CN211067404U - Trousers type net bandage for wrapping wound of lower limb amputation stump - Google Patents
Trousers type net bandage for wrapping wound of lower limb amputation stump Download PDFInfo
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Abstract
Description
技术领域technical field
本实用新型涉及医用绷带,具体为一种下肢截肢残端伤口包扎用裤型网状绷带。The utility model relates to a medical bandage, in particular to a trousers-shaped mesh bandage used for dressing a wound of a lower limb amputation stump.
背景技术Background technique
在临床工作中,临床医师经常会面对需要对大腿截肢残端创面进行处理的情况。高能量创伤、严重电烧伤、血管闭塞、肿瘤手术等原因均可造成下肢毁损、坏死、破坏,患者需接受截肢手术以避免对机体更大损害。截肢残端术后通常需14天方可拆线,期间均需包扎处理保护伤口,避免伤口感染。而且在创伤、烧伤患者的治疗中,因为合并有皮肤软组织的损伤,医师为了保留肢体长度,往往采取开放截肢的治疗策略,即对难以直接缝合的截肢伤口,不为了迁就皮肤条件而过多的截除股骨,一期手术将股骨残端以健康肌肉组织包埋,而暂留创面;待感染控制后二次手术,以自体皮移植的方式覆盖创面达到愈合。为了保证创面清洁、植皮成活,不仅需要较长时间的包扎治疗,同时对创面的包扎强度、持续时间、局部用药等都有较高要求。In clinical work, clinicians are often faced with situations that require treatment of the wounds of the thigh amputation stump. High-energy trauma, severe electrical burns, vascular occlusion, tumor surgery and other reasons can cause damage, necrosis, and destruction of the lower limbs. Patients need to undergo amputation surgery to avoid greater damage to the body. It usually takes 14 days for the stitches to be removed after the amputation stump. During this period, the wound needs to be bandaged to protect the wound and avoid wound infection. Moreover, in the treatment of trauma and burn patients, because of the combined skin and soft tissue damage, physicians often adopt the treatment strategy of open amputation in order to preserve the length of the limbs, that is, for the amputation wounds that are difficult to be sutured directly, not too much to accommodate the skin conditions. The femur is removed, and the stump of the femur is embedded with healthy muscle tissue in the first-stage operation, while the wound remains temporarily; after the infection is controlled, the second operation is performed to cover the wound with autologous skin grafting to achieve healing. In order to ensure the cleaning of the wound and the survival of the skin graft, not only a longer time of bandaging is required, but also higher requirements are placed on the strength, duration, and topical medication of the wound.
目前大腿截肢残端的包扎仍以棉垫覆盖,弹性绷带环形包扎为主。临床医师多采用多层绷带包扎、环形包扎至腰腹部、辅助以胶条粘贴等方法避免绷带松脱。但大腿截肢残端属上粗下细的不规则柱形结构,如果在伤口处理时仅以绷带环形缠绕包扎,在患者进行翻身、坐起、下地等活动时,敷料极易“脱袜子”式脱落,导致创面暴露,这不仅易引起创面感染,增加感染风险,植皮创面会导致移植皮肤坏死,同时也会增多不必要的换药次数,增加患者的痛苦、使住院费用上升。如使用反复缠绕、联合包扎腰部等方式,虽然可以一定程度上降低脱落的概率,但因为增加包扎厚度、环形缠绕腹部,具有增强患者不适感、限制腹式呼吸、影响坐起活动等缺点。而联合胶条粘贴辅助包扎的方法,虽然包扎可靠,但需要数条强力胶条同时粘贴于敷料及正常皮肤上,增加了皮肤对粘贴物过敏、张力性水泡的风险。并且夏季皮肤多油、多汗,胶条易松脱,也难以起到固定敷料的作用。因此截肢残端包扎松脱问题,在临床中非常常见,而目前并没有合适的产品来解决。At present, the bandaging of the stump of the thigh amputation is still covered with cotton pads, and the elastic bandage is the main bandage. Clinicians often use multi-layer bandages, annular bandages to the waist and abdomen, and auxiliary adhesive tapes to avoid bandages from loosening. However, the stump of the thigh amputation is an irregular columnar structure with a thick upper and a thinner lower. If only a bandage is wrapped around the wound during wound treatment, the dressing will be very easy to "take off socks" when the patient performs activities such as turning over, sitting up, and getting down. Falling off leads to exposure of the wound surface, which not only easily causes wound surface infection and increases the risk of infection, but also leads to necrosis of the grafted skin on the skin grafted wound surface, and also increases the number of unnecessary dressing changes, increases the suffering of patients, and increases hospitalization costs. For example, the use of repeated wrapping and joint bandaging of the waist can reduce the probability of falling off to a certain extent, but because of increasing the thickness of the wrapping and wrapping the abdomen in a circular shape, it has disadvantages such as enhancing the patient's discomfort, restricting abdominal breathing, and affecting sit-up activities. The combined method of adhesive bandaging, although reliable, requires several strong adhesive strips to be attached to the dressing and normal skin at the same time, which increases the risk of skin allergy to the adhesive and tension blisters. In addition, the skin is oily and sweaty in summer, the adhesive strip is easy to loosen, and it is difficult to play the role of a fixed dressing. Therefore, the problem of loose bandaging of the amputation stump is very common in clinical practice, and there is currently no suitable product to solve it.
实用新型内容Utility model content
针对现有技术中存在的问题,本实用新型提供一种下肢截肢残端伤口包扎用裤型网状绷带,结构简单,使用方便,包扎牢靠,能够在大腿截肢残端妥善包扎敷料,无需胶带,不会脱落,以解决大腿截肢残端创面包扎极易松脱的问题。In view of the problems existing in the prior art, the present utility model provides a trousers-shaped mesh bandage for dressing the wound of the lower limb amputation stump, which has a simple structure, is convenient to use, and is firmly bound, and can properly wrap the dressing on the thigh amputation stump without the need for adhesive tape. It will not fall off, so as to solve the problem of easy loosening of the bandage on the stump of the thigh amputation.
本实用新型是通过以下技术方案来实现:The utility model is realized through the following technical solutions:
一种下肢截肢残端伤口包扎用裤型网状绷带,包括裤型网状绷带本体和残端紧固件;A trousers-shaped mesh bandage for dressing a stump wound of a lower limb amputation, comprising a trousers-shaped mesh bandage body and a stump fastener;
所述的裤型网状绷带本体包括依次连接的松紧裤腰和网状裤体,以及对称设置在网状裤体下端的两条网状裤腿;松紧裤腰采用环状松紧带,网状裤腿的远端开口,网状裤体和下端的两条网状裤腿由弹力复合丝编织成一体的斜纹网格状;The trousers-shaped mesh bandage body includes an elastic waistband and a mesh trouser body connected in sequence, and two mesh trouser legs symmetrically arranged at the lower end of the mesh trousers body; The opening, the mesh trousers body and the two mesh trouser legs at the lower end are woven into an integrated twill mesh shape by elastic composite yarn;
所述的残端紧固件用于束扎固定网状裤腿的远端开口,将包扎辅料压紧在下肢截肢残端。The stump fastener is used for tying and fixing the distal opening of the mesh trouser leg, and pressing the dressing accessories on the lower limb amputation stump.
优选的,所述的弹力复合丝由若干弹力丝加捻缠绕在一起形成,斜纹网格为菱形。Preferably, the elastic composite filament is formed by twisting and intertwining several elastic filaments, and the twill mesh is rhombus.
进一步,菱形网格的四个固定连接节点分别由相邻的弹力复合丝相互固定形成,一股弹力复合丝中的多股弹力丝缠绕至相邻的另一股复合弹力丝内形成对应的固定连接节点。Further, the four fixed connection nodes of the rhombus grid are formed by mutually fixing adjacent elastic composite filaments, and multiple elastic filaments in one elastic composite filament are wound into another adjacent composite elastic filament to form a corresponding fixation. Connect the nodes.
优选的,所述的残端紧固件为自锁式尼龙扎带或魔术贴绑带。Preferably, the stump fastener is a self-locking nylon cable tie or a Velcro strap.
进一步,自锁式尼龙扎带或魔术贴绑带穿入下肢截肢残端多余的网状裤体上端绑扎固定。Further, a self-locking nylon cable tie or a Velcro strap is inserted into the upper end of the excess mesh trousers at the stump of the lower limb amputation to be tied and fixed.
优选的,网状裤腿呈七分裤设置。Preferably, the mesh trouser legs are set in the form of cropped trousers.
优选的,网状裤体的裆部呈开裆设置,开裆口周边设置有锁边条;网状裤体的内侧前面设置有加强前裆片,内侧后面设置有加强后裆片,加强前裆片和加强后裆片的上端分别与松紧裤腰固定连接,下端分别与锁边条固定连接。Preferably, the crotch portion of the mesh trousers body is provided with an open crotch, and a seam allowance is arranged around the opening of the crotch; The upper ends of the crotch piece and the reinforced rear crotch piece are respectively fixedly connected with the elastic waistband, and the lower ends are respectively fixedly connected with the seaming strips.
进一步,还包括护裆垫片;所述的锁边条外侧设置有母面魔术贴,护裆垫片的内侧周边设置有公面魔术贴,护裆垫片通过公母魔术贴连接在锁边条上,用于遮挡开裆口。Further, it also includes a crotch pad; the outer side of the seamed edge is provided with a female surface velcro, the inner periphery of the crotch pad is provided with a male surface velcro, and the crotch pad is connected to the seam through the male and female velcro On the strip, it is used to block the crotch opening.
优选的,松紧裤腰上设置有背带,背带的两端分别连接在松紧裤腰的前面和后面。Preferably, the elastic waistband is provided with a back strap, and the two ends of the back strap are respectively connected to the front and the back of the elastic waistband.
进一步,背带的单头端与松紧裤腰后面的中间连接,双头端与松紧裤腰前面设置的多个背带连接点中的任意两个连接。Further, the single end of the harness is connected to the middle of the back of the elastic waistband, and the double end is connected to any two of the multiple harness connection points set in the front of the elastic waistband.
与现有技术相比,本实用新型具有以下有益的技术效果:Compared with the prior art, the utility model has the following beneficial technical effects:
本实用新型通过裤型网状绷带本体能够可靠固定敷料,通过一体的网状裤体和两条网状裤腿能够同时包绕对侧下肢、髋部和腰部,并通过弹力复合丝编织的网格提供均匀的张紧力对敷料进行固定,保证了包扎后压力均匀,可维持敷料平整,避免了局部压力过大导致皮肤受压、组织缺血坏死;配合设置的松紧裤腰提供上端开口的作用力,使整体不易脱落和滑动,下端开口能够由残端紧固件根据实际长度进行束扎固定,从而使得一般活动不会导致创面外露,可减少非计划换药次数,保证创面一直被敷料覆盖,不至被外部细菌污染。The utility model can reliably fix the dressing through the trouser-shaped mesh bandage body, and can simultaneously wrap the opposite lower limb, hip and waist through the integrated mesh trousers body and two mesh trouser legs, and the mesh woven by elastic composite silk Provide uniform tension to fix the dressing, ensure uniform pressure after dressing, keep the dressing flat, avoid skin compression and tissue ischemia necrosis caused by excessive local pressure; the elastic waistband provided with the set provides the force of the upper end opening , so that the whole is not easy to fall off and slide, and the lower end opening can be tied and fixed by the stump fastener according to the actual length, so that the general activities will not lead to the exposure of the wound surface, which can reduce the number of unplanned dressing changes and ensure that the wound surface is always covered by the dressing. No contamination by external bacteria.
同时,敷料因被弹力复合丝网格固定不会滑动,适合患者完成坐起、下地、行走等活动;不需要胶条粘贴辅助。不仅轻薄透气性好,单层即可完成敷料包扎固定,减少敷料厚度,增加患者的舒适度,而且结构简单、使用方便,高弹力的特性适合不同体型、不同残肢长度的截肢残端创面包扎;造价低廉,可作为一次性使用,每次换药时更换,清洁舒适。本实用新型裤型网状绷带还可同时固定大腿、髋部、会阴处创面敷料,更适合多发创伤的患者。At the same time, the dressing will not slide because it is fixed by the elastic composite wire mesh, which is suitable for patients to complete activities such as sitting up, getting off the ground, and walking; no adhesive tape is needed to assist. Not only is it light, thin and breathable, the dressing can be wrapped and fixed with a single layer, reducing the thickness of the dressing and increasing the comfort of the patient. It is also simple in structure, easy to use, and has high elasticity. ; The cost is low, it can be used as a one-time use, and it can be replaced every time the dressing is changed, and it is clean and comfortable. The trousers-shaped mesh bandage of the utility model can simultaneously fix the wound dressing of the thigh, the hip and the perineum, and is more suitable for patients with multiple traumas.
进一步的,若干弹力丝加捻缠绕在一起形成的弹力复合丝,一体编织成的网状裤体和网状裤腿,使得网状绷带有良好弹性更加贴合躯体。Further, a plurality of elastic filaments are twisted and twisted together to form an elastic composite filament, and the mesh trousers body and mesh trousers leg are woven into one piece, so that the mesh bandage has good elasticity and is more suitable for the body.
进一步的,形成的菱形网格各相形变均匀,通过相邻弹力复合丝形成的固定连接节点形成,成型简单,加工方便,受力均匀。Further, each phase of the formed rhombus mesh is uniformly deformed, and is formed by the fixed connection nodes formed by the adjacent elastic composite wires, and the molding is simple, the processing is convenient, and the force is uniform.
进一步的,通过开裆设置,方便暴露会阴供排泄使用,同时通过加强前裆片和加强后裆片分别连接松紧裤腰和锁边条,加强了裆部受力,弥补因开裆带来的中间拉力不足的问题,提高了整体了受力和结构稳定性。Further, by opening the crotch, it is convenient to expose the perineum for excretion. At the same time, the front crotch piece and the rear crotch piece are respectively connected to the elastic waistband and the seaming strip, which strengthens the force of the crotch and makes up for the middle caused by the opening of the crotch. The problem of insufficient tension improves the overall stress and structural stability.
进一步的,配合能够拆卸的护裆垫片,以及加强前裆片和加强后裆片能够遮挡了患者隐私,同时方便排泄并且不影响患者导管的设置,还满足了裆部创面敷料的固定要求。Furthermore, with the detachable crotch pad, and the reinforced front crotch piece and the reinforced back crotch piece, the patient's privacy can be blocked, and at the same time, it is convenient for excretion and does not affect the setting of the patient's catheter, and also meets the fixing requirements of the crotch wound dressing.
进一步的,通过设置的背带更好的提高了裤型网状绷带的上端固定和定位效果,也减轻了松紧裤腰对腰部的压迫,并且能够根据需要调整受力点,满足不同的要求。Further, the provision of the back strap improves the fixing and positioning effect of the upper end of the trousers mesh bandage, reduces the compression of the elastic waistband on the waist, and can adjust the force point according to needs to meet different requirements.
附图说明Description of drawings
图1为本实用新型实例1所述的裤型网状绷带的结构示意图。1 is a schematic structural diagram of the pants-shaped mesh bandage described in Example 1 of the present utility model.
图2为图1中A处的结构放大示意图。FIG. 2 is an enlarged schematic view of the structure at A in FIG. 1 .
图3为本实用新型实例1所述的裤型网状绷带的使用状态图。3 is a state diagram of the pants-shaped mesh bandage described in Example 1 of the present utility model.
图4为图2中B处的结构放大示意图。FIG. 4 is an enlarged schematic view of the structure at B in FIG. 2 .
图5为本实用新型实例2所述的裤型网状绷带的结构示意图。5 is a schematic structural diagram of the pants-shaped mesh bandage described in Example 2 of the present utility model.
图6为图5的侧视图。FIG. 6 is a side view of FIG. 5 .
图7为本实用新型实例3所述的裤型网状绷带的结构示意图。7 is a schematic structural diagram of the pants-shaped mesh bandage described in Example 3 of the present invention.
图8为本实用新型实例3所述的护裆垫片的结构示意图。8 is a schematic structural diagram of the crotch pad according to Example 3 of the present invention.
图9为本实用新型实例4所述的裤型网状绷带的结构示意图。9 is a schematic structural diagram of the pants-shaped mesh bandage described in Example 4 of the present invention.
图中:裤型网状绷带本体1,松紧裤腰11,网状裤体12,网状裤腿13,开裆口14,加强前裆片15,加强后裆片16,护裆垫片17,弹力复合丝18,弹力丝19,残端紧固件2,背带3,训练模型4,敷料5。In the figure: trousers-shaped
具体实施方式Detailed ways
下面结合附图对本实用新型做进一步的详细说明,所述是对本实用新型的解释而不是限定。The present utility model will be further described in detail below in conjunction with the accompanying drawings, which are to explain rather than limit the present utility model.
实例1Example 1
本实用新型一种下肢截肢残端伤口包扎用裤型网状绷带,如图1所示,包括裤型网状绷带本体1和残端紧固件2,本优选实例中,残端紧固件2采用自锁式尼龙扎带;其中,裤型网状绷带本体1为网状七分裤,包括松紧裤腰11、网状裤体12及两条网状裤腿13。材质由弹力纤维材料编织而成,网格为菱形,如图2所示,本优选实例中的弹力纤维材料采用由若干弹力丝19加捻缠绕在一起形成的弹力复合丝18;菱形网格的四个固定连接节点分别由相邻的弹力复合丝18相互固定形成,一股弹力复合丝18中的多股弹力丝19缠绕至相邻的另一股复合弹力丝19内形成对应的固定连接节点。The utility model is a trousers-shaped mesh bandage for dressing a wound of a lower limb amputation stump. As shown in FIG. 1 , it includes a trousers-shaped
其中,松紧裤腰11为加密编织的松紧带;本优选实例中,两条裤腿未拉伸状态长度均为1米,远端开口。残端紧固件2与裤型网状绷带本体1配套使用,供包扎后束扎裤腿远端开口,将包扎辅料压紧在下肢截肢残端。The
本实用新型为截肢残端创面未愈合的患者提供一种固定截肢残端包扎敷料的绷带,包扎大腿截肢残端时,创面常规处理,如消毒、外用药物、敷料包裹后,如图3所示,将本裤型网状绷带适当拉伸,将健侧下肢穿入一侧裤腿,提至裆部,另一侧裤腿距残肢长度自腰部至远端卷起适当长度,置于敷料包裹后大腿残端顶端,如同穿丝袜方法将残端套入裤腿,将网状裤腿逐渐铺展拉伸至残肢完全穿入裤腿,提拉网裤腰部至舒适,调节裤型网状绷带使裤型网状绷带可均匀压迫固定敷料。其中,健侧下肢对应的网状裤腿13长度可以按照原有长度套穿,也可以根据情况在保证需要的情况下,剪去多余的裤腿,如图3所示,在保证包扎的情况下,提高健侧下肢的舒适性。The utility model provides a bandage for fixing the amputation stump dressing for patients whose amputation stump wound has not healed. When wrapping the thigh amputation stump, the wound surface is routinely treated, such as after disinfection, external medicine and dressing, as shown in FIG. 3 . , stretch the trousers mesh bandage properly, insert the lower limb of the healthy side into one trouser leg and lift it to the crotch, and roll up the other trouser leg from the waist to the distal end to an appropriate length from the waist to the distal end, and place it after wrapping the dressing. At the top of the thigh stump, put the stump into the trouser leg like wearing stockings, gradually spread and stretch the mesh trouser leg until the stump completely penetrates into the trouser leg, pull the waist of the mesh pants until comfortable, and adjust the trouser-shaped mesh bandage to make the trousers mesh. The bandage provides even pressure to secure the dressing. Among them, the length of the
将截肢残端远端多余的网状裤腿13末端穿入自锁式尼龙扎带,翻折多余长度网状裤腿13后以自锁式尼龙扎带固定。Insert the end of the excess
依据患者病情可,将导尿管自网孔引出,不影响导尿。患者如需自行解大小便,可在相应部位以剪刀剪开2、3个网眼,即可暴露会阴供排泄。According to the patient's condition, the catheter can be drawn out from the mesh without affecting the catheterization. If the patient needs to defecate by himself, he can cut 2 or 3 meshes with scissors at the corresponding part to expose the perineum for excretion.
实例2Example 2
本实用新型在实例1的基础上,如图5和图6所示,网状裤体12的裆部呈开裆设置,开裆口14周边设置有锁边条;网状裤体12的内侧前面设置有加强前裆片15,内侧后面设置有加强后裆片16,加强前裆片15和加强后裆片16的上端分别与松紧裤腰11固定连接,下端分别与锁边条固定连接。本优选实例中,残端紧固件2采用魔术贴绑带,其一端沿周向蛇形穿过网状裤体12的网格且扎紧紧固在另一端上,穿过的网格与下肢截肢残端相邻或相近。On the basis of Example 1 of the present invention, as shown in FIGS. 5 and 6 , the crotch portion of the
实例3Example 3
在实施例2的基础上,如图7所示,本实用新型的开裆口处设置有护裆垫片17;所述的锁边条外侧设置有母面魔术贴,如图8所示,护裆垫片17的内侧周边设置有公面魔术贴,护裆垫片17通过公母魔术贴连接在锁边条上,用于遮挡开裆口14。On the basis of Example 2, as shown in Figure 7, the crotch opening of the present invention is provided with a
实例4Example 4
在实例1的基础上,如图9所示,松紧裤腰11上设置有背带3,背带3的两端分别连接在松紧裤腰11的前面和后面。本优选实例中背带3的一端为单头,另一端为双头,背带3的单头端与松紧裤腰11后面的中间连接,双头端与松紧裤腰11前面设置的多个背带连接点中的任意两个连接。On the basis of Example 1, as shown in FIG. 9 , the
Claims (10)
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| CN201921449841.5U CN211067404U (en) | 2019-08-30 | 2019-08-30 | Trousers type net bandage for wrapping wound of lower limb amputation stump |
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| CN201921449841.5U CN211067404U (en) | 2019-08-30 | 2019-08-30 | Trousers type net bandage for wrapping wound of lower limb amputation stump |
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| CN201921449841.5U Expired - Fee Related CN211067404U (en) | 2019-08-30 | 2019-08-30 | Trousers type net bandage for wrapping wound of lower limb amputation stump |
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