Rehabilitation training device is used in cardiovascular internal medicine nursing
Technical Field
The invention belongs to the technical field of rehabilitation training, and particularly relates to a rehabilitation training device for cardiovascular internal medicine nursing.
Background
The cardiology department, i.e., the cardiovascular department, is a clinical department set by the major medicine of all levels of hospitals for diagnosing cardiovascular diseases, and the diseases to be treated include angina pectoris, acute myocardial infarction and other cardiovascular diseases; rehabilitation training refers to physical activities which are beneficial to recovery or improvement of functions after injury, and proper and scientific physical exercises have positive effects on rapid healing of injury and promotion of functional recovery; after the patients with cardiovascular diseases have stable illness, the blood circulation can be promoted through proper exercise, and the functional recovery of the patients with cardiovascular diseases is facilitated.
At present, after a cardiovascular disease patient is hospitalized, the patient needs to be in bed for 12-24 hours to have a rest so as to stabilize the state of an illness, however, after the patient lies for a long time, muscles are easy to be stiff and numb, and insufficient cerebral blood supply caused by nerve compression of cervical vertebra is easy to cause, if the patient passively receives rehabilitation training at the moment, the rehabilitation training effect is reduced due to the fact that blood circulation of the neck of the patient is blocked and insufficient cerebral blood supply is caused, and phenomena such as dizziness and cerebral distension can occur, so that the rehabilitation training device for nursing the cardiovascular medicine is provided by combining with the actual situation.
Disclosure of Invention
The invention aims to provide a rehabilitation training device for cardiovascular internal medicine nursing, which aims to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a rehabilitation training device for nursing in cardiovascular internal medicine, which comprises a bed body,
the upper limb supporting piece is movably embedded on the upper surface of the bed body, a cavity is formed in the bed body below the upper limb supporting piece, and a driving component for pushing the upper limb supporting piece to rotate and rise is arranged in the cavity;
neck location pillow and head location pillow all adopt soft ventilative material and inside cavity, neck location pillow upper surface structure has the arc constant head tank, head location pillow upper surface structure has circular support groove.
In a further embodiment, the drive assembly comprises a hydraulic push rod, the hydraulic push rod is installed at one end, away from the neck positioning pillow, inside the cavity, the telescopic end of the hydraulic push rod is connected with a supporting seat, a sliding device of the supporting seat is arranged in the cavity, a supporting plate is rotatably connected to the upper surface of the supporting seat, and one end, away from the supporting seat, of the supporting plate is rotatably connected to the position, close to the neck positioning pillow, of the lower surface of the upper limb supporting piece.
In a further embodiment, the upper limb supporting piece comprises an upper arm supporting plate and a lower arm supporting plate, the upper arm supporting plate is rotatably connected with the box body, one end, close to each other, of the upper arm supporting plate and one end, close to each other, of the lower arm supporting plate, of one side, facing the middle part of the bed body, of each upper arm supporting plate are rotatably connected through a rotating shaft, and a spring is connected between the positions, close to each other, of the upper arm supporting plate and the lower arm supporting plate, and one end faces the edge part of the bed body.
In a further embodiment, the inside subassembly of releiving of neck that is equipped with of box body below neck location pillow, the subassembly of releiving of neck includes a pair of sliding block, and sliding block slidable mounting has the rotary drum at the inside and last surface mounting of box body, and in the rotary drum explored into neck location pillow, the threaded rod was worn to be equipped with by the screw thread on the sliding block, and the threaded rod rotates to be installed on the box body inner wall, and the box body internal rotation install with the upper limbs hold up a transfer line that rotation axis drive is connected, connect through the drive belt transmission between transfer line and the threaded rod.
In a further embodiment, a head relieving assembly is arranged in the box body below the head positioning pillow and comprises a supporting block stretching into the head positioning pillow, the lower surface of the supporting block is connected with a connecting block located inside the box body, a circular through hole is transversely formed in the connecting block, and an eccentric wheel is arranged inside the circular through hole.
In a further embodiment, be equipped with drive assembly between eccentric wheel and the threaded rod, drive assembly establishes the carousel on the threaded rod including fixed cover, and the avris of carousel one side is equipped with the drive rack, and carousel one side is equipped with the driven gear with drive rack meshing, be connected with connecting rod one on the eccentric wheel, the one end that eccentric wheel was kept away from to connecting rod one is equipped with conical gear one, and conical gear one side meshing has conical gear two, is connected through connecting rod two between conical gear two and the driven gear.
In a further embodiment, an air cylinder is installed at one end, close to the neck positioning pillow, inside the cavity, a push rod of the air cylinder is connected with the supporting seat, an air bag in a strip-shaped structure is arranged on the outer wall of the rotary cylinder, and the air bag is communicated with the air cylinder through an air pipe.
In a further embodiment, the upper surface of the support block is an arc concave surface, and a plurality of bulges are arranged on the arc concave surface.
In a further embodiment, the side wall of the box body is provided with heat dissipation holes, and the bed body is provided with ventilation holes communicated with the heat dissipation holes.
The invention has the technical effects and advantages that: according to the rehabilitation training device for nursing in the cardiovascular department, the hydraulic push rod pushes the support seat to be matched with the support plate to drive the upper limb supporting piece to rotate, rise or fall, so that a patient can be assisted to complete upper limb lifting rehabilitation training, and postoperative recovery of the patient is promoted; the neck positioning pillow provided with the arc-shaped positioning groove and the head positioning pillow provided with the circular bracket can position the neck and the head of a patient, prevent the neck from deflecting and spraining in the rehabilitation training process and improve the comfort of the patient lying down; through the transmission of the transmission rod and the driving belt, the sliding block can be driven to slide through the rotation of the threaded rod when the patient performs rehabilitation training, the rotating cylinder is driven to roll and extrude the neck of the patient, the neck muscle of the patient is relieved, the cerebral blood supply insufficiency caused by the fact that the patient lies for a long time and the cervical vertebra oppresses nerves is avoided, the circulation of qi and blood of the neck during the upper limb rehabilitation training is ensured, and the blood circulation between the heart and the head is effectively promoted; through the carousel, the drive rack, the transmission of driven gear and bevel gear two, it is rotatory to make the eccentric wheel eccentric in circular through-hole, the eccentric rotation of eccentric wheel orders about the connecting block and moves about from top to bottom together with the tray, the arch of cooperation tray upper surface, the massage of rubbing to patient cerebellum position is realized, brain blood circulation accelerates, upper limbs rehabilitation training leads to gushing up the disease such as arousing head distension when avoiding the patient to lie for a long time when lying, can improve the blood supply insufficiency that the brain leads to for a long time lying simultaneously, the circumstances such as oxygen deficiency, improve the rehabilitation training effect.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic structural view of an upper limb rehabilitation mechanism and a positioning mechanism according to the present invention;
FIG. 3 is a cross-sectional view of a cavity of the present invention;
FIG. 4 is a schematic view of the internal structure of the case according to the present invention;
FIG. 5 is a schematic view of the neck relief assembly of the present invention;
FIG. 6 is a schematic view of a head relief assembly of the present invention;
fig. 7 is a schematic structural diagram of the transmission assembly of the present invention.
In the figure: 1 bed body, 2 upper limb rehabilitation mechanisms, 3 positioning mechanisms, 4 box bodies, 5 neck positioning pillows, 6 head positioning pillows, 7 driving components, 8 upper arm supporting plates, 9 forearm supporting plates, 10 arc-shaped positioning grooves, 11 circular supporting grooves, 12 cavities, 13 supporting seats, 14 hydraulic push rods, 15 supporting plates, 16 air cylinders, 17 neck relieving components, 18 head relieving components, 19 driving components, 20 sliding blocks, 21 threaded rods, 22 driving rods, 23 driving belts, 24 rotary drums, 25 air bags, 26 supporting blocks, 27 connecting blocks, 28 circular through holes, 29 eccentric wheels, 30 bulges, 31 connecting rods I, 32 bevel gears I, 33 rotary discs, 34 driving racks, 35 driven gears, 36 bevel gears II and 37 connecting rods II.
Detailed Description
The present invention is described in detail with reference to the drawings, but the scope of the present invention is not limited to the following embodiments, and all simple equivalent changes and modifications made by the claims and the contents of the specification of the present invention are still within the scope of the present invention.
Referring to fig. 1-3, the bed comprises a bed body 1, a positioning mechanism 3 is arranged on the bed body 1, the positioning mechanism 3 comprises a box body 4, the box body 4 is embedded at a position on the upper surface of the bed body 1 close to the head of the bed body 1, a neck positioning pillow 5 and a head positioning pillow 6 are arranged on the upper surface of the box body 4, upper limb supporting pieces 2 are rotatably arranged on two side walls of the position of the box body 4 close to the neck positioning pillow 5, the upper limb supporting pieces 2 are movably embedded on the upper surface of the bed body 1, a cavity 12 is formed in the bed body 1 below the upper limb supporting pieces 2, and a driving component 7 for pushing the upper limb supporting pieces 2 to rotate and rise is arranged in the cavity 12;
bed body 1 is the sick bed commonly used that the hospital nurse adopted, and the patient lies for sleeping in on bed body 1, holds up 2 rotatory rises and descends through drive assembly 7 drive upper limbs, can make passive lifting, the whereabouts activity of patient's arm, promotes patient blood circulation for patient's function resumes.
Referring to fig. 2, the neck positioning pillow 5 and the head positioning pillow 6 are both made of soft and air-permeable material and have hollow interiors, the upper surface of the neck positioning pillow 5 is provided with an arc-shaped positioning groove 10, and the upper surface of the head positioning pillow 6 is provided with a circular bracket 11.
When a patient passively receives upper limb rehabilitation training, the neck positioning pillow 5 and the head positioning pillow 6 can support the neck and the head of the patient, and are matched with the arc-shaped positioning groove 10 and the circular bracket 11 for limiting, so that neck deflection and sprain in the rehabilitation training process are avoided, and the comfort of the patient in lying is improved;
referring to fig. 2-3, the driving assembly 7 includes a hydraulic push rod 14, the hydraulic push rod 14 is installed at one end of the cavity 12 far away from the neck positioning pillow 5, the telescopic end of the hydraulic push rod 14 is connected with a supporting seat 13, the supporting seat 13 is slidably mounted in the cavity 12, a supporting plate 15 is rotatably connected to the upper surface of the supporting seat 13, and one end of the supporting plate 15 far away from the supporting seat 13 is rotatably connected to the lower surface of the upper limb supporting member 2 close to the neck positioning pillow 5.
Hydraulic push rod 14 promotes supporting seat 13 and slides towards one side of neck location pillow 5, can utilize backup pad 15 to hold up 2 rotatory backs of upper limbs, and hydraulic push rod 14 pulling supporting seat 13 slides towards one side of neck location pillow 5, can utilize backup pad 15 to drive 2 rotatory whereabouts of upper limbs holding up, and hydraulic push rod 14 is the power component that this field is commonly used, does not do too much the repeated description here.
Referring to fig. 2, the upper limb supporting member 2 includes an upper arm supporting plate 8 and a lower arm supporting plate 9, the upper arm supporting plate 8 is rotatably connected with the box body 4, the upper arm supporting plate 8 and the lower arm supporting plate 9 are rotatably connected through a rotating shaft at one side of the end face, which is close to each other, of the upper arm supporting plate 8 and the lower arm supporting plate 9, and a spring (not shown in the figure) is connected between the positions, which are close to each other, of the end face, which faces the edge of the bed body 1.
After the upper limb supporting piece 2 is rotationally lifted, the forearm supporting plate 9 can rotate towards the inner side of the bed body 1, the structure is favorable for actively bending the forearm in the upper limb rehabilitation training process of a patient, the training intensity is improved, and the spring is embedded in the upper arm supporting plate 8 and the forearm supporting plate 9 to play a role in resetting the forearm supporting plate 9.
Referring to fig. 4-5, a neck relieving component 17 is arranged inside the box body 4 below the neck positioning pillow 5, the neck relieving component 17 comprises a pair of sliding blocks 20, the sliding blocks 20 are slidably mounted inside the box body 4, a rotating cylinder 24 is mounted on the upper surface of the box body 4, the rotating cylinder 24 extends into the neck positioning pillow 5, a threaded rod 21 penetrates through the upper thread of the sliding blocks 20, the threaded rod 21 is rotatably mounted on the inner wall of the box body 4, a transmission rod 22 in driving connection with a rotating shaft of the upper limb supporting part 2 is rotatably mounted inside the box body 4, and the transmission rod 22 and the threaded rod 21 are in driving connection through a driving belt 23.
When the upper limb supporting piece 2 rotates to promote rehabilitation training of a patient, the threaded rod 21 can be driven to rotate by utilizing the transmission of the transmission rod 22 and the driving belt 23, the threaded rod 21 rotates to drive the sliding block 20 to slide, the rotary drum 24 is driven to roll and extrude the neck of the patient, the neck muscle of the patient is relieved, cerebral blood supply insufficiency caused by cervical vertebra nerve compression due to long-time lying of the patient is avoided, the blood circulation between the heart and the head can be promoted by the upper limb rehabilitation training, and when the pair of upper limb supporting pieces 2 rotate and rise at the same time, the pair of sliding blocks 20 are driven to oppositely approach and slide, and the pair of rotary drums 24 can roll and extrude the neck of the patient at the same time; when the pair of upper limb supporting pieces 2 alternately rotate and ascend, the pair of rotary drums 24 also alternately roll and press the neck of the patient, and the adjustment can be automatically carried out according to the requirement of the patient.
Referring to fig. 4 and 6, a head relieving assembly 18 is arranged in the box body 4 below the head positioning pillow 6, the head relieving assembly 18 comprises a supporting block 26 stretching into the head positioning pillow 6, a connecting block 27 located inside the box body 4 is connected to the lower surface of the supporting block 26, a circular through hole 28 is transversely formed in the connecting block 27, and an eccentric wheel 29 is arranged inside the circular through hole 28.
After a patient lies, the head of the patient is rested on the head positioning pillow 6 and supported by the supporting block 26, the eccentric wheel 29 rotates in the circular through hole 28, the connecting block 27 can be driven to drive the supporting block 26 to move, the cerebellum of the patient can be rubbed by the movement of the supporting block 26, the blood circulation of the brain is accelerated, and the conditions of insufficient blood supply, oxygen deficiency and the like caused by long-time lying of the brain are improved;
referring to fig. 6, the upper surface of the supporting block 26 is a circular arc concave surface, and a plurality of protrusions are arranged on the circular arc concave surface.
In the moving process of the supporting block 26, the effect of kneading and massaging the cerebellum part of the patient can be improved by matching with the plurality of bulges in the arc concave surface.
Referring to fig. 4 and 7, a transmission assembly 19 is arranged between the eccentric wheel 29 and the threaded rod 21, the transmission assembly 19 comprises a rotary table 33 fixedly sleeved on the threaded rod 21, a driving rack 34 is arranged on the side of one side of the rotary table 33, a driven gear 35 meshed with the driving rack 34 is arranged on one side of the rotary table 33, a first connecting rod 31 is connected to the eccentric wheel 29, a first conical gear 32 is arranged at one end, away from the eccentric wheel 29, of the first connecting rod 31, a second conical gear 36 is meshed on one side of the first conical gear 32, and the second conical gear 36 is connected with the driven gear 35 through a second connecting rod 37.
When the neck extrusion is releived, threaded rod 21 drives carousel 33 rotatory, under the meshing drive of drive rack 34 and driven gear 35, drive two 36 and the synchronous rotations of a conical gear 32 of conical gear, a conical gear 32 can drive eccentric wheel 29 rotatory, realized the patient and upper limbs rehabilitation training, the massage is rubbed with the brain to the neck extrusion releiving synchronous going on, through neck pressurization massage, the obstructed problem of blood circulation when solving the upper limbs motion, through accelerating brain blood circulation, alleviate patient's rehabilitation training and lead to blood with higher speed, gush the symptoms of brain dizziness that cause on the qi and blood.
Referring to fig. 3, an air cylinder 16 is mounted at one end of the cavity 12 near the neck positioning pillow 5, a push rod of the air cylinder 16 is connected with the supporting seat 13, an air bag 25 in a strip structure is arranged on the outer wall of the rotary drum 24, and the air bag 25 is communicated with the air cylinder 16 through an air pipe.
During the rehabilitation training process, the air cylinder 16 can be inflated and deflated while the supporting seat 13 slides, the rotary drum 24 rolls to press the neck of the patient when the air cylinder 16 is inflated, the air bag 25 on the surface of the rotary drum 24 is inflated by the air cylinder 16, a buffer layer is formed between the neck of the patient and the rotary drum 24, the mechanical pressing between the rotary drum 24 and the neck of the patient is avoided, and the skin of the patient is prevented from being crushed.
Referring to fig. 1-2, the side wall of the box body 4 is provided with heat dissipation holes, the bed body 1 is provided with ventilation holes communicated with the heat dissipation holes, when rehabilitation training, neck soothing massage and head massage are carried out synchronously, hair follicles of patients are opened, and at the moment, the inside of the box body 4 is communicated with the outside air through the heat dissipation holes and the ventilation holes, so that sweat and toxin are discharged.
The working principle is as follows: when the rehabilitation training device for nursing in the cardiovascular department is used, the supporting seat 13 is pushed to slide in the cavity 12 through the hydraulic push rod 14, the upper limb supporting piece 2 can be driven to rotate to rise or fall by the supporting plate 15, the patient is assisted in completing the upper limb lifting rehabilitation training, and the neck and the head of the patient can be positioned through the neck positioning pillow 5 provided with the arc-shaped positioning groove 10 and the head positioning pillow 6 provided with the circular supporting groove 11; in the process of rehabilitation training by rotating the upper limb supporting piece 2, the transmission rod 22 and the driving belt 23 are used for driving the threaded rod 21 to rotate, so that the sliding block 20 is driven to slide, and the rotary drum 24 can be driven to roll and extrude the neck of the patient; the threaded rod 21 rotates to drive the rotary table 33 to rotate simultaneously, the conical gear II 36 is driven to rotate synchronously by means of meshing of the driving rack 34 and the driven gear 35, the conical gear II 36 drives the conical gear I32 to rotate, the eccentric wheel 29 is further driven to rotate eccentrically in the circular through hole 28, the eccentric rotation of the eccentric wheel 29 drives the connecting block 27 and the supporting block 26 to move up and down, and the purpose of kneading and massaging the cerebellum part of a patient is achieved by means of the protrusions on the upper surface of the supporting block 26.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.