CN109998795B - Pressure injury prevention and treatment mattress used on flatcar - Google Patents

Pressure injury prevention and treatment mattress used on flatcar Download PDF

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Publication number
CN109998795B
CN109998795B CN201910339510.4A CN201910339510A CN109998795B CN 109998795 B CN109998795 B CN 109998795B CN 201910339510 A CN201910339510 A CN 201910339510A CN 109998795 B CN109998795 B CN 109998795B
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China
Prior art keywords
air
flatcar
bed
electromagnetic valve
pressure
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CN201910339510.4A
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CN109998795A (en
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辛霞
丁雪梅
李敏玲
温秀蔺
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/02Stretchers with wheels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/057Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • A61G7/05769Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
    • A61G7/05776Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers with at least two groups of alternately inflated chambers

Abstract

The invention discloses a pressure injury prevention mattress used on a flatcar, which comprises an air cushion bed, an air pump, a control device, an electromagnetic valve and a power supply device, wherein the air cushion bed is divided into three areas (two side areas) with small risk of pressure injury, two groups of strip-shaped air bags are alternately arranged, and the first air pump circularly charges and discharges air into the two groups of strip-shaped air bags every 8 minutes; on the basis of recurrent inflation and exhaust, the inflation degree of the second air pump to each position is regulated by the control device according to the pressure change of each position on the air cushion bed in the region (middle region) with high risk of pressure injury; the invention is economical, practical, comfortable and effective, can meet the requirements of different individuals on the air cushion bed, effectively prevents the occurrence of pressure injury during the anesthesia recovery period and the transportation process of patients after general anesthesia operation, and is also suitable for emergency treatment and rescue rooms and 120 first-aid transportation processes.

Description

Pressure injury prevention and treatment mattress used on flatcar
Technical Field
The invention relates to the technical field of medical appliances, in particular to a pressure injury prevention mattress used on a flatcar.
Background
The pressure injury is a common problem faced by the global health care institutions, and not only can bring great pain to patients and seriously reduce the life quality of the patients, but also increases the medical cost and consumes a large amount of medical resources. The surgical patients are high risk groups of pressure injury, and the incidence rate is as high as 4.7% -66.0%. Patients with general anesthesia after operation generally experience anesthesia recovery time of 60-80 min on a flatcar, and the risk of pressure injury of the patients is greatly increased due to residual effects of various anesthetics and muscle relaxants and the influence of preoperative malnutrition, long-time braking in operation, operation wound, blood loss, fluid loss, pain and the like. Common methods for preventing stress injury during recovery from anesthesia include: turning over, foam-rubber cushion, elastic foam, silica gel, gel mattress, etc. The defects are that:
1. during the anesthesia recovery period, the vital signs of the patient are not stable, the patient is possibly dangerous at any time, at the moment, the patient is more dangerous to move, and the patient is difficult to turn over due to the reasons of manpower, space and the like of the anesthesia recovery room.
2. The sponge cushion which is commonly used clinically has poor air permeability, is easy to form local concave for a long time, and sweat, blood and the like of a patient are easy to accumulate, so that the local skin of the patient is moist and tissue blood stasis can be caused, the occurrence of pressure injury is caused, and the occurrence of nosocomial infection can be possibly caused.
3. Elastic foam, silica gel or gel mattresses are impractical due to their high price and are only used by a very small number of hospitals in China.
The pressure applied to different parts of the human body is different when the human body lies on the back, the risk of forming pressure injury is different, when the pressure applied to local tissues exceeds the capillary average pressure by 32mmHg, ischemic hypoxia necrosis can occur, and when the pressure exceeds 70mmHg and lasts for 2 hours, irreversible tissue cell change can be caused. Studies have shown that the maximum pressure exerted by the sacral caudal region during recumbency is about 83mmHg, the shoulder and heel regions are 32mmHg and 18mmHg, respectively, and the occurrence of pressure injury to the sacral caudal region is about 70.12% of the total hospital-acquired pressure injury. The patient on the flatcar can only lie in the prone position, so that the risk of pressure injury on the sacral tail of the patient on the flatcar is obviously higher than that of other parts, in addition, different patient sizes are different, the support pressure required by the body is different, but the pressure injury prevention mattress commonly used in clinic is fixed in shape, the positions of all pressure support points after inflation are also fixed, the experience of the patient is poor, and the effect of preventing the pressure injury is limited; the intelligent air cushion bed with adjustable pressure can adjust the pressure of air cushion bed inflation according to the pressure of each part of human body, can effectively prevent the occurrence of pressure injury, but the price is expensive, the practicality is poor, and the intelligent air cushion bed is not suitable for clinical application.
In addition, the existing air cushion bed can only use alternating current, and cannot be used when no alternating current or alternating current is powered off, so that application occasions are limited to a large extent, and if the power is off in the use process, the mattress cannot be inflated, and a patient can directly sleep on the hard bed board, so that pressure injury is more likely to occur.
Disclosure of Invention
The invention aims to provide a pressure injury prevention mattress used on a flatcar, which can meet the requirements of different individuals on an air bed, effectively prevent the occurrence of pressure injury during the anesthesia recovery period and the transportation process of patients after general anesthesia operation, and is also suitable for emergency treatment and rescue rooms and 120 first-aid transportation processes.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a pressure nature damage prevention and cure mattress that uses on flatcar, includes flatcar bed board and places the air bed on flatcar bed board, its characterized in that: the air cushion bed is divided into three areas, two side areas and a middle area, the air pump comprises a first air pump and a second air pump, the electromagnetic valve comprises a first electromagnetic valve and a second electromagnetic valve,
the two-sided region includes: the air bags are alternately arranged in two groups, each group of air bags is communicated with one air pipe, the air pipes are fixed in air pipe grooves below the air bags, the two groups of air pipes are respectively connected with a first air pump, and the first air pump circularly charges and exhausts the two groups of air bags; the strip-shaped air bags are flatly arranged on a base fabric which is arranged at the bottommost layer of the air cushion bed body; the two ends of the strip-shaped air bag are connected with the base cloth through buttons, and the fixing belt is tightly buckled with the middle part of the strip-shaped air bag;
the middle area comprises an air cushion surface layer and a plurality of independent air bags, the air cushion surface layer is wrapped around the air bags and on the upper surface of the air bags, the air bags are alternately arranged in two groups, each air bag is provided with an independent inflation valve, the two groups of air bags are respectively connected with an air pipe through respective inflation valves and are respectively connected with a first electromagnetic valve, a second electromagnetic valve and a second air pump through the air pipes, and the second air pump circularly inflates the two groups of air bags;
the upper surface of the air cushion surface layer is covered with a film pressure sensor, the film pressure sensor comprises a plurality of pressure sensor units, each pressure sensor unit corresponds to one air bag, the pressure change of the corresponding position on the air cushion bed can be sensed, the output end of the film pressure sensor is connected with the signal input end of the control device, and the output end of the control device is connected with the first electromagnetic valve, the second electromagnetic valve and the second air pump.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: the strip-shaped air bags are independent, and each strip-shaped air bag can be independently disassembled.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: and a plurality of micropores are arranged around the surface layer of the air cushion.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: a timer is arranged in the control device.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: a layer of nylon hook tape is arranged below the base fabric and can be connected with the nylon velvet tape on the flat car bed board, and four corners of the base fabric are fixed with the flat car railing through lacing.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: PVC waterproof material is adopted on the surface of the air cushion bed.
Further, a pressure injury prevention and cure mattress that uses on flatcar, its characterized in that: the power supply device consists of a storage battery, a switching power supply, a selection change-over switch and a converter. The storage battery provides 12V direct current, the switching power supply is 220V alternating current input, the 12V direct current is output, the selection change-over switch can automatically select the storage battery or the switching power supply as a working power supply, and then the direct current provided by the working power supply is converted into alternating current which can be used by the air cushion bed through the converter.
The invention has the technical effects and advantages that:
1. according to the invention, the working condition of the air cushion bed is changed according to the occurrence risk of pressure injury of each part of a human body, the traditional alternative inflation and exhaust mode is adopted in the area with small pressure injury risk, and the inflation degree is regulated according to the pressure of each position on the air cushion bed on the basis of alternative inflation and exhaust in the area with large pressure injury risk.
2. Compared with a clinically common mattress for preventing and treating pressure injury, the mattress can meet the requirements of different individuals on an air cushion bed, and can more effectively prevent the occurrence of pressure injury.
3. Compared with the intelligent air cushion bed with adjustable pressure, the invention is economical, practical, comfortable and effective, has low cost, saves resources and cost, can effectively prevent the occurrence of pressure injury in the anesthesia recovery and transportation process of postoperative patients, and is also suitable for emergency treatment and rescue rooms and 120 emergency transportation processes.
4. In addition, the invention can be powered by alternating current or a storage battery, and can be used under the condition of no alternating current or power failure of the alternating current.
5. The surface of the mattress is made of PVC waterproof material, and can be wiped by alcohol or chlorine-containing disinfectant after being used, in addition, each strip-shaped air bag can be independently disassembled, so that the mattress is simple and convenient to clean, and the occurrence of dampness and nosocomial infection is avoided.
6. The bottom of the mattress is provided with a layer of nylon hook belt which can be connected with nylon velvet belts on the flat car bed board, four corners of the base cloth are fixed with flat car railing by lacing, and the air cushion bed can be effectively prevented from sliding.
Drawings
Fig. 1 is a schematic structural view of an embodiment of the present invention.
Fig. 2 is a front view of the example shown in fig. 1.
Fig. 3 is a block diagram of one embodiment of a power supply.
Reference numerals: the inflatable mattress comprises a 1-inflatable mattress bed, a 11-base fabric, a 12-strip-shaped air bag, a 13-air pipe, a 14-button, a 15-fixing belt, a 16-air cushion surface layer, a 17-air bag, a 18-membrane pressure sensor, a 2-air pump, a first air pump-21, a second air pump-22, a 3-control device, a 4-electromagnetic valve, a 41-first electromagnetic valve, a 42-second electromagnetic valve, a 5-power supply device, a 51-storage battery, a 52-switching power supply, a 53-switching selection switch, a 54-converter, a 6-nylon hook belt, a 7-flat bed board, an 8-nylon velvet belt and a 9-lacing.
Detailed Description
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
In the description of the present invention, it should be understood that the terms "longitudinal," "transverse," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like indicate or are based on the orientation or positional relationship shown in the drawings, merely to facilitate description of the present invention, and do not indicate or imply that the devices or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be construed as limiting the present invention.
Referring to fig. 1 and 2, a mattress for preventing and treating pressure injury used on a flatcar comprises an air bed 1, an air pump 2, a control device 3, an electromagnetic valve 4 and a power supply device 5, wherein the size of the air bed 1 is 1900mm multiplied by 600mm, a base fabric 11 is arranged at the bottommost layer of the air bed 1, the air bed 1 is divided into three areas, and two side areas comprise: the strip-shaped air bags 12 and the air pipes 13 are respectively arranged in each area, seven strip-shaped air bags 12 are horizontally paved on the base cloth 11 and are alternately arranged in two groups, the first group of strip-shaped air bags 121, 123 and 125 … are communicated with the air pipes 131, the second group of strip-shaped air bags 122, 124 and 126 … are communicated with the air pipes 132, the air pipes 13 are fixed in air pipe grooves below the strip-shaped air bags 12, the two groups of air pipes 131 and 132 are respectively connected with the first air pump 21, and the first air pump 21 circularly charges and discharges air to the two groups of strip-shaped air bags 12 every 8 minutes. The two ends of the strip-shaped air bag 12 are connected with the base cloth 11 through buttons 14, and the middle part of the strip-shaped air bag 12 is tightly buckled by a fixing belt 15.
The middle area of the air cushion bed 1 comprises an air cushion surface layer 16 and a plurality of independent air bags 17, the air cushion surface layer 16 is wrapped around the air bags 17 and on the upper surface, the air bags 17 are divided into two groups which are alternately arranged, each air bag 17 is provided with an independent air charging valve, singular air bags 171, 173, 175, 177 and 179 and … are communicated with an air pipe 133 through each air charging valve and are connected with a first electromagnetic valve 41 and a second air pump 22 through the air pipe 133, the even number air bags 172, 174, 176 and 178 … are communicated with an air pipe 134 through each air charging valve and are connected with the second electromagnetic valve 42 and the second air pump 22 through the air pipe 134, the second air pump 22 alternately charges the two groups of air bags 17 every 8 minutes, and detailed pipelines between each air bag 17 and the air pipes 133 and 134 are not shown in the figure for avoiding unclear drawing. The membrane pressure sensor 18 covers the upper surface of the air cushion surface layer 16 and comprises a plurality of pressure sensor units, each pressure sensor unit corresponds to each air bag 17, and can sense the pressure change of the corresponding position on the air cushion bed, the output end of the membrane pressure sensor 18 is connected with the signal input end of the control device 3, and the output end of the control device 3 is connected with the electromagnetic valve 4 and the second air pump 22.
When the air cushion bed 1 is in a working state, the control device 3 controls the first electromagnetic valve 41 to be opened, the second electromagnetic valve 42 to be closed, the second air pump 22 starts to charge the air bags in a singular number, the control device 3 comprises a timer, the timing is carried out after the air bags are charged, after 8 minutes, the first electromagnetic valve 41 is closed, the second electromagnetic valve 42 is opened, the air bags in a double number start to be charged, and at the moment, the air bags in the singular number start to be slowly discharged, and the cycle is repeated. Meanwhile, when the air bags 17 are in an inflated state, each membrane pressure sensor 18 can sense the pressure of the corresponding position on the air cushion bed and transmit an electric signal to the control device 3, the control device 3 processes the electric signal sent by the membrane pressure sensor 18 and controls the inflation degree of the second air pump 22 to each air bag 17 according to the pressure of each position, the second air pump 22 is divided into six gears, the larger the gear is, the larger the inflation amount is at the position with the larger pressure, and the position with the smaller pressure is inflated by the second air pump 22.
The patient on the flatcar can only lie on the prone position, the risk of pressure injury at the sacral tail is obviously higher than that of other parts, the traditional alternative inflation and deflation method is adopted in the area (two side areas) with small risk of pressure injury, and the inflation degree of each position of the mattress is regulated according to the pressure of each part of the body on the basis of alternative inflation and deflation in the area (middle area) with large risk of pressure injury. Compared with a clinically common pressure injury prevention mattress and an intelligent air cushion bed with adjustable pressure, the invention is economical, practical, comfortable and effective, not only saves cost and resources, but also can meet the requirements of different individuals on the air cushion bed, and can more effectively prevent the pressure injury during the anesthesia recovery period and the transportation process of patients after general anesthesia operation, and can be used in emergency rescue rooms and 120 first-aid transportation processes.
Specifically, the strip-shaped air bags 12 are independent, and each strip-shaped air bag 12 can be independently disassembled.
Specifically, a plurality of micropores are formed around the air cushion surface layer 16.
Specifically, a layer of nylon hook tape 6 is arranged below the base cloth 11 and can be connected with nylon velvet tapes 8 on the flat bed plate 7, four corners of the outer base cloth are fixed with flat car railing through lacing 9, and the air cushion bed can be effectively prevented from sliding.
Specifically, the surface of the air cushion bed 1 is made of PVC waterproof materials, and can be wiped by alcohol or chlorine-containing disinfectants after being used up, so that the air cushion bed is simple and convenient to clean.
Referring to fig. 3, the power supply device 5 includes a storage battery 51, a switching power supply 52, a selection changeover switch 53, and a converter 54. The storage battery 51 provides 12V direct current as a working power supply, the switching power supply 52 inputs 220V alternating current and outputs 12V direct current as a working power supply, the selection change-over switch 53 can automatically select the storage battery 51 or the switching power supply 52 as a working power supply, and then the 12V direct current is converted into 12V 50hz alternating current through the converter 54 and is supplied to the air pump 2, the control device 3, the electromagnetic valve 4 and the whole air cushion bed 1.
The invention can use alternating current as well as a storage battery, has a very wide application range, and can be used under the condition of no alternating current or power failure of the alternating current.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.

Claims (7)

1. The utility model provides a pressure nature damage prevention and cure mattress that uses on flatcar, includes flatcar bed board (7) and places air bed (1) on flatcar bed board (7), its characterized in that: the air cushion bed is characterized by further comprising an air pump (2), a control device (3), an electromagnetic valve (4) and a power supply device (5), wherein the air cushion bed (1) is divided into three areas, two side areas and a middle area, the air pump (2) comprises a first air pump (21) and a second air pump (22), the electromagnetic valve (4) comprises a first electromagnetic valve (41) and a second electromagnetic valve (42),
the two-sided region includes: the air bags (12) and the air pipes (13) are alternately arranged in two groups, each group of air bags (12) is communicated with one air pipe (13), the air pipes (13) are fixed in air pipe grooves below the air bags (12), the two groups of air pipes (13) are respectively connected with a first air pump (21), and the first air pump (21) circularly charges and exhausts the air to the two groups of air bags (12); the strip-shaped air bags (12) are flatly arranged on the base fabric (11), and the base fabric (11) is arranged at the bottommost layer of the air cushion bed (1); the two ends of the strip-shaped air bag (12) are connected with the base cloth (11) through buttons (14), and the middle part of the strip-shaped air bag (12) is tightly buckled by a fixing belt (15);
the middle area comprises an air cushion surface layer (16) and a plurality of independent air bags (17), the air cushion surface layer (16) is wrapped around the air bags (17) and on the upper surface, the air bags (17) are alternately arranged in two groups, each air bag (17) is provided with an independent inflation valve, the two groups of air bags (17) are respectively connected with one air pipe (13) through the respective inflation valve and are respectively connected with a first electromagnetic valve (41), a second electromagnetic valve (42) and a second air pump (22) through the air pipes (13), and the second air pump (22) circularly inflates the two groups of air bags (17);
the upper surface of the air cushion surface layer (16) is covered with a film pressure sensor (18), the film pressure sensor (18) comprises a plurality of pressure sensor units, each pressure sensor unit corresponds to one air bag (17), the output end of the film pressure sensor (18) is connected with the signal input end of the control device (3), and the output end of the control device (3) is connected with the first electromagnetic valve (41), the second electromagnetic valve (42) and the second air pump (22).
2. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: the strip-shaped air bags (12) are independent, and each strip-shaped air bag (12) can be independently disassembled.
3. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: and a plurality of micropores are arranged around the air cushion surface layer (16).
4. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: a timer is arranged in the control device (3).
5. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: a nylon hook belt (6) is arranged below the base fabric (11) and can be connected with a nylon velvet belt (8) on the flat car bed plate (7), and four corners of the base fabric (11) are fixed with the flat car railing through lacing (9).
6. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: PVC waterproof material is adopted on the surface of the air cushion bed (1).
7. A pressure injury control mattress for use on a flatcar as claimed in claim 1, wherein: the power supply device (5) consists of a storage battery (51), a switching power supply (52), a selection change-over switch (53) and a converter (54), wherein the storage battery (51) provides 12V direct current, the switching power supply (52) is 220V alternating current input and 12V direct current output, the selection change-over switch (53) can automatically select the storage battery (51) or the switching power supply (52) as a working power supply, and then the direct current provided by the working power supply is converted into alternating current which can be used by the air bed (1) through the converter (54).
CN201910339510.4A 2019-04-25 2019-04-25 Pressure injury prevention and treatment mattress used on flatcar Active CN109998795B (en)

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CN111481365A (en) * 2020-06-03 2020-08-04 杭州市第一人民医院 Improved electronic anti-pressure-damage air cushion bed system and control method thereof
CN112690985B (en) * 2020-12-28 2022-09-27 连李斌 Clinical supplementary device of practising midwifery of obstetrical department
CN114052711A (en) * 2021-12-14 2022-02-18 王磊 Warning, preventing and treating device for skin subcutaneous tissue injury

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