CN112121359B

CN112121359B - A device for preventing intestinal adhesion after abdominal surgery

Info

Publication number: CN112121359B
Application number: CN202010832222.5A
Authority: CN
Inventors: 朱长举; 程波; 宋耀东; 吴忠卫; 王巧芳; 刘艳娜
Original assignee: First Affiliated Hospital of Zhengzhou University
Current assignee: First Affiliated Hospital of Zhengzhou University
Priority date: 2020-08-18
Filing date: 2020-08-18
Publication date: 2021-07-16
Anticipated expiration: 2040-08-18
Also published as: CN112121359A

Abstract

A device for preventing intestinal adhesion after abdominal surgery effectively solves the problems of difficulty in getting out of bed for patients after surgery and limited exercise space for patients. A plurality of support columns are arranged on the bed, and a plurality of rollers are respectively connected to the front and rear of the bed. A swivel is rotatably connected to the bed. The swivel is provided with a push rod. A shift ring is arranged coaxially inside, a control box is arranged at the front end of the bed body, and a sliding ring is arranged in the control box. The left and right sides of the control box are respectively slidably connected with concave blocks, and the concave blocks on the right side are fixedly connected with the sliding ring. The rear end of the left concave block is slidably connected with a plug block through a wedge block, an isosceles trapezoid block is slidably connected between the two concave blocks, a connecting ring is arranged in the control box, and the left end of the connecting ring is provided with a connecting rod, and the connecting rod The free end is hinged with a T-shaped sliding block through a pull rod; the invention has novel conception, ingenious structure, convenient operation and strong practicability.

Description

Intestinal adhesion device is prevented to abdominal cavity postoperative

Technical Field

The invention relates to the technical field of auxiliary instruments after abdominal operations, in particular to an intestinal adhesion prevention device after abdominal operations.

Background

The probability of intestinal adhesion of a patient after abdominal cavity surgery is as high as about 90%, and even minimally invasive surgery cannot avoid the intestinal adhesion. More patients are hospitalized again due to intestinal adhesion, and in order to prevent the intestinal adhesion or reduce the influence of the intestinal adhesion on the patients, generally, postoperative doctors recommend the patients to go out of bed for exercise early, proper exercise can promote intestinal peristalsis and reduce the occurrence of the intestinal adhesion, and even if the intestinal adhesion occurs, proper out-of-bed exercise can reduce the influence of the intestinal adhesion on the patients, so that the intestinal adhesion does not influence the basic functions of the intestinal tracts of the patients.

The patient's postoperative is because painful, refuse the motion of going out of bed usually, this causes the wrong adhesion of intestinal to take place, influence the basic function of intestinal, just so need carry out the secondary operation this moment, increased patient's pain, so the postoperative is generally supervised the patient by family members or medical personnel to move, but the patient does not want to move after lying on the sick bed, increased the degree of difficulty of taking exercise, and to the patient of the motion of going out of bed, need family members or medical personnel's assistance usually can carry out normal walking, increased medical personnel's work load, and the hospital field is limited, be unfavorable for patient's walking to take exercise.

Disclosure of Invention

Aiming at the situation, in order to overcome the defects of the prior art, the invention aims to provide the intestinal adhesion prevention device after abdominal operation, which effectively solves the problems that the patient is difficult to get out of bed after operation and the exercise field of the patient is limited.

The technical scheme for solving the problem is that the bed comprises a bed body, wherein a bed plate is hinged to the upper end of the bed body, a supporting box is detachably connected to the left side of the bed plate, a plurality of supporting columns which can move up and down and are in the vertical axial direction are arranged on the bed plate, a plurality of rollers which are located on the left side of the bed plate and are in the vertical axial direction are respectively connected to the front side and the rear side in the bed body in a rotating mode, a rotating ring which is in the vertical axial direction is connected in the bed body in a rotating mode, a push rod is arranged on the rotating ring, the push rod is connected with the bed plate in a;

the front end of the bed body is provided with a control box communicated with the interior of the bed body, a slip ring which is coaxial with the swivel ring and can move back and forth is arranged in the control box, the left side and the right side in the control box are respectively connected with a concave block in a sliding way, the concave blocks on the right side are opposite to the concave blocks, the rear end of the concave block on the left side is connected with an inserting block with a backward opening and a concave shape through a wedge block in a sliding way, a supporting box can be inserted into the concave opening of the inserting block, an isosceles trapezoid block which is big in front and small in back and can be inserted into the concave opening of the supporting box is connected between the two concave blocks in a sliding way, a connecting ring which is positioned behind the slip ring and is coaxial with the swivel ring is arranged in the control box, the left end of the connecting ring is provided with a connecting rod in the left and right direction, the free end of, the supporting box is inserted into the insert block and separated from the bed plate; when the connection ring rotates, the support case moves rightward or leftward.

The invention has the beneficial effects that: the invention has novel conception, ingenious structure, convenient operation and strong practicability, the bed board, the supporting box and the rollers are arranged, so that a patient can walk and exercise without getting out of bed, the occupation of hospital space is reduced, the exercise requirement of the patient is met, the patient can stop at any time, the resistance of the patient to exercise is reduced, the difficulty of medical personnel supervising and urging the patient to exercise is reduced, the position of the patient is supported and limited by the arrangement of the supporting columns and the fixing bands, the assistance of the medical personnel is not needed, the workload of the medical personnel is reduced, the arrangement of the control columns, the control block, the connecting grooves and the through grooves is controlled, the operation steps are simplified, the control of the swinging of the bed board and the movement of the supporting box can be realized by controlling the movement and the rotation of the control columns, so that the patient can complete the change from lying to standing, the arrangement of the massage balls ensures that the patient can massage the sole of the patient while walking and, increase patient's comfort level, further reduce the conflict that the patient took exercise to walking, promote patient's postoperative to walk earlier and take exercise, reduce the intestinal adhesion or make the intestinal adhesion not influence the normal function of patient's intestinal, prevent the secondary operation because of intestinal adhesion mistake leads to, promote patient's recovery earlier.

Drawings

FIG. 1 is a front isometric view of the present invention.

Figure 2 is a partially cut-away front isometric view of the present invention.

Figure 3 is a cut-away front isometric view of the present invention.

Figure 4 is a cut-away isometric view of the present invention.

Fig. 5 is an enlarged view of a in fig. 4 of the present invention.

Fig. 6 is an enlarged view of B of fig. 4 according to the present invention.

Fig. 7 is an enlarged view of C of fig. 4 according to the present invention.

Detailed Description

The following describes embodiments of the present invention in further detail with reference to the accompanying drawings.

Fig. 1 to 7 show that the bed comprises a bed body 1, wherein the upper end of the bed body 1 is hinged with a bed plate 2, the left side of the bed plate 2 is detachably connected with a supporting box 3, the bed plate 2 is provided with a plurality of supporting columns 4 which can move up and down and are in vertical axial direction, the front side and the rear side in the bed body 1 are respectively and rotatably connected with a plurality of rollers 5 which are positioned at the left side of the bed plate 2 and are in vertical axial direction, the bed body 1 is rotatably connected with a rotating ring 6 in vertical axial direction, the rotating ring 6 is provided with a push rod 7, the push rod 7 is hinged with the bed plate 2 through a connecting rod 8, a moving ring 9 which can move back and forth is coaxially arranged in the;

the front end of the bed body 1 is provided with a control box 10 communicated with the interior of the bed body, a slip ring 11 which is coaxial with the swivel 6 and can move back and forth is arranged in the control box 10, the left side and the right side in the control box 10 are respectively connected with a concave block 12 in a sliding way, the notches of the two concave blocks 12 are opposite, the concave block 12 on the right side is fixedly connected with the slip ring 11, the rear end of the concave block 12 on the left side is connected with an inserting block 13 which is provided with a backward opening and a concave shape through the wedge block in a sliding way, the supporting box 3 can be inserted into the notch of the inserting block 13, an isosceles trapezoid block 14 which is provided with a large front part and a small rear part and can be inserted into the notch is connected between the two concave blocks 12 in a sliding way, a connecting ring 15 which is positioned behind the slip ring 11 and is coaxial with the swivel 6 is arranged in the control box 10, the left end of the connecting ring 15 is provided with a connecting rod 16, the left concave block 12 drives the insert block 13 to move backwards, and the support box 3 is inserted into the insert block 13 and separated from the bed plate 2; when the connection ring 15 is rotated, the support case 3 is moved rightward or leftward.

In order to make bed board 2 and support 3 dismantlements to be connected, support 3 in articulated have fore-and-aft direction's pendulum rod 19, support 3 in the box left end sliding connection have the depression bar 20 of left-and-right direction, depression bar 20 can contact with the 19 rear sides of pendulum rod, depression bar 20 left end runs through and supports box 3, opening slot left is seted up to 2 left ends of bed board, support 3 in the box right-hand member sliding connection have the inserted bar 21 of left-and-right direction, inserted bar 21 can contact with the 19 front sides of pendulum rod, inserted bar 21 right-hand member runs through and supports box 3 and can insert in the slot, 19 front ends of pendulum rod are equipped with and are located its left.

In order to make the support column 4 can reciprocate, the bed board 2 on seted up a plurality of T-slot with the support column 4 one-to-one, the support column 4 is located the T-slot, set up the spout 23 of direction from top to bottom on the T-slot lateral wall, set up the annular 24 coaxial with the support column 4 on the T-slot lateral wall, the support column 4 lower extreme is equipped with can insert in the spout 23 and can move in the annular 24 stopper 25.

In order to enable the movable ring 9 to move back and forth, two bases 26 which are opposite from front to back and can be contacted with the lower end of the bed plate 2 are arranged in the bed body 1, the base 26 at the rear side is rotatably connected with the rotating ring 6, the left side and the right side of the base 26 at the front side are respectively and slidably connected with a sliding rod 27 in the front-back direction, the rear end of the sliding rod 27 is fixedly connected with the movable ring 9, the movable ring 9 is in threaded connection with the rotating ring 6, a threaded ring 28 is coaxially and threadedly connected in the movable ring 9, the threaded ring 28 is rotatably connected with the base 26 at the front side, connecting grooves 29 are respectively formed in the left side and the right side of the threaded ring 28, the two connecting grooves 29 are opposite in opening, a control column 30 is coaxially arranged in.

In order to make the sliding ring 11 move back and forth, the left and right sides in the connecting ring 15 are respectively provided with a through groove 32 which is penetrated back and forth, the left and right sides of the sliding ring 11 are respectively provided with a sliding rod 33 which can be inserted into the through groove 32, the front end surface of the control block 31 can be contacted with the rear end surface of the sliding rod 33, and a tension spring 34 is arranged between the left concave block 12 and the front side wall of the control box 10.

In order that the supporting box 3 is inserted into the plug-in block 13 and separated from the bed plate 2 when the right concave block 12 pushes the isosceles trapezoid block 14 to move leftwards, the left end surface of the pressing rod 20 is an arc-shaped surface, the right end of the plug-in block 13 is connected with a fixing block 36 positioned on the right side of the roller 5 through an inverted L-shaped rod 35, and the upper end surface of the fixing block 36 can be contacted with the left end surface of the pressing rod 20.

In order to facilitate the swinging and moving of the support box 3, the front and rear side walls of the bed body 1 are respectively provided with a limit groove 37, the limit groove 37 is composed of an arc-shaped groove in the front and rear axial direction and a straight groove in the left and right direction, and the front and rear ends of the support box 3 are respectively provided with a limit column 38 positioned in the limit groove 37.

For the convenience of medical personnel's operation, 2 upper end front and back both sides of bed board be equipped with fixed band 39 respectively, the fixed band 39 internal surface of rear side is equipped with the female subsides 40 of magic, the fixed band 39 surface of front side is equipped with the magic and pastes 41, control column 30 front end runs through control box 10 and is equipped with hand wheel 42.

In order to increase the comfort of the patient, a plurality of massage balls 43 are arranged on the roller 5, a soft cushion 44 is arranged at the upper end of the support column 4, and a pull groove is formed in the soft cushion 44.

When the self-locking screw is used, the threaded connection between the threaded ring 28 and the moving ring 9 has self-locking performance, and the threaded connection between the moving ring 9 and the rotating ring 6 does not have self-locking performance;

the initial state is that a patient lies on the bed plate 2 to normally rest, the legs of the patient are positioned on the support box 3, the control block 31 is inserted into the connecting groove 29, the right end of the isosceles trapezoid block 14 is inserted into the concave block 12 on the right side, the inserting rod 21 is inserted into the inserting groove, and the bed plate 2 is connected with the support box 3;

when a patient needs to take exercise, the soft cushion 44 corresponding to the armpit of the patient is pulled upwards, the supporting column 4 moves upwards, the limiting block 25 synchronously moves upwards in the sliding groove 23, when the upper end face of the limiting block 25 is contacted with the upper side wall of the annular groove 24, the soft cushion 44 is rotated, the limiting block 25 is inserted into the annular groove 24, at the moment, the length of the supporting column 4 extending out of the T-shaped groove is determined, and the chest of the patient is fixed by using the fixing belt 39;

the hand wheel 42 is rotated clockwise, the control column 30 synchronously drives the threaded ring 28 to rotate clockwise, the threaded ring 28 drives the moving ring 9 to move backwards, the moving ring 9 drives the rotating ring 6 to rotate anticlockwise through threads, the push rod 7 drives the bed plate 2 to swing upwards through the connecting rod 8, the supporting box 3 synchronously swings downwards, the limiting column 38 moves in the limiting groove 37, the position of a patient is limited under the action of the supporting column 4 on the armpit support of the patient and the fixing belt 39 on the chest of the patient, the body of the patient cannot slide downwards in the rotating process, when the bed plate 2 is in the vertical direction, the hand wheel 42 stops rotating, at the moment, the supporting box 3 is positioned right behind the notch of the insert block 13, and the foot of the patient steps on the roller 5;

the hand wheel 42 is pulled forwards, the control column 30 synchronously moves forwards, the control block 31 is moved out of the connecting groove 29 and gradually inserted into the through groove 32, after the control column 30 moves forwards for a certain distance, the front end of the control block 31 is contacted with the sliding rod 33 and extrudes the sliding rod 33 forwards, the sliding rod 33 drives the sliding ring 11 to move forwards, the concave block 12 on the right side synchronously moves backwards, and the rear side wall of the concave block 12 on the right side is contacted with the inclined plane at the right end of the isosceles trapezoid block 14 and drives the isosceles trapezoid block 14 to move leftwards;

the left end of the isosceles trapezoid block 14 is inserted into the left concave block 12 and pushes the left concave block 12 to move backwards, the tension spring 34 is stressed and stretched, the insert block 13 synchronously moves backwards and enables the support box 3 to be gradually inserted into the insert block 13, the fixed block 36 is gradually close to and contacted with the pressure lever 20, the pressure lever 20 moves upwards and extrudes the rear end of the swing rod 19 under the action of the fixed block 36, the front end of the swing rod 19 synchronously swings downwards and extrudes the spring piece 22, the insert rod 21 gradually moves out of the insert slot under the action of self gravity, when the sliding rod 33 is completely moved out of the through slot 32, the support box 3 is clamped in the recess of the insert block 13, the control block 31 is inserted into the through slot 32, the lower end face of the pressure lever 20 is contacted with the upper end face of the fixed block 36, the insert rod 21 is completely moved;

keeping the sliding rod 33 completely moved out of the through groove 32 and clockwise rotating the hand wheel 42, the connecting ring 15 synchronously rotates, the connecting rod 16 drives the sliding block 18 to move rightwards through the pull rod 17, the inserting block 13 synchronously drives the supporting box 3 and the fixed block 36 to move rightwards, the supporting box 3 is far away from the leg of the patient, and the patient can walk and exercise;

after the exercise of the patient is finished, the state that the control block 31 is inserted into the through groove 32 is kept, the hand wheel 42 is rotated anticlockwise, the connecting ring 15 drives the insertion block 13 to move leftwards, the support box 3 synchronously moves leftwards, when the support box 3 is positioned under the bed plate 2, the hand wheel 42 is stopped to be rotated, the hand wheel 42 is pushed backwards, the control block 31 moves out of the through groove 32, the concave block 12 on the left side moves forwards under the action of the tension spring 34 and pushes the isosceles trapezoid block 14 to move rightwards, the isosceles trapezoid block 14 drives the concave block 12 on the right side to move backwards, and the sliding ring 11 drives the sliding rod 33 to move backwards and insert into the through groove 32;

the insert block 13 moves forwards under the action of the left concave block 12 and drives the fixed block 36 to move forwards, the fixed block 36 is gradually far away from the pressure lever 20, the front end of the swing rod 19 swings upwards under the action of the spring piece 22 and pushes the insert rod 21 to be inserted into the slot, when the control block 31 is completely moved out of the through slot 32, the concave block 12 stops moving, and the support box 3 is connected with the bed plate 2;

continuing to push the hand wheel 42 backwards, inserting the control block 31 into the connecting groove 29, rotating the hand wheel 42 anticlockwise, synchronously rotating the threaded ring 28 anticlockwise, moving the moving ring 9 forwards and driving the rotating ring 6 to rotate clockwise, driving the bed plate 2 to rotate clockwise by the push rod 7 through the connecting rod 8, synchronously rotating the support box 3, stopping rotating the hand wheel 42 when the bed plate 2 is in contact with the base 26, and then enabling the patient to lie flat again to finish the exercise.

The invention has novel conception, ingenious structure, convenient operation and strong practicability, the bed board, the supporting box and the rollers are arranged, so that a patient can walk and exercise without getting out of bed, the occupation of hospital space is reduced, the exercise requirement of the patient is met, the patient can stop at any time, the resistance of the patient to exercise is reduced, the difficulty of medical personnel supervising and urging the patient to exercise is reduced, the position of the patient is supported and limited by the arrangement of the supporting columns and the fixing bands, the assistance of the medical personnel is not needed, the workload of the medical personnel is reduced, the arrangement of the control columns, the control block, the connecting grooves and the through grooves is controlled, the operation steps are simplified, the control of the swinging of the bed board and the movement of the supporting box can be realized by controlling the movement and the rotation of the control columns, so that the patient can complete the change from lying to standing, the arrangement of the massage balls ensures that the patient can massage the sole of the patient while walking and, increase patient's comfort level, further reduce the conflict that the patient took exercise to walking, promote patient's postoperative to walk earlier and take exercise, reduce the intestinal adhesion or make the intestinal adhesion not influence the normal function of patient's intestinal, prevent the secondary operation because of intestinal adhesion mistake leads to, promote patient's recovery earlier.

Therefore, the intestinal adhesion prevention device after abdominal operation provided by the invention can effectively solve the problems of difficult postoperative getting-out-of-bed movement of patients and limited exercise field of the patients, is simple in structure operation and convenient to use, and improves the working efficiency of medical staff.

Claims

1. The utility model provides an intestinal adhesion device is prevented to abdominal cavity postoperative, including the bed body (1), a serial communication port, bed body (1) upper end articulates there is bed board (2), bed board (2) left side dismantles and is connected with support box (3), be equipped with on bed board (2) a plurality of upper and lower axial support column (4) that can reciprocate, both sides rotate respectively around in the bed body (1) and are connected with a plurality of gyro wheels (5) that are located bed board (2) left and axial around, the internal rotation of bed body (1) is connected with fore-and-aft axial swivel (6), be equipped with push rod (7) on swivel (6), push rod (7) are articulated with bed board (2) through connecting rod (8) and are connected, coaxial be equipped with shift ring (9) that can move back and forth in swivel (6), when shift ring (9) remove, swivel (6) rotate and drive bed board (2;

the front end of the bed body (1) is provided with a control box (10) communicated with the interior of the bed body, a slip ring (11) which is coaxial with the swivel (6) and can move back and forth is arranged in the control box (10), the left side and the right side in the control box (10) are respectively connected with a concave block (12) in a sliding way, notches of the two concave blocks (12) are opposite, the concave block (12) on the right side is fixedly connected with the slip ring (11), the rear end of the concave block (12) on the left side is connected with an inserting block (13) with a backward and concave opening in a sliding way through a wedge block, a supporting box (3) can be inserted into the notch of the inserting block (13), an isosceles trapezoid block (14) which is large in front and small in back and can be inserted into the notch of the isosceles trapezoid block, a connecting ring (15) which is positioned behind the slip ring (11) and is coaxial with the swivel (6) is arranged in the control, the free end of the connecting rod (16) is hinged with a T-shaped sliding block (18) through a pull rod (17), the sliding block (18) is connected with the inserting block (13) in a sliding mode, when the concave block (12) on the right side pushes the isosceles trapezoid block (14) to move leftwards, the concave block (12) on the left side drives the inserting block (13) to move backwards, and the supporting box (3) is inserted into the inserting block (13) and separated from the bed plate (2); when the connection ring (15) is rotated, the support case (3) is moved rightward or leftward.

2. The intestinal adhesion device is prevented after abdominal operation according to claim 1, wherein the support box (3) is internally hinged with a swing rod (19) in the front-back direction, the left end of the support box (3) is slidably connected with a left-right direction pressure rod (20), the pressure rod (20) can be contacted with the rear side of the swing rod (19), the left end of the pressure rod (20) penetrates through the support box (3), the left end of the bed plate (2) is provided with a left opening slot, the right end of the support box (3) is slidably connected with a left-right direction insertion rod (21), the insertion rod (21) can be contacted with the front side of the swing rod (19), the right end of the insertion rod (21) penetrates through the support box (3) and can be inserted into the slot, and the front end of the swing rod (19) is provided with a spring.

3. The intestinal adhesion prevention device after the abdominal operation according to claim 1, wherein the bed plate (2) is provided with a plurality of T-shaped grooves corresponding to the support columns (4) one by one, the support columns (4) are positioned in the T-shaped grooves, the side walls of the T-shaped grooves are provided with slide grooves (23) in the up-down direction, the side walls of the T-shaped grooves are provided with ring grooves (24) coaxial with the support columns (4), and the lower ends of the support columns (4) are provided with limit blocks (25) which can be inserted into the slide grooves (23) and can move in the ring grooves (24).

4. The device for preventing intestinal adhesion after abdominal surgery of claim 1, bed body (1) in be equipped with two front and back relatively and can with base (26) of bed board (2) lower extreme contact, base (26) and swivel (6) of rear side rotate to be connected, base (26) the left and right sides of front side sliding connection respectively has the slide bar (27) of fore-and-aft direction, slide bar (27) rear end with move ring (9) fixed connection, move ring (9) and swivel (6) threaded connection, it has threaded ring (28) to move coaxial threaded connection in ring (9), threaded ring (28) rotate with base (26) of front side to be connected, connecting groove (29) have been seted up respectively to both sides about in threaded ring (28), two connecting groove (29) openings are relative, coaxial control post (30) that are equipped with in threaded ring (28), both ends are equipped with control block (31) that can insert in connecting groove (29) respectively about control post (30).

5. The intestinal adhesion prevention device after the abdominal operation according to claim 1, wherein the connecting ring (15) is provided with a front-rear through groove (32) at each of the left and right sides, the sliding ring (11) is provided with a sliding rod (33) at each of the left and right sides, the sliding rod (32) can be inserted into the through groove, the front end surface of the control block (31) can be in contact with the rear end surface of the sliding rod (33), and a tension spring (34) is provided between the left concave block (12) and the front side wall of the control box (10).

6. The intestinal adhesion prevention device after the abdominal operation according to claim 2, wherein the left end surface of the compression bar (20) is an arc surface, the right end of the insertion block (13) is connected with a fixed block (36) positioned at the right side of the roller (5) through an inverted L-shaped rod (35), and the upper end surface of the fixed block (36) can be contacted with the left end surface of the compression bar (20).

7. The intestinal adhesion prevention device after the abdominal operation as claimed in claim 1, wherein the bed body (1) is provided with a limiting groove (37) on the front and rear side walls, the limiting groove (37) is composed of an arc-shaped groove in the front and rear axial direction and a straight groove in the left and right direction, and the front and rear ends of the support box (3) are respectively provided with a limiting column (38) located in the limiting groove (37).

8. The intestinal adhesion prevention device after abdominal operation as claimed in claim 1, wherein the front and rear sides of the upper end of the bed plate (2) are respectively provided with a fixing band (39), the inner surface of the fixing band (39) at the rear side is provided with a female magic tape (40), the outer surface of the fixing band (39) at the front side is provided with a male magic tape (41), and the front end of the control column (30) penetrates through the control box (10) and is provided with a hand wheel (42).

9. The intestinal adhesion prevention device after the abdominal operation as claimed in claim 1, wherein the roller (5) is provided with a plurality of massage balls (43), the upper end of the support column (4) is provided with a soft cushion (44), and the soft cushion (44) is provided with a pull groove.