CN111150592A

CN111150592A - Rehabilitation multifunctional bed after vitrectomy

Info

Publication number: CN111150592A
Application number: CN202010195476.0A
Authority: CN
Inventors: 张玲; 岳珍珍; 马晓镤; 周纪妹; 底瑞青; 张凤妍; 王宇鹰; 王苗; 李慧芳; 高乐乐; 金冠珍; 陈亚红; 丁艳华
Original assignee: First Affiliated Hospital of Zhengzhou University
Current assignee: First Affiliated Hospital of Zhengzhou University
Priority date: 2020-03-19
Filing date: 2020-03-19
Publication date: 2020-05-15

Abstract

The invention discloses a multifunctional bed for postoperative rehabilitation after vitrectomy, which comprises a bed frame and a bed body horizontally arranged on the bed frame and used for supporting a human body, wherein the bed body is formed by horizontally arranging a height-adjustable headrest supporting part, a fixed body supporting part and an inclination-angle-adjustable lower limb supporting part from the head end to the tail end of the bed in sequence, and a pair of front face clamping parts is arranged in the middle of the headrest supporting part at intervals along the length direction of the bed frame. The invention has the advantages of simple structure, simple and convenient operation and capability of easily switching different forced body positions. Realize the easy switching between two kinds of positions of glass cutting postoperative patient prone position and seat, when guaranteeing that the patient is unblocked breathing, avoid the patient because of adopting a force position for a long time and cause dizziness, chest distress, neck muscle fatigue ache, limbs numbness, facial edema, skin pressure sore, adverse reactions such as intraocular pressure rising, promote patient's comfort level, make its can be long-time take the decurrent force position of face, be of value to the rehabilitation of postoperative.

Description

Multifunctional bed for postoperative rehabilitation of vitrectomy

Technical Field

The invention relates to the technical field of medical care appliances, in particular to a multifunctional bed for rehabilitation after vitrectomy.

Background

Vitrectomy combined with silicone oil filling (referred to as vitrectomy) is a common surgical method for treating complicated retinal detachment in ophthalmology. After operation, the patient must take a forced position with the face facing downwards for 3-6 months, and the patient needs to be guaranteed for 8-12 hours every day, and three modes of face-down in prone position, head-down in standing position and head-down in sitting position can be adopted.

In the existing clinical practice, a special recovery bed after vitrectomy is not available, a patient needs to purchase a prone cushion on the basis of a common sickbed, the prone cushion is mostly a U-shaped soft pillow, the fitness with the sickbed is very low, and only one mode of prone position can be adopted; the patient is prone to breathing disorder when using for a long time in the prone position, and the patient is easy to feel dizziness, chest distress, fatigue and ache of neck muscles, numbness of limbs, face edema, skin pressure sore, increase of intraocular pressure and other adverse reactions caused by keeping a forced position for a long time, and even can induce permanent damage to vision and cervical and lumbar diseases.

In addition, the mode that the body position of a postoperative patient is forced by adopting a common sickbed and a prone cushion at present cannot master the prone time of the patient facing downwards every day and cannot accurately know whether the prone position of the patient meets the requirement or not, so that the mode has little effect on postoperative rehabilitation and the relief of adverse reactions.

Disclosure of Invention

The invention aims to provide a multifunctional bed for rehabilitation after single vitrectomy, which can easily switch forced positions.

In order to achieve the purpose, the invention can adopt the following technical scheme:

the multifunctional bed for the rehabilitation after the vitrectomy comprises a bed frame and a bed body horizontally arranged on the bed frame and used for supporting a human body, wherein the bed body is formed by horizontally arranging a height-adjustable headrest supporting part, a fixed body supporting part and an inclination-angle-adjustable lower limb supporting part from the head end to the tail end of the bed in sequence, and a pair of front face clamping parts are arranged in the middle of the headrest supporting part at intervals along the length direction of the bed frame.

The headrest supporting part is a head supporting plate movably arranged on the bedstead, the head supporting plate is driven by a lifting adjusting device arranged on the bedstead below the head supporting plate to lift up and down and adjust the front and back inclination, and the two front face clamping parts are face clamping and supporting through holes which are arranged in the middle of the head supporting plate at intervals along the length direction of the bedstead; the body supporting part is a seat plate horizontally and fixedly connected to the bedstead, and the lower limb supporting part is an inclination-angle-adjustable backrest plate hinged to the bedstead at the front edge; the upper surfaces of the head supporting plate, the seat plate and the backrest plate are flush.

The lifting adjusting device is composed of two pairs of longitudinal telescopic upright columns which are arranged at intervals along the length direction of the bed frame, each pair of longitudinal telescopic upright columns is symmetrically fixed on the left side edge and the right side edge of the bed frame, and the telescopic ends of the four longitudinal telescopic upright columns are respectively hinged with the bottom surface of the head supporting plate close to four corners; the side wall of the longitudinal telescopic upright post is provided with a height scale convenient for observing the lifting height, and one side of the head bearing plate is provided with an angle measurer convenient for observing the inclination angle.

The head supporting plate positioned at the two sides of the face clamping support through hole is provided with upper limb vertical through holes corresponding to human body rotator cuff parts, and the upper limb vertical through holes and the face clamping support through hole are internally provided with adaptive clamping and plugging pads which are flush with the upper surface of the head supporting plate.

Each face clamping support through hole is internally provided with a cheek massage air bag for pressing cheeks on two sides of a human body, a lower jaw massage air bag for pressing a lower jaw of the human body and an upper forehead massage air bag for pressing a forehead of the human body.

The middle part of the upper surface of the seat plate is provided with a pressure sensor, and the two face card supports are internally provided with in-place sensors.

The bedstead below the head bearing plate is hinged with a turnover supporting plate corresponding to the two face clamping and supporting through holes, and the bedstead below the seat plate is provided with a storage basket for placing living goods.

The four corners of the bottom of the bed frame are connected with universal silent wheels with brake fixing devices through supporting legs.

Blocking pieces for preventing a human body from falling off are arranged on the bed frame at the peripheral edges of the bed body, the blocking pieces at the left side and the right side of the bed body are foldable bed blocks hinged to the bed frame, and the blocking pieces at the front side and the rear side of the bed body are fixed bed blocks vertically fixed to the bed frame.

The invention has the advantages of simple structure, simple and convenient operation and capability of easily switching different forced body positions. The bed body is composed of a height-adjustable headrest supporting part, a fixed body supporting part and an inclination-angle-adjustable lower limb supporting part, so that the patient can be easily switched between the prone position and the sitting position after vitrectomy, a pair of face card support through holes formed in the headrest supporting part can be just matched with a face card support in the two positions, so that the patient can breathe smoothly, adverse reactions such as dizziness, chest distress, fatigue and ache of neck muscles, limb numbness, facial edema, skin pressure sore, increase of intraocular pressure and the like caused by long-term adoption of a forced position are avoided, the comfort level of the patient is improved, the patient can take a downward forced position of the face for a long time, and postoperative rehabilitation treatment is facilitated; in addition, the pressure sensor arranged on the body supporting part and the in-place sensors arranged in the two face card support through holes can accurately monitor whether the forced body position of the patient is correct or not, and the in-place information is transmitted to an external controller or a mobile phone APP in real time, so that the time for keeping the forced body position of the patient is timed, and whether the forced body position of the patient reaches 8-12 hours or not can be monitored in real time.

Drawings

Fig. 1 is a schematic structural view of the present invention.

Fig. 2 is a schematic structural view of the inversion blade of fig. 1.

Fig. 3 and 4 are two other usage state diagrams of the present invention.

Fig. 5 is a view from direction a of fig. 3.

Fig. 6 is a view from direction B of fig. 4.

Detailed Description

As shown in fig. 1, the multifunctional bed for rehabilitation after vitrectomy of the present invention comprises a bed frame and a bed body horizontally arranged on the bed frame for supporting a human body, specifically, the bed frame may be composed of a rectangular frame 1 for placing the bed body on the top and a supporting frame 2 fixedly connected with the bottom surface of the rectangular frame 1, and the bed body is composed of a height-adjustable headrest supporting portion, a fixed body supporting portion and an inclination-adjustable lower limb supporting portion which are horizontally arranged in sequence from the head end to the tail end of the bed. In addition, for convenient movement, universal mute wheels 4 with brake fixing devices are connected at the four corners of the bottom of the supporting frame 2 through supporting legs 3, blocking pieces for preventing a human body from falling off the bed are arranged on the rectangular frame 1 at the peripheral edge of the bed body, the blocking pieces at the left side and the right side of the bed body are retractable bed blocks 5 hinged on the rectangular frame, the blocking pieces at the front side and the rear side of the bed body are fixed bed blocks 6 vertically fixed on the rectangular frame, two pairs of the retractable bed blocks 5 can be arranged at intervals along the two long edges of the rectangular frame and are respectively used for blocking the left and right sides of the upper half body and the left and right sides of the lower half body of a patient lying on the bed body.

As shown in fig. 3 and 4, the headrest supporting part is a head supporting plate 7 movably arranged on the rectangular frame 1, and the two front face clamping parts are face clamping through holes 8 arranged in the middle of the head supporting plate 7 at intervals along the length direction of the rectangular frame 1; the head supporting plate 7 is driven by a lifting adjusting device arranged on the supporting frame 2 below the head supporting plate to lift up and down and adjust the front and back inclination; the lifting adjusting device can be composed of two pairs of longitudinal telescopic upright posts 9 which are arranged at intervals along the length direction of the rectangular frame 1, each pair of longitudinal telescopic upright posts 9 is symmetrically fixed on the left side edge and the right side edge of the supporting frame 2, the telescopic ends of the four longitudinal telescopic upright posts 9 are respectively hinged with the bottom surface of the head supporting plate 7 close to four corners, and the axial direction of a hinge shaft at the hinged position is kept consistent with the width direction of the rectangular frame 1, so that the head supporting plate 7 can be ensured to be forwards or backwards inclined to adapt to different sitting postures of patients. Certainly, the two pairs of longitudinal telescopic vertical posts 9 can be electric hydraulic telescopic rods or mechanical telescopic rods pulled manually, and when the vertical posts are electric hydraulic telescopic rods, the two hydraulic telescopic rods in pairs need to be ensured to lift together; in order to facilitate observation of the telescopic height of the longitudinal telescopic upright post 9 and the inclination angle of the head support plate 7, a height scale 10 facilitating observation of the lifting height can be further arranged on the side wall of the longitudinal telescopic upright post 9, and an angle measurer 11 facilitating observation of the inclination angle is arranged on the left side or the right side of the head support plate 7.

In addition, in order to facilitate the arm movement of the patient in the prone position, the head supporting plate 7 positioned at the two sides of the face clamping and supporting through hole 8 can be provided with upper limb vertical through holes 12 (shown in figure 3) corresponding to the rotator cuff parts of the human body, and when the patient is in the long-time prone position, the arms can pass through the upper limb vertical through holes 12 to be relaxed; and the plugging pads which are flush with the upper surface of the head bearing plate 7 are adapted to be clamped in the upper limb vertical through holes 12 and the two face clamping through holes 8 so as to ensure the integrity of the head bearing plate 7 and be convenient to use as a dining table when the head bearing plate is adjusted to be horizontal (as shown in figures 4 and 6).

The body supporting part is a seat plate 13 horizontally and fixedly connected to the rectangular frame, a pressure sensor 14 is arranged in the middle of the upper surface of the seat plate 13, and whether a patient is on a sickbed or not is confirmed through the pressure sensor 14; in addition, in order to match with the detection of the pressure sensor 14, in-place sensors 15 can be arranged in the two face clamping support through holes 8 so as to confirm whether the face of the patient is clamped in place or not in the prone position or the sitting position. When the pressure sensor 14 and the in-place sensor 15 in one of the face card support through holes 8 simultaneously monitor that the patient is in place, signals can be transmitted to external control equipment or an external mobile phone APP, and at the moment, the external control equipment or the mobile phone can start timing to ensure that whether the forced body position of the patient is guaranteed for 8-12 hours every day can be monitored in real time; when any sensor does not monitor the in-place signal, the timing requirement is not met, and the external control equipment or the mobile phone stops timing and records the stop time, so that medical personnel can conveniently check and analyze the data information.

In order to adjust the lower limb support part to the backrest posture when the patient sits in the position, as shown in fig. 3 and 4, the lower limb support part is an inclination angle adjustable backrest plate 16 with the front edge hinged to the rectangular frame 1, an inclination angle adjusting device for driving the backrest plate 16 to adjust the inclination angle can be a common rocker mechanism on the existing hospital bed, the crank arranged at the tail end of the bed is used for driving the rear edge of the backrest plate 16 to be lifted upwards, and of course, the rear edge of the backrest plate 16 can be pushed to be lifted upwards only through an electric hydraulic push rod arranged below the backrest plate 16, so that the inclination angle can be adjusted.

In order to ensure the integrity of the bed body of the patient in the prone position, the upper surfaces of the head supporting plate 7, the seat plate 13 and the backrest plate 16 are required to be flush; of course, the flexible cushions can be arranged on the upper surfaces of the head supporting plate 7, the seat plate 13 and the backrest plate 16, so that the comfort of a patient lying on the seat plate is improved, and at the moment, the upper surfaces of the three flexible cushions are only required to be flush.

In order to effectively massage the face of the patient who is held in the face holding through hole 8 for a long time, a cheek massage air bag 17 for pressing cheeks at two sides of the human body, a mandible massage air bag 18 for pressing mandible of the human body and a forehead massage air bag 19 for pressing forehead of the human body can be arranged in each face clamping through hole 8, the inflation and deflation of the cheek massage air bag 17, the mandible massage air bag 18 and the forehead massage air bag 19 are controlled by external control equipment, certainly, the two groups of cheek massage air bags 17 need to be inflated and deflated simultaneously, the lower jaw massage air bag 18 and the forehead massage air bag 19 need to be inflated and deflated simultaneously, and the two groups of cheek massage air bags 17, the lower jaw massage air bag 18 and the forehead massage air bag 19 need to be ensured to be alternately inflated and deflated, thereby realizing the alternate decompression massage of the pressed part of the face of the patient and avoiding the adverse reaction caused by the long-term compression of the face.

Since the patient needs to keep the prone position or the forced sitting position for a long time, in order to avoid the boredom of the patient, as shown in fig. 2, a turning support plate 20 convenient for the patient to place a mobile phone or a book can be hinged on the support frame 2 below the head support plate 7, and the turning support plate 20 should be kept corresponding to the two-face card support through holes 8, that is, the turning support plate 20 should be corresponding to the lower part of the two-face card support through holes when being laid flat. In addition, in order to facilitate the patients to place the daily articles for the purpose of satisfying the basic storage function of the hospital bed, a storage basket 21 is further disposed on the supporting frame 2 under the seat plate 13, and the storage basket 21 may be a horizontal drawing structure or a fixed structure with two open sides.

In order to match with the forced position of the patient in the prone position, when the device is used, as shown in fig. 1, the head supporting plate 7 and the backrest plate 16 are adjusted to be flush with the seat plate 13, at the moment, the patient can lie on the sickbed in the prone position and clamp the face in the face supporting through hole 8 only by taking off the plugging pad in the face supporting through hole 8 close to the head end of the sickbed; at this time, the pressure sensor 14 on the seat plate 13 and the in-place sensor 15 in the through hole 8 corresponding to the face card holder monitor the signals that the patient lies in the prone position, and transmit the signals to the external control device or the mobile phone APP, so as to start timing. In addition, when the patient lies prostrate for a certain time and feels the hands limp and numb, the plugging pad in the upper limb vertical perforation 12 can be taken down, so that the arm of the patient passes through the upper limb vertical perforation 12 to relax; meanwhile, the patient can put books or mobile phones on the overturning support plate 20 below the head support plate 7 for use, so that the patient is prevented from feeling boring in the prone position for a long time.

When a patient lies prone for a certain time and wants to change into a sitting position forcing body position, as shown in fig. 3 and 5, the head supporting plate 7 can be lifted by the longitudinal telescopic upright post 9, the inclination angle of the head supporting plate 7 is adjusted by matching with the body position of the patient, meanwhile, the inclination angle of the back rest plate 16 is adjusted, the plugging pad in the face card support through hole 8 far away from the bed head end is taken down, the patient can sit on the sitting plate 13, the head is prone on the head supporting plate 7, and the face card is supported in the face card support through hole 8; at this time, the pressure sensor 14 on the seat plate 13 and the in-place sensor 15 corresponding to the inside of the face card support through hole 8 will monitor the in-place signal of the seat of the patient, and transmit the signal to the external control device or the mobile phone APP to continue timing.

When a patient needs to eat, as shown in fig. 4 and 6, the head supporting plate 7 can be adjusted to be in a horizontal position, the blocking pads in the blocking through holes 8 of the two faces can be kept in a blocking state, and at the moment, the patient can place a dinner plate, bowls and chopsticks and the like on the head supporting plate 7 and sit on the sitting plate 13 to eat. At the moment, the in-position sensors 15 in the two face card support through holes 8 cannot monitor face in-position signals, so that the timing cannot be carried out even if a patient sits on the pressure sensor 14, and the accuracy of the daily timing is ensured.

Claims

1. a multifunctional bed for rehabilitation after vitrectomy, comprising a bed frame, and a bed body that is horizontally arranged on this bed frame for supporting a human body, it is characterized in that: the bed body is successively from the head end of the bed to the end of the bed It is composed of a height-adjustable headrest support part, a fixed body support part and an inclination-adjustable lower limb support part arranged horizontally. Front face Cato Department.

2 . The multifunctional bed for rehabilitation after vitrectomy according to claim 1 , wherein the headrest supporting part is a head supporting plate movably placed on the bed frame, and the head supporting The board is driven up and down by the lifting adjustment device arranged on the bed frame below it, and the front and rear inclination adjustment is carried out. The face card holder in the middle part is perforated; the body support part is a seat board that is horizontally fixed on the bed frame, and the lower limb support part is an inclination adjustable backrest whose front edge is hinged on the bed frame board; the upper surfaces of the head support board, the seat board and the back board are flush.

3 . The multifunctional bed for post-vitreous surgery rehabilitation according to claim 2 , wherein the lifting adjustment device is composed of two pairs of longitudinal telescopic uprights arranged at intervals along the length direction of the bed frame, and each pair of the The longitudinal telescopic uprights are symmetrically fixed on the left and right sides of the bed frame, and the telescopic ends of the four longitudinally telescopic uprights are respectively hinged with the bottom surface of the head support plate near the four corners.

4. The multifunctional bed for rehabilitation after vitrectomy according to claim 3, characterized in that: a height scale is provided on the side wall of the longitudinal telescopic upright column to facilitate observation of the lifting height, and a height scale is provided on the head support plate. There is an angle measurer on one side of the , which is easy to observe the angle of inclination.

5. The multifunctional bed for post-vitreous surgery rehabilitation according to claim 2, wherein the head support plates located on both sides of the face piercing hole are provided with parts corresponding to the rotator cuff of the human body. The upper limb hanging perforation is placed in the upper limb hanging perforation and the face card tray perforation, and a plugging pad flush with the upper surface of the head support board is placed in the adapter card.

6. The multifunctional bed for rehabilitation after vitrectomy according to claim 2, characterized in that: in each of the perforated faces, there are cheek massage airbags for pressing the cheeks on both sides of the human body, and a cheek massage airbag for pressing the lower jaw of the human body. The lower jaw massage airbag, and the upper forehead massage airbag that presses the human forehead.

7 . The multifunctional bed for rehabilitation after vitrectomy according to claim 2 , wherein a pressure sensor is arranged in the middle of the upper surface of the seat plate, and an in-position sensor is arranged in the perforations of the two face trays. 8 .

8. The multifunctional bed for rehabilitation after vitrectomy according to claim 2, wherein the bed frame below the head support plate is hinged with flips corresponding to the two face tray perforations A support board, and a storage basket for placing living items is arranged on the bed frame under the seat board.

9 . The multifunctional bed for rehabilitation after vitrectomy according to claim 1 , wherein the four corners of the bottom of the bed frame are connected with universal mute wheels with brake fixing devices through outriggers. 10 .

10 . The multifunctional bed for rehabilitation after vitrectomy according to claim 1 , wherein the bed frame located at the four peripheral edges of the bed body is provided with a stopper for preventing the human body from falling off the bed, and is located in the bed body. 11 . The baffles on the left and right sides are retractable bed baffles hinged on the bed frame, and the baffles on the front and rear sides of the bed body are fixed bed baffles vertically fixed on the bed frame .