CN104814846A - Intelligent dedsore-proof early warning device - Google Patents
Intelligent dedsore-proof early warning device Download PDFInfo
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Abstract
本发明公开了一种智能防压疮预警装置,康复垫设置在床体上,治疗器设置在康复垫位置的床体的下方,治疗器设置有清洗器、除菌器、烘干器,检测装置包括压力敏感元件、用于传送从压力敏感元件过来的压力信号的信号传送单元、组织缺氧程度监测装置、数据处理单元和报警单元,电子病历装置设置在床头位置;本发明的床体上的气囊可以辅助病人翻身,治疗器可以对疮口部位冲洗、消毒、烘干;检测装置对该部位所受压力进行监测,结合仪器对组织缺氧程度的监测,能及时掌握病人受压部位组织的实际缺氧程度并发出预警,提示医务人员及时采取措施大大减轻护理人员的工作量,减少重病患者的痛苦。
The invention discloses an intelligent early warning device for preventing pressure sores. A rehabilitation pad is arranged on a bed body, a therapeutic device is disposed below the bed body at the position of the rehabilitation pad, and the therapeutic device is provided with a washer, a sterilizer, and a dryer. The device includes a pressure sensitive element, a signal transmission unit for transmitting pressure signals from the pressure sensitive element, a tissue hypoxia monitoring device, a data processing unit and an alarm unit, and the electronic medical record device is arranged at the head of the bed; the bed body of the present invention The airbag on the upper body can assist the patient to turn over, and the treatment device can wash, disinfect and dry the sore site; the detection device monitors the pressure on the site, combined with the monitoring of the tissue hypoxia degree by the instrument, it can timely grasp the pressure of the patient's tissue. The actual degree of hypoxia and an early warning will be issued to remind medical staff to take timely measures to greatly reduce the workload of nursing staff and reduce the suffering of seriously ill patients.
Description
技术领域technical field
本发明属于医疗器械领域,尤其涉及一种智能防压疮预警装置。The invention belongs to the field of medical devices, in particular to an intelligent anti-pressure sore early warning device.
背景技术Background technique
压疮是临床上因疾病需要长期卧床的病人最常见的并发症之一,主要由于身体局部长期受压导致组织缺血缺氧而引起的局部溃疡。随着社会的人口老龄化趋势及心血管疾病的发病率上升,近十年来,就全球范围来看,压疮的发病率也有上升的趋势。在我国,压疮的发生率被作为评价一个医院的护理质量的重要指标。在临床上,医护人员通常采用每2小时为病人翻身的方法来预防压疮。然而该传统的翻身方法存在以下问题:Pressure sore is one of the most common clinical complications of patients who need to stay in bed for a long time due to disease. With the aging trend of the society and the rising incidence of cardiovascular diseases, the incidence of pressure ulcers has also been on the rise globally in the past decade. In my country, the incidence of pressure ulcers is used as an important index to evaluate the quality of care in a hospital. Clinically, medical staff usually use the method of turning the patient every 2 hours to prevent pressure sores. However, there are following problems in this traditional turning method:
(1)翻身时间的界定:我国医疗质量管理指南提出,长期卧床的病人应每2小时翻身一次,以预防压疮发生。多年来临床护理一直沿用这个标准,指导护理工作。但是这个指南的制定以经验指导为主要基础,缺乏大量的临床循证支持,同时临床上出现有些病人虽然每2小时翻身,但仍然难以避免压疮发生,而有些病人即使延长翻身间隔时间(3小时或4小时)也未导致压疮发生现象。(1) Definition of turning time: my country's medical quality management guidelines propose that bedridden patients should be turned every 2 hours to prevent pressure sores. Over the years, clinical care has been using this standard to guide nursing work. However, the formulation of this guideline is mainly based on empirical guidance and lacks a large amount of clinical evidence-based support. At the same time, it is clinically found that although some patients turn over every 2 hours, it is still difficult to avoid the occurrence of pressure sores, and some patients even prolong the turning interval (3 hours or 4 hours) did not lead to pressure ulcers.
(2)重病人翻身不便:对于肋骨或颈椎骨折病人、大面积烧伤病人、手术后全身插管的危重病人来讲,过多翻身是一种强的刺激,没有必要的翻身严重影响病人的睡眠,增加病人痛苦;如果没有必要每隔2小时翻身一次,那么对于个体病人来说,每隔多长时间才是最佳间隔时间呢。(2) It is inconvenient for severe patients to turn over: For patients with rib or cervical spine fractures, patients with extensive burns, and critically ill patients who are intubated after surgery, excessive turning over is a strong stimulus, and unnecessary turning over seriously affects the patient's sleep. , increasing the pain of the patient; if it is not necessary to turn over every 2 hours, then for individual patients, how long is the best interval.
(3)护士工作量增大,效率降低:由于病人个体差异很大,对于某些病人来说,每隔2小时翻身一次是没有必要的,那么将无疑只是徒增护理人员的工作,使护士工作效率降低。(3) The workload of nurses increases and the efficiency decreases: due to the great individual differences of patients, for some patients, it is not necessary to turn over every 2 hours, so it will undoubtedly only increase the work of nurses and make nurses Work efficiency is reduced.
因此,常规每隔2小时翻身只是停留在经验阶段,并不能科学的指导临床有效的预防压疮。必须有一种更科学更有效的手段对医护人员来进行指导和提示。Therefore, routine turning every 2 hours is only in the empirical stage, and cannot scientifically guide the clinical and effective prevention of pressure sores. There must be a more scientific and effective means to guide and prompt medical staff.
发明内容Contents of the invention
本发明的目的在于提供一种智能防压疮预警装置,旨在解决临床上现有的翻身方法不能有效预防压疮,护理人员工作量大的问题。The purpose of the present invention is to provide an intelligent early warning device for preventing pressure sores, aiming at solving the problem that existing clinical turning methods cannot effectively prevent pressure sores and the workload of nursing staff is heavy.
本发明是这样实现的,一种智能防压疮预警装置包括床体、康复垫、治疗器、检测装置、电子病历装置;所述的康复垫设置在床体上,所述的治疗器设置在所述的康复垫位置的床体的下方,所述的检测装置设置在所述的治疗器的一侧,所述的电子病历装置设置在床头位置;The present invention is realized in this way, an intelligent anti-pressure sore early warning device includes a bed body, a rehabilitation pad, a therapeutic device, a detection device, and an electronic medical record device; the rehabilitation pad is arranged on the bed body, and the therapeutic device is arranged on the Below the bed body at the position of the rehabilitation mat, the detection device is set at one side of the therapeutic device, and the electronic medical record device is set at the head of the bed;
所述的床体还包括护栏、扶手、枕垫、腿垫、搁置板、纵向调整手柄、横向调整手柄、检查台;所述的床体包括左床体和右床体,所述的左床体通过插槽插入式安装在右床体上,左床体可沿着右床体左右滑移,所述的左床体和右床体的床头部位和床位部位通过合页与床体连接;所述的护栏设置在床体中部的两侧,所述的扶手设置在靠近床头的两侧,所述的腿垫设置在床尾,所述的床体的一侧设置有U型开口,U型开口下方设置搁置板,所述的枕垫设置在床头,所述的护栏和扶手均为纵向折叠式结构,所述的枕垫和腿垫为浮动式结构,所述的纵向调整手柄和横向调整手柄设置在床体的尾部,所述的检查台设置在床体头部的一侧;The bed body also includes guardrails, handrails, pillow pads, leg pads, shelf boards, longitudinal adjustment handles, horizontal adjustment handles, and an inspection table; the bed body includes a left bed body and a right bed body, and the left bed body The body is inserted and installed on the right bed body through the slot, and the left bed body can slide left and right along the right bed body. connection; the guardrails are arranged on both sides of the middle of the bed, the armrests are arranged on both sides close to the head of the bed, the leg pads are arranged at the end of the bed, and a U-shaped opening is arranged on one side of the bed , a shelf board is arranged under the U-shaped opening, the pillow is arranged at the head of the bed, the guardrails and handrails are longitudinally folded structures, the pillows and leg pads are floating structures, and the longitudinal adjustment The handle and the horizontal adjustment handle are arranged at the tail of the bed, and the inspection table is arranged at one side of the head of the bed;
所述的左床体和右床体上设置有滑动容置体,所述的康复垫、治疗器、检测装置设置在容置体上,所述的左床体和右床体设有一个倾角可调的背部支撑板,所述的背部支撑板下侧设有驱动气缸,上侧设有微调气囊;所述的左床体和右床体的中部设有左右分布的两个侧身辅助气囊;所述的床体的底部设有用于加热床板的加热装置,所述加热装置包括用于与床板连接的腔体,腔体内设有加热器,加热器的电源输入端设有与市电连接的导线,所述导线上设有调温开关;The left bed body and the right bed body are provided with a sliding accommodation body, the rehabilitation pad, the treatment device, and the detection device are arranged on the accommodation body, and the left bed body and the right bed body are provided with an inclination angle An adjustable back support plate, the lower side of the back support plate is provided with a driving cylinder, and the upper side is provided with a fine-tuning airbag; the middle parts of the left bed body and the right bed body are provided with two lateral auxiliary airbags distributed left and right; The bottom of the bed body is provided with a heating device for heating the bed board, and the heating device includes a cavity for connecting with the bed board, a heater is arranged in the cavity, and a power input end of the heater is provided with a A wire, the wire is provided with a temperature adjustment switch;
所述的康复垫包括两个对称设置的防护半垫对接构成,两个防护半垫相对接的一侧各设有一个弧形的缺口,两个防护半垫上设置的缺口对接构成的通风防压口与患者臀部的位置相对应,所述的防护半垫内置压疮防护水垫、连接管和温度及压力控制系统,人体接触部位与压疮防护水垫充分接触;The rehabilitation pad is composed of two symmetrically arranged protective half-pads, each of which is provided with an arc-shaped notch on the opposite side of the two protective half-pads. The mouth corresponds to the position of the patient's buttocks, and the protective half pad has a built-in pressure sore protective water pad, connecting pipes, and a temperature and pressure control system, and the contact parts of the human body are in full contact with the pressure sore protective water pad;
所述的治疗器包括透明罩、清洗器、除菌器、烘干器,所述的透明罩内部设有圆形固定圈,沿固定圈圆周方向设有多个按摩棒,所述多个按摩棒一端固定在固定圈上,透明罩外壳上设有强度调节装置和清洗器及烘干器,透明罩外壳的底部设置有除菌器,强度调节装置设有开关,所述多个按摩棒接线端连接强度调节装置;The treatment device includes a transparent cover, a cleaner, a sterilizer, and a dryer. A circular fixed ring is arranged inside the transparent cover, and a plurality of massage sticks are arranged along the circumferential direction of the fixed ring. The plurality of massage sticks One end of the rod is fixed on the fixed ring, the transparent cover shell is provided with a strength adjustment device, a washer and a dryer, the bottom of the transparent cover shell is provided with a sterilizer, the strength adjustment device is provided with a switch, and the plurality of massage sticks are wired End connection strength adjustment device;
所述的清洗器包括主控单元、选择阀、药液罐、清水管路,药液罐和清水管路均连接到选择阀,主控单元控制选择阀,交替流出药液罐中的药液和清水管路中的清水;The cleaning device includes a main control unit, a selector valve, a liquid medicine tank, and a clean water pipeline. and clean water in the clean water pipeline;
所述的除菌器包括:Described sterilizer comprises:
差压注射器;Differential pressure injector;
用于使水流体循环通过所述差压注射器的机构;means for circulating aqueous fluid through said differential pressure injector;
可编程控制机构;Programmable control mechanism;
用于经由氧气输送导管连接到氧气源的臭氧发生器;an ozone generator for connection to an oxygen source via an oxygen delivery conduit;
位于所述氧气输送导管中的第一阀机构;a first valve mechanism located in said oxygen delivery conduit;
所述臭氧发生器经由臭氧输送导管而流体地连接到所述差压注射器;the ozone generator is fluidly connected to the differential pressure injector via an ozone delivery conduit;
位于所述臭氧输送导管中的第二阀机构;a second valve mechanism located in said ozone delivery conduit;
位于所述臭氧发生器和所述第一阀机构之间的压力监视机构,所述压力监视机构用于向所述控制机构提供压力测量值;a pressure monitoring mechanism located between the ozone generator and the first valve mechanism for providing pressure measurements to the control mechanism;
所述阀机构和所述流体循环机构能够运行以在所述氧气输送导管和所述臭氧输送导管中产生负压力,并且所述压力测量值被所述控制机构用于确定所述氧气输送导管和所述臭氧输送导管的完整性;The valve mechanism and the fluid circulation mechanism are operable to create a negative pressure in the oxygen delivery conduit and the ozone delivery conduit, and the pressure measurements are used by the control mechanism to determine the integrity of the ozone delivery conduit;
所述的烘干器包括机箱,机箱内部上下两端分别安装一组相互平行的加热管,在所述上加热管上方和下加热管下方分别置一组相互平行的出风口,且所述出风口朝向机箱内部,在所述机箱内部的两侧之间连接一晒网,所述机箱外部装有鼓风机,与所述鼓风机出风处相通连接送风道,所述的送风道和出风口相通连接,机箱上部接抽风机,所述抽风机通过回送管与一级加热装置相通接,所述一级加热装置与鼓风机通过输送管相接;The dryer includes a chassis, and a set of parallel heating pipes are respectively installed at the upper and lower ends of the chassis, and a set of parallel air outlets are respectively placed above the upper heating pipe and below the lower heating pipe, and the outlets are The tuyere faces the inside of the case, and a drying net is connected between the two sides inside the case. The outside of the case is equipped with a blower, which communicates with the air outlet of the blower and connects the air supply duct. The air supply duct and the air outlet Connected and connected, the upper part of the chassis is connected to the exhaust fan, the exhaust fan is connected to the primary heating device through the return pipe, and the primary heating device is connected to the blower through the delivery pipe;
所述的检测装置包括至少一个用于采集人体受压部位压力的压力敏感元件、用于传送从压力敏感元件过来的压力信号的信号传送单元、组织缺氧程度监测装置、数据处理单元和报警单元,所述数据处理单元内部设有压疮人体模型存储单元及比较器,数据处理单元通过对从压力敏感元件过来的压力信号及从组织缺氧程度监测装置中得到的组织缺氧程度信息进行分析,并将分析结果与压疮人体模型存储单元中的数据进行比较,当结果满足设定的条件,输出控制信号使报警单元发出告警信号;The detection device includes at least one pressure sensitive element for collecting the pressure of the compressed part of the human body, a signal transmission unit for transmitting the pressure signal from the pressure sensitive element, a tissue hypoxia monitoring device, a data processing unit and an alarm unit , the data processing unit is equipped with a pressure sore human body model storage unit and a comparator, and the data processing unit analyzes the pressure signal from the pressure sensitive element and the tissue hypoxia degree information obtained from the tissue hypoxia degree monitoring device , and compare the analysis result with the data in the storage unit of the pressure sore human body model, and when the result meets the set condition, output a control signal to make the alarm unit send out an alarm signal;
所述的电子病历装置,内设有智能终端和中心服务器,所述智能终端通过无线通信设备与中心服务器进行无线数据连接;The electronic medical record device is provided with an intelligent terminal and a central server, and the intelligent terminal performs a wireless data connection with the central server through a wireless communication device;
所述智能移动终端包括数据采集模块、信息输入模块、数据解码模块和无线数据传输模块,所述中心服务器包括HIS医院信息系统、EMR电子病历装置、PACS系统和移动护理数据库。The intelligent mobile terminal includes a data acquisition module, an information input module, a data decoding module and a wireless data transmission module, and the central server includes a HIS hospital information system, an EMR electronic medical record device, a PACS system and a mobile nursing database.
进一步,所述的清洗器还包括与药液罐和主控单元连接的增压泵、超声波单元、加热泵,主控单元控制增压泵将从药液罐流出的药液增压,加热泵位于清水管路上,主控单元控制该加热泵对清水管路中的清水进行加热;所述的超声波单元包括控制器、变频器、压力流量传感器、喷枪、超声波发生器;Further, the cleaner also includes a booster pump connected to the liquid medicine tank and the main control unit, an ultrasonic unit, and a heat pump. The main control unit controls the booster pump to pressurize the liquid medicine flowing out of the liquid medicine tank, and the heat pump Located on the clean water pipeline, the main control unit controls the heat pump to heat the clean water in the clean water pipeline; the ultrasonic unit includes a controller, a frequency converter, a pressure flow sensor, a spray gun, and an ultrasonic generator;
所述的控制器与变频器、喷枪依次连接,压力流量传感器输入端连接至喷枪,输出端连接至控制器;压力流量传感器感测药液的液压和流量,并把感测到的液压和流量值传送至控制器;控制器根据该感测的压力和流量值控制变频器;所述超声波发生器还包括变幅杆,控制超声波频率,所述变幅杆为手动或自动。The controller is sequentially connected to the frequency converter and the spray gun, the input end of the pressure flow sensor is connected to the spray gun, and the output end is connected to the controller; the pressure flow sensor senses the hydraulic pressure and flow rate of the liquid medicine, and the sensed hydraulic pressure and flow rate The value is transmitted to the controller; the controller controls the frequency converter according to the sensed pressure and flow values; the ultrasonic generator also includes a horn to control the ultrasonic frequency, and the horn is manual or automatic.
进一步,所述的烘干器的侧方安装有红外温度检测装置,该红外温度检测装置包括非接触式红外温度传感器、温差热电堆放大电路、温度补偿及放大电路、AD转换电路、主控电路、显示电路以及报警电路;Further, an infrared temperature detection device is installed on the side of the dryer, and the infrared temperature detection device includes a non-contact infrared temperature sensor, a thermopile amplification circuit, a temperature compensation and amplification circuit, an AD conversion circuit, and a main control circuit , display circuit and alarm circuit;
所述的非接触式红外温度传感器分别与温差热电堆放大电路以及温度补偿及放大电路相连,温差热电堆放大电路以及温度补偿及放大电路相连分别连接到AD转换电路;The non-contact infrared temperature sensor is respectively connected to the thermopile amplification circuit and the temperature compensation and amplification circuit, and the thermopile amplification circuit and the temperature compensation and amplification circuit are connected to the AD conversion circuit respectively;
所述的AD转换电路为一个多路AD转换电路,AD转换电路与主控电路相连,主控电路与显示电路以及报警电路相连;所述的非接触式红外温度传感器采用热电堆红外温度传感器实现对体温信号和环境温度信号即温差热电堆微弱的电压信号和电热调节器的热敏电阻信号的非接触检测。The AD conversion circuit is a multi-channel AD conversion circuit, the AD conversion circuit is connected to the main control circuit, and the main control circuit is connected to the display circuit and the alarm circuit; the non-contact infrared temperature sensor is realized by a thermopile infrared temperature sensor Non-contact detection of body temperature signal and ambient temperature signal, that is, weak voltage signal of thermopile and thermistor signal of thermistor.
进一步,所述的加热床板的加热装置包括下加热板,固定安装于加热器的机壳内;Further, the heating device for heating the bed plate includes a lower heating plate, which is fixedly installed in the casing of the heater;
所述下加热板在加热区域的外周边开设有环状槽,环状槽内嵌装有弹性密封件,上盖板与下加热板盖合时弹性密封件受上盖板挤压变形而将加热区域密封,下加热板的下端面安装有用于加热的第一发热元件,下加热板的上端面对应第一发热元件位置设有加热区域,加热区域内设置有若干用于放置被加热物的定位槽,所述定位槽一端的底面上设置有方便在该端按压被加热物时被加热物在对应该端的另一端脱出定位槽的向下倾斜的斜面上盖板,铰接安装在下加热板的一端。The lower heating plate is provided with an annular groove on the outer periphery of the heating area, and an elastic seal is embedded in the annular groove. When the upper cover plate and the lower heating plate are closed, the elastic seal is deformed by the extrusion of the upper cover plate The heating area is sealed, the lower end surface of the lower heating plate is equipped with a first heating element for heating, and the upper end surface of the lower heating plate is provided with a heating area corresponding to the position of the first heating element. The bottom surface of one end of the positioning groove is provided with a downwardly inclined cover plate that facilitates the object to be heated to escape from the positioning groove at the other end corresponding to the end when the object is pressed at the end, and is hingedly installed on the lower heating plate one end.
本发明的左床体和右床体上设置有滑动容置体,所述的康复垫、治疗器、检测装置设置在容置体上,所述的左床体和右床体设有一个倾角可调的背部支撑板,背部支撑板下侧设有驱动气缸,上侧设有微调气囊;左床体和右床体的中部设有左右分布的两个侧身辅助气囊;气囊可以辅助病人翻身,床体的底部设有用于加热床板的加热装置;康复垫可以在床体上滑动以适应不同的病变部位,治疗器可以对疮口部位冲洗、消毒、烘干;The left bed body and the right bed body of the present invention are provided with a sliding accommodation body, the rehabilitation pad, the treatment device, and the detection device are arranged on the accommodation body, and the left bed body and the right bed body are provided with an inclination angle Adjustable back support plate, the lower side of the back support plate is equipped with a driving cylinder, and the upper side is equipped with a fine-tuning airbag; the middle of the left bed body and the right bed body are equipped with two sideways auxiliary airbags distributed on the left and right; the airbags can assist the patient to turn over, The bottom of the bed is equipped with a heating device for heating the bed board; the rehabilitation pad can slide on the bed to adapt to different lesion parts, and the therapeutic device can wash, disinfect and dry the sore part;
检测装置设有压力敏感元件、组织缺氧程度监测装置、数据处理单元和报警单元,使用时将压力敏感元件贴于压疮好发部位,对该部位所受压力进行监测,结合仪器对组织缺氧程度的监测,就能及时掌握病人受压部位组织的实际缺氧程度,当个体局部组织受压超过一定范围及一定时间,使得组织氧分压降低并有可能导致缺血性损害时,防压疮预警装置将发出预警,提示医务人员和照顾者警惕病人有发生压疮危险,及时采取措施,如为病人翻身的方法来预防压疮,这样可以大大减轻护理人员的工作量,减少重病患者的痛苦。The detection device is equipped with a pressure sensitive element, a tissue hypoxia monitoring device, a data processing unit, and an alarm unit. When in use, the pressure sensitive element is attached to the site where the pressure sore occurs, and the pressure on the site is monitored. By monitoring the oxygen level, the actual degree of hypoxia in the tissue of the patient's compressed part can be grasped in time. When the pressure on the individual's local tissue exceeds a certain range and for a certain period of time, the partial pressure of oxygen in the tissue decreases and may cause ischemic damage. The pressure sore warning device will send out an early warning to remind medical staff and caregivers to be alert to the risk of pressure sores in patients and take timely measures, such as turning the patient over to prevent pressure sores, which can greatly reduce the workload of nursing staff and reduce the number of seriously ill patients. pain of.
附图说明Description of drawings
图1是本发明实施例提供的智能防压疮预警装置的结构示意图;Fig. 1 is a schematic structural view of an intelligent anti-pressure sore early warning device provided by an embodiment of the present invention;
图中:1、床体;1-1、护栏;1-2、扶手;1-3、枕垫;1-4、腿垫;1-5、搁置板;1-6、纵向调整手柄;1-7、横向调整手柄;1-8、检查台;2、康复垫;3、治疗器;4、检测装置;5、电子病历装置。In the figure: 1, bed body; 1-1, guardrail; 1-2, armrest; 1-3, pillow pad; 1-4, leg pad; 1-5, shelving board; 1-6, longitudinal adjustment handle; 1 -7. Horizontal adjustment handle; 1-8. Examination table; 2. Rehabilitation pad; 3. Therapeutic device; 4. Detection device; 5. Electronic medical record device.
具体实施方式Detailed ways
为能进一步了解本发明的发明内容、特点及功效,兹例举以下实施例,并配合附图详细说明如下:本发明不存在软件或方法的创新。In order to further understand the content, characteristics and effects of the present invention, the following embodiments are exemplified, and detailed descriptions are as follows with reference to the accompanying drawings: There is no innovation in software or methods in the present invention.
请参阅图1:Please refer to Figure 1:
本发明是这样实现的,一种智能防压疮预警装置包括床体1、康复垫2、治疗器3、检测装置4、电子病历装置5;所述的康复垫2设置在床体1上,所述的治疗器3设置在所述的康复垫2位置的床体的下方,所述的检测装置4设置在所述的治疗器3的一侧,所述的电子病历装置5设置在床头位置;The present invention is achieved in this way, an intelligent anti-pressure sore early warning device includes a bed body 1, a rehabilitation pad 2, a treatment device 3, a detection device 4, and an electronic medical record device 5; the rehabilitation pad 2 is arranged on the bed body 1, The therapeutic device 3 is arranged under the bed at the position of the rehabilitation mat 2, the detection device 4 is arranged on one side of the therapeutic device 3, and the electronic medical record device 5 is arranged at the head of the bed Location;
所述的床体1还包括护栏1-1、扶手1-2、枕垫1-3、腿垫1-4、搁置板1-5、纵向调整手柄1-6、横向调整手柄1-7、检查台1-8;所述的床体1包括左床体和右床体,所述的左床体通过插槽插入式安装在右床体上,左床体可沿着右床体左右滑移,所述的左床体和右床体的床头部位和床位部位通过合页与床体连接;所述的护栏1-1设置在床体1中部的两侧,所述的扶手1-2设置在靠近床头的两侧,所述的腿垫1-4设置在床尾,所述的床体1的一侧设置有U型开口,U型开口下方设置搁置板1-5,所述的枕垫1-3设置在床头,所述的护栏1-1和扶手1-2均为纵向折叠式结构,所述的枕垫1-3和腿垫1-4为浮动式结构,所述的纵向调整手柄1-6和横向调整手柄1-7设置在床体1的尾部,所述的检查台1-8设置在床体头部的一侧;The bed 1 also includes a guardrail 1-1, a handrail 1-2, a pillow 1-3, a leg pad 1-4, a shelf 1-5, a longitudinal adjustment handle 1-6, a lateral adjustment handle 1-7, Examination table 1-8; the bed body 1 includes a left bed body and a right bed body, and the left bed body is inserted into the right bed body through a slot, and the left bed body can slide left and right along the right bed body The head of the left bed body and the right bed body and the bed position are connected to the bed body through hinges; the guardrail 1-1 is arranged on both sides of the middle part of the bed body 1, and the handrail 1 -2 is arranged on both sides close to the head of the bed, the leg pads 1-4 are arranged at the end of the bed, a U-shaped opening is arranged on one side of the bed body 1, and a shelf board 1-5 is arranged under the U-shaped opening, so The pillow 1-3 is arranged at the head of the bed, the guardrail 1-1 and the handrail 1-2 are of longitudinal folding structure, the pillow 1-3 and the leg pad 1-4 are of floating structure, The longitudinal adjustment handle 1-6 and the horizontal adjustment handle 1-7 are arranged at the tail of the bed 1, and the inspection table 1-8 is arranged at one side of the head of the bed;
所述的左床体和右床体上设置有滑动容置体,所述的康复垫2、治疗器3、检测装置4设置在容置体上,所述的左床体和右床体设有一个倾角可调的背部支撑板,所述的背部支撑板下侧设有驱动气缸,上侧设有微调气囊;所述的左床体和右床体的中部设有左右分布的两个侧身辅助气囊;所述的床体的底部设有用于加热床板的加热装置,所述加热装置包括用于与床板连接的腔体,腔体内设有加热器,加热器的电源输入端设有与市电连接的导线,所述导线上设有调温开关;The left bed body and the right bed body are provided with a sliding accommodation body, the rehabilitation pad 2, the treatment device 3, and the detection device 4 are arranged on the accommodation body, and the left bed body and the right bed body are provided with There is a back support board with an adjustable inclination angle. The lower side of the back support board is provided with a drive cylinder, and the upper side is provided with a fine-tuning air bag; the middle parts of the left bed body and the right bed body are provided with two lateral bodies Auxiliary airbag; the bottom of the bed body is provided with a heating device for heating the bed board, the heating device includes a cavity for connecting with the bed board, a heater is provided in the cavity, and the power input end of the heater is provided with a Electrically connected wires, the wires are provided with temperature adjustment switches;
所述的康复垫2包括两个对称设置的防护半垫对接构成,两个防护半垫相对接的一侧各设有一个弧形的缺口,两个防护半垫上设置的缺口对接构成的通风防压口与患者臀部的位置相对应,所述的防护半垫内置压疮防护水垫、连接管和温度及压力控制系统,人体接触部位与压疮防护水垫充分接触;The rehabilitation pad 2 includes two symmetrically arranged protective half pads butt joints, each side of the two protective half pads is provided with an arc-shaped gap, and the gaps provided on the two protective half pads are connected. The pressure port corresponds to the position of the patient's buttocks, and the protective half pad has a built-in pressure sore protection water pad, connecting pipes, and a temperature and pressure control system, and the contact parts of the human body are in full contact with the pressure sore protection water pad;
所述的治疗器3包括透明罩、清洗器、除菌器、烘干器,所述的透明罩内部设有圆形固定圈,沿固定圈圆周方向设有多个按摩棒,所述多个按摩棒一端固定在固定圈上,透明罩外壳上设有强度调节装置和清洗器及烘干器,透明罩外壳的底部设置有除菌器,强度调节装置设有开关,所述多个按摩棒接线端连接强度调节装置;Described treatment device 3 comprises transparent cover, cleaning device, sterilizer, dryer, described transparent cover interior is provided with circular fixed ring, is provided with a plurality of massage sticks along the circumferential direction of fixed ring, and described multiple One end of the massage stick is fixed on the fixed ring, the transparent cover shell is provided with a strength adjustment device, a washer and a dryer, the bottom of the transparent cover shell is provided with a sterilizer, and the strength adjustment device is provided with a switch. Terminal connection strength adjustment device;
所述的清洗器包括主控单元、选择阀、药液罐、清水管路,药液罐和清水管路均连接到选择阀,主控单元控制选择阀,交替流出药液罐中的药液和清水管路中的清水;The cleaning device includes a main control unit, a selector valve, a liquid medicine tank, and a clean water pipeline. and clean water in the clean water pipeline;
所述的除菌器包括:Described sterilizer comprises:
差压注射器;Differential pressure injector;
用于使水流体循环通过所述差压注射器的机构;means for circulating aqueous fluid through said differential pressure injector;
可编程控制机构;Programmable control mechanism;
用于经由氧气输送导管连接到氧气源的臭氧发生器;an ozone generator for connection to an oxygen source via an oxygen delivery conduit;
位于所述氧气输送导管中的第一阀机构;a first valve mechanism located in said oxygen delivery conduit;
所述臭氧发生器经由臭氧输送导管而流体地连接到所述差压注射器;the ozone generator is fluidly connected to the differential pressure injector via an ozone delivery conduit;
位于所述臭氧输送导管中的第二阀机构;a second valve mechanism located in said ozone delivery conduit;
位于所述臭氧发生器和所述第一阀机构之间的压力监视机构,所述压力监视机构用于向所述控制机构提供压力测量值;a pressure monitoring mechanism located between the ozone generator and the first valve mechanism for providing pressure measurements to the control mechanism;
所述阀机构和所述流体循环机构能够运行以在所述氧气输送导管和所述臭氧输送导管中产生负压力,并且所述压力测量值被所述控制机构用于确定所述氧气输送导管和所述臭氧输送导管的完整性;The valve mechanism and the fluid circulation mechanism are operable to create a negative pressure in the oxygen delivery conduit and the ozone delivery conduit, and the pressure measurements are used by the control mechanism to determine the integrity of the ozone delivery conduit;
所述的烘干器包括机箱,机箱内部上下两端分别安装一组相互平行的加热管,在所述上加热管上方和下加热管下方分别置一组相互平行的出风口,且所述出风口朝向机箱内部,在所述机箱内部的两侧之间连接一晒网,所述机箱外部装有鼓风机,与所述鼓风机出风处相通连接送风道,所述的送风道和出风口相通连接,机箱上部接抽风机,所述抽风机通过回送管与一级加热装置相通接,所述一级加热装置与鼓风机通过输送管相接;The dryer includes a chassis, and a set of parallel heating pipes are respectively installed at the upper and lower ends of the chassis, and a set of parallel air outlets are respectively placed above the upper heating pipe and below the lower heating pipe, and the outlets are The tuyere faces the inside of the case, and a drying net is connected between the two sides inside the case. The outside of the case is equipped with a blower, which communicates with the air outlet of the blower and connects the air supply duct. The air supply duct and the air outlet Connected and connected, the upper part of the chassis is connected to the exhaust fan, the exhaust fan is connected to the primary heating device through the return pipe, and the primary heating device is connected to the blower through the delivery pipe;
所述的检测装置4包括至少一个用于采集人体受压部位压力的压力敏感元件、用于传送从压力敏感元件过来的压力信号的信号传送单元、组织缺氧程度监测装置、数据处理单元和报警单元,所述数据处理单元内部设有压疮人体模型存储单元及比较器,数据处理单元通过对从压力敏感元件过来的压力信号及从组织缺氧程度监测装置中得到的组织缺氧程度信息进行分析,并将分析结果与压疮人体模型存储单元中的数据进行比较,当结果满足设定的条件,输出控制信号使报警单元发出告警信号;The detection device 4 includes at least one pressure sensitive element for collecting the pressure of the compressed part of the human body, a signal transmission unit for transmitting the pressure signal from the pressure sensitive element, a tissue hypoxia monitoring device, a data processing unit and an alarm unit, the data processing unit is equipped with a pressure sore human body model storage unit and a comparator, and the data processing unit carries out the pressure signal from the pressure sensitive element and the tissue hypoxia degree information obtained from the tissue hypoxia degree monitoring device. Analyze and compare the analysis results with the data in the storage unit of the pressure sore human body model, and when the results meet the set conditions, output a control signal to make the alarm unit send out an alarm signal;
所述的电子病历装置5,内设有智能终端和中心服务器,所述智能终端通过无线通信设备与中心服务器进行无线数据连接;The electronic medical record device 5 is provided with an intelligent terminal and a central server, and the intelligent terminal performs a wireless data connection with the central server through a wireless communication device;
所述智能移动终端包括数据采集模块、信息输入模块、数据解码模块和无线数据传输模块,所述中心服务器包括HIS医院信息系统、EMR电子病历装置、PACS系统和移动护理数据库。The intelligent mobile terminal includes a data acquisition module, an information input module, a data decoding module and a wireless data transmission module, and the central server includes a HIS hospital information system, an EMR electronic medical record device, a PACS system and a mobile nursing database.
进一步,所述的清洗器还包括与药液罐和主控单元连接的增压泵、超声波单元、加热泵,主控单元控制增压泵将从药液罐流出的药液增压,加热泵位于清水管路上,主控单元控制该加热泵对清水管路中的清水进行加热;所述的超声波单元包括控制器、变频器、压力流量传感器、喷枪、超声波发生器;Further, the cleaner also includes a booster pump connected to the liquid medicine tank and the main control unit, an ultrasonic unit, and a heat pump. The main control unit controls the booster pump to pressurize the liquid medicine flowing out of the liquid medicine tank, and the heat pump Located on the clean water pipeline, the main control unit controls the heat pump to heat the clean water in the clean water pipeline; the ultrasonic unit includes a controller, a frequency converter, a pressure flow sensor, a spray gun, and an ultrasonic generator;
所述的控制器与变频器、喷枪依次连接,压力流量传感器输入端连接至喷枪,输出端连接至控制器;压力流量传感器感测药液的液压和流量,并把感测到的液压和流量值传送至控制器;控制器根据该感测的压力和流量值控制变频器;所述超声波发生器还包括变幅杆,控制超声波频率,所述变幅杆为手动或自动。The controller is sequentially connected to the frequency converter and the spray gun, the input end of the pressure flow sensor is connected to the spray gun, and the output end is connected to the controller; the pressure flow sensor senses the hydraulic pressure and flow rate of the liquid medicine, and the sensed hydraulic pressure and flow rate The value is transmitted to the controller; the controller controls the frequency converter according to the sensed pressure and flow values; the ultrasonic generator also includes a horn to control the ultrasonic frequency, and the horn is manual or automatic.
进一步,所述的烘干器的侧方安装有红外温度检测装置,该红外温度检测装置包括非接触式红外温度传感器、温差热电堆放大电路、温度补偿及放大电路、AD转换电路、主控电路、显示电路以及报警电路;Further, an infrared temperature detection device is installed on the side of the dryer, and the infrared temperature detection device includes a non-contact infrared temperature sensor, a thermopile amplification circuit, a temperature compensation and amplification circuit, an AD conversion circuit, and a main control circuit , display circuit and alarm circuit;
所述的非接触式红外温度传感器分别与温差热电堆放大电路以及温度补偿及放大电路相连,温差热电堆放大电路以及温度补偿及放大电路相连分别连接到AD转换电路;The non-contact infrared temperature sensor is respectively connected to the thermopile amplification circuit and the temperature compensation and amplification circuit, and the thermopile amplification circuit and the temperature compensation and amplification circuit are connected to the AD conversion circuit respectively;
所述的AD转换电路为一个多路AD转换电路,AD转换电路与主控电路相连,主控电路与显示电路以及报警电路相连;所述的非接触式红外温度传感器采用热电堆红外温度传感器实现对体温信号和环境温度信号即温差热电堆微弱的电压信号和电热调节器的热敏电阻信号的非接触检测。The AD conversion circuit is a multi-channel AD conversion circuit, the AD conversion circuit is connected to the main control circuit, and the main control circuit is connected to the display circuit and the alarm circuit; the non-contact infrared temperature sensor is realized by a thermopile infrared temperature sensor Non-contact detection of body temperature signal and ambient temperature signal, that is, weak voltage signal of thermopile and thermistor signal of thermistor.
进一步,所述的加热床板的加热装置包括下加热板,固定安装于加热器的机壳内;Further, the heating device for heating the bed plate includes a lower heating plate, which is fixedly installed in the casing of the heater;
所述下加热板在加热区域的外周边开设有环状槽,环状槽内嵌装有弹性密封件,上盖板与下加热板盖合时弹性密封件受上盖板挤压变形而将加热区域密封,下加热板的下端面安装有用于加热的第一发热元件,下加热板的上端面对应第一发热元件位置设有加热区域,加热区域内设置有若干用于放置被加热物的定位槽,所述定位槽一端的底面上设置有方便在该端按压被加热物时被加热物在对应该端的另一端脱出定位槽的向下倾斜的斜面上盖板,铰接安装在下加热板的一端。The lower heating plate is provided with an annular groove on the outer periphery of the heating area, and an elastic seal is embedded in the annular groove. When the upper cover plate and the lower heating plate are closed, the elastic seal is deformed by the extrusion of the upper cover plate The heating area is sealed, the lower end surface of the lower heating plate is equipped with a first heating element for heating, and the upper end surface of the lower heating plate is provided with a heating area corresponding to the position of the first heating element. The bottom surface of one end of the positioning groove is provided with a downwardly inclined cover plate that facilitates the object to be heated to escape from the positioning groove at the other end corresponding to the end when the object is pressed at the end, and is hingedly installed on the lower heating plate one end.
本发明的左床体和右床体上设置有滑动容置体,所述的康复垫2、治疗器3、检测装置4设置在容置体上,所述的左床体和右床体设有一个倾角可调的背部支撑板,背部支撑板下侧设有驱动气缸,上侧设有微调气囊;左床体和右床体的中部设有左右分布的两个侧身辅助气囊;气囊可以辅助病人翻身,床体的底部设有用于加热床板的加热装置;康复垫2可以在床体上滑动以适应不同的病变部位,治疗器可以对疮口部位冲洗、消毒、烘干;The left bed body and the right bed body of the present invention are provided with a sliding accommodation body, the rehabilitation pad 2, the treatment device 3, and the detection device 4 are arranged on the accommodation body, and the left bed body and the right bed body are provided with There is a back support plate with an adjustable inclination angle, a driving cylinder is provided on the lower side of the back support plate, and a fine-tuning airbag is provided on the upper side; two side auxiliary airbags distributed on the left and right are arranged in the middle of the left bed body and the right bed body; the airbags can assist The patient turns over, and the bottom of the bed is equipped with a heating device for heating the bed board; the rehabilitation pad 2 can slide on the bed to adapt to different lesion parts, and the therapeutic device can wash, disinfect and dry the sore part;
检测装置设有压力敏感元件、组织缺氧程度监测装置、数据处理单元和报警单元,使用时将压力敏感元件贴于压疮好发部位,对该部位所受压力进行监测,结合仪器对组织缺氧程度的监测,就能及时掌握病人受压部位组织的实际缺氧程度,当个体局部组织受压超过一定范围及一定时间,使得组织氧分压降低并有可能导致缺血性损害时,防压疮预警装置将发出预警,提示医务人员和照顾者警惕病人有发生压疮危险,及时采取措施,如为病人翻身的方法来预防压疮,这样可以大大减轻护理人员的工作量,减少重病患者的痛苦。The detection device is equipped with a pressure sensitive element, a tissue hypoxia monitoring device, a data processing unit, and an alarm unit. When in use, the pressure sensitive element is attached to the site where the pressure sore occurs, and the pressure on the site is monitored. By monitoring the oxygen level, the actual degree of hypoxia in the tissue of the patient's compressed part can be grasped in time. When the pressure on the individual's local tissue exceeds a certain range and for a certain period of time, the partial pressure of oxygen in the tissue decreases and may cause ischemic damage. The pressure sore warning device will send out an early warning to remind medical staff and caregivers to be alert to the risk of pressure sores in patients and take timely measures, such as turning the patient over to prevent pressure sores, which can greatly reduce the workload of nursing staff and reduce the number of seriously ill patients. pain of.
以上所述仅是对本发明的较佳实施例而已,并非对本发明作任何形式上的限制,凡是依据本发明的技术实质对以上实施例所做的任何简单修改,等同变化与修饰,均属于本发明技术方案的范围内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention in any form. Any simple modifications made to the above embodiments according to the technical essence of the present invention, equivalent changes and modifications, all belong to this invention. within the scope of the technical solution of the invention.
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