TW202000144A - Fixing plate for lumbar puncture posture characterized in that patient's trunk can lean on the arched bump to arch the back to form a C shape for compatibly performing a lumbar puncture - Google Patents

Fixing plate for lumbar puncture posture characterized in that patient's trunk can lean on the arched bump to arch the back to form a C shape for compatibly performing a lumbar puncture Download PDF

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TW202000144A
TW202000144A TW107121630A TW107121630A TW202000144A TW 202000144 A TW202000144 A TW 202000144A TW 107121630 A TW107121630 A TW 107121630A TW 107121630 A TW107121630 A TW 107121630A TW 202000144 A TW202000144 A TW 202000144A
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lumbar puncture
patient
arch
posture
arched
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TW107121630A
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TWI671061B (en
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劉瓊玫
黃靜鳳
姜如珊
謝秀婉
陳昭惠
林權竑
吳新智
洪宜芳
柯妤潔
賴姿雲
眭立螢
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長庚學校財團法人長庚科技大學
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Abstract

The present invention relates to a fixing plate for lumbar puncture posture, which mainly includes: a plate body corresponding to human trunk; a plurality of through holes penetratedly installed at the periphery of the plate body and corresponding to the positions of four limbs; and an arched bump disposed between the through holes and archedly corresponding to human trunk for arching the back. The fixing plate for lumbar puncture posture can be used to allow patient's four limbs to go through the through holes and use both hands to embrace two knees, so that patient's trunk can lean on the arched bump to arch the back to form a C shape for compatibly performing a lumbar puncture.

Description

腰椎穿刺姿勢固定板 Lumbar puncture posture fixation plate

本發明係一種腰椎穿刺姿勢固定板,主要是以一對應人體軀幹的板體設有對應四肢位置的複數透孔,並在複數透孔間弧凸對應軀幹拱背之拱形凸塊,俾可供病患四肢穿出透孔而以雙手環抱雙膝後,促令軀幹可以藉由靠置拱形凸塊而拱背成C型,達到接受檢查時姿勢一次定位、容易穩定姿勢的安全目的。 The invention is a lumbar puncture posture fixing plate, which is mainly provided with a plate body corresponding to the body trunk with a plurality of through holes corresponding to the positions of the limbs, and the arc convex between the plurality of through holes corresponds to the arch-shaped convex block of the trunk arch back, so that After the patient's limbs penetrate the through holes and embrace the knees with both hands, the torso can be arched into a C shape by leaning on the arched bumps, which achieves the safety purpose of positioning the posture at the time of examination and easily stabilizing the posture. .

人體中樞神經系統包括腦與脊髓二部分,腦脊髓液是包圍在大腦和脊髓旁的液體。大腦和脊髓很脆弱,被包在堅硬的頭骨和脊椎骨中間,頭骨和脊髓骨中間還有液體,大腦和脊髓泡在這些液體,可以緩衝外力的衝擊,這些液體就是腦脊髓液。 The human central nervous system includes the brain and spinal cord. Cerebrospinal fluid is the fluid surrounding the brain and spinal cord. The brain and spinal cord are very fragile. They are wrapped between the hard skull and vertebrae. There is liquid between the skull and spinal cord. The brain and spinal cord are immersed in these fluids to buffer the impact of external forces. These fluids are cerebrospinal fluid.

腰椎穿刺術是一個收集腦脊髓液樣本的過程。它可以幫助診斷感染如腦膜炎,中樞神經系統疾病如多發性硬化症、腦出血、腦或脊髓的癌症。在施術的過程中是利用細針穿過腰椎部位的皮膚、皮下組織、和脊椎骨中間的空隙,到達腰部脊髓附近,抽取少量的腦脊髓液。而病患接受檢查時通常要維持C型並讓背部靠近床緣(呈蝦米狀,使每節脊椎骨之間的空隙儘量加大,更利於醫師為病患執行穿刺),且由於醫師做腰椎穿刺術檢查需要一段時間,病患維持固定姿勢不容易,過去都是由護理人員在旁協助維持姿勢,在長時間姿勢固定不動的狀況下,病患會感覺到身體、 腰很痠很累,穿刺又會疼痛,不合作的病人經常讓醫師無法安心穿刺,甚至影響穿刺過程無菌技術而導致感染。再者,如果發生病患躁動不安而突然移動身體的狀況時,硬膜外血腫及下半身癱瘓、神經根損傷的風險也有可能發生。 Lumbar puncture is a process of collecting cerebrospinal fluid samples. It can help diagnose infections such as meningitis, central nervous system diseases such as multiple sclerosis, cerebral hemorrhage, and cancer of the brain or spinal cord. During the operation, a fine needle is used to penetrate the skin of the lumbar spine, the subcutaneous tissue, and the space between the vertebrae to reach the lumbar spinal cord and draw a small amount of cerebrospinal fluid. When the patient is examined, the C-type is usually maintained and the back is close to the edge of the bed (it is shrimp-shaped, so that the space between each vertebrae is maximized, which is more conducive to the doctor performing the puncture for the patient), and because the doctor performs the lumbar puncture The surgical examination takes a while, and it is not easy for the patient to maintain a fixed posture. In the past, the nursing staff assisted to maintain the posture. Under the condition of fixed posture for a long time, the patient will feel that the body and waist are very tired and puncture. It can also cause pain. Uncooperative patients often make doctors unable to puncture with peace of mind, even affecting the aseptic technique of the puncture process and causing infection. In addition, if the patient is agitated and suddenly moves the body, the risk of epidural hematoma, paralysis of the lower body, and nerve root damage may also occur.

本發明人鑑於上述之問題,深覺習知的腰椎穿刺術並無任何可供病患固定姿勢用的輔助用具,因此病患拱背成C型的姿勢及施術過程中的姿勢固定都必須由護理人員協助,而且無法預防病患突然的躁動風險,對於醫師及護理人員產生極大的心理壓力,所以遂以其多年從事醫療照護的經驗,積極研發改良,在各方條件的審慎考量之下,終於開創出本發明之結構,將可完全解決腰椎穿刺術的病患姿勢固定問題。 In view of the above-mentioned problems, the inventor feels that the conventional lumbar puncture does not have any auxiliary tools for the patient to fix the posture. Therefore, the patient's arched back into a C-shaped posture and the posture during the operation must be fixed by Nursing staff assisted, and could not prevent the sudden agitation risk of patients, which caused great psychological pressure on doctors and nursing staff. Therefore, based on their years of experience in medical care, they actively developed and improved, under the careful consideration of all conditions, Finally, the structure of the present invention is created, which will completely solve the problem of posture fixation for patients undergoing lumbar puncture.

本發明係一種腰椎穿刺姿勢固定板,主要包括有一對應人體軀幹的板體,於板體周圍設有對應四肢位置而穿出的複數透孔,並在複數透孔間弧凸對應軀幹拱背之拱形凸塊,所以在實施後將可提供下述之效益: 由於本發明的腰椎穿刺姿勢固定板,是以一對應人體軀幹的板體設有對應四肢位置的複數透孔,並在複數透孔間弧凸對應軀幹利於拱背成C型之拱形凸塊,所以可由腰椎穿刺姿勢固定板供病患四肢穿出透孔後,再以雙手環抱雙膝,促使軀幹自然貼緊、靠置拱形凸塊而拱背成C型,達到接受檢查時的病患姿勢一次定位、容易穩定姿勢的安全目的。 The invention relates to a lumbar puncture posture fixing plate, which mainly includes a plate body corresponding to the body trunk, and a plurality of through holes penetrating corresponding to the positions of the limbs are arranged around the plate body, and the arc convex between the plurality of through holes corresponds to the back of the trunk arch The arch-shaped projections, after implementation, will provide the following benefits: Since the lumbar puncture posture fixation plate of the present invention is a plate body corresponding to the body trunk is provided with a plurality of through holes corresponding to the positions of the limbs, and The arc between the holes corresponds to the torso, which facilitates the arch to form a C-shaped arch, so that the lumbar puncture posture can be used to fix the plate for the patient's limbs to penetrate the through hole, and then use both hands to embrace the knees, so that the torso naturally fits tightly. The arch-shaped projections are placed and the arched back is C-shaped to achieve the safety purpose of positioning the patient's posture at the time of examination and easily stabilizing the posture.

本發明腰椎穿刺姿勢固定板於對應手臂端透孔間的拱形凸塊係內凹有一脖靠處,俾可讓病患在雙手環抱雙膝時,頭部可以伸往腰椎穿刺姿勢固定板的背面處,讓病患維持舒適狀態而拱背成C型。 The lumbar puncture posture fixing plate of the invention has a neck rest concavely in the arched convex block corresponding to the through hole of the arm end, so that the patient can extend the head to the lumbar puncture posture fixing plate when the patient embraces both knees At the back, the patient maintains a comfortable state while arching into a C shape.

本發明腰椎穿刺姿勢固定板在使用的過程中,可令病患的軀幹一側與板體邊緣形成穩定的狀態而躺靠在床上(習知的病患單純以雙手環抱雙膝時,手臂會被壓在最下方,容易疼痛、發麻,而且沒有平穩的重心和平面與床面貼實,身體容易晃動、滾動),讓病患的身體重心壓在軀幹一側,不僅容易維持舒適感,而且手腳有躁動時也不易影響到施術中的背部。 In the process of using the lumbar puncture posture fixation plate of the present invention, the patient's torso side and the plate edge can form a stable state and lie on the bed (the conventional patient simply wraps his arms around his knees with his hands. It will be pressed at the bottom, it is easy to pain, numbness, and there is no stable center of gravity and the plane is close to the bed surface, the body is easy to shake, roll), so that the patient's body center of gravity is pressed on the side of the trunk, not only easy to maintain comfort , And when the hands and feet are agitated, it is not easy to affect the back during the operation.

1‧‧‧板體 1‧‧‧Board

2‧‧‧透孔 2‧‧‧Through hole

3‧‧‧拱形凸塊 3‧‧‧Arch bump

4‧‧‧脖靠處 4‧‧‧ Neck rest

10‧‧‧腰椎穿刺姿勢固定板 10‧‧‧Lumbar puncture posture fixation plate

第一圖:係本發明之結構圖。 The first figure is the structural diagram of the present invention.

第二圖:係本發明之另一結構圖。 The second figure is another structural diagram of the present invention.

第三圖:係本發明之使用狀態參考圖之一。 Third figure: It is one of the reference figures of the use state of the present invention.

第四圖:係本發明之使用狀態參考圖之二。 Fourth figure: It is the second reference figure of the use state of the present invention.

為使 貴審查人員能確實明瞭本發明之結構組成及其所能達成之功能效益,餘下,茲配合圖式列舉實施例,詳細介紹說明如后:本發明係一種腰椎穿刺姿勢固定板,主要包括有一對應人體軀幹的板體1,於板體1周圍設有對應四肢位置而穿出的複數透孔2(由於人體雙腿距離接近,所以供雙腿穿出的透孔2結構可以合併成一個),並在複數透孔2間弧凸對應軀幹形成拱背之拱形凸塊3(第一、二圖所示)。 In order to enable your reviewers to clearly understand the structural composition of the present invention and the functional benefits it can achieve, the remaining examples are listed in conjunction with the drawings, and the detailed description is as follows: The present invention is a lumbar puncture posture fixation plate, which mainly includes There is a plate body 1 corresponding to the body of the human body, and a plurality of through holes 2 are provided around the plate body 1 corresponding to the positions of the limbs (because the distance between the legs of the human body is close, the structure of the through holes 2 for the legs to pass through can be combined into one ), and an arc-shaped convex block 3 (shown in the first and second figures) is formed between the plurality of through holes 2 corresponding to the torso to form an arched back.

其中,上述腰椎穿刺姿勢固定板10於對應手臂端透孔2間的拱形凸塊3係內凹有一脖靠處4。 Wherein, the lumbar puncture posture fixing plate 10 has a neck rest 4 recessed in the arched convex block 3 between the corresponding through holes 2 of the arm end.

藉由上述之腰椎穿刺姿勢固定板10結構可知,腰椎穿刺姿 勢固定板10可供病患的四肢由對應的透孔2穿出(在實際施行中,腰椎穿刺姿勢固定板10可備有不同尺寸,以利不同體型的成人或小孩進行使用),再以雙手環抱雙膝後(如第三圖所示,病患的頭部可以經由脖靠處4伸往腰椎穿刺姿勢固定板10的背面處),促令軀幹可以自然貼緊、靠置拱形凸塊3而拱背成C型,以利施行腰椎穿刺術。 According to the structure of the lumbar puncture posture fixing plate 10 described above, the lumbar puncture posture fixing plate 10 can be used for the patient's limbs to pass through the corresponding through holes 2 (in actual implementation, the lumbar puncture posture fixing plate 10 can be prepared in different sizes , To facilitate the use of adults or children of different sizes), and then embrace the knees with both hands (as shown in the third figure, the patient's head can be extended through the neck rest 4 to the back of the lumbar spine posture fixation plate 10 Place), so that the torso can be naturally tight, leaning on the arched bump 3 and the arch back into a C-shape, so as to facilitate lumbar puncture.

再者,本發明腰椎穿刺姿勢固定板10可採一體成型製成(例如塑膠射出成型),也可在外部包覆有泡棉及外皮(習知技藝即可達成,所以不再贅述),俾以增加使用時的舒適性。 Furthermore, the lumbar puncture posture fixation plate 10 of the present invention can be made in one piece (for example, plastic injection molding), or it can be covered with foam and skin on the outside (this can be achieved by conventional techniques, so it will not be repeated), so To increase the comfort during use.

由於本發明腰椎穿刺姿勢固定板10在使用的過程中,可令病患的軀幹一側與板體1邊緣形成穩定的狀態而躺靠在床上,讓病患的身體重心壓在軀幹一側及朝下的板體1邊緣(如第四圖所示),此時人體重量主要是由軀幹一側所支撐,所以手臂不會被壓在最下方而引起疼痛、發麻的不舒適感,不僅容易保持病患的姿勢長時間固定,而且手腳有躁動時也不易影響到施術中的背部,有效提昇施術檢查的安全性。 Due to the use of the lumbar puncture posture fixation plate 10 of the present invention, the patient's torso side and the edge of the plate body 1 can form a stable state and lie on the bed, so that the patient's body center of gravity is pressed against the torso side and The edge of the board body 1 facing down (as shown in the fourth picture), at this time, the body weight is mainly supported by the side of the trunk, so the arm will not be pressed at the bottom and cause pain and numb discomfort, not only It is easy to keep the patient's posture fixed for a long time, and when the hands and feet are agitated, it is not easy to affect the back during the operation, which effectively improves the safety of the operation inspection.

1‧‧‧板體 1‧‧‧Board

2‧‧‧透孔 2‧‧‧Through hole

3‧‧‧拱形凸塊 3‧‧‧Arch bump

4‧‧‧脖靠處 4‧‧‧ Neck rest

10‧‧‧腰椎穿刺姿勢固定板 10‧‧‧Lumbar puncture posture fixation plate

Claims (4)

一種腰椎穿刺姿勢固定板,主要包括有一對應人體軀幹的板體,於板體周圍設有對應四肢位置而穿出的複數透孔,並在複數透孔間弧凸對應軀幹形成拱背之拱形凸塊。 A lumbar puncture posture fixation plate mainly includes a plate body corresponding to the human torso, a plurality of through holes penetrating corresponding to the positions of the limbs are provided around the plate body, and an arc convex between the plurality of through holes forms a dome-shaped arch corresponding to the torso Bump. 如申請專利範圍第1項所述之腰椎穿刺姿勢固定板,其中於對應手臂端透孔間的拱形凸塊係內凹有一脖靠處。 The lumbar puncture posture fixation plate as described in item 1 of the patent application scope, in which the arch-shaped projection between the through holes of the corresponding arm ends is recessed with a neck rest. 如申請專利範圍第1或2項所述之腰椎穿刺姿勢固定板,其中腰椎穿刺姿勢固定板係採一體成型製成。 The lumbar puncture posture fixation plate as described in item 1 or 2 of the patent application scope, wherein the lumbar puncture posture fixation plate is made by integral molding. 如申請專利範圍第1或2項所述之腰椎穿刺姿勢固定板,其中腰椎穿刺姿勢固定板外部包覆有泡棉及外皮。 The lumbar puncture posture fixation plate as described in item 1 or 2 of the patent application scope, wherein the lumbar puncture posture fixation plate is covered with foam and outer skin.
TW107121630A 2018-06-22 2018-06-22 Lumbar puncture posture fixation plate TWI671061B (en)

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