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CN113995630B - A kind of rehabilitation training device for cardiovascular medicine nursing - Google Patents

A kind of rehabilitation training device for cardiovascular medicine nursing Download PDF

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CN113995630B
CN113995630B CN202111304954.8A CN202111304954A CN113995630B CN 113995630 B CN113995630 B CN 113995630B CN 202111304954 A CN202111304954 A CN 202111304954A CN 113995630 B CN113995630 B CN 113995630B
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neck
box body
pillow
positioning pillow
rehabilitation training
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CN113995630A (en
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金雪
宋龄
顾岩
姜军
于水
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Jilin University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H15/00Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H15/0078Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains power-driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0274Stretching or bending or torsioning apparatus for exercising for the upper limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H7/00Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for
    • A61H7/002Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for by rubbing or brushing
    • A61H7/004Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for by rubbing or brushing power-driven, e.g. electrical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H15/00Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains
    • A61H2015/0007Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis
    • A61H2015/0014Massage by means of rollers, balls, e.g. inflatable, chains, or roller chains with balls or rollers rotating about their own axis cylinder-like, i.e. rollers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/04Devices for specific parts of the body neck

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dermatology (AREA)
  • Rehabilitation Tools (AREA)

Abstract

本发明公开了一种心血管内科护理用康复训练装置,包括床体,所述床体上设有定位机构,所述定位机构包括盒体,盒体镶嵌在床体上表面靠近床体头部的位置处,盒体上表面设有颈部定位枕和头部定位枕,所述盒体靠近颈部定位枕位置处的两侧壁上可旋转安装有上肢托起件,上肢托起件活动镶嵌在床体上表面,上肢托起件下方的床体内构造有空腔,空腔内设置有用于推动上肢托起件旋转上升的驱动组件;所述颈部定位枕和头部定位枕均采用软质透气材质且内部中空,所述颈部定位枕上表面构造有弧形定位槽,所述头部定位枕上表面构造有圆形托槽。该心血管内科护理用康复训练装置,在康复训练的同时实现了颈部和脑部的舒缓,提高了康复效果。

Figure 202111304954

The invention discloses a rehabilitation training device for cardiovascular medicine nursing. The upper surface of the box body is provided with a neck positioning pillow and a head positioning pillow, and upper limb lifting pieces are rotatably installed on the two side walls of the box body near the position of the neck positioning pillow, and the upper limb lifting pieces are movable Inlaid on the upper surface of the bed body, the bed body below the upper limb supporter is constructed with a cavity, and a drive assembly for pushing the upper limb supporter to rotate and rise is arranged in the cavity; the neck positioning pillow and the head positioning pillow are made of The upper surface of the neck positioning pillow is configured with an arc-shaped positioning groove, and the upper surface of the head positioning pillow is configured with a circular bracket. The rehabilitation training device for cardiovascular medicine nursing realizes the relief of the neck and the brain during the rehabilitation training, and improves the rehabilitation effect.

Figure 202111304954

Description

一种心血管内科护理用康复训练装置A kind of rehabilitation training device for cardiovascular medicine nursing

技术领域technical field

本发明属于康复训练技术领域,具体涉及一种心血管内科护理用康复训练装置。The invention belongs to the technical field of rehabilitation training, and in particular relates to a rehabilitation training device for cardiovascular medicine nursing.

背景技术Background technique

心内科,即心血管内科,是各级医院大内科为了诊疗心血管血管疾病而设置的一个临床科室,治疗的疾病包括心绞痛、急性心肌梗死等心血管疾病;康复训练是指损伤后进行有利于恢复或改善功能的身体活动,适当的、科学的身体练习对于损伤的迅速愈合和促进功能的恢复有着积极的作用;心血管疾病患者病情平稳后,通过适量的运动,能够促进血液循环,有利于心血管疾病患者的功能恢复。Cardiology, namely cardiovascular medicine, is a clinical department set up by major internal medicine departments of hospitals at all levels for the diagnosis and treatment of cardiovascular and vascular diseases. The diseases treated include angina pectoris, acute myocardial infarction and other cardiovascular diseases; Physical activities to restore or improve functions, and proper and scientific physical exercises have a positive effect on the rapid healing of injuries and the promotion of functional recovery; after patients with cardiovascular disease are in a stable condition, moderate exercise can promote blood circulation, which is beneficial to Functional recovery in patients with cardiovascular disease.

目前,心血管疾病患者住院治疗后,需要经过12-24小时的卧床休息,以平稳病情,然而,患者经过长时间的躺卧,肌肉容易僵硬麻木,且易造成颈椎压迫神经引起的脑供血不足,若此时患者被动接受康复训练,会因患者颈部血液流通受阻,脑供血不足,导致康复训练效果降低,且会伴随出现头晕、脑胀等现象,因此,本发明结合实际情况,提出一种心血管内科护理用康复训练装置。At present, after hospitalization, patients with cardiovascular disease need to rest in bed for 12-24 hours to stabilize the condition. However, after lying down for a long time, the muscles are prone to stiffness and numbness, and it is easy to cause insufficient blood supply to the brain caused by the compression of the cervical spine. If the patient passively accepts rehabilitation training at this time, the blood circulation of the patient's neck will be blocked, and the blood supply to the brain will be insufficient, resulting in a reduction in the effect of the rehabilitation training, and accompanied by dizziness, brain swelling and other phenomena. Therefore, the present invention proposes a method based on the actual situation. A rehabilitation training device for cardiovascular medicine nursing.

发明内容SUMMARY OF THE INVENTION

本发明的目的在于提供一种心血管内科护理用康复训练装置,以解决上述背景技术中提出的问题。The purpose of the present invention is to provide a rehabilitation training device for cardiovascular medicine nursing, so as to solve the problems raised in the above-mentioned background art.

为实现上述目的,本发明提供如下技术方案:一种心血管内科护理用康复训练装置,包括床体,In order to achieve the above purpose, the present invention provides the following technical solutions: a rehabilitation training device for cardiovascular medicine nursing, comprising a bed body,

所述床体上设有定位机构,所述定位机构包括盒体,盒体镶嵌在床体上表面靠近床体头部的位置处,盒体上表面设有颈部定位枕和头部定位枕,所述盒体靠近颈部定位枕位置处的两侧壁上可旋转安装有上肢托起件,上肢托起件活动镶嵌在床体上表面,上肢托起件下方的床体内构造有空腔,空腔内设置有用于推动上肢托起件旋转上升的驱动组件;The bed body is provided with a positioning mechanism, the positioning mechanism includes a box body, the box body is inlaid on the upper surface of the bed body at a position close to the head of the bed body, and the upper surface of the box body is provided with a neck positioning pillow and a head positioning pillow The upper limb supporter is rotatably installed on the two side walls of the box body near the position of the neck positioning pillow, the upper limb supporter is movably embedded on the upper surface of the bed body, and the bed body below the upper limb supporter is constructed with a cavity , the cavity is provided with a drive assembly for pushing the upper limb supporter to rotate and rise;

所述颈部定位枕和头部定位枕均采用软质透气材质且内部中空,所述颈部定位枕上表面构造有弧形定位槽,所述头部定位枕上表面构造有圆形托槽。Both the neck positioning pillow and the head positioning pillow are made of soft and breathable material and are hollow inside, the upper surface of the neck positioning pillow is configured with an arc-shaped positioning groove, and the upper surface of the head positioning pillow is configured with a circular bracket.

在进一步的实施例中,所述驱动组件包括液压推杆,液压推杆安装在空腔内部远离颈部定位枕的一端,液压推杆的伸缩端连接有支撑座,支撑座滑动装置在空腔内,且所述支撑座上表面旋转连接有支撑板,支撑板远离支撑座的一端与上肢托起件下表面靠近颈部定位枕的位置处旋转连接。In a further embodiment, the drive assembly includes a hydraulic push rod, the hydraulic push rod is installed at one end of the cavity away from the neck positioning pillow, the telescopic end of the hydraulic push rod is connected with a support seat, and the support seat sliding device is in the cavity The upper surface of the support seat is rotatably connected with a support plate, and one end of the support plate away from the support seat is rotatably connected to the position of the lower surface of the upper limb supporter close to the neck positioning pillow.

在进一步的实施例中,所述上肢托起件包括上臂托板和小臂托板,所述上臂托板与盒体旋转连接,上臂托板和小臂托板相互靠近一端朝向床体中部的一侧通过转动轴旋转连接,上臂托板和小臂托板相互靠近一端面朝向床体边部的位置处之间连接有弹簧。In a further embodiment, the upper limb supporter includes an upper arm support plate and a forearm support plate, the upper arm support plate is rotatably connected with the box body, and one end of the upper arm support plate and the forearm support plate close to each other is toward the middle of the bed. One side is rotatably connected by a rotating shaft, and a spring is connected between the position where one end face of the upper arm support plate and the forearm support plate are close to each other and face the edge of the bed body.

在进一步的实施例中,所述颈部定位枕下方的盒体内部设有颈部舒缓组件,所述颈部舒缓组件包括一对滑动块,滑动块滑动安装在盒体内部且上表面安装有转筒,转筒探入颈部定位枕内,滑动块上螺纹穿设有螺纹杆,螺纹杆转动安装在盒体内壁上,且盒体内部转动安装有与上肢托起件旋转轴驱动连接的传动杆,传动杆和螺纹杆之间通过驱动皮带传动连接。In a further embodiment, a neck relief component is provided inside the box body below the neck positioning pillow, the neck relief component includes a pair of sliding blocks, the sliding blocks are slidably installed inside the box body, and the upper surface is mounted with a neck relief component. The rotating cylinder is inserted into the neck positioning pillow, the sliding block is threaded with a threaded rod, the threaded rod is rotatably installed on the inner wall of the box, and the inner part of the box is rotatably installed with a driving connection with the rotating shaft of the upper limb supporter. The transmission rod, the transmission rod and the threaded rod are connected by a drive belt.

在进一步的实施例中,所述头部定位枕下方的盒体内设有头部舒缓组件,所述头部舒缓组件包括探入头部定位枕内的托块,托块下表面连接有位于盒体内部的连接块,连接块上横向开设有圆形通孔,圆形通孔内部装置有偏心轮。In a further embodiment, a head relief component is arranged in the box below the head positioning pillow, the head relief component includes a support block that protrudes into the head positioning pillow, and a lower surface of the support block is connected to the box located in the box. The connecting block inside the body is provided with a circular through hole laterally on the connecting block, and an eccentric wheel is arranged inside the circular through hole.

在进一步的实施例中,所述偏心轮与螺纹杆之间设有传动组件,所述传动组件包括固定套设在螺纹杆上的转盘,转盘一面的边侧设有驱动齿条,转盘一侧设有与驱动齿条啮合的从动齿轮,所述偏心轮上连接有连接杆一,连接杆一远离偏心轮的一端设有锥形齿轮一,锥形齿轮一一侧啮合有锥形齿轮二,锥形齿轮二与从动齿轮之间通过连接杆二连接。In a further embodiment, a transmission assembly is provided between the eccentric wheel and the threaded rod, the transmission assembly includes a turntable fixedly sleeved on the threaded rod, a drive rack is provided on one side of the turntable, and one side of the turntable is provided with a drive rack. There is a driven gear that meshes with the driving rack, the eccentric wheel is connected with a connecting rod, one end of the connecting rod away from the eccentric wheel is provided with a bevel gear, and one side of the bevel gear is meshed with a bevel gear 2 , the second bevel gear and the driven gear are connected through the second connecting rod.

在进一步的实施例中,所述空腔内部靠近颈部定位枕的一端安装有气筒,气筒的推杆与支撑座连接,所述转筒外壁上设有呈条形结构的气囊,气囊与气筒通过气管连通。In a further embodiment, an air cylinder is installed at one end of the cavity close to the neck positioning pillow, the push rod of the air cylinder is connected to the support seat, and the outer wall of the rotating cylinder is provided with a strip-shaped air bag, and the air bag is connected to the air cylinder. communicated through the trachea.

在进一步的实施例中,所述托块上表面为圆弧凹面,圆弧凹面上设有若干个凸起。In a further embodiment, the upper surface of the support block is a circular arc concave surface, and the circular arc concave surface is provided with several protrusions.

在进一步的实施例中,所述盒体侧壁上开设有散热孔,所述床体上开设有与散热孔连通的通风孔。In a further embodiment, heat dissipation holes are formed on the side walls of the box body, and ventilation holes communicated with the heat dissipation holes are formed on the bed body.

本发明的技术效果和优点:该心血管内科护理用康复训练装置,通过液压推杆推动支撑座配合支撑板带动上肢托起件旋转升起或降落,能够辅助患者完成上肢举升康复训练,促进患者术后恢复;通过开设有弧形定位槽的颈部定位枕和开设有圆形托槽的头部定位枕,能够对患者颈部和头部定位,避免康复训练过程中颈部偏转扭伤,且提高了患者卧躺时的舒适感;通过传动杆和驱动皮带的传动,患者康复训练的同时,能够通过螺纹杆旋转促使滑动块滑动,驱使转筒滚动挤压患者颈部,舒缓患者颈部肌肉,避免患者长时间躺卧导致颈椎压迫神经引起的脑供血不足,保证上肢康复训练时颈部的气血流通,有效促进心脏与头部之间的血液循环;通过转盘、驱动齿条、从动齿轮和锥形齿轮二的传动,能够使偏心轮在圆形通孔内偏心旋转,偏心轮的偏心旋转驱使连接块连同托块上下活动,配合托块上表面的凸起,实现对患者小脑部位的揉搓按摩,加速脑部血液循环,避免患者卧躺时上肢康复训练导致气血上涌引起头胀等病症,同时能够改善脑部长时间卧躺导致的供血不足、缺氧等情况,提高康复训练效果。The technical effects and advantages of the present invention: the rehabilitation training device for cardiovascular medicine nursing can assist the patient to complete the upper limb lifting rehabilitation training, and promotes Postoperative recovery of patients; by opening a neck positioning pillow with an arc-shaped positioning groove and a head positioning pillow with a circular bracket, the patient's neck and head can be positioned to avoid neck deflection and sprain during the rehabilitation training process. And improve the comfort of the patient when lying down; through the transmission of the transmission rod and the driving belt, the patient can be rehabilitated through the rotation of the threaded rod to promote the sliding block to slide, drive the rotating drum to roll and squeeze the patient's neck, soothe the patient's neck. It can prevent the lack of blood supply to the brain caused by the compression of the nerves by the cervical spine caused by the patient lying down for a long time, ensure the circulation of Qi and blood in the neck during the rehabilitation training of the upper limbs, and effectively promote the blood circulation between the heart and the head; The transmission of the movable gear and the bevel gear 2 can make the eccentric rotate eccentrically in the circular through hole. The eccentric rotation of the eccentric drives the connecting block together with the support block to move up and down, and cooperate with the protrusion on the upper surface of the support block to realize the eccentric rotation of the patient's cerebellum. The rubbing and massage of the part can accelerate the blood circulation of the brain, avoid the upper limb rehabilitation training of the patient when the patient is lying down and cause the bloating and other symptoms caused by the upwelling of qi and blood. training effect.

附图说明Description of drawings

图1为本发明的结构示意图;Fig. 1 is the structural representation of the present invention;

图2为本发明的上肢康复机构与定位机构结构示意图;2 is a schematic structural diagram of an upper limb rehabilitation mechanism and a positioning mechanism of the present invention;

图3为本发明的空腔剖视图;Fig. 3 is the cavity sectional view of the present invention;

图4为本发明的盒体内部结构示意图;4 is a schematic diagram of the internal structure of the box body of the present invention;

图5为本发明的颈部舒缓组件结构示意图;5 is a schematic structural diagram of the neck relief assembly of the present invention;

图6为本发明的头部舒缓组件结构示意图;6 is a schematic structural diagram of the head relief assembly of the present invention;

图7为本发明的传动组件结构示意图。FIG. 7 is a schematic structural diagram of the transmission assembly of the present invention.

图中:1床体、2上肢康复机构、3定位机构、4盒体、5颈部定位枕、6头部定位枕、7驱动组件、8上臂托板、9小臂托板、10弧形定位槽、11圆形托槽、12空腔、13支撑座、14液压推杆、15支撑板、16气筒、17颈部舒缓组件、18头部舒缓组件、19传动组件、20滑动块、21螺纹杆、22传动杆、23驱动皮带、24转筒、25气囊、26托块、27连接块、28圆形通孔、29偏心轮、30凸起、31连接杆一、32锥形齿轮一、33转盘、34驱动齿条、35从动齿轮、36锥形齿轮二、37连接杆二。In the picture: 1 bed, 2 upper limb rehabilitation mechanism, 3 positioning mechanism, 4 box body, 5 neck positioning pillow, 6 head positioning pillow, 7 driving components, 8 upper arm support, 9 forearm support, 10 arc Positioning slot, 11 round bracket, 12 cavity, 13 support seat, 14 hydraulic push rod, 15 support plate, 16 gas cylinder, 17 neck relief component, 18 head relief component, 19 transmission component, 20 sliding block, 21 Threaded rod, 22 transmission rod, 23 drive belt, 24 drum, 25 air bag, 26 support block, 27 connecting block, 28 circular through hole, 29 eccentric wheel, 30 protrusion, 31 connecting rod one, 32 bevel gear one , 33 turntable, 34 drive rack, 35 driven gear, 36 bevel gear two, 37 connecting rod two.

具体实施方式Detailed ways

结合附图,对本发明作详细说明,但本发明的保护范围不限于下述实施例,即但凡以本发明申请专利范围及说明书内容所作的简单的等效变化与修饰,皆仍属本发明专利涵盖范围之内。The present invention is described in detail with reference to the accompanying drawings, but the protection scope of the present invention is not limited to the following examples, that is, any simple equivalent changes and modifications made based on the scope of the patent application of the present invention and the contents of the description still belong to the patent of the present invention covered.

参照图1-3,包括床体1,床体1上设有定位机构3,定位机构3包括盒体4,盒体4镶嵌在床体1上表面靠近床体1头部的位置处,盒体4上表面设有颈部定位枕5和头部定位枕6,盒体4靠近颈部定位枕5位置处的两侧壁上可旋转安装有上肢托起件2,上肢托起件2活动镶嵌在床体1上表面,上肢托起件2下方的床体1内构造有空腔12,空腔12内设置有用于推动上肢托起件2旋转上升的驱动组件7;1-3, including a bed 1, the bed 1 is provided with a positioning mechanism 3, the positioning mechanism 3 includes a box 4, the box 4 is inlaid on the upper surface of the bed 1 at a position close to the head of the bed 1, the box The upper surface of the body 4 is provided with a neck positioning pillow 5 and a head positioning pillow 6. The upper limb supporter 2 is rotatably installed on the two side walls of the box body 4 near the neck positioning pillow 5, and the upper limb supporter 2 is movable. Inlaid on the upper surface of the bed body 1, a cavity 12 is constructed in the bed body 1 below the upper limb supporter 2, and a drive assembly 7 for pushing the upper limb supporter 2 to rotate and rise is arranged in the cavity 12;

床体1为医院看护采用的常用病床,患者卧躺在床体1上,通过驱动组件7驱动上肢托起件2旋转上升和降落,能够使患者手臂被动的举升、下落活动,促进患者血液循环,加快患者功能恢复。The bed body 1 is a common hospital bed used in hospital care. The patient lies on the bed body 1, and the upper limb lifter 2 is driven to rotate, ascend and descend through the driving component 7, so that the patient's arm can be passively lifted and lowered, and the blood flow of the patient can be promoted. circulation and speed up the recovery of patient function.

参照图2,颈部定位枕5和头部定位枕6均采用软质透气材质且内部中空,颈部定位枕5上表面构造有弧形定位槽10,头部定位枕6上表面构造有圆形托槽11。2, both the neck positioning pillow 5 and the head positioning pillow 6 are made of soft and breathable material and are hollow inside, the upper surface of the neck positioning pillow 5 is configured with an arc-shaped positioning groove 10, and the upper surface of the head positioning pillow 6 is configured with a circular shape. Brackets 11.

患者在被动接受上肢康复训练时,颈部定位枕5和头部定位枕6能够对患者颈部和头部支撑,配合弧形定位槽10和圆形托槽11进行限位,避免康复训练过程中颈部偏转扭伤,且提高患者卧躺时的舒适感;When the patient is passively receiving upper limb rehabilitation training, the neck positioning pillow 5 and the head positioning pillow 6 can support the patient's neck and head, and cooperate with the arc positioning groove 10 and the circular bracket 11 to limit the position to avoid the rehabilitation training process. Deflection and sprain of the middle neck, and improve the comfort of the patient when lying down;

参照图2-3,驱动组件7包括液压推杆14,液压推杆14安装在空腔12内部远离颈部定位枕5的一端,液压推杆14的伸缩端连接有支撑座13,支撑座13滑动装置在空腔12内,且支撑座13上表面旋转连接有支撑板15,支撑板15远离支撑座13的一端与上肢托起件2下表面靠近颈部定位枕5的位置处旋转连接。2-3, the drive assembly 7 includes a hydraulic push rod 14, the hydraulic push rod 14 is installed at one end of the cavity 12 away from the neck positioning pillow 5, the telescopic end of the hydraulic push rod 14 is connected with a support seat 13, the support seat 13 The sliding device is in the cavity 12 , and the upper surface of the support base 13 is rotatably connected with a support plate 15 .

液压推杆14推动支撑座13朝向颈部定位枕5的一侧滑动,能够利用支撑板15将上肢托起件2旋转撑起,液压推杆14拉动支撑座13背向颈部定位枕5的一侧滑动,能够利用支撑板15带动上肢托起件2旋转下落,液压推杆14为本领域常用的动力元件,在此不做过多赘述。The hydraulic push rod 14 pushes the support seat 13 to slide toward the side of the neck positioning pillow 5 , and the upper limb lifter 2 can be rotated and supported by the support plate 15 , and the hydraulic push rod 14 pulls the support seat 13 away from the neck positioning pillow 5 . By sliding on one side, the support plate 15 can be used to drive the upper limb lifter 2 to rotate and fall. The hydraulic push rod 14 is a power element commonly used in the field, and will not be described here.

参照图2,上肢托起件2包括上臂托板8和小臂托板9,上臂托板8与盒体4旋转连接,上臂托板8和小臂托板9相互靠近一端朝向床体1中部的一侧通过转动轴旋转连接,上臂托板8和小臂托板9相互靠近一端面朝向床体1边部的位置处之间连接有弹簧(图中未示出)。2, the upper limb supporter 2 includes an upper arm support plate 8 and a forearm support plate 9, the upper arm support plate 8 is rotatably connected with the box body 4, and the upper arm support plate 8 and the forearm support plate 9 are close to each other at one end toward the middle of the bed body 1 One side of the bed is rotatably connected by a rotating shaft, and a spring (not shown in the figure) is connected between the positions where the upper arm support plate 8 and the forearm support plate 9 are close to each other at one end face toward the edge of the bed body 1 .

在上肢托起件2旋转升起后,小臂托板9能够朝向床体1内侧旋转,该结构有利于患者上肢康复训练过程中小臂主动弯曲,提高训练强度,弹簧镶嵌在上臂托板8和小臂托板9内,起到使小臂托板9复位的作用。After the upper limb supporter 2 is rotated and raised, the forearm support plate 9 can be rotated toward the inside of the bed body 1. This structure is conducive to the active bending of the forearm during the patient's upper limb rehabilitation training process and improves the training intensity. The spring is embedded in the upper arm support plate 8 and Inside the forearm support plate 9 , it plays the role of restoring the forearm support plate 9 .

参照图4-5,颈部定位枕5下方的盒体4内部设有颈部舒缓组件17,颈部舒缓组件17包括一对滑动块20,滑动块20滑动安装在盒体4内部且上表面安装有转筒24,转筒24探入颈部定位枕5内,滑动块20上螺纹穿设有螺纹杆21,螺纹杆21转动安装在盒体4内壁上,且盒体4内部转动安装有与上肢托起件2旋转轴驱动连接的传动杆22,传动杆22和螺纹杆21之间通过驱动皮带23传动连接。4-5, a neck relief component 17 is provided inside the box body 4 below the neck positioning pillow 5, and the neck relief component 17 includes a pair of sliding blocks 20, and the sliding blocks 20 are slidably installed inside the box body 4 and on the upper surface A rotating drum 24 is installed, the rotating drum 24 penetrates into the neck positioning pillow 5, a threaded rod 21 is threaded on the sliding block 20, and the threaded rod 21 is rotatably installed on the inner wall of the box body 4, and the inside of the box body 4 is rotatably installed with a threaded rod 21. The transmission rod 22 is drivingly connected with the rotating shaft of the upper limb holding member 2 , and the transmission rod 22 and the threaded rod 21 are connected by driving through the driving belt 23 .

在上肢托起件2旋转促使患者康复训练的同时,利用传动杆22和驱动皮带23的传动,能够带动螺纹杆21旋转,螺纹杆21旋转驱使滑动块20滑动,带动转筒24滚动挤压患者颈部,舒缓患者颈部肌肉,避免患者长时间躺卧造成颈椎压迫神经引起的脑供血不足,保证上肢康复训练能够促进心脏与头部之间的血液循环,且一对上肢托起件2同时旋转上升时,带动一对滑动块20相向靠近滑动,一对转筒24能够同时滚动挤压患者颈部;一对上肢托起件2交替旋转上升时,一对转筒24同样交替滚动挤压患者颈部,可根据患者需要自行调整。When the upper limb supporter 2 rotates to promote the patient's rehabilitation training, the transmission rod 22 and the drive belt 23 can be used to drive the threaded rod 21 to rotate, and the rotation of the threaded rod 21 drives the sliding block 20 to slide, driving the rotating drum 24 to roll and squeeze the patient Neck, soothe the neck muscles of the patient, avoid the insufficient blood supply to the brain caused by the cervical vertebra compressing the nerves caused by the patient lying down for a long time, ensure that the upper limb rehabilitation training can promote the blood circulation between the heart and the head, and a pair of upper limb support pieces 2 at the same time When the rotation rises, a pair of sliding blocks 20 are driven to slide close to each other, and the pair of rotating drums 24 can simultaneously roll and squeeze the patient's neck; when the pair of upper limb supporters 2 alternately rotate and rise, the pair of rotating drums 24 also alternately roll and squeeze The neck of the patient can be adjusted according to the needs of the patient.

参照图4和图6,头部定位枕6下方的盒体4内设有头部舒缓组件18,头部舒缓组件18包括探入头部定位枕6内的托块26,托块26下表面连接有位于盒体4内部的连接块27,连接块27上横向开设有圆形通孔28,圆形通孔28内部装置有偏心轮29。4 and 6 , the box body 4 below the head positioning pillow 6 is provided with a head relief component 18 , and the head relief component 18 includes a support block 26 that penetrates into the head positioning pillow 6 , and the lower surface of the support block 26 A connecting block 27 located inside the box body 4 is connected. The connecting block 27 is provided with a circular through hole 28 laterally, and an eccentric wheel 29 is arranged inside the circular through hole 28 .

患者躺卧后头部枕在头部定位枕6上,且通过托块26支撑,通过偏心轮29在圆形通孔28内转动,能够驱使连接块27带动托块26活动,利用托块26的活动能够实现对患者小脑部位的摩擦,加速脑部血液循环,改善脑部长时间卧躺导致的供血不足、缺氧等情况;After the patient is lying down, the head rests on the head positioning pillow 6, and is supported by the support block 26. The eccentric wheel 29 rotates in the circular through hole 28, and the connecting block 27 can be driven to drive the support block 26 to move. This activity can achieve friction on the patient's cerebellum, accelerate blood circulation in the brain, and improve the lack of blood supply and hypoxia caused by lying down for a long time in the brain;

参照图6,托块26上表面为圆弧凹面,圆弧凹面上设有若干个凸起。Referring to FIG. 6 , the upper surface of the support block 26 is a circular arc concave surface, and the circular arc concave surface is provided with several protrusions.

在托块26活动过程中,配合圆弧凹面内的若干个凸起,能够提高对患者小脑部位揉搓按摩的效果。During the movement of the support block 26 , the effect of rubbing and massaging the patient's cerebellum can be improved by cooperating with several protrusions in the concave surface of the circular arc.

参照图4和图7,偏心轮29与螺纹杆21之间设有传动组件19,传动组件19包括固定套设在螺纹杆21上的转盘33,转盘33一面的边侧设有驱动齿条34,转盘33一侧设有与驱动齿条34啮合的从动齿轮35,偏心轮29上连接有连接杆一31,连接杆一31远离偏心轮29的一端设有锥形齿轮一32,锥形齿轮一32一侧啮合有锥形齿轮二36,锥形齿轮二36与从动齿轮35之间通过连接杆二37连接。4 and 7, a transmission assembly 19 is provided between the eccentric wheel 29 and the threaded rod 21. The transmission assembly 19 includes a turntable 33 that is fixedly sleeved on the threaded rod 21, and a drive rack 34 is provided on one side of the turntable 33. , one side of the turntable 33 is provided with a driven gear 35 that meshes with the driving rack 34, the eccentric wheel 29 is connected with a connecting rod 31, and the end of the connecting rod 1 31 away from the eccentric wheel 29 is provided with a bevel gear 32. One side of the gear one 32 is meshed with a second bevel gear 36 , and the second bevel gear 36 and the driven gear 35 are connected by a second connecting rod 37 .

颈部挤压舒缓的同时,螺纹杆21带动转盘33旋转,在驱动齿条34和从动齿轮35的啮合驱动下,驱动锥形齿轮二36和锥形齿轮一32同步转动,锥形齿轮一32能够带动偏心轮29旋转,实现了患者而上肢康复训练、颈部挤压舒缓按摩与脑部揉搓按摩的同步进行,通过颈部加压按摩,解决上肢运动时血液流通受阻的问题,通过加速脑部血液流通,缓解患者康复训练导致血液加速、气血上涌造成的脑胀头晕的症状。When the neck is squeezed and relieved, the threaded rod 21 drives the turntable 33 to rotate. Under the meshing drive of the driving rack 34 and the driven gear 35, the driving bevel gear 2 36 and the bevel gear 1 32 rotate synchronously, and the bevel gear 1 rotates synchronously. 32 can drive the eccentric wheel 29 to rotate, realizing the synchronization of upper limb rehabilitation training, neck squeezing and soothing massage and brain rubbing massage. The circulation of blood in the brain can relieve the symptoms of brain swelling and dizziness caused by the acceleration of blood and the upsurge of qi and blood caused by the rehabilitation training of patients.

参照图3,空腔12内部靠近颈部定位枕5的一端安装有气筒16,气筒16的推杆与支撑座13连接,转筒24外壁上设有呈条形结构的气囊25,气囊25与气筒16通过气管连通。3 , an air cylinder 16 is installed inside the cavity 12 near one end of the neck positioning pillow 5 , the push rod of the air cylinder 16 is connected to the support seat 13 , and the outer wall of the rotating cylinder 24 is provided with a strip-shaped air bag 25 . The gas cylinder 16 communicates through the trachea.

在康复训练过程中,支撑座13滑动的同时能够对气筒16充放气,气筒16充气时,转筒24滚动挤压患者颈部,此时气筒16给转筒24表面的25气囊充气,在患者颈部与转筒24之间形成缓冲层,避免了转筒24与患者颈部之间的机械挤压,防止患者肌肤压伤。During the rehabilitation training process, the support base 13 can inflate and deflate the air cylinder 16 while sliding. When the air cylinder 16 is inflated, the rotating cylinder 24 rolls and squeezes the patient's neck. A buffer layer is formed between the patient's neck and the rotating drum 24 , which avoids mechanical extrusion between the rotating drum 24 and the patient's neck and prevents the patient's skin from being crushed.

参照图1-2,图盒体4侧壁上开设有散热孔,床体1上开设有与散热孔连通的通风孔,在康复训练、颈部舒缓按摩以及头部按摩同步进行时,患者毛囊开启,此时利用散热孔和通风孔将盒体4内部与外界空气连通,有利于汗液和毒素排出。1-2, the side wall of the box body 4 is provided with heat dissipation holes, and the bed body 1 is provided with ventilation holes communicated with the heat dissipation holes. When the rehabilitation training, neck soothing massage and head massage are carried out simultaneously, the hair follicles of the patient are not affected. Open, at this time, the inside of the box body 4 is communicated with the outside air by means of heat dissipation holes and ventilation holes, which is conducive to the discharge of sweat and toxins.

工作原理:该心血管内科护理用康复训练装置,使用时,通过液压推杆14推动支撑座13在空腔12内部滑动,能够借助支撑板15带动上肢托起件2旋转升起或降落,辅助患者完成上肢举升康复训练,通过开设有弧形定位槽10的颈部定位枕5和开设有圆形托槽11的头部定位枕6,能够对患者颈部和头部定位;上肢托起件2旋转进行康复训练过程中,利用传动杆22和驱动皮带23的传动,带动螺纹杆21旋转,促使滑动块20滑动,能够驱使转筒24滚动挤压患者颈部;螺纹杆21旋转能够同时带动转盘33转动,利用驱动齿条34和从动齿轮35的啮合驱动锥形齿轮二36同步转动,锥形齿轮二36驱动锥形齿轮一32转动,进而带动偏心轮29在圆形通孔28内偏心旋转,偏心轮29的偏心旋转驱使连接块27连同托块26上下活动,利用托块26上表面的凸起,达到对患者小脑部位揉搓按摩的目的。Working principle: The rehabilitation training device for cardiovascular medicine nursing, when in use, pushes the support base 13 to slide inside the cavity 12 through the hydraulic push rod 14, and can use the support plate 15 to drive the upper limb lifter 2 to rotate up or down, assisting After the patient has completed the upper limb lifting rehabilitation training, the neck and head of the patient can be positioned by opening the neck positioning pillow 5 with the arc-shaped positioning groove 10 and the head positioning pillow 6 with the circular bracket 11; During the rehabilitation training process during the rotation of the component 2, the transmission rod 22 and the driving belt 23 are used to drive the threaded rod 21 to rotate, so as to promote the sliding block 20 to slide, which can drive the rotating drum 24 to roll and squeeze the patient's neck; the rotation of the threaded rod 21 can simultaneously The turntable 33 is driven to rotate, and the meshing of the driving rack 34 and the driven gear 35 is used to drive the second bevel gear 36 to rotate synchronously. The inner eccentric rotation, the eccentric rotation of the eccentric wheel 29 drives the connecting block 27 together with the support block 26 to move up and down, and the protrusion on the upper surface of the support block 26 is used to achieve the purpose of rubbing and massaging the patient's cerebellum.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (6)

1. The utility model provides a rehabilitation training device is used in cardiovascular internal medicine nursing, includes bed body (1), its characterized in that: the upper limb lifting device is characterized in that 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, close to the head of the bed body (1), of the upper surface 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, close to the neck positioning pillow (5), of the box body (4), the upper limb supporting pieces (2) are movably embedded on the upper surface of the bed body (1), a cavity (12) is constructed 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);
the neck positioning pillow (5) and the head positioning pillow (6) are both made of soft breathable materials and are hollow inside, an arc-shaped positioning groove (10) is formed in the upper surface of the neck positioning pillow (5), and a circular bracket (11) is formed in the upper surface of the head positioning pillow (6);
a neck relieving assembly (17) is arranged in the box body (4) below the neck positioning pillow (5), the neck relieving assembly (17) comprises a pair of sliding blocks (20), the sliding blocks (20) are slidably mounted in the box body (4), a rotary drum (24) is mounted on the upper surface of the sliding blocks (20), the rotary drum (24) extends into the neck positioning pillow (5), a threaded rod (21) penetrates through the upper thread of each sliding block (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 piece (2) is rotatably mounted in the box body (4), and the transmission rod (22) is in driving connection with the threaded rod (21) through a driving belt (23);
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), the lower surface of the supporting block (26) is connected with a connecting block (27) positioned in the box body (4), a circular through hole (28) is transversely formed in the connecting block (27), and an eccentric wheel (29) is arranged in the circular through hole (28);
be equipped with drive assembly (19) between eccentric wheel (29) and threaded rod (21), drive assembly (19) are equipped with drive rack (34) including fixed carousel (33) of establishing on threaded rod (21) of cover, and the avris of carousel (33) one side is equipped with drive rack (34), and carousel (33) one side is equipped with driven gear (35) with drive rack (34) meshing, be connected with connecting rod (31) on eccentric wheel (29), the one end that eccentric wheel (29) were kept away from in connecting rod (31) is equipped with conical gear (32), and conical gear (32) one side meshing has conical gear two (36), is connected through connecting rod two (37) between conical gear two (36) and driven gear (35).
2. The rehabilitation training device for nursing in cardiovascular internal medicine according to claim 1, characterized in that: drive assembly (7) include hydraulic rod (14), and hydraulic rod (14) are installed in the inside one end of keeping away from neck location pillow (5) of cavity (12), and the flexible end of hydraulic rod (14) is connected with supporting seat (13), and supporting seat (13) slider is in cavity (12), just surface swivelling joint has backup pad (15) on supporting seat (13), and the one end that supporting seat (13) were kept away from in backup pad (15) and upper limbs hold up piece (2) lower surface and locate swivelling joint near the position of neck location pillow (5).
3. The rehabilitation training device for nursing in cardiovascular internal medicine according to claim 1, characterized in that: upper limbs hold up piece (2) and include upper arm layer board (8) and forearm layer board (9), upper arm layer board (8) and box body (4) swivelling joint, one end that upper arm layer board (8) and forearm layer board (9) are close to each other is passed through axis of rotation swivelling joint towards one side at bed body (1) middle part, and upper arm layer board (8) and forearm layer board (9) are close to each other and are connected with the spring between the position department of a terminal surface towards bed body (1) limit portion.
4. The rehabilitation training device for nursing in cardiovascular internal medicine according to claim 1, characterized in that: an air cylinder (16) is installed at one end, close to the neck positioning pillow (5), inside the cavity (12), a push rod of the air cylinder (16) is connected with the supporting seat (13), an air bag (25) which is of a strip-shaped 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.
5. The rehabilitation training device for nursing in cardiovascular internal medicine according to claim 1, characterized in that: the upper surface of the supporting block (26) is an arc concave surface, and a plurality of bulges are arranged on the arc concave surface.
6. The rehabilitation training device for nursing in cardiovascular internal medicine according to claim 1, characterized in that: the side wall of the box body (4) is provided with heat dissipation holes, and the bed body (1) is provided with ventilation holes communicated with the heat dissipation holes.
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