WO2018191902A1 - 用于局部麻醉治疗的辅助诊疗设备及其操作方法 - Google Patents
用于局部麻醉治疗的辅助诊疗设备及其操作方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
Definitions
- the invention relates to an auxiliary diagnosis and treatment device for local anesthesia treatment and an operation method thereof
- the present invention belongs to the technical field of medicine, and in particular, to an auxiliary medical treatment apparatus for local anesthesia treatment and an operation method thereof.
- the anesthetic effect of anesthetic is not absolutely ideal, and still has a certain pain.
- the main analgesia is mainly oral local anesthesia, using a syringe to puncture the oral mucosa to push the anesthetic, although the anesthetic effect depends on the medical treatment of the therapist Level, but also limited by the day. Therefore, the fear of patients undergoing pain during treatment is a core issue in comfort diagnosis and treatment. In general, pain is often accompanied by strong emotional reactions such as panic and nervousness. Psychic pleasure and fearlessness, painlessness stem from the attitude and environment of the medical staff and their psychological qualities, if the patient develops anxiety and fear during the treatment.
- the object of the present invention is to overcome the above deficiencies of the prior art, and to provide an auxiliary medical treatment device for local anesthesia treatment and an operation method thereof, which can reduce the pain of the patient's diagnosis and treatment, and has good treatment comfort and reliability. High sexuality reduces the psychological burden of the patient and ensures the smooth progress of the treatment process.
- the present invention is achieved by: an auxiliary medical treatment apparatus for local anesthesia treatment, including a medical treatment apparatus, and an anesthesia stabilization system for local anesthesia of a surgical site of a patient and for providing video content to enable A virtual reality device that distracts a patient's pain or/and fear, the virtual reality device being fixedly attached to the patient's head by wearing a structure.
- the wearing structure includes a fixing belt and is disposed on the fixing belt for adjusting the wearing tightness
- the adjusting buckle is disposed on the fixing strap.
- the anesthesia stabilization system includes a conveyor for anesthetizing an anesthetic to anesthetize the patient, and an operator for anesthesia for connection with the patient, the conveyor and the operator Connected by a duct.
- the anesthetic is an anesthetic gas
- the operator is a nasal mask for wearing on the nose of the patient.
- the present invention also provides an operation method of the auxiliary medical treatment apparatus, which adopts the above-mentioned auxiliary medical treatment apparatus, and the operation method includes the following steps:
- a pre-operative preparation step including preparation of the anesthesia stabilization system and the virtual reality device;
- connection wearing step including connecting the anesthesia stabilization system to a patient and wearing the virtual reality device on the patient's head;
- an operation control step comprising: controlling the output of the anesthetic by the anesthesia stabilization system and selecting a content to be played by the virtual reality device according to a condition or/and a patient demand;
- postoperative recovery steps including control of postoperative oxygen concentration and oxygen supply;
- Cleaning step including closing and cleaning the auxiliary medical device.
- the commissioning of the anesthesia stabilization system includes an inspection of the reliability of the connection with the patient.
- the debugging preparation of the virtual reality device includes adjusting the wearing tension of the device according to the condition of the patient.
- the anesthetic is an anesthetic gas
- the specific operation for controlling the output of the anesthetic is: first, the patient is inhaled with pure oxygen for 1 min, and then the inhalation concentration is 30 by the anesthesia stabilization system.
- the anesthetic agent of % is for 1 min, and then the concentration of the anesthetic content is increased by a range of 5 ⁇ 3 ⁇ 4 to 10 ⁇ 3 ⁇ 4 every interval of 1 min, and the inhalation value of the inhalation is determined according to the sedation state of the patient.
- the specific operation of the post-operative recovery step is: closing the anesthesia stabilization system, and determining the concentration of the post-operative oxygen supply and the oxygen supply according to the usage amount of the anesthetic.
- the specific operation of the cleaning step is: closing, collecting, and performing a disinfection cleaning process, and recording the vital sign data of the patient.
- the present invention provides an auxiliary diagnosis and treatment device for local anesthesia treatment and an operation method thereof.
- the anesthesia is used to perform anesthesia of the surgical site, and the virtual reality device is used to make the patient Emotionally relax, so that a more comfortable diagnosis and treatment process can be achieved during surgery.
- the operation steps of the auxiliary medical treatment device are simple and convenient for the operation of the doctor.
- the invention has the beneficial effects that the comfort treatment is achieved by combining the anesthetic with the virtual reality, the comfort of the treatment process and the safety of the patient are greatly improved, the psychological and physiological negative effects of the patient are alleviated, and the treatment process is ensured. Stable.
- FIG. 1 is a schematic flow chart of a diagnosis and treatment method according to an embodiment of the present invention.
- An auxiliary medical treatment apparatus for local anesthesia treatment provided in an embodiment of the present invention includes a medical treatment apparatus, which is a device that must be used to satisfy the corresponding treatment.
- the auxiliary medical treatment device is described by taking the treatment of the tooth as an example, but it is not used as a basis for limiting the auxiliary medical treatment device only for dental treatment.
- the medical equipment can also be used in other treatments that require local anesthesia, such as childbirth surgery, wound suture surgery or appendectomy.
- the medical instrument may be an oral X-ray machine, an intraoral device, an extraoral device, an orthodontic device, a prosthetic device, or the like.
- the patient sits on the treatment chair or lies on the treatment table, and then uses the corresponding surgical instrument to perform surgical treatment on the surgical site of the patient according to the actual treatment process.
- the auxiliary medical treatment apparatus for local anesthesia treatment provided in the embodiment of the present invention further comprises local anesthesia for the surgical site of the patient.
- the anesthesia stabilization system and the virtual reality device for providing video content to disperse the patient's pain and the virtual reality device is fixedly attached to the patient's head by wearing the structure, is convenient to wear, has good stability, and satisfies the use requirement.
- the anesthetic is provided by the anesthesia stabilization system to anesthetize the patient, and the virtual reality device is equipped with an emotional game and video for relieving emotions, and the patient uses the virtual reality device to distract the patient from the pain. , thereby reducing the perception of pain.
- the patient achieves physical and psychological comfort, can reduce more pain during the diagnosis and treatment process, thereby reducing the patient's discomfort It is conducive to the smooth progress of the operation.
- the awake analgesia technique relies on a drunkenness system to use a certain concentration of anesthetic to perform local anesthesia on the patient, such as inhalation of anesthetic gas or oral anesthetic or injection of anesthetic for anesthesia. Therefore, the anesthesia type of the anesthesia stabilization system can be selected according to the needs of the actual operation.
- the virtual reality device integrates the latest developments of computer graphics (CG) technology, computer simulation technology, artificial intelligence, sensing technology, display technology, network parallel processing, and the like. It is a high-tech simulation system generated by computer technology.
- CG computer graphics
- Using computer simulation to create a three-dimensional virtual world providing users with simulations of visual, auditory, tactile and other senses, allowing users to observe things in the three-dimensional space as if they were immersive and unrestricted.
- virtual reality technology Compared with traditional static, textual, and two-dimensional image information presentation, virtual reality technology exhibits interactivity, experience, efficiency, and comprehensiveness.
- the patient selects content that is of interest to him, such as a game or video, and can distract the harmful stimuli by watching the video in the device or the game in the play setting, reducing the transmission of pain signals and Perceive, increase attention to pleasure, and thus reduce interference with surgery.
- the wearing structure includes a fixing strap and an adjusting buckle disposed on the fixing strap for adjusting the wearing tightness , the adjustment buckle is placed on the fixing strap.
- the adjustment buckle can be used to adjust the tightness of the wearing of the virtual reality device according to the difference of the patient, so as to meet the use requirements in different situations.
- the anesthesia stabilization system includes a gas conveyor for outputting an anesthetic gas and a nasal mask for the patient to wear a connection, and the gas conveyor and the nasal mask are connected through a gas pipe.
- the anesthetic gas is selected to anesthetize the patient, and the anesthetic gas is Nitrosium Oxide, also known as laughing gas, which is a paralytic drug used for treating teeth, and can suppress central nervous system excitability. It inhibits the release of neurotransmitters and the transmission of nerve impulses. It has no irritation to the respiratory tract and has no damage to important organs such as heart, lung, liver and kidney.
- the gas delivery device is used to deliver the anesthetic gas that needs to be used during the treatment to the patient, and the nasal mask is worn on the patient's nose, thereby facilitating the patient to absorb the delivered anesthetic gas.
- an operation method of the auxiliary medical treatment device is further provided, and the auxiliary medical treatment device described above may be used. As shown in FIG. 1 , the operation method includes the following steps:
- Pre-operative preparation step S1 including preparation preparation S11 of the anesthesia stabilization system and preparation preparation S12 of the virtual reality device, ensuring that the anesthesia stabilization system can be normally used, and the virtual reality device can normally play the video content, ensuring the course of the operation.
- Peer-to-peer also needs to introduce the patient's steps and the functional function of the related equipment, so that the patient can have a corresponding understanding of the whole operation, avoiding panic and affecting the operation.
- the connection wearing step S2 includes connecting the anesthesia stabilization system to the patient S21 and wearing the virtual reality device on the patient's head S22. That is, according to the needs of surgical treatment, the anesthesia stabilization system is connected with the patient. For example, when the anesthesia stabilization system uses gas anesthesia, the nasal mask in the anesthesia stabilization system is worn on the patient's nose, so that the patient can smoothly take the surgical treatment. The gas that needs to be used in the process. At the same time, the virtual reality device is worn on the head of the human body, ensuring that the patient can watch the content being played to distract the attention of the surgery and reduce the emotion during the surgical treatment of the patient.
- Operation control step S3 comprising controlling the anesthesia stabilization system to output an anesthetic S31 and selecting a virtual reality device to play content according to the condition or/and the patient's needs S32.
- the anesthesia stabilization system is controlled to anesthetize the patient. That is, depending on the situation, the type of anesthetic and the dose of anesthesia are selected. For example, when anesthesia gas is selected for anesthesia, the amount of gas used for the anesthetic gas, the concentration of the anesthetic gas, and the time required for the patient to inhale, thereby ensuring reliable anesthetic effect, and facilitating The operation is carried out.
- Postoperative recovery step S4 Including control of postoperative oxygen concentration and oxygen supply S41. Due to surgery
- the patient when the patient achieves anesthesia by inhaling anesthetic gas, in order to prevent hypoxemia, after the operation is completed, the patient needs to inhale a certain amount of pure oxygen for recovery, and the specific oxygen supply needs to be based on the patient's own The specific situation is controlled to ensure that the patient can recover normally. If you choose to inject anesthetic or oral anesthetics, you need the patient to wait for the anesthesia to be completely eliminated and the body to return to normal.
- Cleaning step S5 includes closing and cleaning the auxiliary medical device S51. In order to ensure the normal operation of the next operation.
- the commissioning S11 of the anesthesia stabilization system includes an examination of its functional reliability. That is, the type of anesthesia stabilization system is selected according to the condition of the operation, and the reliability of the function is checked. For example, when anesthesia gas is used for anesthesia, after the nasal mask of the anesthesia stabilization system is worn on the patient's nose, the airtightness of the nasal mask and the patient's wearing connection and the sealing of the delivery tube are checked to ensure that no Leaking gas, peers also need to check whether there is sufficient anesthetic gas and oxygen reserve, and check whether there is gas leakage in the air bag and the conveying pipe to ensure the sufficiency of preparation of each surgical condition and the sealing of the connection of each conveying pipe is reliable. Sex. If the injection method is used, the reliability of the injection device needs to be checked.
- the preparation step of the virtual reality device includes performing device wearing adjustment according to the head shape of the patient, and the adjustment of the tightness can be performed by moving the adjustment buckle on the fixing belt.
- the position is achieved to ensure the comfort and stability of wearing.
- the peer selects the type of video playback content or interactive game according to the patient's own preference, to ensure that the use of the virtual reality device can distract the patient from the painful stimulation during the surgery, reduce the perception of pain, and achieve comfort.
- the purpose of treatment is performed.
- the anesthetic is an anesthetic gas, so the output anesthetic is controlled.
- the specific operation of S31 is as follows: First, the patient is inhaled with pure oxygen for 1 min, then the anesthesia gas is supplied to the anesthesia gas stabilization system, and the concentration of the anesthetic gas is controlled, and the patient is initially inhaled to a concentration of 30%. Anesthetic gas, inhaled for 1 min, then increase the concentration of anesthetic gas in increments of 5 ⁇ 3 ⁇ 4 ⁇ 10 ⁇ 3 ⁇ 4 every interval of lmin, and ask the patient about the current anesthesia, as for the specific concentration increase. The value is based on the actual situation of the patient.
- the inhaled value of the inhalation is determined according to the patient's sedation state. Due to the different physical conditions of different patients, the length of the inhalation of anesthetic gas is also different. According to clinical experience, the ideal inhalation can reach the ideal sedation state within 3 to 5 minutes, so that the operation can be performed. Guide the patient to the appropriate fit during the procedure.
- per minute ventilation tidal volume X breathing times; and tidal volume refers to the amount of air inhaled or exhaled by calm breathing, which is related to age, gender, volume surface, breathing habits, body metabolism.
- tidal volume inhalation X supply air flow rate, the longer the inhalation interval, the greater the tidal volume.
- the adult is 8 ⁇ 10ml/kg and the child is 6 ⁇ 10ml/kg.
- the corresponding medical device is required to observe and record the patient's own physiological characteristic index. For example, heart rate, respiration, and blood pressure oxygen saturation are measured and recorded to grasp the patient's preoperative vital characteristics data, and provide a reference for the treatment.
- the specific operation of the postoperative recovery step is: closing the anesthesia stabilization system, and determining the concentration of the postoperative oxygen supply and the oxygen supply according to the amount of the anesthetic.
- the anesthetic gas is stopped, and then a volume fraction of 1 oxygen is given for at least 5 minutes to prevent hypoxemia.
- the greater the amount of anesthetic gas the longer the recovery needs, and some patients need to inhale oxygen for 15 minutes or even longer to return to normal. Therefore, according to the specific state of the postoperative patient, the time required for recovery is determined to ensure the patient's recovery health.
- the specific operation of the cleaning step is: closing, collecting, and performing disinfection and cleaning processing, and recording vital vital signs data of the patient. That is, after the patient's postoperative recovery is completed, the oxygen supply is stopped, the virtual reality device is turned off, the vital signs are recorded, the medical records are written, the anesthetic gas is applied, the patient's feelings are interrogated, and the patient's state is known. Patient safety.
- the auxiliary medical treatment device for local anesthesia treatment and the operation method thereof provided in the embodiments of the present invention, before performing the surgical treatment, first perform anesthesia of the surgical site by using an anesthetic gas, and are dispersed by using virtual reality equipment.
- the patient's attention to pain, thereby reducing the perception of pain, allows the patient to relax emotionally, thereby achieving a more comfortable diagnosis and treatment process during surgery.
- the use of virtual reality technology combined with the use of anesthetic gas, enables patients to achieve a more comfortable diagnosis and treatment process during surgery, compared with the traditional single analgesic method, the combination of virtual reality equipment and anesthesia stabilization system
- the purpose of comfort and integrated treatment is to greatly improve the comfort of the treatment process and the safety of the patient, reduce the negative psychological and physiological effects of the patient, and ensure the stable and smooth treatment process.
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Abstract
一种用于局部麻醉治疗的辅助诊疗设备及其诊疗方法，适用于医学技术领域。用于局部麻醉治疗的辅助诊疗设备，包括诊疗器械，还包括用于对患者的手术部位进行局部麻醉的麻醉镇定系统和用于提供视频内容以能够分散患者疼痛感或/和恐惧感的虚拟现实设备，虚拟现实设备通过佩戴结构固定连接在患者的头部。操作方法采用上述的辅助诊疗设备，包括术前准备步骤(S1)、连接佩戴步骤(S2)、操作控制步骤(S3)、术后恢复步骤(S4)和清理步骤(S5)。用于局部麻醉治疗的辅助诊疗设备及其操作方法，其可降低患者诊疗时的疼痛感，治疗舒适度好，可靠性高，减少了患者心理上的负担，保证了治疗过程顺利进行。
Description
说明书 发明名称:用于局部麻醉治疗的辅助诊疗设备及其操作方法 技术领域
[0001] 本发明属于医学技术领域， 尤其涉及一种用于局部麻醉治疗的辅助诊疗设备及 其操作方法。
背景技术
[0002] 目前， 某些诊断及局部治疗并不完全依赖麻醉的效果， 即麻药的麻醉效果并不 是绝对理想， 仍会产生一定的痛感。 一些局部的创伤， 或者是一些小手术等， 如口腔的牙齿治疗， 其镇痛主要以口腔局部麻醉为主， 使用注射器穿刺口腔粘 膜推注麻药， 虽然如此， 麻醉效果却取决于治疗者的医疗水平， 而且也受到吋 间的限制。 因此， 诊疗中患者对治疗进行中疼痛的恐惧心理是舒适化诊疗的一 个核心问题。 一般情况下， 痛觉往往伴有强烈的如恐慌、 紧张等情绪反应。 心 理上的愉悦和无恐惧、 无痛苦感源于医护人员的态度和环境及自身心理素质， 如果患者在治疗过程中产生焦虑恐惧等情绪。
[0003] 而当前往往会不能很好的与治疗者配合， 影响治疗的顺利进行， 严重者需要通 过心理诱导或服用镇静剂的方式解决， 无疑会对患者带来不利的后果。
技术问题
[0004] 本发明的目的在于克服上述现有技术的不足， 提供了一种用于局部麻醉治疗的 辅助诊疗设备及其操作方法， 其可降低患者诊疗吋的疼痛感， 治疗舒适度好， 可靠性高， 减少了患者心理上的负担， 保证了治疗过程顺利进行。
问题的解决方案
技术解决方案
[0005] 本发明是这样实现的： 一种用于局部麻醉治疗的辅助诊疗设备， 包括诊疗器械 ， 还包括用于对患者的手术部位进行局部麻醉的麻醉镇定系统和用于提供视频 内容以能够分散患者疼痛感或 /和恐惧感的虚拟现实设备， 所述虚拟现实设备通 过佩戴结构固定连接在所述患者的头部。
[0006] 具体地， 所述佩戴结构包括固定带和设置在所述固定带上用于调节佩戴松紧度
的调节扣， 所述调节扣穿设在所述固定带上。
[0007] 具体地， 所述麻醉镇定系统包括用于输出麻醉剂对所述患者进行麻醉的输送器 和用于与所述患者连接进行麻醉作用的操作器， 所述输送器和所述操作器之间 通过输送管连接。
[0008] 优选地， 所述麻醉剂为麻醉气体， 所述操作器为用于佩戴在所述患者鼻部的鼻 罩。
[0009] 本发明还提供了一种辅助诊疗设备的操作方法， 采用上述辅助诊疗设备， 所述 操作方法包括如下步骤：
[0010] 术前准备步骤： 包括所述麻醉镇定系统和所述虚拟现实设备的调试准备；
[0011] 连接佩戴步骤： 包括将所述麻醉镇定系统与患者连接和将所述虚拟现实设备佩 戴在所述患者头部；
[0012] 操作控制步骤： 包括对所述麻醉镇定系统输出所述麻醉剂的控制和根据病情需 要或 /和病人需求对所述虚拟现实设备播放内容进行选择；
[0013] 术后恢复步骤： 包括控制术后供氧浓度和供氧吋间；
[0014] 清理步骤： 包括对所述辅助诊疗设备的关闭和清洁。
[0015] 具体地， 所述麻醉镇定系统的调试包括与所述患者佩戴连接可靠性的检査。
[0016] 具体地， 所述虚拟现实设备的调试准备包括根据所述患者的情况进行设备佩戴 松紧度的调节。
[0017] 具体地， 所述麻醉剂为麻醉气体， 对输出所述麻醉剂控制的具体操作为： 首先 使所述患者吸入纯氧气 1 min， 随后通过所述麻醉镇定系统而幵始吸入浓度含量 为 30%的所述麻醉剂 lmin， 然后每间隔 lmin以 5<¾〜10<¾的范围值增加所述麻醉 剂含量的浓度， 并根据所述患者的镇静状态来确定吸入的吋间值。
[0018] 具体地， 所述术后恢复步骤的具体操作为： 关闭所述麻醉镇定系统， 并根据所 述麻醉剂的使用量来确定术后供氧的吋间和供氧的浓度。
[0019] 具体地， 所述清理步骤的具体操作为： 将所述诊疗设备关闭、 收集， 并进行消 毒清洁处理， 同吋记录所述患者的生命体征数据。
发明的有益效果
有益效果
[0020] 本发明所提供的一种用于局部麻醉治疗的辅助诊疗设备及其操作方法， 在进行 手术治疗前， 先通过采用麻醉剂来进行手术部位的麻醉， 并结合虚拟现实设备 来使患者在情绪上进行放松， 从而在手术中能够达到更加舒适的诊疗过程。 而 且该辅助诊疗设备的操作方步骤简单， 便于医生的操作使用。 本发明的有益效 果在于通过结合麻醉剂与虚拟现实达到舒适化治疗， 大幅度地提高了治疗过程 的舒适度和患者的安全感， 减轻了患者在心理、 生理上的负面影响， 保证了治 疗过程的稳定进行。
对附图的简要说明
附图说明
[0021] 图 1是本发明实施例提供的诊疗方法的流程示意图。
本发明的实施方式
[0022] 为了使本发明的目的、 技术方案及优点更加清楚明白， 以下结合附图及实施例 ， 对本发明进行进一步详细说明。 应当理解， 此处所描述的具体实施例仅仅用 以解释本发明， 并不用于限定本发明。
[0023] 以下结合具体实施例对本发明的具体实现进行详细描述：
[0024] 本发明实施例中所提供的一种用于局部麻醉治疗的辅助诊疗设备， 包括诊疗器 械， 该诊疗器械为满足相应治疗而必需使用的器械。 同吋， 为了便于理解本发 明， 在本发明实施例中， 以牙齿的治疗为例来对该辅助诊疗设备进行说明， 但 不作为限制该辅助诊疗设备只能用于牙齿治疗的依据， 该辅助诊疗设备还可以 用于其他需要局部麻醉的治疗当中， 如分娩手术、 伤口缝合手术或阑尾手术等
[0025] 具体地， 为了满足牙齿治疗的需要， 该诊疗器械可以是口腔用 X光机、 口内器 械、 口外器械、 正畸器械、 修复器械等。 在进行手术治疗吋， 患者坐在治疗椅 上或仰卧在治疗台上， 然后根据实际治疗过程的需要， 而使用相应的手术器械 来对患者的手术部位进行手术治疗。
[0026] 具体地， 在对牙齿的手术部位进行手术治疗吋， 会产生疼痛感而对手术的进行 产生干扰。 当前， 为了减少疼痛感， 采取对手术部位进行麻醉的方式， 而且一
般使用注射器穿刺口腔粘膜推注麻药的方式来对手术部位进行局部麻醉。 但是 此种麻醉方式较为单一， 只是从生理上进行镇痛麻醉。 而实际上， 患者在心理 上也会出现情绪波动， 特别是在对心理素质较差的患者， 患者在手术过程中产 生的畏惧， 焦躁不安的情绪也会对手术的进行产生干扰。 因此， 为了克服现有 在口腔治疗过程当中所存在的治疗舒适度差的缺陷， 本发明实施例中所提供的 用于局部麻醉治疗的辅助诊疗设备还包括用于对患者的手术部位进行局部麻醉 的麻醉镇定系统和和用于提供视频内容以能够分散患者疼痛感的虚拟现实设备 ， 而且虚拟现实设备通过佩戴结构固定连接在患者的头部， 佩戴方便， 稳定性 好， 满足使用需求。 这样， 在实际使用过程当中， 通过麻醉镇定系统提供麻醉 剂来对患者进行麻醉， 而虚拟现实设备中安装有缓解情绪的互动游戏以及视频 ， 患者通过使用该虚拟现实设备来分散患者对痛觉的注意力， 从而减少疼痛的 感知。 如此， 在麻醉剂麻醉治疗牙齿与虚拟现实设备心理镇痛的基础上， 结合 两种方法， 使患者达到生理和心理上的舒适， 在诊疗过程中能够减少更多的痛 苦， 从而减轻患者的不适感， 有利于手术的顺利进行。
[0027] 具体地， 清醒镇痛技术是依靠醉镇定系统使用一定浓度的麻醉剂， 来对患者进 行局部麻醉， 如吸入麻醉气体或口服麻醉药品或注射麻醉剂来进行麻醉。 因此 ， 可以根据实际手术的需要来选择该麻醉镇定系统的麻醉类型。
[0028] 具体地， 该虚拟现实设备是 （virtual reality简称 VR) 集成了计算机图形 （CG) 技术、 计算机仿真技术、 人工智能、 传感技术、 显示技术、 网络并行处理等技 术的最新发展成果， 是一种由计算机技术辅助生成的高技术模拟系统。 利用电 脑模拟产生一个三度空间的虚拟世界， 提供用户关于视觉、 听觉、 触觉等感官 的模拟， 让用户如同身历其境一般， 可以及吋、 没有限制地观察三度空间内的 事物。 与传统静态的、 文本的、 二维图像信息展示相比,虚拟现实技术表现出了 交互性、 体验性、 高效性和全面性。 这样， 患者在手术的过程当中， 选择好自 己感兴趣的内容， 如游戏或视频， 便可以通过观看设备中的视频或玩耍设置中 的游戏来分散对有害刺激的注意， 减少疼痛信号的传导和感知， 增加对愉悦感 的注意， 从而减少对手术的干扰。
[0029] 具体地， 佩戴结构包括固定带和设置在固定带上用于调节佩戴松紧度的调节扣
， 调节扣穿设在固定带上。 这样， 可以根据患者的不同来， 通过该调节扣来调 节虚拟现实设备佩戴的松紧度， 满足不同情况下的使用需求。
[0030] 具体地， 在本发明实施例中， 该麻醉镇定系统包括用于输出麻醉气体的气体输 送器和用于供患者佩戴连接的鼻罩， 气体输送器和鼻罩之间通过输气管连接 。 即在发明实施例中， 选择麻醉气体来对患者进行麻醉， 该麻醉气体为一氧化二 氮 （Nitrous Oxide) ， 又称笑气， 是应用于治疗牙齿的麻痹药物， 可抑制中枢神 经系统兴奋性， 抑制神经递质的释放和神经冲动的传导， 对呼吸道无刺激， 对 心、 肺、 肝、 肾等重要脏器功能无损害， 镇痛作用强、 麻痹作用弱， 可使患者 处于清醒状态， 易于进行治疗。 因而在手术吋， 通过气体输送器用于将治疗过 程当中需要使用的麻醉气体输送至患者， 而鼻罩则佩戴在患者的鼻子上， 从而 有利于患者吸收输送过来的麻醉气体。
[0031] 本发明实施例中还提供了一种辅助诊疗设备的操作方法， 可以采用上述的辅助 诊疗设备， 如图 1所示， 该操作方法包括如下步骤：
[0032] 术前准备步骤 S1 : 包括麻醉镇定系统的调试准备 S11和虚拟现实设备的调试准 备 S12， 确保麻醉镇定系统能够正常使用， 而虚拟现实设备能够正常播放视频内 容， 保证在手术的过程当中使用不出问题。 同吋还需要向患者介绍手术的步骤 过程以及相关设备的功能作用， 使患者对整个手术情况能够有相应了解认识， 避免产生恐慌情绪而影响手术的进行。 而且， 还需要将患者的头部位置固定， 避免患者在手术治疗的过程当中头部位置发生偏移而影响手术的进行。
[0033] 连接佩戴步骤 S2: 包括将麻醉镇定系统与患者连接 S21和将虚拟现实设备佩戴 在患者头部 S22。 即根据手术治疗的需要， 将麻醉镇定系统与患者连接， 如当该 麻醉镇定系统使用的是气体麻醉， 则将麻醉镇定系统中的鼻罩佩戴在患者的鼻 部， 使患者能够顺利吸取手术治疗过程当中需要使用的气体。 同吋， 将虚拟现 实设备佩戴在人体头部， 确保患者能够观看播放的内容来分散对手术的注意力 ， 降低患者手术治疗过程当中的情绪。
[0034] 操作控制步骤 S3: 包括对麻醉镇定系统输出麻醉剂进行控制 S31和根据病情需 要或 /和病人需求对虚拟现实设备播放内容进行选择 S32。 这样， 在实际操作中， 根据实际治疗的情况和不同患者的情况， 控制麻醉镇定系统对患者进行麻醉，
即根据不同的情况来选择麻醉剂的类型和麻醉的剂量， 如当选择麻醉气体进行 麻醉， 则对麻醉气体的用气量、 浓度以及需要患者吸入的吋间， 从而确保能够 达到可靠的麻醉效果， 便于手术的进行。 同吋， 还需要根据不同患者自身的喜 好情况来选择在虚拟现实设备中播放的内容， 尽可能的通过播放的内容来达到 分散患者注意力的目的。
[0035] 术后恢复步骤 S4: 包括控制术后供氧浓度和供氧吋间 S41。 由于在进行手术吋
， 如当患者通过吸入麻醉气体来实现麻醉， 为了防止低氧血症的发生， 在手术 完成后， 需要患者吸入一定量的纯氧来进行恢复， 而具体供氧的吋间需要依据 患者自身的具体情况来控制， 确保患者能够正常恢复。 而如果选择注射麻醉剂 或口服麻醉药品的方式吋， 则需要患者等待麻醉效果完全消除， 身体恢复正常
[0036] 清理步骤 S5: 包括对辅助诊疗设备的关闭和清洁 S51。 以能够确保下一场手术 的正常进行。
[0037] 具体地， 麻醉镇定系统的调试 S11包括其使用功能可靠性的检査。 即根据手术 的情况来选择麻醉镇定系统的类型， 同吋检査使用功能的可靠性。 如当使用麻 醉气体进行麻醉吋， 在将麻醉镇定系统的鼻罩佩戴在患者的鼻部吋， 需要对鼻 罩与患者佩戴连接的气密性以及对输送管的密封性进行检査， 确保不泄漏气体 ， 同吋还需要检査是否有充足的麻醉气体和氧气储备， 并对贮气囊及输送管有 无气体泄漏进行检査， 确保各手术条件准备的充足性和各输送管连接的密封可 靠性。 而如果采用注射的方式， 则需要检査注射装置的可靠性。
[0038] 具体地， 由于不同患者自身头型的不同， 因此虚拟现实设备的准备步骤包括根 据患者的头型情况来进行设备佩戴调节， 该松紧度的调节可以通过移动调节扣 在固定带上的位置来实现， 确保佩戴的舒适度和稳定性。 而且， 还需调整虚拟 现实设备中的瞳距， 保证图像的清晰度， 使患者能够正常体验虚拟现实设备中 的内容。 同吋根据患者自身喜好要求来选择视频播放内容或互动游戏的类型， 以确保能够通过该虚拟现实设备的使用来分散患者对手术过程当中的病痛刺激 的注意力， 减少疼痛的感知， 实现舒适化治疗的目的。
[0039] 具体地， 在本发明实施例中， 该麻醉剂为麻醉气体， 因此对输出麻醉剂进行控
制 S31的具体操作为： 首先使患者吸入纯氧气 1 min， 随后打幵麻醉镇定系统而供 入麻醉气体， 并对麻醉气体的浓度大小进行控制， 先幵始使患者吸入浓度含量 为 30%的麻醉气体， 吸入吋间为 lmin， 然后每间隔 lmin的吋间， 以 5<¾〜10<¾的 递增范围值来增加麻醉气体含量的浓度， 并询问患者当前麻醉的状态， 至于具 体浓度增加的值以患者实际的情况为依据。 同吋， 根据患者的镇静状态来确定 吸入的吋间值。 由于不同患者的身体条件状况不同， 因此对麻醉气体吸入的吋 间长度也不同， 根据临床经验， 一般吸入的吋间在 3〜5min便可达到理想的镇静 状态， 此吋便可以进行手术， 便在手术过程中指导患者进行适当的配合。
[0040] 具体地， 在对患者进行麻醉前， 还需要对具体患者的通气量来进行测定， 确定 相应患者每分钟的通气量， 为患者进行吸入麻醉气体进行麻醉而提供数据参考 。 而检测患者通气量的方法为： 每分通气量 =潮气量 X呼吸次数； 而潮气量是指 平静呼吸吋每次吸入或呼出的气量， 它与年齢、 性别、 体积表面、 呼吸习惯、 肌体新陈代谢有关， 具体为： 潮气量 =吸气吋间 X供气流速， 吸气吋间越长， 则 潮气量越大。 一般成人为 8〜10ml/kg小儿为 6〜10ml/kg。
[0041] 具体地， 为确保手术能够顺利， 在进行操作控制步骤 S3前， 需要使用相应的诊 疗器械来对患者自身生理特征指标进行观察记录。 如测定心率、 呼吸、 血压血 氧饱和度并记录， 以对患者术前的生命特征数据进行掌握， 为治疗手术的进行 提供参考依据。
[0042] 具体地， 术后恢复步骤的具体操作为： 关闭麻醉镇定系统， 并根据麻醉剂的使 用量来确定术后供氧的吋间和供氧的浓度。 根据临床经验数据， 手术完成后， 停用麻醉气体， 然后后要给予体积分数为 1的氧气至少 5min， 以防止低氧血症的 发生。 一般麻醉气体用量越大， 恢复需吋越长， 有一些病人需要吸入氧气的吋 间为 15min甚至更长吋间， 才能恢复正常。 因此， 根据术后患者的具体状态来确 定恢复需要的吋间， 确保患者恢复的健康度。
[0043] 具体地， 清理步骤的具体操作为： 将诊疗设备关闭、 收集， 并进行消毒清洁处 理， 同吋记录患者的生命体征数据。 即在患者术后恢复完成后， 停止给予氧气 供应， 并摘下关闭虚拟现实设备， 同吋记录生命体征， 书写病历， 记录麻醉气 体应用吋间、 询问患者感受， 及吋了解患者的状态， 确保患者的安全。
[0044] 本发明实施例中所提供的用于局部麻醉治疗的辅助诊疗设备及其操作方法， 在 进行手术治疗前， 先通过采用麻醉气体来进行手术部位的麻醉， 并结合虚拟现 实设备来分散患者对痛觉的注意力， 从而减少疼痛的感知， 使患者在情绪上得 到放松， 从而在手术中能够达到更加舒适的诊疗过程。 即使用了虚拟现实技术 ， 并结合麻醉气体的使用， 使患者在手术中达到更加舒适的诊疗过程， 相对于 传统单一镇痛的方式， 虚拟现实设备和麻醉镇定系统相结合使用的方式， 实现 了舒适化一体治疗的目的， 大幅度地提高了治疗过程的舒适度和患者的安全感 ， 减少患者在心理生理上的负面影响， 保证了治疗过程的稳定、 顺利地进行。
[0045] 以上所述仅为本发明的较佳实施例而已， 并不用以限制本发明， 凡在本发明的 精神和原则之内所作的任何修改、 等同替换和改进等， 均应包含在本发明的保 护范围之内。
Claims
权利要求书
一种用于局部麻醉治疗的辅助诊疗设备， 包括诊疗器械， 其特征在于 ， 还包括用于对患者的手术部位进行局部麻醉的麻醉镇定系统和用于 提供视频内容以能够分散患者疼痛感或 /和恐惧感的虚拟现实设备， 所述虚拟现实设备通过佩戴结构固定连接在所述患者的头部。
如权利要求 1所述的用于局部麻醉治疗的辅助诊疗设备， 其特征在于
， 所述佩戴结构包括固定带和设置在所述固定带上用于调节佩戴松紧 度的调节扣， 所述调节扣穿设在所述固定带上。
如权利要求 1所述的用于局部麻醉治疗的辅助诊疗设备， 其特征在于
， 所述麻醉镇定系统包括用于输出麻醉气体的气体输送器和用于供所 述患者佩戴连接的鼻罩， 所述气体输送器和所述鼻罩之间通过输气管 连接。
一种辅助诊疗设备的操作方法， 其特征在于， 采用上述权利要求 1〜3 中任一项所述辅助诊疗设备， 所述操作方法包括如下步骤： 术前准备步骤： 包括所述麻醉镇定系统和所述虚拟现实设备的调试准 备；
连接佩戴步骤： 包括将所述麻醉镇定系统与患者连接和将所述虚拟现 实设备佩戴在所述患者头部；
操作控制步骤： 包括对所述麻醉镇定系统输出麻醉剂进行控制和根据 病情需要或 /和病人需求对所述虚拟现实设备播放内容进行选择； 术后恢复步骤： 包括控制术后供氧浓度和供氧吋间；
清理步骤： 包括对所述辅助诊疗设备的关闭和清洁。
如权利要求 4所述的辅助诊疗设备的操作方法， 其特征在于， 所述麻 醉镇定系统的调试包括使用功能可靠性的检査。
如权利要求 4所述的辅助诊疗设备的操作方法， 其特征在于， 所述虚 拟现实设备的调试准备包括根据所述患者的情况进行设备佩戴松紧度 的调节。
如权利要求 4所述的辅助诊疗设备的操作方法， 其特征在于， 所述麻
醉剂为麻醉气体， 对输出所述麻醉剂控制的具体操作为： 首先使所述 患者吸入纯氧气 1 min, 随后通过所述麻醉镇定系统而幵始吸入浓度 含量为 30%的所述麻醉气体 lmin， 然后每间隔 lmin以 5<¾〜10<¾的范 围值增加所述麻醉气体含量的浓度， 并根据所述患者的镇静状态来确 定吸入的吋间值。
[权利要求 8] 如权利要求 4所述的辅助诊疗设备的操作方法， 其特征在于， 在进行 所述操作控制步骤前， 使用所述诊疗器械对所述患者自身的生理特征 指标进行观察记录。
[权利要求 9] 如权利要求 4所述的辅助诊疗设备的操作方法， 其特征在于， 所述术 后恢复步骤的具体操作为： 关闭所述麻醉镇定系统， 并根据所述麻醉 剂的使用量来确定术后供氧的吋间和供氧的浓度。
[权利要求 10] 如权利要求 4至 9中任一项所述的辅助诊疗设备的操作方法， 其特征在 于， 所述清理步骤的具体操作为： 将所述诊疗设备关闭、 收集， 并进 行消毒清洁处理， 同吋记录所述患者的生命体征数据。
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| PCT/CN2017/081199 WO2018191902A1 (zh) | 2017-04-20 | 2017-04-20 | 用于局部麻醉治疗的辅助诊疗设备及其操作方法 |
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| WO2018191902A1 true WO2018191902A1 (zh) | 2018-10-25 |
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| PCT/CN2017/081199 Ceased WO2018191902A1 (zh) | 2017-04-20 | 2017-04-20 | 用于局部麻醉治疗的辅助诊疗设备及其操作方法 |
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Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1485105A (zh) * | 2002-09-27 | 2004-03-31 | 深圳市金科威实业有限公司 | 智能镇痛机 |
| US20050216243A1 (en) * | 2004-03-02 | 2005-09-29 | Simon Graham | Computer-simulated virtual reality environments for evaluation of neurobehavioral performance |
| CN101309731A (zh) * | 2005-10-17 | 2008-11-19 | 转换注意力治疗技术有限公司 | 转移注意力治疗的设备、方法及交互式装置 |
| CN103079622A (zh) * | 2011-05-31 | 2013-05-01 | 石北直之 | 麻醉药吸入辅助装置及其附属装置 |
| CN106110459A (zh) * | 2016-07-27 | 2016-11-16 | 田鸣 | 一种麻醉用鼻罩 |
| CN205698207U (zh) * | 2016-03-01 | 2016-11-23 | 天津医科大学总医院 | 眼科手术护罩 |
-
2017
- 2017-04-20 WO PCT/CN2017/081199 patent/WO2018191902A1/zh not_active Ceased
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1485105A (zh) * | 2002-09-27 | 2004-03-31 | 深圳市金科威实业有限公司 | 智能镇痛机 |
| US20050216243A1 (en) * | 2004-03-02 | 2005-09-29 | Simon Graham | Computer-simulated virtual reality environments for evaluation of neurobehavioral performance |
| CN101309731A (zh) * | 2005-10-17 | 2008-11-19 | 转换注意力治疗技术有限公司 | 转移注意力治疗的设备、方法及交互式装置 |
| CN103079622A (zh) * | 2011-05-31 | 2013-05-01 | 石北直之 | 麻醉药吸入辅助装置及其附属装置 |
| CN205698207U (zh) * | 2016-03-01 | 2016-11-23 | 天津医科大学总医院 | 眼科手术护罩 |
| CN106110459A (zh) * | 2016-07-27 | 2016-11-16 | 田鸣 | 一种麻醉用鼻罩 |
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