the protruding parts 13 and 13 is placed downward. When the main body 11 is brought into contact with the human body, the moving measuring element 30 is pushed down to bring the abutting portion 31 into contact with a part of the human body that is depressed, so that the position depends on the amount of movement of the moving measuring element 30. You can know the depth of the depression. Furthermore, the magnitude | size of a hollow can be measured with the scale 56 provided in the long side 12 part of the side which does not provide the protrusion part 13 of the instrument main body 11. FIG. Thereby, according to the human body part measuring instrument 10 concerning Embodiment 1 thru | or 3 of this invention, it is possible to measure also the degree of swelling (edema) of a human body by measuring the depth and magnitude | size of a finger indentation. It is.

  In addition, the same components as those in the first embodiment of the present invention or the second embodiment of the present invention are denoted by the same reference numerals, and description of the configuration and the usage method is omitted.

It is the front view which showed the human body part measuring instrument of Embodiment 1 of this invention. It is the top view which showed the human body part measuring instrument of the same Embodiment 1. It is the front view which showed the state which removed the 1st layer of the instrument main body of Embodiment 1, (a) shows the state which the movement measuring element reached the minimum, (b) shows the movement measuring element to the upper limit. It shows the reached state. It is a use condition figure of the human body part measuring instrument of the Embodiment 1, (a) shows the use condition to the human body from which the sacrum part does not protrude, (b) is the use to the human body from which the sacrum part protrudes moderately Indicates the state. It is a front view which shows the human body part measuring instrument of Embodiment 2 of this invention. It is a front view which shows the state which removed the 1st layer of the instrument main body of the same Embodiment 2. It is a front view which shows the modification of the auxiliary | assistant display part of the same Embodiment 2. It is a use condition figure of the human body part measuring instrument of the Embodiment 2, (a) shows the use condition to the human body from which the sacral part protrudes moderately, (b) shows the human body from which the sacral part protrudes highly. The use state is shown, and (c) shows the use state for a human body in which the sacral portion does not protrude. It is a use condition figure of the human body part measuring instrument of Embodiment 3 of this invention, (a) shows the use condition to the human body from which the sacrum part does not protrude, (b) is to the human body from which the sacrum part protruded moderately. The usage state of is shown. It is a front view which shows the state which removed the 1st layer of the instrument main body of Embodiment 3, (a) shows the state which the movement measuring element reached the minimum, (b) shows the movement measuring element reached the upper limit. Shows the state. It is a perspective view which shows the bone protrusion degree test | inspection apparatus concerning the pressure ulcer of a prior art. It is a perspective view which shows the pathological bone protrusion degree determination apparatus of a prior art.

Explanation of symbols

D gluteal muscle S sacrum 10 human body region measuring instrument 11 instrument body 12 long side 13 projecting part 14 abutting part 30 movement measuring element 40 auxiliary movement measuring element 50 display part 51,55 index 52,54 scale 53 auxiliary display part

Claims (6)

  A substantially rectangular plate-like instrument body, and a long moving measuring element provided at the center of a pair of long sides opposed to the instrument body so as to be slidable in a direction perpendicular to the pair of long sides. A human body region measuring instrument having at least one projecting portion capable of contacting the left and right buttocks of the human body at each end of at least one of the long sides. The body part measuring instrument is characterized in that a display part for confirming a relative movement amount of both of them is provided at a contact part between the instrument body and the instrument body.   At least one of the protrusions has an auxiliary movement measuring element that can move in a direction parallel to the movement measuring element, and the auxiliary movement measuring element and the instrument main body or the fixed side member of the protrusion. The human body part measuring instrument according to claim 1, wherein the contact part is provided with an auxiliary display part capable of confirming a relative movement amount of the auxiliary movement measuring element and the fixed side member.   The auxiliary display unit is provided with an index such that the maximum value displayed on the display unit is set to the minimum value and a value corresponding to the protruding amount of the auxiliary moving element from the protruding portion is added. The human body part measuring instrument according to claim 2.   The human body part measurement according to any one of claims 1 to 3, wherein a guide member that is movable while being slidably in contact with both of the pair of opposed protrusions is provided on the movement measuring element. Instruments.   The pair of opposed projecting portions are provided only on either one of the long sides of the instrument body, and the total length of the movable measuring element is the passing dimension of the pair of long sides and the total length of the projecting portions. 5. The device according to claim 1, wherein the end face of the moving probe is configured to protrude from either of the pair of long sides. The human body part measuring instrument described in 1.   The human body according to any one of claims 1 to 5, wherein thicknesses of the protruding portion, the moving measuring element, and the auxiliary measuring element are accommodated within a thickness of the instrument body. Site measuring instrument.

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