CN112370244A - Automatic pressing medical application and control method thereof - Google Patents
Automatic pressing medical application and control method thereof Download PDFInfo
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- CN112370244A CN112370244A CN202011331031.7A CN202011331031A CN112370244A CN 112370244 A CN112370244 A CN 112370244A CN 202011331031 A CN202011331031 A CN 202011331031A CN 112370244 A CN112370244 A CN 112370244A
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Abstract
本发明属于按压止血技术领域，公开了一种自动按压医用敷贴及其控制方法，所述自动按压医用敷贴包括：医用敷贴(CMC)本体和按压组件；消毒棉球位于固定垫的一侧，消毒棉球与所述固定垫粘接；固定垫的中部设置有用于充气的气囊，气囊的进气口设置有用于限制进气量的电磁进气阀；固定垫上固定有微型气泵，微型气泵通过气管与电磁进气阀连接；微型气泵通过数据线与外侧的控制盒连接，控制盒内部固定有蓄电池和控制器；在充气气囊进气口固定有压力传感器，充气气囊上固定有电磁出气阀，电磁出气阀通过数据线与控制器连接；本发明在止血过程中，能够根据时间，调整相应的按压力，提高止血的效果；同时能够实现自动进行按压止血。
The invention belongs to the technical field of hemostasis by pressing, and discloses an automatic pressing medical applicator and a control method thereof. The automatic pressing medical applicator comprises: a medical applicator (CMC) body and a pressing component; side, the disinfection cotton ball is bonded to the fixing pad; the middle of the fixing pad is provided with an airbag for inflation, and the air inlet of the airbag is provided with an electromagnetic air intake valve for limiting the amount of air intake; The air pump is connected to the electromagnetic air intake valve through the air pipe; the micro air pump is connected to the outer control box through the data cable, and the battery and the controller are fixed inside the control box; The electromagnetic outlet valve is connected with the controller through the data line; in the process of hemostasis, the present invention can adjust the corresponding pressing force according to the time to improve the effect of hemostasis;
Description
Technical Field
The invention belongs to the technical field of compression hemostasis, and particularly relates to an automatic compression medical application and a control method thereof.
Background
At present, the cotton swab hemostasis by compression is clinically used for common patients, severe patients and patients without self-care ability are cotton balls, gauze pieces and a plurality of cotton swabs, the manual labor is needed, and sometimes, excessive pressing or insufficient pressing causes many complications: hemorrhage, hematoma, poor blood circulation in the extremities, etc. At present, clinic venous transfusion is cancelled clinically, most of patients need to be treated by venous transfusion in hospital, and particularly, critically ill patients need to be subjected to long-term large-amount transfusion. If the scalp needle is used for puncture to press the scalp, about 10 minutes is needed; although the venous transfusion is mainly performed by a shallow venous indwelling needle at present, the indwelling needle is left for 36-72 hours, and a puncture hole after the indwelling needle is pulled out is larger than that of a common scalp needle, the pressing time is longer, generally more than 3-5 minutes is needed, and particularly the pressing time of a patient with poor blood coagulation mechanism is longer. The compression time after arterial blood collection is complicated in clinic, and a nurse cannot press a puncture hole for a patient, and needs the patient himself or herself or family members and accompanying nursing to assist in pressing, for example, the problems of local skin redness, ecchymosis, subcutaneous hematoma and the like caused by poor compliance of the patient, family members or accompanying nursing, coma, inconvenience for the patient in limb movement, or critical illness state, the fact that multiple venous channels need to be established, repeated puncture is unsuccessful, pressing cannot be matched, insufficient pressing time and the like are caused; in addition, blood extravasation is easily caused by non-pressure application of puncture operation ports of various puncture operations such as abdominal puncture and chest puncture in clinic, so that the risk of infection is increased, and even the possibility of septicemia of patients with poor resistance is increased.
However, the dressing used for pressing the venous puncture of a critically ill patient clinically or for various puncture ports clinically is a common infusion paste, a finished product of an application tool with pressure is not available, and the conventional method is to press the venous infusion puncture by a cotton swab and then add the common infusion paste for fixation; the operation opening of the thoracentesis or the abdominal puncture is fixed by a common operation opening paste in the abdominal puncture bag. The clinical findings show that the cotton swab rod in the first mode is broken and then a plurality of bamboo sticks prick the head, so that the patient is easily pricked and the cotton swab rod is easy to fall off; the second mode is that when a large amount of pleural fluid and ascites occur, a large amount of seepage of the puncture is easy to leak due to the overlarge pressure in the thoracic cavity and the abdominal cavity.
Through the above analysis, the problems and defects of the prior art are as follows: the prior method can not adjust the corresponding pressing force according to time, thereby reducing the hemostatic effect; meanwhile, the hemostasis method cannot realize automatic pressing hemostasis, and consumes manpower.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides an automatic pressing medical application and a control method thereof.
The invention is realized in such a way that a control method for automatically pressing a medical application comprises the following steps:
preparing medical disinfection liquid, namely degreasing a medical cotton ball, and dipping the degreased medical cotton ball in the medical disinfection liquid to prepare a disinfected cotton ball;
step two, controlling the content of the medical disinfection liquid in the disinfection cotton balls, and maintaining the water content of the disinfection cotton balls at 30-36% by adopting an extrusion mode;
covering an isolation film on one side of the sterilized cotton ball;
step four, assembling the pressing assembly in a sterile environment;
connecting the medical application body and the pressing assembly to obtain the automatic pressing medical application;
step six, setting pressing time on a time setting module in a touch display screen on a controller, and setting pressing pressure on a pressure control module;
step seven, controlling a relay by a controller according to data detected by a pressure sensor at the air inlet of the inflatable air bag to realize start and stop of the miniature air pump;
meanwhile, the controller controls the electromagnetic air outlet valve to deflate according to the pressing time;
step eight, in the process of adjusting the pressing of the inflatable air bag by inflation and deflation, the pressure sensor acquires the pressure in real time; according to the acquired pressure data, the controller controls the micro air pump, the electromagnetic air inlet valve, the electromagnetic relay and the electromagnetic air outlet valve in real time;
step nine, adjusting data in the pressing process of the inflatable air bag, and displaying the data by using a touch display screen on the controller;
in the first step, the preparation of the medical disinfection liquid specifically comprises:
step A, putting radix astragali, lamiophlomis rotata, salvia miltiorrhiza, caulis spatholobi, saffron crocus, rhizoma drynariae, lycopodium clavatum, teasel root and angelica into clear water for cleaning;
step B, cutting the cleaned salvia miltiorrhiza into slices with the thickness of 1-2mm, flatly spreading the slices, airing the slices, and drying the slices to obtain salvia miltiorrhiza slices; pulverizing Saviae Miltiorrhizae radix slice, grinding in a grinder, and sieving with 80 mesh sieve to obtain Saviae Miltiorrhizae radix powder;
step C, soaking the cleaned astragalus, the salvia miltiorrhiza, the rhizoma drynariae, the lycopodium clavatum, the teasel roots and the angelica in sterile water for 6-9 hours; decocting the soaked medicinal materials, and filtering to obtain a first decoction;
d, adding caulis spatholobi into the filtered filter residue, adding sterile water, decocting, and filtering to obtain a second decoction;
step E, combining the first decoction and the second decoction to obtain a mixed solution;
step F, mixing the red sage root powder and the mixed solution, performing ultrasonic dispersion, and then adding the lamiophlomis rotata extract and the saffron extract to obtain medical disinfection liquid;
in the fourth step, the assembly of the pressing assembly in the sterile environment comprises the following specific processes:
step I, arranging a sticking hook surface on the pressing part, and arranging a sticking rough surface corresponding to the sticking hook surface on the fixing pad; the fixing pad and the pressing part are adhered through a magic tape;
step II, bonding the prepared sterilized cotton ball with the fixing pad;
step III, covering an isolation film on the outer part of the sterilized cotton ball;
step IV, connecting the fixing pad, the pressing part and the sterilized cotton ball, and placing the air bag connected with the inflatable part on the pressing part;
fixing a miniature air pump on the fixing pad, wherein the miniature air pump is connected with the air bag through an air pipe; a pressure sensor is fixed at the air inlet of the inflatable air bag, and an electromagnetic air outlet valve is fixed on the inflatable air bag;
step VI, connecting the micro air pump with a control box on the outer side by using a data line, connecting the pressure sensor with a controller by using the data line, and connecting the electromagnetic air outlet valve with the controller by using the data line;
and step VII, connecting the micro air pump with the storage battery through a lead, and fixing an electromagnetic relay on a connecting wire between the micro air pump and the storage battery.
Furthermore, when blood is taken from the artery, the pressing time is set on the time setting module for 5-10 minutes, the corresponding pressing force is set on the pressure control module, and the pressure value is larger than that of the vein.
Further, in the first step, the medical disinfection liquid is composed of, by mass, 7-12 parts of astragalus membranaceus, 3-6 parts of lamiophlomis rotata, 6-9 parts of salvia miltiorrhiza, 6-8 parts of caulis spatholobi, 6-7 parts of saffron crocus, 5-6 parts of rhizoma drynariae, 3-4 parts of lycopodium clavatum, 3-4 parts of teasel roots, 2-3 parts of angelica sinensis and 9-15 parts of sterile water.
Further, in the step C, the decoction of the soaked medicinal materials is specifically as follows:
boiling water with strong fire, and decocting with slow fire for 2-3 hr.
Further, in the step F, the performing ultrasonic dispersion specifically comprises: the ultrasonic frequency is 30-50kHz, and the ultrasonic time is 20-30 min.
Further, in step F, the preparation of the lamiophlomis rotata extract specifically comprises:
(1) adding water with the mass 8 times of that of the lamiophlomis rotata, heating for 2h at the set temperature of 120 ℃, and carrying out primary extraction;
(2) filtering, adding water with the mass 6 times of that of the lamiophlomis rotata, heating for 1h at the set temperature of 110 ℃, and performing secondary extraction;
(3) filtering again, adding water with the mass 5 times of that of the radix Lamiophlomidis Rotatae, heating at 120 deg.C for 1h, and extracting for the third time;
(4) mixing the three extractive solutions, and concentrating to obtain radix Lamiophlomidis Rotatae extract.
Further, in step F, the preparation method of the saffron extract comprises:
1) putting saffron into a drying phase for drying until the water content is less than 8%;
2) pulverizing the dried saffron to obtain saffron powder;
3) placing the saffron crocus powder in a reflux device, adding ethanol for reflux extraction to obtain a saffron crocus extracting solution;
4) heating the saffron extract, evaporating ethanol, concentrating, and concentrating until the drug content is 1g/mL to obtain the saffron extract.
Another object of the present invention is to provide an automatic compression medical dressing which implements the control method of the automatic compression medical dressing, the automatic compression medical dressing comprising: the medical application body and the pressing component;
the pressing assembly comprises a fixing pad, a pressing part and a sterilized cotton ball;
the fixing pad is adhered to the pressing portion through a magic tape, the sterilized cotton ball is located on one side of the fixing pad, and the sterilized cotton ball is adhered to the fixing pad;
the pressing assembly further comprises an isolation film, the isolation film covers the outer part of the sterilized cotton ball and is bonded with the fixing pad, and the isolation film isolates the sterilized cotton ball;
the middle part of the fixed cushion is provided with an air bag for inflating, an air inlet of the air bag is provided with an electromagnetic air inlet valve for limiting air inflow, and the electromagnetic air inlet valve is connected with a micro air pump;
a miniature air pump is fixed on the fixing pad and connected with the air bag through an air pipe;
the miniature air pump is connected with a control box at the outer side through a data line, and a storage battery and a controller are fixed in the control box;
a pressure sensor is fixed at the air inlet of the inflatable air bag and is connected with the controller through a data line;
an electromagnetic air outlet valve is fixed on the inflatable air bag and is connected with the controller through a data line;
the miniature air pump is connected with the storage battery through a lead, and an electromagnetic relay is fixed on a connecting wire between the miniature air pump and the storage battery.
Further, a touch display screen is embedded in the controller, and a time setting module and a pressure control module are arranged on the touch display screen;
and the time setting module of the touch display screen is used for setting pressing time, and the pressure control module is used for setting pressing pressure.
Further, the fixed bolster with press the splenium to pass through the magic and paste the bonding:
the pressing portion is provided with a pasting hook surface, and the fixing pad is provided with a pasting rough surface corresponding to the pasting hook surface.
By combining all the technical schemes, the invention has the advantages and positive effects that:
according to the invention, the electromagnetic air inlet valve and the electromagnetic air outlet valve are fixed on the air bag, so that the internal pressure of the inflatable air bag can be automatically realized, and the pressing force can be further changed; the micro air pump is fixed on the fixing pad to realize the inflation of the inflatable air bag; the pressure sensor is fixed at the air inlet of the inflatable air bag, so that the internal pressure in the inflatable air bag is detected in real time; the pressing pressure is set on the pressure control module by setting the pressing time on the time setting module of the touch display screen. In the process of hemostasis, the invention can adjust the corresponding pressing force according to time, thereby improving the effect of hemostasis; meanwhile, automatic pressing hemostasis can be realized.
The invention combines medical application with automatic pressing, and can achieve the effects of quick absorption, quick curative effect and high cure rate. The preparation method of the sterilized cotton ball provided by the invention is simple, the effective components in the medicinal materials can be fully separated out, the treatment of cervical spondylosis, scapulohumeral periarthritis, lumbar disc herniation and various pains caused by wind-cold and damp arthralgia can be realized, and the rehabilitation time is shortened. The automatic pressure of pressing gasbag in the medical application is adjustable, and the time is controllable, is applicable to different grade type patients in clinical, can realize pressing hemostasis automatically, reduces manpower resources.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings needed to be used in the embodiments of the present application will be briefly described below, and it is obvious that the drawings described below are only some embodiments of the present application, and it is obvious for those skilled in the art that other drawings can be obtained from the drawings without creative efforts.
Fig. 1 is a flowchart of a control method for automatically pressing a medical application according to an embodiment of the present invention.
Fig. 2 is a flow chart of the preparation of a medical sterilizing fluid according to an embodiment of the present invention.
FIG. 3 is a flow chart of the preparation of Lamiophlomis rotate (Benth.) kudo extract according to the present invention.
Fig. 4 is a flow chart of the preparation method of saffron extract provided by the embodiment of the present invention.
Fig. 5 is a flow chart of an assembly method of the pressing assembly in a sterile environment according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Aiming at the problems in the prior art, the invention provides an automatic pressing medical application and a control method thereof, and the invention is described in detail below with reference to the accompanying drawings.
As shown in figure 1, the invention is realized in such a way that a control method for automatically pressing medical application comprises the following steps:
s101: preparing medical disinfection liquid, namely degreasing the medical cotton balls, and dipping the degreased medical cotton balls in the medical disinfection liquid to prepare disinfected cotton balls;
s102: controlling the content of medical disinfection liquid in the disinfection cotton balls, and maintaining the water content of the disinfection cotton balls at 30-36% by adopting an extrusion mode;
s103: covering an isolation film on one side of the sterilized cotton ball;
s104: assembling the pressing assembly in a sterile environment;
s105: connecting the medical application body with the pressing assembly to obtain an automatic pressing medical application;
s106: setting pressing time on a time setting module in a touch display screen on a controller, and setting pressing pressure on a pressure control module;
s107: according to the data detected by the pressure sensor at the air inlet of the inflatable air bag, the controller controls the relay to realize the start and stop of the miniature air pump; meanwhile, the controller controls the electromagnetic air outlet valve to deflate according to the pressing time;
s108: the pressure sensor collects pressure in real time in the pressing process of the inflation and deflation adjustment inflatable air bag; according to the acquired pressure data, the controller controls the micro air pump, the electromagnetic air inlet valve, the electromagnetic relay and the electromagnetic air outlet valve in real time;
s109: and the data in the pressing process of the inflatable air bag is adjusted and displayed by using a touch display screen on the controller.
As shown in fig. 2, in S101 provided by the embodiment of the present invention, the preparation of the medical sterile liquid specifically includes:
s201: cleaning radix astragali, radix Lamiophlomidis Rotatae, Saviae Miltiorrhizae radix, caulis Spatholobi, stigma croci Sativi, rhizoma Drynariae, herba Lycopodii, radix Dipsaci, and radix Angelicae sinensis in clear water;
s202: cutting the cleaned Saviae Miltiorrhizae radix into 1-2mm thick slices, spreading, air drying, and drying to obtain Saviae Miltiorrhizae radix slice; pulverizing Saviae Miltiorrhizae radix slice, grinding in a grinder, and sieving with 80 mesh sieve to obtain Saviae Miltiorrhizae radix powder;
s203: soaking the cleaned radix astragali, Saviae Miltiorrhizae radix, rhizoma Drynariae, herba Lycopodii, radix Dipsaci, and radix Angelicae sinensis in sterile water for 6-9 h; decocting the soaked medicinal materials, and filtering to obtain a first decoction;
s204: adding caulis Spatholobi into the filtered residue, adding sterile water, decocting, and filtering to obtain second decoction;
s205: mixing the first decoction and the second decoction to obtain a mixed solution;
s206: mixing the red sage root powder and the mixed solution, performing ultrasonic dispersion, and then adding the lamiophlomis rotata extract and the saffron extract to obtain the medical disinfection liquid.
In the step C, the soaked medicinal materials are decocted, and the method specifically comprises the following steps:
boiling water with strong fire, and decocting with slow fire for 2-3 hr.
In the step F, the ultrasonic dispersion is specifically as follows: the ultrasonic frequency is 30-50kHz, and the ultrasonic time is 20-30 min.
As shown in fig. 3, in step F, the preparation of the lamiophlomis rotata extract specifically comprises:
s301: adding water with the mass 8 times of that of the lamiophlomis rotata, heating for 2h at the set temperature of 120 ℃, and carrying out primary extraction;
s302: filtering, adding water with the mass 6 times of that of the lamiophlomis rotata, heating for 1h at the set temperature of 110 ℃, and performing secondary extraction;
s303: filtering again, adding water with the mass 5 times of that of the radix Lamiophlomidis Rotatae, heating at 120 deg.C for 1h, and extracting for the third time;
s304: mixing the three extractive solutions, and concentrating to obtain radix Lamiophlomidis Rotatae extract.
As shown in fig. 4, in step F, the preparation method of saffron extract comprises:
s401: putting saffron into a drying phase for drying until the water content is less than 8%;
s402: pulverizing the dried saffron to obtain saffron powder;
s403: placing the saffron crocus powder in a reflux device, adding ethanol for reflux extraction to obtain a saffron crocus extracting solution;
s404: heating the saffron extract, evaporating ethanol, concentrating, and concentrating until the drug content is 1g/mL to obtain the saffron extract.
In S101 provided by the embodiment of the invention, the medical disinfection liquid is composed of, by mass, 7-12 parts of astragalus membranaceus, 3-6 parts of lamiophlomis rotata, 6-9 parts of salvia miltiorrhiza, 6-8 parts of caulis spatholobi, 6-7 parts of saffron crocus, 5-6 parts of rhizoma drynariae, 3-4 parts of lycopodium clavatum, 3-4 parts of teasel roots, 2-3 parts of angelica sinensis and 9-15 parts of sterile water.
As shown in fig. 5, in S104 provided by the embodiment of the present invention, the assembling of the pressing assembly in the sterile environment includes:
s501: the pressing part is provided with a sticking hook surface, and the fixing pad is provided with a sticking rough surface corresponding to the sticking hook surface; the fixing pad and the pressing part are adhered through a magic tape;
s502: bonding the prepared sterilized cotton ball with the fixing pad;
s503: covering the outer part of the sterilized cotton ball with a separation film;
s504: connecting the fixing pad, the pressing part and the sterilized cotton ball, and placing the air bag connected with the inflating piece on the pressing part;
s505: a micro air pump is fixed on the fixing pad and connected with the air bag through an air pipe; a pressure sensor is fixed at the air inlet of the inflatable air bag, and an electromagnetic air outlet valve is fixed on the inflatable air bag;
s506: the miniature air pump is connected with a control box at the outer side by a data line, the pressure sensor is connected with the controller by a data line, and the electromagnetic air outlet valve is connected with the controller by a data line;
s507: the miniature air pump is connected with the storage battery through a lead, and an electromagnetic relay is fixed on a connecting wire between the miniature air pump and the storage battery.
In S106 provided by the embodiment of the present invention, when an artery is sampled, the time setting module sets a pressing time of 5 to 10 minutes, and the pressure control module sets a corresponding pressing force, and the pressure value is also larger than that of a vein.
The automatic medical compressing patch provided by the embodiment of the invention for implementing the control method for automatically compressing the medical compressing patch comprises the following steps: the medical application body and the pressing component;
the pressing assembly comprises a fixing pad, a pressing part and a sterilized cotton ball; the fixing pad is adhered to the pressing portion through a magic tape, the sterilized cotton ball is located on one side of the fixing pad, and the sterilized cotton ball is adhered to the fixing pad; the pressing assembly further comprises an isolation film, the isolation film covers the outer portion of the sterilized cotton ball and is bonded with the fixing pad, and the isolation film isolates the sterilized cotton ball.
The middle part of the fixed cushion is provided with an air bag for inflating, an air inlet of the air bag is provided with an electromagnetic air inlet valve for limiting air inflow, and the electromagnetic air inlet valve is connected with a micro air pump; a miniature air pump is fixed on the fixing pad and connected with the air bag through an air pipe; the miniature air pump is connected with a control box on the outer side through a data line, and a storage battery and a controller are fixed inside the control box.
A pressure sensor is fixed at the air inlet of the inflatable air bag and is connected with the controller through a data line; an electromagnetic air outlet valve is fixed on the inflatable air bag and is connected with the controller through a data line; the miniature air pump is connected with the storage battery through a lead, and an electromagnetic relay is fixed on a connecting wire between the miniature air pump and the storage battery. A touch display screen is embedded on the controller, and a time setting module and a pressure control module are arranged on the touch display screen; and the time setting module of the touch display screen is used for setting pressing time, and the pressure control module is used for setting pressing pressure. The fixed bolster with press the splenium to pass through the magic and paste the bonding: the pressing portion is provided with a pasting hook surface, and the fixing pad is provided with a pasting rough surface corresponding to the pasting hook surface.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention, and the scope of the present invention is not limited thereto, and any modification, equivalent replacement, and improvement made by those skilled in the art within the technical scope of the present invention disclosed herein, which is within the spirit and principle of the present invention, should be covered by the present invention.
Claims (10)
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