CN108403322B - Ophthalmic nursing bed accessory - Google Patents

Ophthalmic nursing bed accessory Download PDF

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Publication number
CN108403322B
CN108403322B CN201810167531.8A CN201810167531A CN108403322B CN 108403322 B CN108403322 B CN 108403322B CN 201810167531 A CN201810167531 A CN 201810167531A CN 108403322 B CN108403322 B CN 108403322B
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China
Prior art keywords
supporting plate
bracket
shaped
inside casing
frame bar
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CN201810167531.8A
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Chinese (zh)
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CN108403322A (en
Inventor
张楚华
张铭志
李贡辉
陈伟奇
李忠
郑映玲
陈雪莹
肖晓龄
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Shantou University Chinese University Of Hong Kong And Shantou International Ophthalmology Center
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Shantou University Chinese University Of Hong Kong And Shantou International Ophthalmology Center
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Priority to CN201810167531.8A priority Critical patent/CN108403322B/en
Publication of CN108403322A publication Critical patent/CN108403322A/en
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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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • 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
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests
    • A61G7/072Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only
    • 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
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • 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
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/30Specific positions of the patient
    • A61G2200/32Specific positions of the patient lying
    • A61G2200/325Specific positions of the patient lying prone

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

A kind of ophthalmic nursing bed accessory, including footpost, bedstead, mattress, the tail portion of bedstead is tailstock frame bar, head rest is equipped with before tailstock frame bar, head rest includes supporting plate, bracket inside casing, bracket outline border, supporting plate is mounted on inside bracket inside casing, and bracket inside casing is mounted on inside bracket outline border, and the lower section of bracket outline border is equipped with support member;The upper and lower surface of supporting plate is equipped with the U-shaped cushion for being used to support patient face, and the thickness of upper and lower two pieces of U-shaped cushions is unequal;It is hinged using first level shaft between bracket inside casing and bracket outline border, the axial direction of first level shaft is horizontal longitudinal, it is hinged using the second horizontal rotating shaft between bracket inside casing and supporting plate, and second horizontal rotating shaft the axial direction for being axially perpendicular to first level shaft, the central axis and the distance between splint upper surface and supporting plate lower surface of first level shaft be unequal.The present invention can alleviate the pain due to caused by ceruical uertebra part single posture for a long time during patient keeps prone body position.

Description

Ophthalmic nursing bed accessory
Technical field
The invention belongs to the technical fields of medical treatment and nursing apparatus, and in particular to a kind of ophthalmic nursing bed accessory.
Background technique
Pressure-resistant vitreous excision joint Intraocular padding is to treat the only effective hand of complicated retinal detachment in recent years Art method, and in order to make reattachment of retina, selectively silicone oil or expanding gas are injected intraocularly in art, treated to consolidate operation Effect, prevents the generation of postoperative complications, and postoperative Most patients (except the ceasma of top) need to keep position downwards for a long time, It is specifically to maintain this special posture 12-16 hours/day, effect is to maintain ceasma and is in highest order, utilizes silicone oil and gas Upward buoyancy and surface tension press closing retinal hole, achieve the purpose that promote reattachment of retina, while correct face Downward position can also avoid silicone oil or gas from entering anterior chamber and glue before causing corneal edema, pupillary block, intraocular hypertension, iris The generation of the postoperative complications such as company, secondary angle-closure glaucoma.So position is surgical effect success or not downwards for holding Key point.
Most traditional measure of Body position nursing care downwards is as follows: using ordinary hospital bed, using prone body position, Head And Face pad one Airfilled ring prostrate is on bed.But the traditional measures have following obvious deficiency: after head is fallen, sky that airfilled ring is enclosed Between it is substantially sealed off, it is airtight, make patient generate sensation of asphyxia.
For this purpose, devising a kind of dedicated hospital bed of retina postoperative care again in row, the bed board and mattress of the dedicated hospital bed are opened Equipped with one and the matched slotted eye of face size, the face of patient can be allowed to lie prone on the slotted eye edge in this way, than Relatively efficiently improve the smooth breathing of prone position.But this above-mentioned slotted eye measure only improves the ventilative problem of nasal cavity, There are still following problems:
One, patients with cervical posture is single, unadjustable change, causes cervical vertebra to be ached over time hard to bear, especially for Cervical vertebra natively for problematic retina postoperative patient, even more adds hardship in hardship;Specifically, the pitching degree on head is non-adjustable Section changes, and change, the unadjustable change of the vertical position of face are adjust and reform towards non-differentiability in the left and right on head;
Two, for some patientss especially adolescent patient, since forehead or lower jaw part natively have acne or skin Skin inflammation causes forehead and lower jaw part in great pain in addition front lying position makes forehead and lower jaw part be pressurized for a long time, or even is formed red Swollen pressure sore;
Three, front lying position makes chest, face persistently by upward pressure, cause uncomfortable in chest, expiratory dyspnea, heart compression without It is suitable.
Above-mentioned three aspects problem causes some patientss even cannot adhere to prone body position and lead to the hand that affects the treatment or even make Art failure, or cause postoperative complications, and open up slotted eye in mattress and be helpless to alleviate above-mentioned chest continuous compression, face The problem of portion's continuous compression.
Four, since the mattress of hospital bed opens up slotted eye, thus to may be only available for retina postoperative patient dedicated for the hospital bed, And it is poorly suited for its ophthalmic patient, when ophthalmology inpatient department is less or be zero in the retina postoperative patient ratio in certain periods When, which can only supply the postoperative general patient of non-retina and use, and in such cases, slotted eye can give it instead His general patient brings uncomfortable or inconvenient.
Summary of the invention
A kind of ophthalmic nursing bed accessory is provided it is an object of the invention to overcome disadvantages mentioned above, it can keep prostrate in patient During position, alleviate the pain due to caused by ceruical uertebra part single posture for a long time.
Its purpose can be realized by following scheme: the ophthalmic nursing bed accessory, including footpost, bedstead, mattress, bedstead are supported on On footpost, for mattress supports on bedstead, the tail portion of bedstead is tailstock frame bar, which is characterized in that is set before tailstock frame bar There is head rest, head rest includes supporting plate, bracket inside casing, bracket outline border, and supporting plate is mounted on inside bracket inside casing, bracket inside casing It is mounted on inside bracket outline border, the lower section of bracket outline border is equipped with support member;Supporting plate offers air hole, the upper and lower surface of supporting plate It is equipped with the U-shaped cushion for being used to support patient face, the openings of upper and lower two pieces of U-shaped cushions is towards identical, upper and lower two pieces of U-shaped The thickness of shape cushion is unequal, and the thickness phase difference a of the two is 1.5~5 centimetres, and U-shaped cushion is located at around air hole, and two Velcro connection is utilized respectively between block U-shaped cushion and supporting plate;Turned between bracket inside casing and bracket outline border using first level Axis is hinged, and the axial direction of first level shaft is horizontal longitudinal, the transverse direction of the lateral position of first level shaft close to bracket inside casing Intermediate position;It is hinged using the second horizontal rotating shaft between bracket inside casing and supporting plate, and the second horizontal rotating shaft is axially perpendicular to the The axial direction of one horizontal rotating shaft, the lengthwise position of the second horizontal rotating shaft is close to the longitudinally intermediate portion position of supporting plate;When supporting plate is around turning to When horizontality, the central axes of upper and lower two pieces of U-shaped cushions with the floor projection position of the central axis of first level shaft Overlapping;When the U-shaped bottom that supporting plate turns to horizontality and upper and lower two pieces of U-shaped cushions is turned to around the second horizontal rotating shaft Far from tailstock frame bar side when, between the central axis and splint upper surface and supporting plate lower surface of first level shaft away from From unequal, the phase difference b of the two is 2~6 centimetres.
The phase difference b is 1.5-2.3 times of a.
The transverse width of the bracket outline border is slightly less than adult's shoulder width, and left and right two is equipped on tailstock frame bar A elbow rest component;Two elbow rest components are symmetrically arranged;Left side elbow rest component is located at a left side for head rest Side, right side elbow rest component are located at the right of head rest;Each elbow rest component includes horizontally-supported, vertical side block Piece, preceding intermediate plate, rear jaw, intermediate connection sheet, horizontally-supported, vertical side-lens, preceding intermediate plate, rear jaw, intermediate connection sheet five Person is fixed together, wherein the preceding top of intermediate plate and the top of rear jaw link together to be formed by intermediate connection sheet U-shaped catching groove, the notch of U-shaped catching groove downward, be affiliated to using U-shaped catching groove in tailstock frame by the elbow rest component On item, rear jaw and intermediate connection sheet catch on tailstock frame bar, and intermediate connection sheet is located above tailstock frame bar;Preceding intermediate plate, water Plane where flat support chip, vertical side-lens three is orthogonal two-by-two, wherein the plane where preceding intermediate plate is transversely to the machine direction, For plane where vertical side-lens perpendicular to transverse direction, the plane where horizontally-supported is horizontal plane, where horizontally-supported Plane is 20~25 centimetres lower than upper mattress surface;Lateral distance between the vertical side-lens of the two elbow rest components in left and right is omited Greater than adult's shoulder width.
The transverse width of bracket outline border is 35~45 centimetres, the transverse direction between the vertical side-lens of two elbow rest components Distance is 60~70 centimetres.
In present specification, so-called transverse direction refers to left and right directions, the i.e. short of hospital bed;So-called longitudinal direction, refers to front and back To, i.e., the length of hospital bed to.
The present invention has the following advantages and effects:
One, bed accessory of the invention be both suitable for retina postoperative patient nursing it is dedicated, be also suitable for general patient use. , only need to be by head rest from tailstock frame bar move aside when being applied to general patient, and two elbow rest portions will be controlled Part pulls out away from tailstock frame bar, and entire bed accessory reforms into typical ophthalmic hospital bed (the not ordinary hospital bed of slotted eye).And work as When needing the nursing applied to retina postoperative patient, again will when head rest only need to be shifted near to tailstock frame bar, or being needed The two elbow rest components in left and right are assigned on tailstock frame bar, that is, become the dedicated bed accessory of retina postoperative patient.Above-mentioned assembling It is very easy with disassembly process.
Two, in use, can be with prostrate on mattress, head is bowed lies prone in head rest retina postoperative patient, face's patch On U-shaped cushion, nose is located at the center of U-shaped cushion, since supporting plate can be rotated around first level shaft (longitudinal direction), Can be rotated around the second horizontal rotating shaft (transverse direction), thus the incidence of patient can the adjusting activity in tolerance band, including bow The adjusting activity of elevation angle degree also includes lateral adjustments activity (similar to shaking the head, also corresponding to the left and right direction for adjusting face), because This is avoided the unicity of cervical vertebrae posture, unadjustable property, and most comfortable, most suitable cervical vertebral angle may be implemented in patient at any time Posture, and just as rocking chair, at any time all in a most comfortable equalization point of cervical vertebra, particularly suitable for patient with cervical Spondylopathy's Detached retina postoperative care.
Three, the difference in height between the U-shaped cushion and upper mattress surface of the adjustable contact patient face of the present invention, with power Asking makes patient obtain most comfortable posture: 1, due to the thickness (even if vertical dimension of used time) of upper and lower two pieces of U-shaped cushions not phase Phase difference a Deng, the two is 1.5~5 centimetres, and is connected between U-shaped cushion and supporting plate using velcro, therefore can use The mode of velcro is torn, two pieces of U-shaped cushions up and down are exchanged, again by the evil spirit between two U-shaped cushions and supporting plate after exchange Art is adjacent to, and changes the difference in height between U-shaped cushion and upper mattress surface, and the regulated quantity of such mode is a;2, due to The central axis of one horizontal rotating shaft and the distance between splint upper surface and supporting plate lower surface are unequal, and the phase difference b of the two is 2 ~6 centimetres, therefore, supporting plate (including bracket inside casing) can be made around the center axis thereof 180 degree of first level shaft, then held in the palm Difference in height between plate (including U-shaped cushion) and upper mattress surface changes, and the U-shaped cushion vertical position of such mode is adjusted Amount is b+a;3, above-mentioned 1st kind of mode and the 2nd kind of mode can be applied in combination, obtained U-shaped cushion vertical position regulated quantity For b.
Four, since the upper and lower surfaces of supporting plate are all equipped with U-shaped cushion using velcro respectively, as long as by supporting plate It is rotated around the second horizontal rotating shaft (transverse direction), so that it may realize the rotation rest of patient's forehead and lower jaw part.Specifically, in positive reason Under condition, the U-shaped of U-shaped cushion opening is close to tailstock frame bar, and the U-shaped bottom of U-shaped cushion is far from tailstock frame bar, Patient's forehead contacts the U-shaped bottom of U-shaped cushion, and lower jaw part is vacantly rested;If but patient's forehead tenderness or having skin Skin inflammation then can rotate supporting plate around the second horizontal rotating shaft (transverse direction), then the U-shaped of U-shaped cushion is open far from tailstock frame Item, and the U-shaped bottom of U-shaped cushion is close to tailstock frame bar, then patient using lower jaw part contact U-shaped cushion U-shaped Shape bottom, forehead are vacantly rested.
Five, the present invention can be such that hand can choose and rotation there are many posture, wherein first kind posture be arm (including Upper and lower arms) it lies on mattress, first kind posture is identical as traditional posture;Second class posture be arm stretch forward and It lies in head rest, the second class posture is also similar to that traditional posture;The third posture is the appearance of " upper arm support cephalothorax " Gesture;Third class posture can make the pressure between chest and mattress smaller or be close to zero, and so that chest is pressurized, cervical vertebra is pressurized, face The case where portion is pressurized is eased inside certain some period or cuts down completely, the feelings for avoiding chest from continuing uninterruptedly to be pressurized Condition, significantly alleviation chest compression expiratory dyspnea, heart compression discomfort, ceruical uertebra part discomfort, forehead pressure sores, lower jaw part are pressurized and ache The pain of pain.Certainly, ache since upper lower arms long-time stress also results in, so time scale shared by the third posture is not Can be very long, but the relaxation effect risen for chest and ceruical uertebra part, face is not small, and this is as an original continuous standing ten of needs A hour people, if it is possible to allow him to sit down each hour five minutes, then his leg degree of fatigue will substantially reduce.
Six, when patient uses third class posture (upper arm support cephalothorax), patient lies prone lies low, two last arms in left and right Erect as two legs, left and right two lower arms lay flat, elbow rest elbow rest component horizontally-supported on piece, two Upper arm can play chest and head by shoulder support, and vertical side-lens can prevent what two ancons were laterally gradually distance from from becoming Gesture, prevent two upper arm due to by vertical pressure and gradually bifurcated comes, that is, prevent two shoulders be gradually reduced, make upper arm branch The splayed support construction of fastener chest keeps stablizing.
Detailed description of the invention
Fig. 1 is the schematic perspective view of the first specific embodiment of the invention.
Fig. 2 is the bed structure schematic diagram after the bed accessory in Fig. 1 removes head rest, two elbow rest components.
Fig. 3 is the enlarged diagram of the head rest in Fig. 1.
Fig. 4 is the decomposition texture schematic diagram of the head rest in Fig. 3.
Fig. 5 is the D-D the schematic diagram of the section structure of the head rest in Fig. 7.
Fig. 6 is the schematic top plan view of structure shown in Fig. 1.
Fig. 7 is the vertical view enlarged diagram of the head rest in Fig. 6 and Fig. 3.
Fig. 8 is the structural schematic diagram of two elbow rest components in Fig. 1.
Fig. 9 is the schematic view of the front view of the left side elbow rest component in Fig. 8.
Figure 10 is the schematic diagram of the section structure of the elbow rest component in Fig. 8.
Figure 11 is E partial enlargement diagram in Fig. 6.
Figure 12 is that the elbow rest component in Fig. 1 is affiliated to the assembled relation schematic diagram on tailstock frame bar.
Figure 13 is that the first kind of the first specific embodiment of the invention uses the schematic side view of posture.
Figure 14 is that the third class of the first specific embodiment of the invention uses the schematic side view of posture.
Figure 15 is the schematic elevation view that posture is used using the third class of the first specific embodiment of the invention.
Figure 16 is the stress analysis schematic diagram of upper arm in Figure 15.
Figure 17 is that the third class of the first specific embodiment of the invention uses the amendment scheme schematic elevation view of posture.
Status diagram when Figure 18 is face's face down.
Figure 19 is the status diagram that supporting plate slightly tilts, face deflects slightly.
Figure 20 is the status diagram that supporting plate tilts slightly towards the other side, face deflects slightly to the other side.
Figure 21 be neck and face pitch angle adjustment after (supporting plate tilts forward and back) status diagram.
Figure 22 is the status diagram after exchanging two pieces of U-shaped cushion pads in Fig. 5 up and down.
Figure 23 is state signal of the supporting plate (including bracket inside casing) after first level shaft rotation 180 degree in Fig. 5 Figure.
Figure 24 is the status diagram after two pieces of U-shaped cushion pads in Figure 23 are exchanged up and down.
Figure 25 is the floor projection relation schematic diagram between the head rest in state shown in Fig. 5 and tailstock frame bar.
Figure 26 is transition state schematic diagram of the supporting plate after the second horizontal rotating shaft rotation 180 degree in Figure 25 of the present invention.
Figure 27 is the using effect schematic diagram of state shown in Figure 25.
Figure 28 is the using effect schematic diagram of state shown in Figure 26.
Figure 29 is the floor projection Shape decomposition schematic diagram of U-shaped cushion.
Specific embodiment
Embodiment one
Shown in Fig. 1, Fig. 2, Figure 12, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, the ophthalmic nursing bed accessory include footpost 11, bedstead, Mattress 12, bedstead are supported on footpost 11, and mattress 12 is supported on bedstead, and the tail portion of bedstead is tailstock frame bar 13, in tailstock Head rest 2 is equipped with before frame bar 13, head rest 2 includes supporting plate 4, bracket inside casing 43, bracket outline border 44, and supporting plate 4 is installed In 43 the inside of bracket inside casing, bracket inside casing 43 is mounted on 44 the inside of bracket outline border, and supporting plate 4 offers air hole 22, supporting plate 4 It is equipped with the U-shaped cushion 21 for being used to support patient face above, is equipped with the U-shaped for being used to support patient face below supporting plate 4 Cushion 25, towards identical, the thickness of upper and lower two pieces of U-shaped cushions is unequal for the openings of upper and lower two pieces of U-shaped cushions 21,25, and two The phase difference a of person is 2.5 centimetres, i.e. the vertical thickness of U-shaped cushion 21 is 2.5 centimetres bigger than the vertical thickness of U-shaped cushion 25, U-shaped cushion 21 and U-shaped cushion 25 are located at around air hole 22, are utilized respectively evil spirit between two pieces of U-shaped cushions and supporting plate 4 24 connection of art patch;It is hinged using first level shaft 41 between bracket inside casing 43 and bracket outline border 44, first level shaft 41 Axial longitudinal for level, the lateral position of first level shaft 41 is close to the laterally intermediate position of bracket inside casing 43;Bracket inside casing It is between 43 and supporting plate 4 hinged using the second horizontal rotating shaft 42, and the second horizontal rotating shaft 42 is axially perpendicular to first level shaft 41 axial direction (i.e. when bracket inside casing 43 is horizontality, the axial direction of the second horizontal rotating shaft 42 is laterally), the second horizontal rotating shaft 42 lengthwise position is close to the longitudinally intermediate portion position of supporting plate 4.Shown in Figure 29, Fig. 7, when supporting plate 4 around turn to horizontality when, U The central axes n of font cushion 21 and U-shaped cushion 25 is heavy with the floor projection position of the central axis m of first level shaft 41 It is folded;When the U-shaped bottom 210 that supporting plate 4 turns to horizontality and upper and lower two pieces of U-shaped cushions 21 (25) turns around the second level When axis 42 turns to the side far from tailstock frame bar 13, the central axis m and splint upper surface HG and support of first level shaft The distance between plate lower surface NK (vertical distance) is unequal, and the phase difference b of the two is 4 centimetres, as shown in Figure 7.Shown in Fig. 3, The four corners of bracket outline border 44 are equipped with four vertical supporting bars 23.
Shown in Fig. 1, Fig. 8, Fig. 9, Figure 10, Figure 11, Figure 12, Figure 15, the transverse width of bracket outline border 44 is 40 centimetres (smaller In adult's shoulder width, as shown in transverse width m in Figure 15), the two ancon branch in left and right are installed on tailstock frame bar 13 Support part part 3.Shown in Fig. 1, Fig. 6, Figure 11, Figure 10, Fig. 8, Fig. 9, Figure 12, two elbow rest components 3 are symmetrically arranged;Left side Elbow rest component is located at the left of head rest 2, and right side elbow rest component is located at the right of head rest 2;Each ancon Support member 3 includes horizontally-supported 31, vertical side-lens 32, preceding intermediate plate 33, rear jaw 34, intermediate connection sheet 35, level branch Blade 31, vertical side-lens 32, preceding intermediate plate 33, rear jaw 34, intermediate connection sheet 35 5 are fixed together, wherein fore-clamp The top of piece 33 and the top of rear jaw 34 link together to form U-shaped catching groove 36 by intermediate connection sheet 35, U-shaped button The notch of slot 36 downward, be affiliated on tailstock frame bar 13 using U-shaped catching groove 36 by the elbow rest component 3, rear to press from both sides Piece 34 and intermediate connection sheet 35 catch on tailstock frame bar 13, and tailstock frame bar 13 is embedded in the vallecular cavity of U-shaped catching groove 36, and centre connects Contact pin 35 is located at 13 top of tailstock frame bar;Preceding intermediate plate 33, horizontally-supported 31, plane where vertical side-lens 32 three two-by-two It is orthogonal, wherein before plane where intermediate plate 33 be transversely to the machine direction, the plane where vertical side-lens 32 perpendicular to transverse direction, Plane where horizontally-supported 31 is horizontal plane, and the plane where horizontally-supported 31 is 22 centimetre (two lower than upper mattress surface Person's difference in height is as shown in h in Figure 15);Lateral distance between the vertical side-lens of the two elbow rest components in left and right is 65 centimetres (being slightly larger than adult's shoulder width, as shown in n in Figure 15).
Shown in Figure 29, each U-shaped cushion 21(or U-shaped cushion 2125) floor projection shape have U-shaped opening 210, it is known as U-shaped bottom 213 with 210 opposite one end of U-shaped opening, two positions positioned at U-shaped cushion two sides are known as U Font flank 211, that straight line among two U-shaped flanks 211 are known as the central axes of U-shaped cushion (in such as Figure 29 Shown in straight line n), the central axes n of U-shaped cushion passes through the intermediate point of U-shaped bottom, also passes through the intermediate point of U-shaped opening.
The application method principle of above-described embodiment is as follows:
In most cases, patient can use first kind posture, and on mattress 12, head is bowed lies prone in head rest prostrate On 2, on U-shaped cushion 21, nose is located at the center of U-shaped cushion for face, and arm level is on mattress 12, such as Figure 13 It is shown.It is of course also possible to arm is stretched forward and is lain in head rest 2, i.e. the second class posture.
When using the first kind, the second class posture, swung since supporting plate 4 can be finely tuned around the shaft of both direction, Patient can choose most comfortable, most suitable cervical vertebral angle posture at any time, just as rocking chair, most all in a cervical vertebra at any time Comfortable equalization point, and the incidence of patient can the adjusting activity in tolerance band, the adjusting activity including pitch angle, It also include the head pitch angle of patient just difference in lateral adjustment activity, such as the posture shown in Figure 13 and Figure 21, figure Supporting plate 4 in 13 is horizontality, and the supporting plate in Figure 21 is heeling condition;In another example supporting plate 4 and patient face are just in Figure 18 To lower section, and in Figure 19, supporting plate 4 and patient face are slightly biased to drawing lower left, in Figure 20, supporting plate 4 and patient face It is slightly biased to drawing lower right, thus avoids unicity, the unadjustable property of cervical vertebrae posture.
It, can be temporarily using the when patient feels uncomfortable uncomfortable in chest, heart or forehead pain due to chest continuous compression Three kinds of postures as shown in Figure 14, Figure 15, erect two last arms 81 in left and right as two legs with chest and the face of releiving, Two lower arms in left and right are longitudinally laid flat, and elbow rest (can have between the two on horizontally-supported 31 of elbow rest component Cushion), two upper arm 81 play chest and head by shoulder support, keep the pressure between chest and mattress smaller or are close to Zero, and reduce the pressure that cervical vertebra is subject to, reduce the pressure that face is subject to;At this point, horizontally-supported 31 pairs of upper arm 81 apply upwards Towing force F2, vertical side-lens 32 apply lateral resistance F1 to ancon, keep the splayed support construction of upper arm support cephalothorax Stablize, chest 82 applies downward pressure F3 to upper arm 81, and the reaction force of F3 is exactly the strength for holding up chest and head, stress Analysis is as shown in figure 16.Certainly, in Figure 14, Tu15Zhong, two lower arms in left and right can also be changed to laterally lay flat, more comfortably, such as Shown in Figure 17.
When using first kind posture, two elbow rest components 3 can temporarily be pulled out away from bedstead frame 13 (makes bed Frame frame 13 is detached from the vallecular cavity of U-shaped catching groove 36, even if the two separates), state such as Figure 25 that two elbow rest components 3 pull out away Or shown in Figure 26.
When the hospital bed is used to be not required to the general patient of prostrate, elbow rest component 3, head rest 2 can temporarily be moved It walks, the state after removing is as shown in Figure 2.After the vertical supporting bar 23 of head rest 2 is vertically shunk, entire head rest 2 can be with It is placed under bed.
Above-described embodiment is in use, the height between 12 upper surface of U-shaped cushion and mattress of contact face can also be adjusted It is poor to spend, such as in the state shown in fig. 5, can use the mode for tearing velcro, exchanges two pieces of U-shaped cushions up and down, up and down Velcro is re-used after exchange to be adjacent to two U-shaped cushions, is located at U-shaped cushion 21 below supporting plate 4, and U-shaped cushion 25 are located at 4 top of supporting plate, and as shown in figure 22, the regulated quantity of such mode is 2.5 centimetres, i.e., what is contacted with face is soft by U-shaped Pad reduces by 2.5 centimetres (for epidemic situation comparison shown in Fig. 5);
In another example in the state shown in fig. 5, as long as including bracket inside casing 43 by supporting plate 4() it is rotated around first level shaft 41 180 degree, then U-shaped cushion 21 comes the lower section of supporting plate 4, and U-shaped cushion 25 is located at and comes 4 tops, and 4 upper and lower surface position of supporting plate Set reverse, as shown in figure 23, the regulated quantity of such mode is 2.5+4=6.5 centimetre, i.e., what is contacted with face drops U-shaped cushion Low 6.5 centimetres (for epidemic situation comparisons shown in Fig. 5);
Again for example in the state shown in fig. 5, can include bracket inside casing 43 by supporting plate 4() it is rotated around first level shaft 41 180 degree, and two pieces of U-shaped cushions up and down are exchanged again, it is still located at U-shaped cushion 21 above supporting plate 4, and U-shaped cushion 25 Positioned at 4 lower section of supporting plate, i.e. 4 upper and lower surface of supporting plate is out of position, and the position of two U-shaped cushions 21 does not overturn, as shown in figure 24, The regulated quantity of such mode is 24 centimetres, i.e., 4 centimetres of the U-shaped cushion that contact with face reduction (with epidemic situation comparison shown in Fig. 5 and Speech).
In addition, under the state shown in Fig. 5 and Figure 25, as long as supporting plate 4 is rotated 180 degree around the second horizontal rotating shaft 42, so that it may Change the U-shaped direction of U-shaped cushion, so that forehead and lower jaw part obtain rotation rest, such as shown in Fig. 5, Figure 25, Figure 27 In state, forehead will bear against the U-shaped bottom of U-shaped cushion 21, and lower jaw part will be vacantly without (being rested) by pressure;Such as Fruit forehead is pressurized and pain for a long time, if patient's forehead have scytitis, then can be by supporting plate 4 around the second horizontal rotating shaft 42 Rotate 180 degree, so that it may which the direction for changing two U-shaped cushions becomes state shown in Figure 26, Figure 28, and under such state, lower jaw part will It is pressed in the U-shaped bottom of U-shaped cushion 25, and forehead will be vacantly without (being rested) by pressure.
Inside above-described embodiment, the high difference h of plane and 12 upper surface of mattress where horizontally-supported 31 is readily modified as 20 centimetres or 25 centimetres;The transverse width m of bracket outline border 44 is readily modified as 35 centimetres or 45 centimetres;Two ancons in left and right Lateral distance n between the vertical side-lens 32 of support member is readily modified as 60 centimetres or 70 centimetres.
Inside above-described embodiment, the thickness phase difference a of 25 the two of U-shaped cushion 21 and U-shaped cushion is readily modified as 1.5 lis Rice or 5 centimetres;When supporting plate 4 turns to the U-shaped bottom of horizontality and upper and lower two pieces of U-shaped cushions 21 (25) around second When horizontal rotating shaft 42 turns to the side far from tailstock frame bar 13, the central axis m and splint upper surface of first level shaft The distance between HG and supporting plate lower surface NK are unequal, and the phase difference b of the two is readily modified as 2 centimetres or 6 centimetres.
Embodiment two
In the difference of the embodiment two and embodiment one, it is embodiment one using bracket outline border 44 by the four of four corners Root vertical supporting bar 23 is supported, and the bracket outline border 44 of embodiment two uses branch of two small stools of support as bracket outline border instead Support part part.Remaining aspect of embodiment two is the same as example 1.

Claims (4)

1. a kind of ophthalmic nursing bed accessory, including footpost, bedstead, mattress, bedstead are supported on footpost, mattress supports on bedstead, The tail portion of bedstead is tailstock frame bar, which is characterized in that head rest is equipped with before tailstock frame bar, head rest includes support Plate, bracket inside casing, bracket outline border, supporting plate are mounted on inside bracket inside casing, and bracket inside casing is mounted on inside bracket outline border, outside bracket The lower section of frame is equipped with support member;Supporting plate offers air hole, and the upper and lower surface of supporting plate is equipped with the U for being used to support patient face Font cushion, the openings of upper and lower two pieces of U-shaped cushions is towards identical, and the thickness of upper and lower two pieces of U-shaped cushions is unequal, the two Thickness phase difference a is 1.5~5 centimetres, and U-shaped cushion is located at around air hole, between two pieces of U-shaped cushions and supporting plate respectively It is connected using velcro;It is hinged using first level shaft between bracket inside casing and bracket outline border, the axial direction of first level shaft To be horizontal longitudinal, the lateral position of first level shaft is close to the laterally intermediate position of bracket inside casing;Bracket inside casing and supporting plate it Between, and the axial direction that is axially perpendicular to first level shaft of second horizontal rotating shaft hinged using the second horizontal rotating shaft, second is horizontal The lengthwise position of shaft is close to the longitudinally intermediate portion position of supporting plate;When supporting plate turns to horizontality, upper and lower two pieces of U-shaped cushions Central axes it is Chong Die with the floor projection position of the central axis of first level shaft;When supporting plate turn to horizontality and When the U-shaped bottom of upper and lower two pieces of U-shaped cushions turns to the side far from tailstock frame bar around the second horizontal rotating shaft, the first water The central axis of flat turn axis and the distance between splint upper surface and supporting plate lower surface are unequal, and the phase difference b of the two is 2~6 Centimetre.
2. ophthalmic nursing bed accessory according to claim 1, it is characterised in that: the b is 1.5~2.3 times of a.
3. ophthalmic nursing bed accessory according to claim 1 or 2, it is characterised in that: the transverse width of the bracket outline border omits Less than adult's shoulder width, the two elbow rest components in left and right are installed on tailstock frame bar;Two elbow rest components It is symmetrically arranged;Left side elbow rest component is located at the left of head rest, and right side elbow rest component is located at head rest Right;Each elbow rest component includes horizontally-supported, vertical side-lens, preceding intermediate plate, rear jaw, intermediate connection sheet, water Flat support chip, vertical side-lens, preceding intermediate plate, rear jaw, intermediate connection sheet are fixed together, wherein the top of preceding intermediate plate End and the top of rear jaw link together to form U-shaped catching groove by intermediate connection sheet, and the notch of U-shaped catching groove is under Side, the elbow rest component are affiliated on tailstock frame bar using U-shaped catching groove, and rear jaw and intermediate connection sheet catch on tailstock Frame bar, intermediate connection sheet are located above tailstock frame bar;Preceding intermediate plate, horizontally-supported, vertical side-lens three place plane It is orthogonal two-by-two, wherein before plane where intermediate plate be transversely to the machine direction, the plane where vertical side-lens perpendicular to transverse direction, Plane where horizontally-supported is horizontal plane, and the plane where horizontally-supported is 20~25 centimetres lower than upper mattress surface;It is left Lateral distance between the vertical side-lens of right two elbow rest components is slightly larger than adult's shoulder width.
4. ophthalmic nursing bed accessory according to claim 3, it is characterised in that: the transverse width of bracket outline border is 35~45 lis Meter, the lateral distance between the vertical side-lens of two elbow rest components is 60~70 centimetres.
CN201810167531.8A 2018-02-28 2018-02-28 Ophthalmic nursing bed accessory Active CN108403322B (en)

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CN111821133A (en) * 2020-07-21 2020-10-27 四川大学 A device for adjusting head posture
CA3182629A1 (en) * 2021-11-23 2023-05-23 Carolynn R. Cory Bed systems and methods
CN114795697B (en) * 2022-06-02 2023-10-20 浙江大学 Prone position dressing treatment chair after ophthalmic operation

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