CN206026309U - Cough capability assessment ware - Google Patents

Abstract

The utility model discloses a cough ability evaluator, which comprises a cylindrical body with an opening at one end, a support structure for supporting and placing detection filter paper is arranged inside the body, and the detection filter paper is placed on the support device and arranged toward the opening end. The evaluator is equipped with detection filter paper, which can preliminarily judge whether the patient has coughing ability and the strength of coughing ability according to the degree and range of wet spots coughed up by the patient on the filter paper, so as to improve the accuracy of evaluation, reduce the influence of subjective factors, and accurately judge Patient condition, reduce rehabilitation cost. The evaluator has a simple structure and is easy to use, can replace different filter papers to detect multiple patients, and has low cost.

Description

A Cough Evaluator

technical field

The utility model belongs to the design technical field of medical testing instruments, in particular to a cough ability evaluator.

Background technique

Clinically, critically ill, stroke, elderly and tracheotomy patients are often accompanied by weakened or disappeared cough reflex. The strength of cough ability has very important clinical significance for the prevention of aspiration, stroke-related pneumonia, timely removal of artificial airway, and correct assessment of patient prognosis.

Tracheotomy is a treatment method to quickly solve the problem of airway obstruction, and it is an important method to rescue critically ill patients. At present, the basis for extubation after tracheotomy is mainly based on stable vital signs, strong spontaneous breathing, strong coughing, and independent and effective cleaning. Multiple response characteristics such as the respiratory tract are used for judgment. However, there is no standardized or quantified exact definition of cough forcefulness. At present, the judgment of cough intensity is often only based on the subjective judgment of the evaluator. Usually, whether the patient has cough or not is scored, generally on a scale of 0-5, 0 being no cough, 1 being no audible cough, and 2 being audible cough. Weak cough was heard, 3 points were audible and obvious coughing, 4 points were severe coughing, and 5 points were continuous severe coughing multiple times. The accuracy of subjective judgment alone is not high, and it is difficult to make a correct judgment due to non-quantitative indicators such as cough strength and cough intensity, which increases the re-intubation rate after tracheotomy and extubation, and affects the health of patients. lead to an increase in patient rehabilitation costs. Therefore, it is extremely necessary to use a quantifiable assessment tool for accurate and effective assessment of cough intensity in patients after tracheotomy. However, there is still a lack of an effective and easy-to-use tool for initial evaluation of cough ability in patients.

Therefore, in view of the above problems, it is necessary to propose a simple cough ability evaluator to effectively determine whether a patient has cough ability and the strength of cough ability, improve the accuracy of the evaluation, and reduce the influence of subjective factors.

Utility model content

In view of this, the utility model provides a cough ability evaluator, through a simple structural design, it can preliminarily judge whether the patient has the cough ability and the strength of the cough ability through the degree and range of the wet spot coughed up by the patient on the detection filter paper , improve the accuracy of evaluation, reduce the influence of subjective factors, accurately judge the patient's condition, and reduce the cost of rehabilitation.

A cough ability evaluator proposed according to the purpose of the present utility model includes a body with a cylindrical structure, one end of the body is open, and a support structure for supporting and placing a detection filter paper is arranged inside the body, and the detection filter paper is placed on the The support structure is positioned towards the open end.

Preferably, the supporting structure includes a bottom supporting frame arranged at the bottom of the body, the outer side of the bottom supporting frame is fixed to the body, and the detection filter paper is arranged on the bottom supporting frame.

Preferably, the bottom support frame is a mesh structure, and the bottom support frame is arranged parallel to the open end of the body.

Preferably, the detection filter paper has a diameter smaller than or equal to the inner diameter of the body.

Preferably, the support structure includes an internal support frame disposed inside the body, the outer side of the internal support frame is fixed to the inner wall of the body, and the detection filter paper is disposed on the internal support frame.

Preferably, the support structure includes a bottom support frame and an internal support frame disposed inside the body, the internal support frame and the bottom support frame are arranged in parallel, and at least one support column is vertically connected between the two to form an I-shaped structure.

Preferably, the internal support frame is located at the open end.

Preferably, both the inner support frame and the bottom support frame include at least one support rod, and when multiple support rods are used, the support rods intersect at the central point of the body.

Preferably, a connecting portion is further provided on the outer wall of the body, and a tie is connected to the connecting portion.

Compared with the prior art, the advantages of the cough ability evaluator disclosed in the utility model are:

The evaluator is equipped with a detection filter paper, which can preliminarily judge whether the patient has cough ability and the strength of the cough ability according to the degree and scope of the wet stain on the detection filter paper coughed up by the patient, so as to improve the accuracy of the evaluation, reduce the influence of subjective factors, and accurately Judge the patient's condition and reduce the cost of rehabilitation.

The evaluator has a simple structure and is easy to use, can replace different filter papers to detect multiple patients, and has low cost.

Description of drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.

Fig. 1 is a schematic diagram of the structure of the cough ability evaluator.

The names of the corresponding parts represented by numbers or letters in the figure:

1. Body 2. Bottom support frame 3. Internal support frame 4. Column 5. Lace

detailed description

Clinically, critically ill, stroke, elderly and tracheotomy patients are often accompanied by weakened or disappeared cough reflex. The strength of cough ability has very important clinical significance for the prevention of aspiration, stroke-related pneumonia, timely removal of artificial airway, and correct assessment of patient prognosis. At present, the judgment of cough strength often only depends on the subjective judgment of the evaluator, and it is difficult to make a correct judgment due to the non-quantitative indicators such as cough strength and cough intensity, which increases the re-intubation rate after tracheotomy and extubation , affecting the health of the patient, leading to an increase in the cost of the patient's rehabilitation.

Aiming at the deficiencies in the prior art, the utility model provides a coughing ability evaluator, which can preliminarily judge whether the patient has coughing ability and coughing ability according to the degree and range of wet spots coughed up by the patient on the filter paper through simple structural design Improve the accuracy of evaluation, reduce the influence of subjective factors, accurately judge the patient's condition, and reduce the cost of rehabilitation.

The technical solutions of the present utility model will be clearly and completely described through specific embodiments below. Apparently, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.

Please refer to Figure 1, as shown in the figure, a cough ability evaluator includes a cylindrical body 1 with an opening at one end, and a support structure for supporting and placing a detection filter paper is arranged inside the body 1, and the detection filter paper is placed on the support structure and set towards the open end. During use, the open end cover is directly placed on the patient's mouth or tracheotomy, and the cough ability of the patient can be judged by the degree and scope of the wet spot on the filter paper coughed up by the patient. Both ends of the body can be provided with openings, and the detection filter paper can be placed only by fixing a support structure inside the body.

Wherein, the support structure includes a bottom support frame arranged at the bottom of the body 1 , the outer side of the bottom support frame is fixed to the body, and the detection filter paper is arranged on the bottom support frame 2 . Preferably, the bottom support frame is a mesh structure. In the utility model, a mesh bag is selected, and the bottom support frame is arranged parallel to the opening end of the body. The detection filter paper can be directly set on the mesh bag.

Usually, the diameter of the detection filter paper is less than or equal to the inner diameter of the body, which is convenient for taking and placing the detection filter paper.

In addition to the above structure, the support structure can also include an internal support frame 3 arranged inside the body, the outer side of the internal support frame is fixed to the inner wall of the body, and the detection filter paper is arranged on the internal support frame.

In another case, the support structure includes a bottom support frame and an internal support frame disposed inside the body, the internal support frame and the bottom support frame are arranged in parallel, and at least one support column is vertically connected between the two to form an I-shaped structure.

The internal support frame is located close to the open end, and is usually set at a certain distance below the open end.

Both the inner support frame and the bottom support frame include at least one support rod. When multiple support rods are used, the support rods intersect at the center of the body. The specific intersecting position depends on the situation and is not limited here.

In addition, a connecting portion is provided on the outer wall of the main body 1, and a tether 5 is connected to the connecting portion, so as to facilitate fastening the evaluator to the patient's neck.

Example

The evaluator in this embodiment adopts a cylindrical appearance, and it can also be a rectangular cylindrical shape and other structures. Band 5 (optional). Inside the cylinder, three cylindrical rods interact to form a support frame. One is a columnar rod with a diameter of 2cm and a height of 1.5cm, which is located in the middle of the cylinder to form the above-mentioned column 4, which is fixed vertically upward by a mesh bag; the second and third are columnar rods with a diameter of 1.5cm and a length of 5cm. Those are located on the same plane, set near the opening of the upper end of the cylinder to form the above-mentioned internal support frame 3, with the upper end of the column 4 as the fulcrum, and the two columnar rods of the internal support frame are perpendicular to each other. The three work together to form a complete support frame, which is used to fix the water-absorbing white filter paper (the diameter of the detection filter paper is slightly less than 5cm) for simple evaluation of the patient's cough ability. During the evaluation, the evaluator can preliminarily judge whether the patient's cough ability is strong or not by whether there are wet spots on the white filter paper. This helps evaluators to pre-screen and initially evaluate the cough ability of patients, and provide reference and basis for further clinical evaluation and judgment.

During evaluation, the evaluator places the evaluator 1 cm away from the outer opening of the tracheal tube (for patients without tracheotomy, the evaluator can be placed at the mouth of the patient), and fixes the absorbent white filter paper on the internal support frame. Fix the evaluator on the patient's neck with the straps on both sides (it can also be fixed without the straps, and the evaluator directly fixes it by hand). Instruct the patient to cough. When the patient coughs, if the patient has the ability to cough, the sputum will be coughed up on the white filter paper. Because the white filter paper has strong water absorption, wet spots may appear on it, it is called a positive white filter paper test (i.e. The patient still has the ability to cough), otherwise negative. In addition, the degree and scope of wet spots on the filter paper can be used to preliminarily judge the strength of the patient's cough ability. Then, untie the tie, and the entire evaluation process ends.

The utility model discloses a cough ability evaluator, which comprises a cylindrical body with an opening at one end, a support structure for supporting and placing detection filter paper is arranged inside the body, and the detection filter paper is placed on the support device and arranged toward the opening end. The evaluator is equipped with filter paper, which can preliminarily judge whether the patient has coughing ability and the strength of coughing ability according to the degree and range of wet spots coughed up by the patient on the filter paper, so as to improve the accuracy of evaluation, reduce the influence of subjective factors, and accurately judge the patient. disease and reduce rehabilitation costs.

The evaluator has a simple structure and is easy to use, can replace different filter papers to detect multiple patients, and has low cost.

The above description of the disclosed embodiments enables those skilled in the art to realize or use the utility model. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Therefore, the present invention will not be limited to these embodiments shown herein, but will conform to the widest scope consistent with the principles and novel features disclosed herein.

Claims (9)

1. A cough ability evaluator, characterized in that it comprises a body with a cylindrical structure, one end of the body is open, a support structure is provided inside the body to support and place a detection filter paper, and the detection filter paper is placed on the support structure up and toward the open end. 2. The cough ability evaluator according to claim 1, wherein the support structure includes a bottom support frame arranged at the bottom of the body, the outer side of the bottom support frame is fixed to the body, and the detection filter paper is arranged at the bottom on the support frame. 3. The cough ability evaluator according to claim 2, wherein the bottom support frame is a mesh structure, and the bottom support frame is arranged parallel to the opening end of the main body. 4. The coughing ability evaluator according to claim 1, wherein the diameter of the detection filter paper is smaller than or equal to the inner diameter of the main body. 5. The cough ability evaluator according to claim 1, wherein the support structure includes an internal support frame arranged inside the body, the outer side of the internal support frame is fixed to the inner wall of the body, and the detection filter paper is arranged on the internal support on the shelf. 6. The cough ability evaluator according to claim 1, wherein the support structure comprises a bottom support frame and an internal support frame arranged inside the body, the internal support frame and the bottom support frame are arranged in parallel, and there is a gap between the two. At least one support column is vertically connected to form an I-shaped structure. 7. The coughing ability evaluator according to claim 5 or 6, wherein the internal support frame is located at the open end. 8. The coughing ability evaluator according to claim 6, wherein the inner support frame and the bottom support frame both include at least one support rod, and when multiple support rods are used, the support rods intersect at the center of the body location. 9 . The cough ability evaluator according to claim 1 , wherein a connecting portion is further provided on the outer wall of the main body, and a lace is connected to the connecting portion. 10 .