CN110141438A - fixed headrest structure - Google Patents

fixed headrest structure Download PDF

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Publication number
CN110141438A
CN110141438A CN201910525480.6A CN201910525480A CN110141438A CN 110141438 A CN110141438 A CN 110141438A CN 201910525480 A CN201910525480 A CN 201910525480A CN 110141438 A CN110141438 A CN 110141438A
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air bag
air
airbag
patient
gasbags
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CN110141438B (en
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李梦凡
胡大海
王玲
古兰
石珊
戴娇娇
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Air Force Medical University
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Fourth Military Medical University FMMU
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    • AHUMAN NECESSITIES
    • A47FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47GHOUSEHOLD OR TABLE EQUIPMENT
    • A47G9/00Bed-covers; Counterpanes; Travelling rugs; Sleeping rugs; Sleeping bags; Pillows
    • A47G9/10Pillows
    • A47G9/1027Details of inflatable pillows
    • 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
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/24Reminder alarms, e.g. anti-loss alarms

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Business, Economics & Management (AREA)
  • Emergency Management (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

本发明提供了一种固定头枕结构,包括主气囊和气压调节部件,主气囊内设置有第一气囊、第二气囊、第三气囊以及第四气囊,第一气囊和第二气囊形成第一支撑区域,第三气囊和第四气囊形成第二支撑区域;第一气囊和第三气囊形成第三支撑区域,第二气囊和第四气囊形成第四支撑区域;气压调节部件用于调节第一气囊、第二气囊、第三气囊以及第四气囊内的气压以调节第一支撑区域和第二支撑区域的相对高度以及第三支撑区域和第四支撑区域的相对高度以在患者处于平卧位且头部枕在主气囊上时调节患者头部的俯仰角度以及双侧偏转角度。从而根据患者健侧和患侧的关系将患者的头部调整到合适的角度,避免对皮瓣造成牵拉,保证患者的血运正常。

The present invention provides a fixed headrest structure, which includes a main airbag and an air pressure adjustment component. The main airbag is provided with a first airbag, a second airbag, a third airbag and a fourth airbag. The first airbag and the second airbag form a first airbag. In the support area, the third air bag and the fourth air bag form the second support area; the first air bag and the third air bag form the third support area, and the second air bag and the fourth air bag form the fourth support area; the air pressure adjustment component is used to adjust the first The air pressure in the air bag, the second air bag, the third air bag and the fourth air bag is used to adjust the relative height of the first support area and the second support area and the relative height of the third support area and the fourth support area so that the patient is in the supine position And when the head rests on the main air bag, the pitch angle and bilateral deflection angle of the patient's head are adjusted. Therefore, the patient's head can be adjusted to an appropriate angle according to the relationship between the healthy side and the affected side of the patient, so as to avoid pulling the flap and ensure the normal blood supply of the patient.

Description

固定头枕结构fixed headrest structure

技术领域technical field

本发明涉及医疗康复器具领域,具体而言,涉及一种固定头枕结构。The invention relates to the field of medical rehabilitation appliances, in particular to a fixed headrest structure.

背景技术Background technique

皮肤扩张术是修复面颈部瘢痕的常用方法,胸三角区皮瓣的色泽、质地和弹性与颜面部相近,故一直是整形修复关注的重点。用胸三角区扩张后皮瓣带蒂转移一次性修复较大面积的面颈部瘢痕,临床操作简便,术后外观改善良好,可以取得理想的修复效果。Skin expansion is a common method for repairing facial and neck scars. The color, texture and elasticity of the skin flap in the thoracic triangle are similar to those of the face, so it has always been the focus of attention in plastic surgery. Using the pedicled flap after the expansion of the thoracic triangle to repair a large area of facial and neck scars at one time, the clinical operation is simple, the postoperative appearance is improved, and the ideal repair effect can be achieved.

手术完成后,皮瓣血运情况与成活情况对于手术的成功有决定性的作用。而皮瓣转移后,皮瓣蒂仍位于胸三角区,此时患者如果头部动作过大将会造成皮瓣牵拉从而影响皮瓣血运甚至皮瓣拉扯脱离,导致手术失败。After the operation is completed, the blood supply and survival of the flap play a decisive role in the success of the operation. After the flap is transferred, the flap pedicle is still located in the thoracic triangle. At this time, if the patient moves the head too much, the flap will be pulled, which will affect the blood supply of the flap and even pull the flap away, resulting in the failure of the operation.

对此,一般在术后采用石膏或弹力绷带辅助患者固定头肩部,双侧皮瓣移植患者保持中立位,坐起时头前倾,转头时头与身体同时转动;睡觉时头部垫高,肩部垫棉垫;单侧皮瓣移植患者呈头部含胸位、肩部内收体位,坐起时头稍低并偏向患侧,转头时头与身体同时转动,睡觉时头偏向患侧,患侧肩部垫棉垫。In this regard, plaster or elastic bandages are generally used to assist the patient to fix the head and shoulders after the operation. Patients with bilateral skin flap transplantation maintain a neutral position, tilt their head forward when sitting up, and rotate their head and body simultaneously when turning their head; High, with cotton pads on the shoulders; patients with unilateral skin flap transplantation are in the position with the head in the chest and the shoulders adducted. When sitting up, the head is slightly lowered and tilted to the affected side. side, padded cotton pad on the shoulder of the affected side.

而采用石膏或弹力绷带进行固定后,患者在清醒状态下因颈部受限,低头含胸易使颈部肌肉过度牵拉,患者易产生酸胀感和不适感。同时稍有不慎就易牵拉、压迫皮瓣,影响血运情况;而在夜间平卧状态下,虽然通过在头部下方不同位置垫高能够减轻对皮瓣的牵拉,然而无法根据患者具体的手术情况将患者的头部调整到合适的角度,头部依然会对皮瓣造成一定的牵拉,影响皮瓣血运。However, after fixation with plaster or elastic bandages, the patient is prone to overstretching of the neck muscles due to the limitation of the neck in an awake state, and the patient is prone to soreness and discomfort. At the same time, if you are not careful, it is easy to pull and compress the skin flap, which will affect the blood supply. In the supine state at night, although the stretching of the flap can be reduced by raising different positions under the head, it cannot be adjusted according to the patient's needs. Adjust the patient's head to an appropriate angle according to the specific surgical situation, but the head will still cause a certain amount of traction on the flap, affecting the blood supply of the flap.

发明内容Contents of the invention

本发明的主要目的在于提供一种固定头枕结构,以至少解决现有技术中在进行皮瓣移植手术后患者处于平卧状态时无法根据患者具体的手术情况将患者头部调整到合适角度的问题。The main purpose of the present invention is to provide a fixed headrest structure to at least solve the problem in the prior art that the patient's head cannot be adjusted to a suitable angle according to the specific operation situation of the patient when the patient is in a supine state after the flap transplantation operation. question.

为了实现上述目的,本发明提供了一种固定头枕结构,包括:主气囊,主气囊内设置有相互交叉的第一隔膜和第二隔膜以将主气囊分隔为第一气囊、第二气囊、第三气囊以及第四气囊,第一气囊和第二气囊形成第一支撑区域,第三气囊和第四气囊形成第二支撑区域;第一气囊和第三气囊形成第三支撑区域,第二气囊和第四气囊形成第四支撑区域;气压调节部件,与第一气囊、第二气囊、第三气囊以及第四气囊均连通,气压调节部件用于调节第一气囊、第二气囊、第三气囊以及第四气囊内的气压以调节第一支撑区域和第二支撑区域的相对高度以及第三支撑区域和第四支撑区域的相对高度以在患者处于平卧位且头部枕在主气囊上时调节患者头部的俯仰角度以及双侧偏转角度。In order to achieve the above object, the present invention provides a fixed headrest structure, including: a main airbag, a first diaphragm and a second diaphragm intersecting each other are arranged in the main airbag to separate the main airbag into a first airbag, a second airbag, The third airbag and the fourth airbag, the first airbag and the second airbag form the first support area, the third airbag and the fourth airbag form the second support area; the first airbag and the third airbag form the third support area, the second airbag And the fourth air bag forms the fourth supporting area; the air pressure adjustment part is all communicated with the first air bag, the second air bag, the third air bag and the fourth air bag, and the air pressure adjustment part is used to adjust the first air bag, the second air bag, the third air bag And the air pressure in the fourth airbag to adjust the relative height of the first support area and the second support area and the relative height of the third support area and the fourth support area to when the patient is in the supine position and the head rests on the main air bag Adjust the tilt angle of the patient's head as well as the bilateral yaw angle.

进一步地,第三气囊和第四气囊之间的过渡部位具有弧形凹陷部以适应患者的颈部形状。Further, the transition portion between the third airbag and the fourth airbag has an arc-shaped concave part to adapt to the shape of the patient's neck.

进一步地,气压调节部件包括:主进气管,主进气管的第一端具有充气端口,充气端口用于与气泵连接;五通电磁阀,五通电磁阀具有进气端口和四个出气端口,主进气管的第二端口与五通电磁阀的进气端口连通;分支进气管,分支进气管为四根,四根分支进气管的第一端口与五通电磁阀的四个出气端口对应连通,四根分支进气管的第二端口对应延伸至第一气囊、第二气囊、第三气囊以及第四气囊内以向第一气囊、第二气囊、第三气囊以及第四气囊充气。Further, the air pressure adjustment component includes: a main air intake pipe, the first end of the main air intake pipe has an air charging port, and the air charging port is used to connect with the air pump; a five-way solenoid valve, the five-way electromagnetic valve has an air inlet port and four air outlet ports, The second port of the main intake pipe communicates with the intake port of the five-way solenoid valve; the branch intake pipe has four branch intake pipes, and the first ports of the four branch intake pipes communicate with the four outlet ports of the five-way solenoid valve. The second ports of the four branch air ducts correspondingly extend into the first airbag, the second airbag, the third airbag and the fourth airbag to inflate the first airbag, the second airbag, the third airbag and the fourth airbag.

进一步地,气压调节部件还包括:单向阀,单向阀为四个,四个单向阀对应设置在四根分支进气管的第二端口,以通过四个单向阀向第一气囊、第二气囊、第三气囊以及第四气囊充气。Further, the air pressure regulating component also includes: one-way valves, four one-way valves, and the four one-way valves are correspondingly arranged on the second ports of the four branch intake pipes, so as to send air to the first airbag, The second airbag, the third airbag and the fourth airbag are inflated.

进一步地,气压调节部件还包括:控制器,与五通电磁阀连接,控制器用于根据第一气囊、第二气囊、第三气囊以及第四气囊内的气压值控制五通电磁阀的进气端口以及四个出气端口打开或关闭以调节第一气囊、第二气囊、第三气囊以及第四气囊内的气压。Further, the air pressure regulating component also includes: a controller connected to the five-way solenoid valve, and the controller is used to control the air intake of the five-way solenoid valve according to the air pressure values in the first airbag, the second airbag, the third airbag and the fourth airbag. The port and the four air outlet ports are opened or closed to adjust the air pressure in the first air bag, the second air bag, the third air bag and the fourth air bag.

进一步地,气压调节部件还包括:泄压阀,泄压阀为四个,四个泄压阀对应设置在第一气囊、第二气囊、第三气囊以及第四气囊上并与控制器连接;其中,控制器还用于根据第一气囊、第二气囊、第三气囊以及第四气囊内的气压值控制四个泄压阀打开或关闭以调节第一气囊、第二气囊、第三气囊以及第四气囊内的气压。Further, the air pressure regulating component also includes: a pressure relief valve, and there are four pressure relief valves, and the four pressure relief valves are correspondingly arranged on the first airbag, the second airbag, the third airbag, and the fourth airbag and are connected to the controller; Wherein, the controller is also used to control the four pressure relief valves to open or close according to the air pressure values in the first airbag, the second airbag, the third airbag and the fourth airbag to adjust the air pressure of the first airbag, the second airbag, the third airbag and Air pressure inside the fourth air bag.

进一步地,气压调节部件还包括:压力传感器,压力传感器为四个,四个压力传感器对应设置在第一气囊、第二气囊、第三气囊以及第四气囊内并与控制器均连接;其中,四个压力传感器用于监测第一气囊、第二气囊、第三气囊以及第四气囊的内部气压并将监测的气压值发送至控制器。Further, the air pressure adjustment component also includes: pressure sensors, there are four pressure sensors, and the four pressure sensors are correspondingly arranged in the first air bag, the second air bag, the third air bag and the fourth air bag and are all connected to the controller; wherein, The four pressure sensors are used to monitor the internal air pressures of the first air bag, the second air bag, the third air bag and the fourth air bag and send the monitored air pressure values to the controller.

进一步地,固定头枕结构还包括:报警器,与控制器连接;其中,控制器用于在第一气囊内的气压值和/或第二气囊内的气压值和/或第三气囊内的气压值和/或第四气囊内的气压值超过预设值时向报警器发送报警指令以使报警器发出报警信号。Further, the fixed headrest structure also includes: an alarm connected to the controller; wherein, the controller is used for the air pressure value in the first air bag and/or the air pressure value in the second air bag and/or the air pressure in the third air bag When the air pressure value and/or the air pressure value in the fourth air bag exceeds the preset value, an alarm command is sent to the alarm device so that the alarm device sends out an alarm signal.

进一步地,主气囊还用于在患者处于直立位时垫在患者头部的后端,固定头枕结构还包括:第一绑带,第一绑带为两根,两根第一绑带的第一端连接在主气囊的下端,两根第一绑带的第二端用于绕过患者的腋下并在患者的胸前绑结在一起以将主气囊的下端固定。Further, the main airbag is also used to cushion the rear end of the patient's head when the patient is in an upright position, and the fixed headrest structure also includes: two first straps, two first straps The first end is connected to the lower end of the main airbag, and the second ends of the two first straps are used to go around the patient's armpit and tie together on the patient's chest to fix the lower end of the main airbag.

进一步地,固定头枕结构还包括:第二绑带,第二绑带为两根,两根第二绑带的第一端连接在主气囊的上端,两根第二绑带的第二端用于绑结在两根第一绑带上以牵拉主气囊的上端部以使患者头部向前倾。Further, the fixed headrest structure also includes: a second strap, two second straps, the first ends of the two second straps are connected to the upper end of the main airbag, the second ends of the two second straps For tying on the two first straps to pull the upper end of the main airbag to tilt the patient's head forward.

应用本发明技术方案的固定头枕结构,包括主气囊和气压调节部件,主气囊内设置有相互交叉的第一隔膜和第二隔膜以将主气囊分隔为第一气囊、第二气囊、第三气囊以及第四气囊,第一气囊和第二气囊形成第一支撑区域,第三气囊和第四气囊形成第二支撑区域;第一气囊和第三气囊形成第三支撑区域,第二气囊和第四气囊形成第四支撑区域;气压调节部件与第一气囊、第二气囊、第三气囊以及第四气囊均连通,气压调节部件用于调节第一气囊、第二气囊、第三气囊以及第四气囊内的气压以调节第一支撑区域和第二支撑区域的相对高度以及第三支撑区域和第四支撑区域的相对高度以在患者处于平卧位且头部枕在主气囊上时调节患者头部的俯仰角度以及双侧偏转角度。从而能够在进行皮瓣移植手术后患者处于平卧状态时根据患者健侧和患侧的关系将患者的头部调整到合适的角度,避免对皮瓣造成牵拉,保证患者的血运正常。解决了现有技术中在进行皮瓣移植手术后患者处于平卧状态时无法根据患者具体的手术情况将患者头部调整到合适角度的问题。The fixed headrest structure applying the technical solution of the present invention includes a main airbag and an air pressure regulating part, and a first diaphragm and a second diaphragm intersecting each other are arranged in the main airbag to separate the main airbag into a first airbag, a second airbag, a third airbag, and a second airbag. The airbag and the fourth airbag, the first airbag and the second airbag form the first supporting area, the third airbag and the fourth airbag form the second supporting area; the first airbag and the third airbag form the third supporting area, the second airbag and the The four airbags form the fourth supporting area; the air pressure adjusting part is in communication with the first airbag, the second airbag, the third airbag and the fourth airbag, and the air pressure adjusting part is used to adjust the first airbag, the second airbag, the third airbag and the fourth airbag. The air pressure inside the air cells to adjust the relative height of the first support area and the second support area and the relative height of the third support area and the fourth support area to adjust the patient's head when the patient is in the supine position with the head resting on the main air cell The pitch angle of the head and the bilateral yaw angle. Therefore, when the patient is in a supine state after the flap transplantation operation, the patient's head can be adjusted to an appropriate angle according to the relationship between the patient's healthy side and the affected side, so as to avoid pulling the flap and ensure the normal blood supply of the patient. It solves the problem in the prior art that the patient's head cannot be adjusted to a suitable angle according to the specific operation situation of the patient when the patient is in a supine state after skin flap transplantation.

附图说明Description of drawings

构成本申请的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings constituting a part of the present application are used to provide a further understanding of the present invention, and the schematic embodiments and descriptions of the present invention are used to explain the present invention, and do not constitute an improper limitation of the present invention. In the attached picture:

图1是根据本发明实施例可选的一种固定头枕结构的立体示意图;Fig. 1 is a three-dimensional schematic diagram of an optional fixed headrest structure according to an embodiment of the present invention;

图2是根据本发明实施例可选的一种固定头枕结构的背面示意图;Fig. 2 is a rear schematic view of an optional fixed headrest structure according to an embodiment of the present invention;

图3是根据本发明实施例可选的一种固定头枕结构的第一使用状态示意图;Fig. 3 is a schematic diagram of a first use state of an optional fixed headrest structure according to an embodiment of the present invention;

图4是根据本发明实施例可选的另一种固定头枕结构的立体示意图;以及Fig. 4 is a schematic perspective view of another optional fixed headrest structure according to an embodiment of the present invention; and

图5是根据本发明实施例可选的一种固定头枕结构的第二使用状态示意图。Fig. 5 is a schematic diagram of a second use state of an optional fixed headrest structure according to an embodiment of the present invention.

其中,上述附图包括以下附图标记:Wherein, the above-mentioned accompanying drawings include the following reference signs:

10、主气囊;11、第一气囊;12、第二气囊;13、第三气囊;14、第四气囊;20、气压调节部件;21、主进气管;22、充气端口;23、五通电磁阀;24、分支进气管;25、单向阀;26、控制器;27、泄压阀;28、压力传感器;30、报警器;40、第一绑带;50、第二绑带;60、侧气囊;61、第三绑带。10. Main airbag; 11. First airbag; 12. Second airbag; 13. Third airbag; 14. Fourth airbag; 20. Air pressure adjustment component; 21. Main air intake pipe; 22. Inflatable port; 23. Five-way Solenoid valve; 24, branch intake pipe; 25, one-way valve; 26, controller; 27, pressure relief valve; 28, pressure sensor; 30, alarm; 40, the first strap; 50, the second strap; 60, side airbag; 61, the third strap.

具体实施方式Detailed ways

需要说明的是,在不冲突的情况下,本申请中的实施例及实施例中的特征可以相互组合。下面将参考附图并结合实施例来详细说明本发明。It should be noted that, in the case of no conflict, the embodiments in the present application and the features in the embodiments can be combined with each other. The present invention will be described in detail below with reference to the accompanying drawings and examples.

根据本发明实施例的固定头枕结构,如图1至图3所示,包括主气囊10和气压调节部件20,主气囊10内设置有相互交叉的第一隔膜和第二隔膜以将主气囊10分隔为第一气囊11、第二气囊12、第三气囊13以及第四气囊14,第一气囊11和第二气囊12形成第一支撑区域,第三气囊13和第四气囊14形成第二支撑区域;第一气囊11和第三气囊13形成第三支撑区域,第二气囊12和第四气囊14形成第四支撑区域;气压调节部件20与第一气囊11、第二气囊12、第三气囊13以及第四气囊14均连通,气压调节部件20用于调节第一气囊11、第二气囊12、第三气囊13以及第四气囊14内的气压以调节第一支撑区域和第二支撑区域的相对高度以及第三支撑区域和第四支撑区域的相对高度以在患者处于平卧位且头部枕在主气囊10上时调节患者头部的俯仰角度以及双侧偏转角度。从而能够在进行皮瓣移植手术后患者处于平卧状态时根据患者健侧和患侧的关系将患者的头部调整到合适的角度,避免对皮瓣造成牵拉,保证患者的血运正常。解决了现有技术中在进行皮瓣移植手术后患者处于平卧状态时无法根据患者具体的手术情况将患者头部调整到合适角度的问题。According to the fixed headrest structure of the embodiment of the present invention, as shown in FIGS. 10 is divided into a first air bag 11, a second air bag 12, a third air bag 13 and a fourth air bag 14, the first air bag 11 and the second air bag 12 form a first supporting area, and the third air bag 13 and the fourth air bag 14 form a second air bag. Support area; the first air bag 11 and the 3rd air bag 13 form the 3rd support area, the second air bag 12 and the 4th air bag 14 form the 4th support area; The air bag 13 and the fourth air bag 14 are all communicated, and the air pressure adjusting part 20 is used to adjust the air pressure in the first air bag 11, the second air bag 12, the third air bag 13 and the fourth air bag 14 to adjust the first support area and the second support area The relative height of the patient's head and the relative height of the third support area and the fourth support area are used to adjust the pitch angle and bilateral deflection angle of the patient's head when the patient is in a supine position and the head rests on the main airbag 10 . Therefore, when the patient is in a supine state after the flap transplantation operation, the patient's head can be adjusted to an appropriate angle according to the relationship between the patient's healthy side and the affected side, so as to avoid pulling the flap and ensure the normal blood supply of the patient. It solves the problem in the prior art that the patient's head cannot be adjusted to a suitable angle according to the specific operation situation of the patient when the patient is in a supine state after skin flap transplantation.

具体实施时,主气囊10内部的第一隔膜和第二隔膜呈十字交叉。在正常状态下,第一气囊11和第二气囊12的气压大于第三气囊13和第四气囊14,第一支撑区域的高度大于第二支撑区域的高度,患者平躺且头部枕在主气囊10时,头部微微向前倾,头部呈含胸位,对于双侧皮瓣转移患者能够有效避免对皮瓣的牵拉,保证血运。对于单侧皮瓣移植患者,在患者平躺且头部枕在主气囊10时,如果患者患侧位于靠近第三支撑区域的一侧,在保证第一气囊11和第二气囊12的气压大于第三气囊13和第四气囊14的同时,将第四气囊14的气压调节到大于第三气囊13,使第四支撑区域的高度大于第三支撑区域的高度,进而使患者头部在保持含胸位的同时,微微向第三气囊13一侧偏转,即患者头部向患侧倾斜,从而进一步减轻对皮瓣的牵拉;相反地,如果患者患侧位于靠近第四支撑区域的一侧,则在保证第一气囊11和第二气囊12的气压大于第三气囊13和第四气囊14的同时,将第三气囊13的气压调节到大于第四气囊14,使第三支撑区域的高度大于第四支撑区域的高度,使患者头部在保持含胸位的同时,微微向第四气囊14一侧偏转,即患者头部向患侧倾斜,从而进一步减轻对皮瓣的牵拉。During specific implementation, the first diaphragm and the second diaphragm inside the main airbag 10 form a cross. Under normal conditions, the air pressure of the first airbag 11 and the second airbag 12 is greater than that of the third airbag 13 and the fourth airbag 14, the height of the first support area is greater than the height of the second support area, and the patient lies flat with his head resting on the main body. When the airbag is 10, the head is slightly tilted forward, and the head is in the chest position. For patients with bilateral skin flap transfer, it can effectively avoid pulling the flap and ensure blood supply. For patients with unilateral skin flap transplantation, when the patient is lying flat and the head rests on the main air bag 10, if the affected side of the patient is located on the side close to the third support area, the air pressure of the first air bag 11 and the second air bag 12 must be greater than Simultaneously with the third airbag 13 and the fourth airbag 14, the air pressure of the fourth airbag 14 is adjusted to be greater than that of the third airbag 13, so that the height of the fourth support area is greater than the height of the third support area, so that the patient's head is kept in the chest. At the same time, slightly deflect to the side of the third airbag 13, that is, the patient’s head is inclined to the affected side, thereby further reducing the pulling on the flap; on the contrary, if the affected side of the patient is located on the side close to the fourth support area, Then when ensuring that the air pressure of the first air bag 11 and the second air bag 12 is greater than the third air bag 13 and the fourth air bag 14, the air pressure of the third air bag 13 is adjusted to be greater than the fourth air bag 14, so that the height of the third support area is greater than The height of the fourth support area enables the patient's head to deflect slightly to the side of the fourth airbag 14 while maintaining the chest position, that is, the patient's head tilts to the affected side, thereby further reducing the pulling on the flap.

另外,为了能够使患者头部进一步向前倾,保持含胸位,第三气囊13和第四气囊14之间的过渡部位具有弧形凹陷部以适应患者的颈部形状,从而使颈部的支撑高度尽量降低,使患者头部向前倾,减小对皮瓣的牵拉。In addition, in order to further tilt the patient's head forward and keep the chest position, the transition between the third airbag 13 and the fourth airbag 14 has an arc-shaped concave part to adapt to the shape of the patient's neck, so that the support of the neck Keep the height as low as possible, so that the patient's head can be tilted forward to reduce the pulling on the flap.

进一步地,如图2所示,气压调节部件20包括主进气管21、五通电磁阀23、分支进气管24、单向阀25、控制器26、泄压阀27以及压力传感器28,主进气管21的第一端具有充气端口22,充气端口22用于与气泵连接;五通电磁阀23位于第一气囊11、第二气囊12、第三气囊13和第四气囊14之间的连接处,五通电磁阀23具有进气端口和四个出气端口,主进气管21的第二端口与五通电磁阀23的进气端口连通;分支进气管24为四根,四根分支进气管24的第一端口与五通电磁阀23的四个出气端口对应连通,四根分支进气管24的第二端口对应延伸至第一气囊11、第二气囊12、第三气囊13以及第四气囊14的内部,气泵工作时产生的气流,经过五通电磁阀23进行调配,五通电磁阀23的进气端口和相应的出气端口打开即可向对应的气囊进行充气以调高该气囊的气压。Further, as shown in FIG. 2 , the air pressure adjustment component 20 includes a main intake pipe 21, a five-way solenoid valve 23, a branch intake pipe 24, a one-way valve 25, a controller 26, a pressure relief valve 27 and a pressure sensor 28. The first end of air tube 21 has inflation port 22, and inflation port 22 is used for being connected with air pump; , the five-way electromagnetic valve 23 has an air intake port and four air outlet ports, and the second port of the main air intake pipe 21 communicates with the air intake port of the five-way electromagnetic valve 23; the branch air intake pipes 24 are four, and the four branch air intake pipes 24 The first ports of the five-way solenoid valve 23 correspond to the four outlet ports, and the second ports of the four branch air inlet pipes 24 extend to the first air bag 11, the second air bag 12, the third air bag 13 and the fourth air bag 14. Inside the air pump, the airflow generated when the air pump is working is adjusted through the five-way solenoid valve 23, and the air inlet port and the corresponding air outlet port of the five-way solenoid valve 23 are opened to inflate the corresponding airbag to increase the air pressure of the airbag.

控制器26与五通电磁阀23连接,控制器26用于根据第一气囊11、第二气囊12、第三气囊13以及第四气囊14内的气压值对五通电磁阀23的进气端口和各个出气端口的打开和关闭进行控制,从而对各个气囊的气压调整进行控制。The controller 26 is connected with the five-way solenoid valve 23, and the controller 26 is used to control the intake ports of the five-way solenoid valve 23 according to the air pressure values in the first airbag 11, the second airbag 12, the third airbag 13 and the fourth airbag 14. and the opening and closing of each air outlet port, so as to control the air pressure adjustment of each air bag.

单向阀25为四个,四个单向阀25对应设置在四根分支进气管24的第二端口,以通过四个单向阀25向第一气囊11、第二气囊12、第三气囊13以及第四气囊14充气。单向阀25起到防止气流逆向流动的作用。There are four one-way valves 25, and four one-way valves 25 are correspondingly arranged on the second ports of the four branch intake pipes 24, so as to pass through the four one-way valves 25 to the first air bag 11, the second air bag 12, and the third air bag. 13 and the fourth air bag 14 is inflated. The one-way valve 25 plays a role in preventing the reverse flow of the air flow.

泄压阀27为四个,四个泄压阀27对应设置在第一气囊11、第二气囊12、第三气囊13以及第四气囊14的侧壁上并与控制器26连接;其中,控制器26还用于根据第一气囊11、第二气囊12、第三气囊13以及第四气囊14内的气压值控制四个泄压阀27打开或关闭,泄压阀27打开时能够对相应的气囊进行泄压,从而降低该气囊的压力。There are four pressure relief valves 27, and the four pressure relief valves 27 are correspondingly arranged on the side walls of the first air bag 11, the second air bag 12, the third air bag 13 and the fourth air bag 14 and are connected with the controller 26; wherein, the control The device 26 is also used to control the opening or closing of four pressure relief valves 27 according to the air pressure values in the first airbag 11, the second airbag 12, the third airbag 13 and the fourth airbag 14. When the pressure relief valve 27 is opened, the corresponding The bladder is depressurized, thereby reducing the pressure of the bladder.

压力传感器28也为四个,四个压力传感器28对应设置在第一气囊11、第二气囊12、第三气囊13以及第四气囊14内并与控制器26均连接;其中,四个压力传感器28用于监测第一气囊11、第二气囊12、第三气囊13以及第四气囊14的内部气压并将监测的气压值并发送至控制器26。There are also four pressure sensors 28, and four pressure sensors 28 are correspondingly arranged in the first air bag 11, the second air bag 12, the third air bag 13 and the fourth air bag 14 and are all connected with the controller 26; wherein, the four pressure sensors 28 is used to monitor the internal air pressure of the first air bag 11 , the second air bag 12 , the third air bag 13 and the fourth air bag 14 and send the monitored air pressure values to the controller 26 .

在具体使用时,根据的患者的具体情况事先通过控制器26设置好第一气囊11、第二气囊12、第三气囊13以及第四气囊14的气压值,随后连接气泵对各个气囊进行充气,气囊内的压力传感器28监测到相应的气囊的压力达到设定值时,控制器26控制五通电磁阀23相应的出气端口关闭。所有气囊的压力均达到设定值时,控制器26控制五通电磁阀23所有的出气端口以及进气端口均关闭,随后去掉气泵即可使用。In specific use, the air pressure values of the first airbag 11, the second airbag 12, the third airbag 13 and the fourth airbag 14 are set through the controller 26 in advance according to the specific conditions of the patient, and then the air pump is connected to inflate each airbag. When the pressure sensor 28 in the airbag detects that the pressure of the corresponding airbag reaches the set value, the controller 26 controls the corresponding air outlet port of the five-way solenoid valve 23 to close. When the pressure of all the airbags reaches the set value, the controller 26 controls all the air outlet ports and the air inlet ports of the five-way electromagnetic valve 23 to be closed, and then the air pump can be removed for use.

在使用过程中,如果哪个气囊气压过高,无法将患者的头部调整到适宜的角度,通过控制器26可以控制相应气囊的泄压阀27打开进行泄压。该气囊的高度调整到合适高度时,泄压阀27关闭。During use, if the air pressure of any airbag is too high to adjust the patient's head to an appropriate angle, the controller 26 can control the pressure relief valve 27 of the corresponding airbag to open for pressure relief. When the height of the air bag is adjusted to a suitable height, the pressure relief valve 27 is closed.

在使用过程中,为了防止患者在睡着状态下或者躁动状态下将头部后仰或者头部向远离患侧的方向偏转造成对皮瓣牵拉。进一步地,固定头枕结构还包括报警器30,报警器30与控制器26连接;对于双侧皮瓣转移患者,正常状态下,第一气囊11和第二气囊12的气压大于第三气囊13和第四气囊14时,第一支撑区域的高度大于第二支撑区域的高度,使患者头部微微向前倾,头部呈含胸位。如果患者头部向后仰,头部上端即会压迫第一气囊11和第二气囊12,同时脖颈部位会减轻对第三气囊13和第四气囊14的压迫,导致第一气囊11和第二气囊12的压力升高,第三气囊13和第四气囊14的压力减小,事先通过控制器26设定第一气囊11和第二气囊12气压的最大值以及第三气囊13和第四气囊14气压的最小值,当第一气囊11和第二气囊12内的压力传感器28监测到内部的气压值大于设定的最大值和/或当第三气囊13和第四气囊14内的压力传感器28监测到内部的气压值小于设定的最小值时,即表明患者头部向后仰,控制器26向报警器30发送报警指令驱动报警器30发出报警信号,从而提醒患者调整头部姿态,同时也可以提醒医护人员尽快对患者进行处理。During use, in order to prevent the patient from tilting his head back or deflecting his head away from the affected side when he is asleep or agitated, causing the skin flap to be pulled. Further, the fixed headrest structure also includes an alarm 30, which is connected to the controller 26; for patients with bilateral skin flap transfer, under normal conditions, the air pressure of the first airbag 11 and the second airbag 12 is greater than that of the third airbag 13 and the fourth airbag 14, the height of the first support area is greater than the height of the second support area, so that the patient's head is slightly tilted forward, and the head is in a chest position. If the patient's head is tilted backward, the upper end of the head will press the first air bag 11 and the second air bag 12, and the neck position will reduce the compression of the third air bag 13 and the fourth air bag 14, causing the first air bag 11 and the second air bag The pressure of the airbag 12 increases, the pressure of the third airbag 13 and the fourth airbag 14 decreases, and the maximum value of the air pressure of the first airbag 11 and the second airbag 12 and the pressure of the third airbag 13 and the fourth airbag are set by the controller 26 in advance. 14 The minimum value of air pressure, when the pressure sensor 28 in the first air bag 11 and the second air bag 12 monitors that the internal air pressure value is greater than the set maximum value and/or when the pressure sensor in the third air bag 13 and the fourth air bag 14 28 When it is detected that the internal air pressure value is less than the set minimum value, it means that the patient's head is tilted backward, and the controller 26 sends an alarm command to the alarm 30 to drive the alarm 30 to send an alarm signal, thereby reminding the patient to adjust the head posture, At the same time, it can also remind the medical staff to deal with the patient as soon as possible.

对于单侧皮瓣移植患者,正常状态下,靠近患侧的两个气囊的气压应该小于靠近健侧的两个气囊的气压,即患侧两个气囊的高度小于健侧两个气囊的高,以使患者头部向患侧偏转,减轻对皮瓣牵拉。如果患者在睡着状态下或者躁动状态下向健侧偏转,则会压迫靠近健侧的两个气囊,同时减轻对靠近患侧的两个气囊的压迫,导致靠近健侧的两个气囊气压升高,靠近患侧的两个气囊的气压降低。同样地,通过控制器26事先设定靠近患侧的两个气囊的最小值以及靠近健侧两个气囊的最大值,当健侧两个气囊内的压力传感器28监测到内部的气压值大于设定的最大值和/或患侧两个气囊内的压力传感器28监测到内部的气压值小于设定的最小值时,表明患者头部向健侧偏转,控制器26向报警器30发送报警指令驱动报警器30发出报警信号,从而提醒患者调整头部姿态,同时也可以提醒医护人员尽快对患者进行处理。For patients with unilateral skin flap transplantation, under normal conditions, the air pressure of the two airbags near the affected side should be smaller than the air pressure of the two airbags near the healthy side, that is, the height of the two airbags on the affected side is smaller than the height of the two airbags on the healthy side, To deflect the patient's head to the affected side and reduce the pulling on the flap. If the patient deflects to the healthy side in the state of sleep or restlessness, it will compress the two air cells near the healthy side and reduce the pressure on the two air cells near the affected side, resulting in an increase in the air pressure of the two air cells near the healthy side High, the air pressure of the two air cells near the affected side is reduced. Similarly, the minimum value of the two airbags near the affected side and the maximum value of the two airbags near the healthy side are set in advance by the controller 26. When the pressure sensors 28 in the two airbags of the healthy side monitor When the pressure sensor 28 in the two airbags on the affected side detects that the internal air pressure value is less than the set minimum value, it indicates that the patient's head deflects to the healthy side, and the controller 26 sends an alarm command to the alarm 30 Drive the alarm 30 to send an alarm signal, thereby reminding the patient to adjust the head posture, and also reminding the medical staff to treat the patient as soon as possible.

为了能够在患者直立状态时对患者头部起到辅助固定作用,进一步地,如图4和图5所示,固定头枕结构还包括第一绑带40和第二绑带50,主气囊10在患者处于直立位时垫在患者头部的后端,第一绑带40和第二绑带50均为两根,两根第一绑带40的第一端连接在主气囊10的下端,两根第一绑带40的第二端绕过患者的腋下并在患者的胸前绑结在一起以将主气囊10的下端固定。两根第二绑带50的第一端连接在主气囊10的上端,两根第二绑带50的第二端用于绑结在两根第一绑带40上以牵拉主气囊10的上端部,使第一气囊11和第二气囊12对患者的头部后侧施加向前的推力从而以使患者头部向前倾,以减小对皮瓣的牵拉。两根第二绑带50邦好后位于患者头部的两侧。In order to assist in fixing the patient's head when the patient is in an upright state, further, as shown in Figure 4 and Figure 5, the fixed headrest structure also includes a first strap 40 and a second strap 50, the main airbag 10 When the patient is in an upright position, it is placed on the rear end of the patient's head. There are two first straps 40 and two second straps 50, and the first ends of the two first straps 40 are connected to the lower end of the main airbag 10. The second ends of the two first straps 40 go around the patient's armpits and are tied together on the patient's chest to fix the lower end of the main airbag 10 . The first ends of the two second straps 50 are connected to the upper end of the main airbag 10, and the second ends of the two second straps 50 are used for binding on the two first straps 40 to pull the main airbag 10. At the upper end, the first airbag 11 and the second airbag 12 apply a forward thrust to the back of the patient's head so that the patient's head is tilted forward to reduce the pulling on the flap. The two second straps 50 are fastened on both sides of the patient's head.

另外,对于双侧皮瓣转移患者在直立位需要转动头部时,需要连通身体一起转动,从而避免对皮瓣牵拉。对此,在主气囊10的两侧还设置有两个侧气囊60,两个侧气囊60的端部分别设置有第三绑带61,患者在直立位将主气囊10固定好后,通过将两根第三绑带61对应邦结在两根第二绑带50上从而将两个侧气囊60固定在患者左右两侧的脖颈处阻碍患者头部单独转动,从而避免对皮瓣造成牵拉。In addition, when patients with bilateral flap transfer need to turn their head in an upright position, they need to rotate together with their body, so as to avoid pulling on the flap. To this end, two side airbags 60 are also arranged on both sides of the main airbag 10, and the ends of the two side airbags 60 are respectively provided with a third strap 61. After the patient fixes the main airbag 10 in the upright position, The two third straps 61 are correspondingly bonded to the two second straps 50 so as to fix the two side airbags 60 on the left and right necks of the patient to prevent the patient's head from turning independently, thereby avoiding pulling on the skin flap .

以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.

Claims (10)

1. a kind of fixed headrest features characterized by comprising
Main gasbag (10) is provided with cross one another first diaphragm and the second diaphragm in the main gasbag (10) with by the main gas Capsule (10) is divided into the first air bag (11), the second air bag (12), third air bag (13) and four gasbags (14), first gas Capsule (11) and second air bag (12) form the first supporting zone, the third air bag (13) and the four gasbags (14) shape At the second supporting zone;First air bag (11) and the third air bag (13) form third supporting zone, second gas Capsule (12) and the four gasbags (14) form the 4th supporting zone;
Pressure adjusting unit (20), with first air bag (11), second air bag (12), the third air bag (13) and The four gasbags (14) are connected to, and the pressure adjusting unit (20) is for adjusting first air bag (11), described second Air pressure in air bag (12), the third air bag (13) and the four gasbags (14) with adjust first supporting zone and The relative altitude of second supporting zone and the relative altitude of the third supporting zone and the 4th supporting zone are to suffer from Person is in horizontal position and head pillow adjusts the pitch angle and bilateral deflection angle of patients head when on the main gasbag (10) Degree.
2. fixed headrest features according to claim 1, which is characterized in that the third air bag (13) and the 4th gas Intermediate location between capsule (14) has arc-shaped recess portion to adapt to the neck shaped of patient.
3. fixed headrest features according to claim 1, which is characterized in that the pressure adjusting unit (20) includes:
The first end of main air inlet pipe (21), the main air inlet pipe (21) has inflation port (22), and the inflation port (22) is used It is connect in air pump;
Five-way electromagnetic valve (23), the five-way electromagnetic valve (23) have air inlet port and four air outlets, the main air inlet pipe (21) second port is connected to the air inlet port of the five-way electromagnetic valve (23);
Branch's air inlet pipe (24), branch's air inlet pipe (24) are four, the first port of four branch's air inlet pipe (24) It is corresponding with four air outlets of the five-way electromagnetic valve (23) to be connected to, the second end of four branch's air inlet pipe (24) Mouth correspondence extends to first air bag (11), second air bag (12), the third air bag (13) and the 4th gas With to first air bag (11), second air bag (12), the third air bag (13) and the 4th gas in capsule (14) Capsule (14) inflation.
4. fixed headrest features according to claim 3, which is characterized in that the pressure adjusting unit (20) further include:
Check valve (25), the check valve (25) are four, and four check valves (25) are correspondingly arranged at four branches The second port of air inlet pipe (24), to pass through four check valve (25) first air bags of Xiang Suoshu (11), second air bags (12), the third air bag (13) and the four gasbags (14) inflation.
5. fixed headrest features according to claim 3, which is characterized in that the pressure adjusting unit (20) further include:
Controller (26) is connect with the five-way electromagnetic valve (23), and the controller (26) is used for according to first air bag (11), described in the atmospheric pressure value control in second air bag (12), the third air bag (13) and the four gasbags (14) The air inlet port of five-way electromagnetic valve (23) and four air outlets are opened or closed to adjust first air bag (11), the air pressure in second air bag (12), the third air bag (13) and the four gasbags (14).
6. fixed headrest features according to claim 5, which is characterized in that the pressure adjusting unit (20) further include:
Relief valve (27), the relief valve (27) are four, and four relief valves (27) are correspondingly arranged at first air bag (11), on second air bag (12), the third air bag (13) and the four gasbags (14) and with the controller (26) it connects;
Wherein, the controller (26) is also used to according to first air bag (11), second air bag (12), the third gas Atmospheric pressure value in capsule (13) and the four gasbags (14) controls four relief valves (27) and opens or closes to adjust State the air pressure in the first air bag (11), second air bag (12), the third air bag (13) and the four gasbags (14).
7. fixed headrest features according to claim 5, which is characterized in that the pressure adjusting unit (20) further include:
Pressure sensor (28), the pressure sensor (28) are four, and four pressure sensors (28) are correspondingly arranged at First air bag (11), second air bag (12), in the third air bag (13) and the four gasbags (14) and with The controller (26) is all connected with;
Wherein, four pressure sensors (28) are for monitoring first air bag (11), second air bag (12), described The atmospheric pressure value of monitoring is simultaneously sent to the controller by the air pressure inside of third air bag (13) and the four gasbags (14) (26)。
8. fixed headrest features according to claim 7, which is characterized in that the fixed headrest features further include:
Alarm (30) is connect with the controller (26);
Wherein, the controller (26) is for the atmospheric pressure value and/or second air bag (12) in first air bag (11) Atmospheric pressure value in interior atmospheric pressure value and/or atmospheric pressure value and/or the four gasbags (14) in the third air bag (13) is more than Alarm command is sent so that the alarm (30) issues alarm signal to the alarm (30) when preset value.
9. fixed headrest features according to claim 1, which is characterized in that the main gasbag (10) is also used at patient Pad is in the rear end of patients head, the fixed headrest features when orthostatic position further include:
First bandage (40), first bandage (40) are two, and the first end of two first bandages (40) is connected to institute The lower end of main gasbag (10) is stated, the second end of two first bandages (40) is used for the oxter around patient and the chest in patient Preceding stitch is together to fix the lower end of the main gasbag (10).
10. fixed headrest features according to claim 9, which is characterized in that the fixed headrest features further include:
Second bandage (50), second bandage (50) are two, and the first end of two second bandages (50) is connected to institute The upper end of main gasbag (10) is stated, the second end of two second bandages (50) is for stitch in two first bandages (40) On to pull the upper end of the main gasbag (10) so that patients head turns forward.
CN201910525480.6A 2019-06-18 2019-06-18 Fixed headrest structure Expired - Fee Related CN110141438B (en)

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CN111557821A (en) * 2020-04-23 2020-08-21 中国人民解放军第四军医大学 A lateral decubitus spinal surgery postural fixation device

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EP1374820A1 (en) * 2002-06-27 2004-01-02 Ross Vaughan Lifting device
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CN207928421U (en) * 2017-04-28 2018-10-02 厦门兔顽智能科技有限公司 A kind of intellectual anti-snore pad
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CN111557821A (en) * 2020-04-23 2020-08-21 中国人民解放军第四军医大学 A lateral decubitus spinal surgery postural fixation device
CN111557821B (en) * 2020-04-23 2022-04-05 中国人民解放军第四军医大学 A lateral decubitus spinal surgery postural fixation device

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