CN201076538Y - Sliding type scoliosis traction bed - Google Patents
Sliding type scoliosis traction bed Download PDFInfo
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- CN201076538Y CN201076538Y CNU2007200726023U CN200720072602U CN201076538Y CN 201076538 Y CN201076538 Y CN 201076538Y CN U2007200726023 U CNU2007200726023 U CN U2007200726023U CN 200720072602 U CN200720072602 U CN 200720072602U CN 201076538 Y CN201076538 Y CN 201076538Y
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Abstract
Description
【技术领域】【Technical field】
本实用新型涉及一种骨骼或关节非外科处理的整形护理器具,特别是一种用于牵引脊柱的滑动式牵引床。The utility model relates to a plastic nursing appliance for non-surgical treatment of bones or joints, in particular to a sliding traction bed used for traction of the spine.
【背景技术】【Background technique】
IS(特发性脊柱侧凸)是躯体脊柱向侧方弯曲、胸廓肋骨变形的一种病理性改变,好发于青春期,其病因至今尚不清楚。有研究表明,凹侧的软组织挛缩是脊柱侧凸的重要临床病理表现。这种病理表现可能继发于侧凸出现之后,也可能是造成IS的原发病理改变。目前对于侧凸度数小于40°的患者,可以佩戴矫形支具,或进行牵引并辅以体疗等方法控制侧凸的继续发展;对于侧凸度数大于40°的患者,临床常需手术治疗。脊柱侧凸手术治疗时,为了预防术中、术后发生神经系统并发症,术前牵引已成为一种有效且常规使用的辅助治疗措施。IS (idiopathic scoliosis) is a pathological change in which the spine bends sideways and the thorax and ribs deform. It often occurs in adolescence, and its etiology is still unclear. Studies have shown that soft tissue contracture on the concave side is an important clinicopathological manifestation of scoliosis. This pathological manifestation may be secondary to the appearance of scoliosis, or it may be the primary pathological change that causes IS. At present, for patients with scoliosis degree less than 40°, orthopedic braces can be worn, or traction and supplemented by physical therapy can be used to control the continued development of scoliosis; for patients with scoliosis degree greater than 40°, surgical treatment is often required clinically. During scoliosis surgery, in order to prevent neurological complications during and after surgery, preoperative traction has become an effective and routinely used adjuvant treatment.
脊柱侧凸患者行牵引治疗,可以松解椎旁软组织,使各个椎骨间的韧带、小关节松动,有利于手术矫正及避免截瘫的发生,因此有效的术前牵引对青少年脊柱侧凸的矫形成功至关重要。当然,对牵引过程的监测、效果观察及其方法的改进等也属于围手术期护理研究的范围。另外,术前牵引可以估计脊柱柔韧度,预测手术矫形的效果,一般认为,术前悬吊像或凸侧侧屈位(bending位)X像cobb角度数减10度可计算为手术矫形后cobb角的预测度数。Traction therapy for scoliosis patients can loosen the paravertebral soft tissue, loosen the ligaments and small joints between the vertebrae, which is conducive to surgical correction and avoid the occurrence of paraplegia. Therefore, effective preoperative traction can successfully correct adolescent scoliosis. very important. Of course, the monitoring of traction process, effect observation and method improvement also belong to the scope of perioperative nursing research. In addition, preoperative traction can estimate the flexibility of the spine and predict the effect of surgical correction. It is generally believed that the cobb angle of the preoperative suspension image or convex lateral flexion (bending position) X image minus 10 degrees can be calculated as the COBB after surgical correction. The predicted degree of the angle.
脊柱侧凸的牵引方法很多,例如头盆环牵引、颅骨及双下肢股骨髁上牵引、枕颌带股骨牵引、侧凸反悬吊牵引、自身悬吊牵引、垫枕卧位法牵引等,以上牵引方法虽然有一定的效果,但在实际运用中也还存在一些问题。有人研制了一种新型脊柱延伸器对脊柱侧凸患者进行器械牵引,在有效牵引的同时提高了患者在牵引过程中的舒适度及耐受程度,达到了较好的预期效果,并认为应用该延伸器进行牵引的综合效果优于悬吊牵引。但由于该延伸器在结构设计和选用材料方面存在一些问题,在使用过程中可能发生变形,返修率较高。There are many traction methods for scoliosis, such as head-pelvic ring traction, femoral supracondylar traction of the skull and lower limbs, femoral traction with occiput-mandibular belt, scoliosis anti-suspension traction, self-suspension traction, traction in supine position with pillow, etc. Although the traction method has a certain effect, there are still some problems in practical application. Someone has developed a new type of spinal extender for instrumental traction on scoliosis patients, which improves the patient's comfort and tolerance during the traction process while achieving effective traction, and achieves better expected results. It is believed that the application of this The comprehensive effect of traction by the extender is better than suspension traction. However, due to some problems in the structural design and material selection of the extender, deformation may occur during use, and the repair rate is high.
【发明内容】【Content of invention】
本实用新型所要解决的技术问题是克服上述现有技术中所存在的缺陷,提供一种在能达到预期牵引效果的同时,形成一个结构合理、舒适有效的滑动式脊柱侧凸牵引床。The technical problem to be solved by the utility model is to overcome the above-mentioned defects in the prior art and provide a sliding scoliosis traction bed with reasonable structure, comfortable and effective while achieving the expected traction effect.
本实用新型采用了下列技术方案解决了其技术问题:一种滑动式脊柱侧凸牵引床,包括床架以及固定在床架上的牵引驱动装置,其特征在于:该牵引床的床面一部分设置为固定床面,另一部分设置为可沿牵引床纵向滑移的活动床面,一滑轮调节杆固定竖立在床架的一端,牵引驱动装置中的牵引钢丝绳通过固定在床架一端的定滑轮以及固定在滑轮调节杆上的定滑轮与索具系带相连接,床架两侧还置有可进行纵、横向调节的侧方推顶杆。The utility model solves its technical problems by adopting the following technical solutions: a sliding scoliosis traction bed, comprising a bed frame and a traction drive device fixed on the bed frame, characterized in that: a part of the bed surface of the traction bed is set In order to fix the bed surface, the other part is set as a movable bed surface that can slide longitudinally along the traction bed. A pulley adjustment rod is fixed and erected at one end of the bed frame, and the traction wire rope in the traction driving device passes through the fixed pulley fixed at one end of the bed frame and The fixed pulley fixed on the pulley adjusting rod is connected with the rigging belt, and there are side pushing rods on both sides of the bed frame that can be adjusted vertically and horizontally.
本实用新型由于将承载病员躯体重量的床面置为滑移随动结构,使牵引力无阻滞地作用于病员躯体,在保证治疗效果的同时,也可以减轻操作人员的工作强度。Because the utility model sets the bed surface carrying the weight of the patient's body as a sliding follow-up structure, the traction force acts on the patient's body without hindrance, which can reduce the work intensity of the operator while ensuring the therapeutic effect.
备配的滑轮调节杆可自由调整高度,通过滑轮高度的变化可调节牵引钢丝绳对牵引部位的施力角度,以适应病员的不同身高、或不同的牵引治疗要求。The height of the equipped pulley adjustment lever can be adjusted freely, and the force angle of the traction wire rope on the traction part can be adjusted through the change of the height of the pulley to adapt to the different heights of patients or different traction treatment requirements.
侧方推顶杆可根据患者关键椎位置的不同,通过床体两侧滑杆可任意安装在不同位置上,并可通过旋转手柄进行渐进性的侧方推顶,其力度以患者能够耐受为限,因此可以根据患者的自身耐力逐渐进行适应,防止受伤。同时,通过侧方推顶后,用较小的纵向牵引力就能达到预期的牵引效果,提高患者舒适度。According to the position of the key vertebrae of the patient, the side ejector rod can be installed in different positions arbitrarily through the sliding rods on both sides of the bed body, and the side ejector rod can be progressively pushed out by rotating the handle, and the strength can be tolerated by the patient Therefore, it can be adapted gradually according to the patient's own endurance to prevent injury. At the same time, after pushing the top from the side, the expected traction effect can be achieved with a small longitudinal traction force, which improves the patient's comfort.
本实用新型在牵引有效的同时,还具有使用便捷有效、返修率低和更加舒适的特点。While the utility model is effective in traction, it also has the characteristics of convenient and effective use, low repair rate and more comfort.
【附图说明】【Description of drawings】
图1为本实用新型结构示意图;Fig. 1 is the structural representation of the utility model;
图2为图1中A向结构剖面图;Fig. 2 is a sectional view of the structure in direction A in Fig. 1;
图3为图2中活动床面以及侧方推顶杆的局部放大剖面图;Fig. 3 is a partially enlarged sectional view of the movable bed surface and the side ejector rod in Fig. 2;
图4为图1中固定床面以及牵引驱动装置的局部放大剖面图。Fig. 4 is a partially enlarged cross-sectional view of the fixed bed surface and the traction drive device in Fig. 1 .
图中各序号分别表示为:The serial numbers in the figure represent respectively:
1-床架 1.1-纵向水平支架 1.2-导轨1-Bed frame 1.1-Longitudinal horizontal support 1.2-Guide rail
1.3-L形角钢 1.4-两侧滑杆
2-牵引驱动装置 2.1-牵引钢丝绳 2.21-定滑轮2- Traction driving device 2.1- Traction wire rope 2.21- Fixed pulley
2.22-定滑轮 2.3-旋转手柄 2.22-Fixed pulley 2.3-Rotary handle
2.4-支架 2.5-导槽
2.6-丝杆 2.7-轴承座
2.8-活动螺母 2.9-滑块
3-固定床面 3.1-定位销 3.2-固定床面架3-Fixed bed surface 3.1-Location pin 3.2-Fixed bed surface frame
4-活动床面 4.1-活动床面架 4.2-滚轮4-Active bed surface 4.1-Active bed surface frame 4.2-Roller
4.3-定位销4.3-Location pin
5-滑轮调节杆 5.1-紧固座5- Pulley adjustment lever 5.1- Fastening seat
6-侧方推顶杆 6.1-纵向调节杆 6.2-横向调节杆6-Side ejector rod 6.1-Longitudinal adjustment rod 6.2-Lateral adjustment rod
6.3-紧固座 6.4-紧固螺杆6.3-Fastening seat 6.4-Fastening screw
6.5-螺杆 6.6-螺母6.5-Screw 6.6-Nut
6.7-推顶杆 6.8-手柄 6.7-Ejector rod 6.8-Handle
6.9-紧固螺杆6.9-Fastening screw
计量秤具7Measuring scales 7
床架脚轮8
【具体实施方式】【Detailed ways】
以下结合实施例以及附图对本实用新型作进一步的描述。Below in conjunction with embodiment and accompanying drawing, the utility model is further described.
参照图1和图2,本实用新型的主要构架由一床架1所形成,该床架1采用32x2圆管、50x25及25x25方管等不锈钢材料,经密缝形高强氩弧焊固结而成,以保证床体的强度及刚性,确保在牵引过程中床体不会变形。其外形尺寸为1920x700x860mm。该床架1的躺卧床面分为两截,分别为固定床面3和可滑移随动的活动床面4,每截床面都配有皮革或其他柔性材质包裹的软床垫。With reference to Fig. 1 and Fig. 2, the main frame of the utility model is formed by a
参照图2和图3,活动床面4的构造如下所述:床架1两侧纵向水平支架1.1的内侧分别与L形角钢1.3固定连接,导轨1.2固定连接在该L形角钢1.3上。活动床面架4.1的下端置有滚轮4.2,该滚轮4.2在导轨1.2中滑动。活动床面4通过定位销4.3与活动床面架4.1形成可装卸式的固定连接。由于活动床面的随动系统采用了双滚轮,使滑移平稳、轻灵、无噪音,从而减少摩擦减力。Referring to Figures 2 and 3, the structure of the
参照图1和图4,固定床面3通过定位销3.1与固定床面架3.2形成可装卸式的固定连接,固定床面架3.2固定连接在床架1两侧纵向水平支架1.1上。1 and 4, the fixed bed surface 3 forms a detachable fixed connection with the fixed bed surface frame 3.2 through the positioning pin 3.1, and the fixed bed surface frame 3.2 is fixedly connected to the longitudinal horizontal supports 1.1 on both sides of the
上述实施例中将病员躺卧的两截床面皆置为可装卸式结构,主要是为了方便日常的消毒、清理。In the above-mentioned embodiment, the two sections of the bed surface on which the patient lies are all set as detachable structures, mainly for the convenience of daily disinfection and cleaning.
参照图1和图2,本实用新型在床架1的一端固定竖立一滑轮调节杆5,该滑轮调节杆5采用32x2圆不锈钢管,通过床架1一端上的紧固座5.1与床架1一端固定连接的,该滑轮调节杆5上部固定置有一定滑轮2.21。旋松调节杆紧固座5.1,可调整此杆的高度,并可调节牵引钢丝绳对牵引部位的施力角度。Referring to Fig. 1 and Fig. 2, the utility model fixedly erects a
参照图1和图4,本实用新型所述的牵引驱动装置2包括一固定在固定床面架3.2下的支架2.4,该支架2.4两侧置有导槽2.5,丝杆2.5由机械强度500kg的T18x4螺杆构成,其一端通过轴承座2.7与该支架2.4呈转动连接,该丝杆2.5上还置有一随丝杆2.5转动而沿丝杆2.5轴向滑移的活动螺母2.8,该活动螺母2.8由机械强度为540kg的减摩型高强度尼龙构成,其两侧置有凸出的滑块2.9,该滑块2.9受支架2.4两侧导槽2.5约束,并在其中滑移,牵引钢丝绳2.1与活动螺母2.8固定连接,丝杆2.5的一端还置有一可装卸或者可折叠的旋转手柄2.3。With reference to Fig. 1 and Fig. 4, the
再参照图1,牵引驱动装置2中的牵引钢丝绳2.1其直径4mm,机械强度1300kg,通过固定在床架1一端的定滑轮2.22以及固定在滑轮调节杆5上的定滑轮2.21与索具系带相连接,其牵引行程380mm,牵引力度0-100kg。Referring to Fig. 1 again, the traction wire rope 2.1 in the
牵引钢丝绳2.1与索具系带相连接的之间还置有可检测牵引力的弹簧计量秤具7,以方便实际操作及效果的观察。The traction wire rope 2.1 is also equipped with a spring measuring scale 7 that can detect the traction force between the connection of the rigging frenulum, so as to facilitate the observation of actual operation and effect.
参照图1、图2和图3,本实用新型床架1两侧还置有可进行纵、横向调节的侧方推顶杆6。该侧方推顶杆6包括一纵向调节杆6.1,与该纵向调节杆6.1固定连接的横向调节杆6.2,以及一紧固座6.3,纵向调节杆6.1插入紧固座6.3后可作上下调节,并通过紧固座6.3上的紧固螺杆6.4加以固定,横向调节杆6.2中置有可转动的螺杆6.5,该螺杆6.5上套设有螺母6.6,该螺母6.6固定连接一推顶杆6.7,螺杆6.5的一端置有用于旋转螺杆6.5的手柄6.8。With reference to Fig. 1, Fig. 2 and Fig. 3, there are also
所述的侧方推顶杆6通过紧固座6.3固定在床架1两侧,在该床架1纵向水平支架1.1的外侧分别置有两侧滑杆1.4,侧方推顶杆6上的紧固座6.3卡合在该两侧滑杆1.4上,并用紧固螺杆6.9加以固定。该侧方推顶杆6可根据需要使用3-4个,通过螺旋杆对脊柱侧凸的三处关键点(上终椎、下终椎、顶椎)进行渐进性的侧方推顶。The
在使用本实用新型时,还必需配置索具系带(图中未显示),该索具系带可以由尼龙布、毛巾、海绵、无弹性帆布带及不锈钢环扣等轻便材料制成,为了达到牵引效果,可将索具系带分制成为胸部约束带和髋部约束带,可防止约束带滑动,使得牵引安全有效。When using the utility model, it is also necessary to configure a rigging lace (not shown in the figure), which can be made of light materials such as nylon cloth, towel, sponge, inelastic canvas belt and stainless steel ring buckle, for To achieve the traction effect, the rigging strap can be divided into a chest restraint belt and a hip restraint belt, which can prevent the restraint belt from slipping and make the traction safe and effective.
另外,本实用新型还在床架下配用直径126mm无声床架脚轮8,其中对角两脚轮附刹车。这样可方便的进行牵引床的移动和定位,在移动过程中无噪音,更适合病房的安静环境。In addition, the utility model is also equipped with diameter 126mm silent
本实用新型使用时应在固定床面和活动床面上分别铺设床单或床套,注意不可在两块床面上铺设一整条床单,以防影响活动床面的移动,增加牵引对抗力,降低牵引的有效率。When the utility model is in use, bed sheets or bed covers should be laid on the fixed bed surface and the movable bed surface respectively. Note that a whole bed sheet cannot be laid on the two bed surfaces, so as not to affect the movement of the movable bed surface and increase the traction resistance. Reduced traction efficiency.
该牵引床适用于儿童及成人脊柱侧凸病员的脊柱牵引锻炼。The traction bed is suitable for spinal traction exercises for children and adults with scoliosis.
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| CN (1) | CN201076538Y (en) |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102188302A (en) * | 2010-04-09 | 2011-09-21 | 北京瑞德埃克森医疗投资有限公司 | Vertebral column decompression treatment equipment and using method thereof |
| CN102335009A (en) * | 2010-07-28 | 2012-02-01 | 南京大学医学院附属鼓楼医院 | Radiograph fulcrum pressurizer for lateral flexion of vertebral column |
| CN103040548A (en) * | 2013-01-16 | 2013-04-17 | 张军 | Spinal curvature correcting therapeutic machine |
| WO2015010353A1 (en) * | 2013-07-24 | 2015-01-29 | He Shaodun | Horizontal human vertebral stretching device |
| CN105342736A (en) * | 2015-11-02 | 2016-02-24 | 吴红宇 | Thoracolumbar spine and cervical vertebra physiotherapy integrated machine |
| CN105769412A (en) * | 2016-04-08 | 2016-07-20 | 宋兴东 | Muscle and bone restoration bed |
| CN106388986A (en) * | 2016-10-30 | 2017-02-15 | 温州康普特生物科技有限公司 | Vertebral column correcting flat bed |
| CN107753245A (en) * | 2017-12-01 | 2018-03-06 | 陕西专壹知识产权运营有限公司 | A kind of autonomous convalescence training bed of patient's lower limb function |
| CN108606865A (en) * | 2018-05-24 | 2018-10-02 | 钟声宝 | A kind of orthopaedics ratchet-type spine traction bed |
| CN109009614A (en) * | 2018-07-17 | 2018-12-18 | 陈元振 | A kind of children's whole body scoliosis traction orthoses |
| CN110787004A (en) * | 2019-10-15 | 2020-02-14 | 湖南粤科汇智能科技有限公司 | Drying system for sickbed |
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Cited By (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102188302B (en) * | 2010-04-09 | 2015-04-01 | 北京瑞德埃克森医疗投资有限公司 | Vertebral column decompression treatment equipment and using method thereof |
| CN102188302A (en) * | 2010-04-09 | 2011-09-21 | 北京瑞德埃克森医疗投资有限公司 | Vertebral column decompression treatment equipment and using method thereof |
| CN102335009A (en) * | 2010-07-28 | 2012-02-01 | 南京大学医学院附属鼓楼医院 | Radiograph fulcrum pressurizer for lateral flexion of vertebral column |
| CN103040548A (en) * | 2013-01-16 | 2013-04-17 | 张军 | Spinal curvature correcting therapeutic machine |
| WO2015010353A1 (en) * | 2013-07-24 | 2015-01-29 | He Shaodun | Horizontal human vertebral stretching device |
| CN105342736B (en) * | 2015-11-02 | 2018-04-10 | 吴红宇 | Thoracolumbar disk and cervical vertebra physical treatment all-in-one |
| CN105342736A (en) * | 2015-11-02 | 2016-02-24 | 吴红宇 | Thoracolumbar spine and cervical vertebra physiotherapy integrated machine |
| CN105769412A (en) * | 2016-04-08 | 2016-07-20 | 宋兴东 | Muscle and bone restoration bed |
| CN105769412B (en) * | 2016-04-08 | 2017-09-08 | 宋兴东 | One analgesic bone is reset bed |
| CN106388986A (en) * | 2016-10-30 | 2017-02-15 | 温州康普特生物科技有限公司 | Vertebral column correcting flat bed |
| CN106388986B (en) * | 2016-10-30 | 2020-11-03 | 孙胜房 | Spinal correction flat bed |
| CN107753245A (en) * | 2017-12-01 | 2018-03-06 | 陕西专壹知识产权运营有限公司 | A kind of autonomous convalescence training bed of patient's lower limb function |
| CN108606865A (en) * | 2018-05-24 | 2018-10-02 | 钟声宝 | A kind of orthopaedics ratchet-type spine traction bed |
| CN109009614A (en) * | 2018-07-17 | 2018-12-18 | 陈元振 | A kind of children's whole body scoliosis traction orthoses |
| CN110787004A (en) * | 2019-10-15 | 2020-02-14 | 湖南粤科汇智能科技有限公司 | Drying system for sickbed |
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Granted publication date: 20080625 Termination date: 20120719 |