CN114145900B - Ostomy chassis for preventing intestinal canal prolapse after neonatal enterostomy - Google Patents

Abstract

The invention discloses a stomal chassis for preventing the prolapse of intestinal canal after the neonatal enterostomy, which comprises a pasting disk, wherein the pasting disk is 10cm x8cm elliptical, a round hole with the diameter of 1cm is formed in the middle, the round hole is communicated with the bottom of a cover body, a transparent film is arranged outside the pasting disk, a cutting ring is arranged on the surface of the film, the cutting ring consists of a group of concentric circles, the diameter of the cutting ring is 1cm, 2cm and 3cm from the center outwards, the bottom of the cover body is tightly adhered with the pasting disk, the diameter of the bottom of the cover body is 3cm, the height of the cover body is 2cm, a drain hole with the diameter of 1cm and the height of 0.5cm is formed at the top, the drain hole and the cover body are integrally formed, and four drainage ports are formed around the bottom of the cover body.

Description

A stoma chassis for preventing bowel prolapse after neonatal enterostomy

technical field

The invention relates to the field of medical technology, in particular to a stoma chassis for preventing intestinal tube prolapse after neonatal enterostomy.

Background technique

Stoma prolapse refers to the intestinal loop turning out from the inside of the enterostomy, and the length can reach several centimeters to more than 20cm. It is one of the most serious complications after enterostomy surgery. Stoma prolapse is often accompanied by enterostomy bleeding, edema, ulcer, dermatitis, etc. In severe cases, intestinal volvulus, obstruction or even intestinal necrosis may occur.

The main factors for the occurrence of enterostomy prolapse include surgical factors:

If the opening of the abdominal wall is too large;

1. The position of the enterostomy: the enterostomy is not pulled out in the rectus abdominis muscle, lacking the muscle support of the rectus abdominis muscle;

2. Weak abdominal wall: the weak abdominal wall due to physiological reasons, coupled with increased abdominal pressure and other factors, will eventually lead to prolapse of the intestinal stoma mucosa, and the length of the prolapsed intestinal loop will increase with the increase of abdominal pressure;

3. Elevated abdominal pressure: Various factors that cause increased abdominal pressure can lead to prolapse of the enterostomy.

And newborns have their own particularities: 1. They have no self-awareness, so they have no self-protection awareness for enterostomy; 2. Newborns have poor development of abdominal wall musculature, and children with enterostomy often suffer from nutritional problems due to digestive system diseases. Therefore, the rectus abdominis is difficult to touch and affect the positioning of the stoma, and the weak abdominal wall is prone to stoma prolapse due to excessive abdominal pressure; 3. High abdominal pressure: children after enterostomy often suffer from pain stimulation, fasting or Insufficient milk volume and other severe crying, resulting in excessive abdominal pressure. Therefore, neonates are at high risk for enterostomy prolapse.

At present, the way to deal with stoma prolapse is manual restoration and surgical re-fixation. Re-operation will increase the trauma and pain of the child, increase treatment costs, and induce doctor-patient disputes. Moreover, intestinal stomas that can be restored by manipulation are generally not suitable. Surgical re-fixation will be used; however, prolapse of the stoma will occur again due to the above reasons after the manipulation is restored.

At present, there is no nursing product on the market to prevent the prolapse of the enterostomy. When the prolapse of the enterostomy occurs, it is usually fixed by hand, and then fixed with the aid of a pacifier (first cut a small hole in the protruding end of the pacifier, and then put the pacifier cover the exposed intestinal tube, and finally use the stoma chassis to pressurize and fix the outer layer), but there are some problems with this method:

1. Putting the protruding end of the pacifier into the intestinal tube will stimulate the intestinal mucosa, causing local erosion, bleeding, and even necrosis of the intestinal mucosa and other complications.

2. The protruding end of the pacifier is easy to slip out of the intestinal tube, and pressure injury may occur under the continuous pressure of the stoma chassis, irritating the enterostomy and surrounding skin, causing enterostomy bleeding, edema and edge skin hyperplasia.

3. The operation is complicated, and the nursing is difficult. Many people are required to cooperate with the operation each time, which increases the workload of clinical nursing and wastes manpower.

Contents of the invention

The purpose of the present invention is to provide a stoma chassis for preventing intestinal prolapse after enterostomy in newborns to solve the problem that the protruding end of the existing pacifier proposed in the background technology is put into the intestine, which will stimulate the intestinal mucosa and cause localized Complications such as erosion, bleeding, and even necrosis, the protruding end of the nipple is easy to slip out of the intestinal tube, and pressure injury may occur under the continuous pressure of the stoma chassis, irritating the enterostomy and surrounding skin, causing enterostomy bleeding and edema And edge skin hyperplasia, complex operation, difficult nursing, each time many people need to cooperate with the operation, increase the workload of clinical nursing and waste manpower.

In order to achieve the above object, the present invention provides the following technical solutions: a stoma chassis for preventing intestinal tube prolapse after neonatal enterostomy, including a pasting disk 1, the pasting disk is 10cm x 8cm oval, and there is a A circular hole with a diameter of 1 cm communicates with the bottom of the cover body. There is a layer of transparent film on the outside of the paste plate, and a cutting circle is arranged on the surface of the film. The cutting circle is composed of a group of concentric circles, and the diameters of the cutting circle are 1cm, 2cm and 3cm from the center to the outside.

As a preferred solution of the present invention: the bottom of the cover body is closely bonded to the paste plate, the bottom of the cover body has a diameter of 3 cm and a height of 2 cm, and the top is provided with a discharge port with a diameter of 1 cm and a height of 0.5 cm, the discharge port and the cover The body is integrally formed, and there are four drainage openings around the bottom of the cover body. The drainage openings are semi-elliptical and the size is: 0.5cm x 0.5cm. The cover body is made of transparent material.

As a preferred solution of the present invention: the paste disc is provided with a circular fixing device, the diameter of the circular fixing device is 7cm, the circular fixing device is provided with a first buckle, and the circular fixing device adopts a screw thread The connection mode is connected with the body of the ostomy bag, and the buckle plays a secondary fixing role. There are two triangular fixing devices on the left and right outside the circular fixing device. The triangular fixing device is provided with 2 circular small holes, the diameters of which are both 0.3 cm, and the triangular fixing device is used for external fixing of the pasting disc.

As a preferred solution of the present invention: the bag body of the ostomy bag has a capsule structure and an opening is provided on one side of the capsule structure, and a threaded fixing device is provided on the opening to be threadedly connected with the pasting disk 1. A second buckle is provided, and the second buckle is docked with the snap-in opening on the pasting plate to form a secondary fixation. The lower part of the body of the ostomy bag is provided with an excrement outlet, and a sealing strip is provided at the exit. The strip can seal the excrement after it comes out.

As a preferred solution of the present invention: the circular small holes are arranged symmetrically.

As a preferred solution of the present invention: the outer edge of the bottom of the pasting tray is fixedly provided with fixing glue.

As a preferred solution of the present invention: one end of the pasting disk is elongated, and the other end of the pasting disk is oval.

As a preferred solution of the present invention: the cutting ring is made of soft rubber material.

As a preferred solution of the present invention: a first fixed ring is fixedly installed on the top of the paste plate 1, and three threaded cylinders are arranged on the side of the middle part of the first fixed ring, and a screw rod is threaded inside the threaded cylinder. One end of the screw rod is fixedly mounted with a first nut, and the tops of the three threaded tubes opposite to the top positions of the first fixed rings are threadedly connected with second nuts, and one end of the screw rod is fixedly mounted with a block.

As a preferred solution of the present invention: a mounting block is fixedly installed in the middle of the paste plate, a stoma is opened in the middle of the mounting block, sliding seats are symmetrically installed in pairs on the top of the mounting block, and several sliding seats A slide block is slidably connected to the top of the seat, and one end of the slide block is provided with a bayonet socket. Two support columns are installed inside the bayonet socket, and a rubber block is fixedly installed at one end of the support column.

Compared with prior art, the beneficial effect of the present invention is:

1) The improvement of the chassis of the two-piece ostomy bag can effectively prevent the problem of easy prolapse of the intestinal tube after neonatal surgery, and at the same time limit the prolapsed intestinal tube to avoid prolapse again, thereby reducing neonatal ostomy. Complications after oral surgery can promote the recovery of children and shorten the length of hospitalization. At the same time, the cover is hollow and made of soft and transparent material, which can limit the prolapse of the intestinal tube, and will not stimulate the intestinal mucosa to cause local erosion and bleeding of the intestinal mucosa. ;

2) The transparent material is more conducive for the caregiver to observe the intestinal tube and find abnormalities in time. In addition, the cover is equipped with multiple drainage ports, including the main excretion port at the top and four auxiliary drainage ports at the bottom, so it can prevent Intestinal discharge is well drained. On the one hand, it can reduce the occurrence of leakage and avoid the occurrence of fecal water dermatitis. On the other hand, it can reduce the replacement frequency of the stoma chassis and save stoma care The cost of supplies.

Description of drawings

Fig. 1 is a structural representation of the present invention;

Fig. 2 is a schematic structural view of the spraying screw fixing device of the present invention;

Fig. 3 is a structural schematic diagram of the first fixed ring of the present invention;

Fig. 4 is a schematic diagram of the structure of the mounting block of the present invention.

In the figure: 1. Sticking plate; 2. Round hole; 3. Cutting ring; 4. Circular fixing device; 5. First buckle; 6. Triangular fixing device; 7. Round hole; 8. Cover body; 9. Excretion port; 10. Drainage port; 11. Second buckle; 12. Screw fixing device; 13. Ostomy bag body; 14. Sealing strip; 15. First fixing ring; 151. Thread barrel; 152. Screw rod ; 153, block; 154, first nut; 155, second nut; 16, installation block; 161, stoma; 17, sliding seat; 171, slider; 174, rubber block.

Detailed ways

The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

Please refer to Figures 1-4, the present invention provides a technical solution: a stoma chassis for preventing intestinal prolapse after enterostomy in newborns, including a paste plate 1, which is 10cm x 8cm oval, and the middle A round hole 2 with a diameter of 1 cm is provided, and the round hole 2 communicates with the bottom of the cover body 8. There is a layer of transparent film outside the paste plate 1, and a cutting circle 3 is provided on the surface of the film. The cutting circle 3 is composed of a group of concentric circles. The cutting circle 3 The diameters from the center to the outside are 1cm, 2cm and 3cm respectively.

In this embodiment: the bottom of the cover body 8 is tightly bonded to the paste plate 1, the bottom of the cover body 8 has a diameter of 3 cm and a height of 2 cm, and the top is provided with a discharge port 9 with a diameter of 1 cm and a height of 0.5 cm. The discharge port 9 and the cover The body 8 is integrally formed, and there are four drainage openings 10 around the bottom of the cover body 8. The drainage openings 10 are semi-elliptical and have a size of 0.5cm x 0.5cm. The cover body 8 is made of transparent material.

In this embodiment: the pasting disk 1 is provided with a circular fixing device 4, and the diameter of the circular fixing device 4 is 7 cm. The circular fixing device 4 is provided with a first buckle 5. The ostomy bag body 13 is connected, the first buckle 5 plays a secondary fixing role, and the circular fixing device 4 is provided with two triangular fixing devices 6 on the left and right. The triangular fixing device 6 is closely bonded to the paste plate 1. 6 is provided with 2 circular small holes 7, and the diameter of the circular small holes 7 is 0.3cm, and the triangular fixing device 6 is used for external fixation of the pasting disc 1.

In this embodiment: the ostomy bag body 13 is in a capsule structure and an opening is provided on one side of the capsule structure, and a threaded fixing device 12 is provided on the opening to be threadedly connected with the pasting disc 1. The threaded fixing device 12 is provided with a second Buckle 11, the second buckle 11 forms secondary fixation after being docked with the snap-in opening on the pasting plate 1, and an excrement outlet is provided at the lower part of the ostomy bag body 13, and a sealing strip 14 is provided at the exit, and the sealing strip 14 can Seal the excrement after it comes out.

In this embodiment: the circular small holes 7 are arranged symmetrically.

In this embodiment: the outer edge of the bottom of the pasting tray 1 is fixedly provided with fixing glue.

In this embodiment: one end of the pasting disk 1 is elongated, and the other end of the pasting disk 1 is oval.

In this embodiment: the cutting circle 3 is made of soft rubber material.

In this embodiment: the top of the pasting plate 1 is fixedly equipped with a first fixed ring 15, and the middle side of the first fixed ring 15 is provided with three threaded cylinders 151, and the inner threads of the threaded cylinders 151 are connected with a screw rod 152, one end of the screw rod 152 A first nut 154 is fixedly installed, a second nut 155 is threadedly connected to the top of the threaded barrel 151 at the top of the three first fixed rings 15 opposite to each other, and a block 153 is fixedly installed at one end of the screw rod 152 .

In specific use, in order to avoid postoperative stoma prolapse often accompanied by enterostomy bleeding, edema, ulcers, dermatitis, etc. In severe cases, intestinal volvulus, obstruction or even intestinal necrosis may occur, and enterostomy prolapse occurs. The adhesive tape at the bottom of the adhesive plate 1 is firmly fixed to the first fixed ring 15, and the three screw rods 152 are screwed inside the threaded cylinder 151, and the screw rod 152 is rotated by the first nut 154 at one end, so that the first nut 154 is in the In the process of rotation, the block 153 at one end of the screw 152 blocks the prolapse of the enterostomy. In order to prevent the opening of the abdominal wall during the operation from being too large, the prolapse of the enterostomy in the following situations is handled. When the rectus abdominis is pulled out, lack of muscle support of the rectus abdominus, or the strength of the abdominal wall is weak due to physiological reasons, coupled with factors such as increased abdominal pressure, to avoid prolapse of the intestinal stoma mucosa, the length of the prolapsed intestinal loop varies with the abdominal wall. The pressure is increased and lengthened, thereby preventing prolapse.

In this embodiment: a mounting block 16 is fixedly installed in the middle of the pasting plate 1, and a stoma 161 is provided in the middle of the mounting block 16. Sliding seats 17 are installed symmetrically in pairs on the top of the mounting block 16, and the tops of several sliding seats 17 are slidably connected. There is a slide block 171, one end of the slide block 171 is provided with a bayonet socket 172, two support columns 173 are installed inside the bayonet socket 172, and a rubber block 174 is fixedly installed at one end of the support column 173.

During specific use, the pasting disc 1 is pasted on the side of the opening of the ostomy operation, and the sliding seat 17 on the installation block 16 is manually slid, and the sliding of the sliding seat 17 facilitates the bayonet openings 172 to approach each other in pairs, so that one end of the support column 173 The rubber block 174 squeezes and fixes the prolapse of the enterostomy, keeps the tightness appropriate, observes to avoid crushing and confines the intestinal tube to prevent prolapse, and can also pressurize and fix the prolapsed intestinal tube to prevent prolapse again. The hollow design of the frame bayonet 172 will not stimulate the intestinal mucosa to cause bleeding and erosion of the mucosa.

Working principle: the flat bottom of the existing two-piece ostomy bag is designed as a local protrusion (that is, the cover body 8), and the flat stoma chassis around it can limit the intestinal tract on the one hand and prevent it from prolapse; on the other hand, it can also It can pressurize and fix the prolapsed intestinal tube to prevent re-prolapse. The hollow design will not stimulate the intestinal mucosa to cause bleeding and erosion of the mucosa. At the same time, the cover body 8 is made of soft and transparent material, which is beneficial for caregivers to monitor the intestinal tube. Observe, find abnormalities and deal with them in time. The cover body 8 is provided with multiple drain ports 9, including the drain port 9 on the top and four drainage ports 10 at the bottom, which can drain the discharge well and avoid leakage. Reduce complications, thereby facilitating the care of the caregiver and saving the cost of using the ostomy bag.

Preparations before pasting: clean and dry the skin around the stoma with warm water or normal saline, measure the diameter of the stoma with a stoma ruler, use scissors to surround the central hole 2 of the pasting disk 1 and cut the chassis along the cutting circle 3, so that Its diameter is 1-2 mm larger than the actual diameter of the measured stoma 161, and then the burrs left after rounding and cutting are rounded with fingers, and finally the pasting disc 1 is heated with both hands for standby;

Adhesive stoma bag: first confirm the direction, the fixing device of the adhesive disc 1 should be located on the left and right sides of the body, and keep them parallel, then apply leak-proof ointment evenly around the stoma 161, and then remove the transparent film on the adhesive disc 1 to make the adhesive disc 1 to align the opening of the enterostomy, and keep the entire sticking disc 1 flat on the skin around the stoma. For children with stoma prolapse, the intestinal tube should be retracted manually first, and then the above operations should be performed, if necessary. Two people can cooperate;

Gently press around the stoma with your fingers to make the pasting disc 1 stick to the skin around the stoma more firmly;

Paste the ostomy bag body 13: match the threaded fixing device 12 of the ostomy bag body 13 with the threaded fixing device 12 of the pasting disk 1, then gently rotate the bag body, until the snap-fit opening of the bag body coincides with the snap-fit port of the pasting disk 1 , indicating that the threaded connection has been completed;

Re-reinforce the paste plate 1: use a self-made simple belt, respectively connect the round holes 2 of the left and right triangular fixing devices 6 of the paste plate 1, and then fix it around the child's abdomen to keep it tight and suitable, and observe frequently to avoid crushing.

Replacing the ostomy bag: use medical glue remover to spray on the contact surface between the ostomy bag sticking plate 1 and the skin, then gently remove the ostomy bag body 13, and repeat the above steps.

The content that is not described in detail in this description belongs to the prior art known to those skilled in the art. Although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art can still implement the foregoing Modifications to the technical solutions recorded in the examples, or equivalent replacements for some of the technical features, within the spirit and principles of the present invention, any modifications, equivalent replacements, improvements, etc., shall be included in the scope of protection of the present invention within.

Claims (8)

1. The ostomy chassis for preventing the intestinal canal prolapse of the neonate enterostomy comprises a pasting disc (1) and is characterized in that the pasting disc (1) is elliptical with a long axis of 10cm x and a short axis of 8cm, a round hole (2) with the diameter of 1cm is formed in the middle of the pasting disc, the round hole (2) is communicated with the bottom of a cover body (8), a layer of transparent film is arranged outside the pasting disc (1), a cutting ring (3) is arranged on the surface of the film, the cutting ring (3) is formed by a group of concentric circles, and the diameters of the cutting ring (3) are 1cm, 2cm and 3cm from the center to the outside respectively;

the novel adhesive tape is characterized in that the bottom of the cover body (8) is tightly adhered to the adhesive tape (1), the diameter of the bottom of the cover body (8) is 3cm, the height of the cover body is 2cm, the diameter of the top of the cover body is 1cm, the height of the cover body is 0.5cm, the cover body (8) and the cover body (9) are integrally formed, four drainage ports (10) are formed in the periphery of the bottom of the cover body (8), and the drainage ports (10) are semi-elliptical and are of the size: 0.5cm x 0.5cm, wherein the cover body (8) is made of transparent materials;

the top fixed mounting of pasting dish (1) has first retainer plate (15), the middle part avris of first retainer plate (15) is provided with three screw thread section of thick bamboo (151), single the inside threaded connection of screw thread section of thick bamboo (151) has screw rod (152), the one end fixed mounting of screw rod (152) has first nut (154), the relative single screw thread section of thick bamboo (151) top threaded connection in first retainer plate (15) top position has second nut (155), screw rod (152) one end fixed mounting has fixture block (153).

2. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 1, wherein: circular fixing device (4) are arranged outside paste dish (1), circular fixing device (4) diameter is 7cm, circular fixing device (4) are equipped with first buckle (5) outward, circular fixing device (4) adopt threaded connection mode and make pocket bag body (13) to be connected, first buckle (5) play secondary fixed action, respectively be equipped with two triangle-shaped fixing device (6) about circular fixing device (4), triangle-shaped fixing device (6) closely bond with paste dish (1), be equipped with 2 circular apertures (7) on triangle-shaped fixing device (6), circular aperture (7) diameter all is 0.3cm, triangle-shaped fixing device (6) are used for pasting the external fixation of dish (1).

3. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 2, wherein: the bag body (13) of the ostomy bag is of a saccular structure, one side of the saccular structure is provided with an opening, a thread fixing device (12) is arranged on the opening and is in threaded connection with the pasting disc (1), a second buckle (11) is arranged on the thread fixing device (12), the second buckle (11) is in butt joint with a clamping opening on the pasting disc (1) to form secondary fixation, a excrement outlet is formed in the lower portion of the bag body (13) of the ostomy bag, a sealing strip (14) is arranged at the rear of the excrement outlet, and the sealing strip (14) can seal the excrement after the excrement is discharged.

4. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 2, wherein: the round small holes (7) are symmetrically arranged.

5. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 1, wherein: the outer edge of the bottom of the pasting disk (1) is fixedly provided with fixing glue.

6. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 1, wherein: one end of the pasting disk (1) is strip-shaped, and the other end of the pasting disk (1) is elliptic.

7. An ostomy chassis for preventing post-enterostomy tube prolapse in newborns as in claim 1, wherein: the cutting ring (3) is made of soft rubber materials.

8. An ostomy chassis for preventing prolapse of the intestinal tract after a neonatal enterostomy, characterized in that: the adhesive disc comprises an adhesive disc (1) and is characterized in that the adhesive disc (1) is 10cm x8cm elliptical, a round hole (2) with the diameter of 1cm is formed in the middle of the adhesive disc, the round hole (2) is communicated with the bottom of a cover body (8), a layer of transparent film is arranged outside the adhesive disc (1), a cutting ring (3) is arranged on the surface of the film, the cutting ring (3) consists of a group of concentric circles, and the diameter of the cutting ring (3) is 1cm, 2cm and 3cm from the center to the outside respectively;

the novel adhesive tape is characterized in that the bottom of the cover body (8) is tightly adhered to the adhesive tape (1), the diameter of the bottom of the cover body (8) is 3cm, the height of the cover body is 2cm, the diameter of the top of the cover body is 1cm, the height of the cover body is 0.5cm, the cover body (8) and the cover body (9) are integrally formed, four drainage ports (10) are formed in the periphery of the bottom of the cover body (8), and the drainage ports (10) are semi-elliptical and are of the size: 0.5cm x 0.5cm, wherein the cover body (8) is made of transparent materials;

the utility model discloses a pasting dish, including pasting dish (1) and pasting dish, the middle part fixed mounting of dish (1) has installation piece (16), make mouth (161) have been seted up at the middle part of installation piece (16), sliding seat (17) are installed to the two liang of symmetries in top of installation piece (16), a plurality of sliding seat (17) top sliding connection has slider (171), the one end of slider (171) is provided with bayonet socket (172), the internally mounted of bayonet socket (172) has two support columns (173), the one end fixed mounting of support column (173) has rubber piece (174).