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CN211834916U - A walking scoliosis traction device - Google Patents

A walking scoliosis traction device Download PDF

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Publication number
CN211834916U
CN211834916U CN202020004429.9U CN202020004429U CN211834916U CN 211834916 U CN211834916 U CN 211834916U CN 202020004429 U CN202020004429 U CN 202020004429U CN 211834916 U CN211834916 U CN 211834916U
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rod
traction
walking
traction device
wheel
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汪飞
唐凯
林刚
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Nanjing Children's Hospital of Nanjing Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/04Wheeled walking aids for patients or disabled persons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H2003/007Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Neurosurgery (AREA)
  • Otolaryngology (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention relates to a walking scoliosis traction device, wherein a traction support comprises a walking support, an adjustable support frame and a spring type gravity traction device. The walking bracket part consists of a front wheel, a rear protective wheel, a front wheel rod, a rear wheel rod, a bottom U-shaped rod, an upper U-shaped rod, a screwing type height adjusting rod and a handle; the adjustable support frame consists of a bottom rod, an upper rod, a height adjusting nut, a ferrule, a top bending rod and a front fork; the device can realize that the towed person can also carry out traction treatment in the upright walking state, thereby keeping larger freedom of life; the traction process does not need to use weights such as a weight and a sand bag and utilizes self gravity as traction force, the equilateral three-fork type high-precision spring combination enables flexibility and stability in traction force to be realized, meanwhile, the pulley block and the traction rope facilitate self adjustment and removal of traction force by a patient, and simplicity and safety of traction operation are greatly improved.

Description

一种行走式脊柱侧凸牵引装置A walking scoliosis traction device

技术领域technical field

本发明涉及一种牵引装置,具体涉及一种行走式脊柱侧凸牵引装置,属于医疗器械技术领域。The invention relates to a traction device, in particular to a walking scoliosis traction device, which belongs to the technical field of medical devices.

背景技术Background technique

脊柱侧凸(Scoliosis)是青少年儿童常见的骨骼系统疾病。根据国际脊柱侧凸研究协会(Scoliosis Research Society,SRS)的标准,脊柱侧凸角度在45°-50°以上即达到手术的标准。由于脊柱、胸阔和肺的发育需要,10岁之前的儿童不推荐行长节段融合手术。而对于10岁以上的畸形角度超过90°的严重脊柱侧凸畸形患者,直接进行脊柱手术的风险极大。既有的文献报道得出:使用脊柱halo重力牵引技术可以拖延早发性脊柱侧凸的融合手术治疗时间。对于严重脊柱侧凸畸形患者,手术前进行2-3周的脊柱halo重力牵引可以减轻畸形程度,增加脊柱畸形柔韧性,并可降低手术的难度及风险性。Scoliosis is a common skeletal disease in children and adolescents. According to the international Scoliosis Research Society (Scoliosis Research Society, SRS) standard, the scoliosis angle of 45°-50° or more can reach the standard of surgery. Because of the developmental needs of the spine, chest width, and lungs, long-segment fusion surgery is not recommended for children before the age of 10 years. For patients over 10 years of age with severe scoliosis with a deformity angle of more than 90°, direct spinal surgery is extremely risky. Existing literature reports concluded that the use of spinal halo gravity traction technique can delay the fusion surgery treatment time for early-onset scoliosis. For patients with severe scoliosis, 2-3 weeks of spinal halo gravity traction before surgery can reduce the degree of deformity, increase the flexibility of spinal deformity, and reduce the difficulty and risk of surgery.

脊柱halo重力牵引技术的原理是利用重物的重力,纵向牵拉固定在患者颅部的头环实现对脊椎的纵向牵引作用。现有的脊柱halo重力牵引技术主要包括床上牵引和轮椅牵引,前者情况下患者需要持续卧床,而后者可以让患者在得到牵引的同时保持一定的生活自由度。而目前现有的牵引技术存在以下问题:The principle of spine halo gravity traction technology is to use the gravity of heavy objects to longitudinally pull the head ring fixed on the patient's skull to achieve longitudinal traction on the spine. The existing spinal halo gravity traction techniques mainly include bed traction and wheelchair traction. The former requires patients to stay in bed continuously, while the latter allows patients to maintain a certain degree of freedom of life while getting traction. The current traction technology has the following problems:

1)已有技术需要患者在牵引治疗过程中保持相对静止的姿势,脊柱、骨盆及下肢肌肉得不到适当的运动锻炼,长时间后容易引起下肢肌肉萎缩及机体协调性下降。1) The prior art requires the patient to maintain a relatively static posture during the traction treatment process, and the spine, pelvis and lower extremity muscles cannot be properly exercised, which is likely to cause lower extremity muscle atrophy and decreased body coordination after a long time.

2)牵引重力主要是使用秤砣或沙袋,每次开始时需由协助者逐渐增加牵引重物的重量,牵引过程中操作不当可以造成重物砸伤,对于被牵引人协、协助者及周围人员皆存在安全隐患2) The traction gravity mainly uses scales or sandbags. At the beginning of each time, the helper should gradually increase the weight of the traction heavy objects. Improper operation during the traction process can cause heavy objects to be injured. There are safety hazards

3)不能由患者自身调节牵引力量;3) The traction force cannot be adjusted by the patient;

4)患者在卧床或者坐在轮椅上时,头部前后侧方较小的移位动作即可造成牵引力的明显改变,不能实现牵引力的稳定。为了保持牵引力度的稳定,整个牵引过程中头部只能做轻微的旋转动作。4) When the patient is in bed or sitting in a wheelchair, a small displacement action on the front and rear sides of the head can cause a significant change in the traction force, and the stability of the traction force cannot be achieved. In order to keep the traction force stable, the head can only do a slight rotation during the entire traction process.

5)当牵引装置发生颠簸、倾斜、侧翻或者牵引重物本身发生活动或重量突然改变时,重物对头颈部的牵拉力量可发生瞬间的剧烈拉拽,容易对头颈部造成严重的伤害。因此,迫切的需要一种新的方案解决该技术问题。5) When the traction device bumps, tilts, rolls over, or the traction weight itself moves or the weight changes suddenly, the pulling force of the weight on the head and neck can be pulled violently in an instant, which is easy to cause serious injury to the head and neck. . Therefore, a new solution is urgently needed to solve this technical problem.

发明内容SUMMARY OF THE INVENTION

本发明正是针对现有技术中存在的技术问题,提供一种行走式脊柱侧凸牵引装置,该方案可以实现被牵引人在直立行走过程中进行脊柱halo重力牵引,极大的扩展了被牵引人的生活自由度。在牵引力度上可实现柔性稳定,极大提高了牵引过程的安全性;无需额外使用重物,同时方便患者对于牵引力进行自我调节及撤除,提高了牵引治疗操作的简便性。The present invention is aimed at the technical problems existing in the prior art, and provides a walking-type scoliosis traction device, which can realize the traction person's spinal halo gravity traction in the process of upright walking, which greatly expands the traction device. freedom of life. The traction force can be flexible and stable, which greatly improves the safety of the traction process; there is no need to use additional heavy objects, and it is convenient for patients to self-adjust and remove the traction force, which improves the simplicity of traction therapy operations.

为了实现上述目的,本发明的技术方案如下:一种行走式脊柱侧凸牵引装置,其特征在于,所述牵引装置包括手扶式行走支架、可调节支撑架以及弹簧式重力牵引装置,所述可调节支撑架及弹簧式重力牵引装置均设置在特制的手扶式行走支架上。In order to achieve the above object, the technical solution of the present invention is as follows: a walking type scoliosis traction device, characterized in that, the traction device includes a hand-held walking support, an adjustable support frame and a spring-type gravity traction device, the The adjustable support frame and the spring-type gravity traction device are all set on the special hand-held walking support.

作为本发明的一种改进,所述手扶式行走支架包括前轮、后轮、后方保护轮、前轮杆、后轮杆、底部U形杆以及上部U形杆,所述前轮设置在支架下方的前部两边,后轮设置在位于支架下方后部两边,后方保护轮设置在后轮的后方;所述前轮杆和前轮相连接,后轮杆与后轮相连接;底部U形杆向前延伸后向下弯曲延伸形成前轮杆,后轮杆焊接于底部U形杆及前轮杆的交界弯曲处。As an improvement of the present invention, the walk-behind support includes a front wheel, a rear wheel, a rear protection wheel, a front wheel rod, a rear wheel rod, a bottom U-shaped rod and an upper U-shaped rod, and the front wheel is arranged on the On both sides of the front part below the bracket, the rear wheel is arranged on both sides of the rear part below the bracket, and the rear protection wheel is arranged behind the rear wheel; the front wheel rod is connected with the front wheel, and the rear wheel rod is connected with the rear wheel; the bottom U The front wheel rod is formed by extending forward and then bending downward to form the rear wheel rod.

作为本发明的一种改进,所述手扶式行走支架还包括旋拧式高度调节杆以及把手,手扶式行走支架的上部U形杆设置在底部U形杆的上方,上部U形杆的前方水平延伸为把手,上部U形杆两侧通过垂向的旋拧式高度调节杆与下方的底部U形杆的弯曲处相连接,旋拧式高度调节杆上有旋转套管,拧松后可以通过提拉或下压来控制上部U形杆距离地面的高度,便于患者舒适地扶着把手。As an improvement of the present invention, the walk-behind support further includes a screw-type height adjustment rod and a handle, the upper U-shaped rod of the walk-behind support is arranged above the bottom U-shaped rod, and the upper U-shaped rod The front horizontally extends as a handle, and both sides of the upper U-shaped rod are connected with the bend of the lower bottom U-shaped rod through the vertical screw-type height adjustment rod. There is a rotating sleeve on the screw-type height adjustment rod. The height of the upper U-shaped bar from the ground can be controlled by pulling or pressing down, allowing the patient to comfortably hold the handle.

作为本发明的一种改进,可调节支撑架包括底部杆、上部杆、高度调节螺母、套圈、顶部弯曲杆以及前分叉;所述底部杆竖直摆放,通过螺丝与底部U形杆固定,通过环形锁扣与上部U形杆相连,底部杆为中孔管状;上部杆嵌插于底部杆中,靠近出口处的底部杆上设有高度调节螺母,可以通过拧松螺母后上提、下压改变上部杆的高度,上部杆中间前方焊有一套圈,用于穿过牵引绳。As an improvement of the present invention, the adjustable support frame includes a bottom rod, an upper rod, a height adjustment nut, a ferrule, a top bending rod and a front fork; the bottom rod is placed vertically and is connected to the bottom U-shaped rod through screws. Fixed, connected to the upper U-shaped rod through a ring lock, the bottom rod is tubular with a central hole; the upper rod is embedded in the bottom rod, and the bottom rod near the exit is provided with a height adjustment nut, which can be lifted by loosening the nut. , Press down to change the height of the upper rod. There is a set of loops welded in front of the middle of the upper rod, which is used to pass through the traction rope.

作为本发明的一种改进,所述上部杆顶端与顶部弯曲杆垂直连接,顶部弯曲杆的另一端向前延伸再焊接金属管组成前分叉,三支分叉之间夹角均为120°,可以保分叉端部的连线形成等边三角形。As an improvement of the present invention, the top end of the upper rod is vertically connected to the top bending rod, the other end of the top bending rod is extended forward and then a metal tube is welded to form a front bifurcation, and the angles between the three bifurcations are all 120° , which can ensure that the lines connecting the ends of the bifurcations form an equilateral triangle.

作为本发明的一种改进,所述弹簧式重力牵引装置包括高精度弹簧、三角形连接盘、滑轮组、头环以及牵引绳,其中高精度弹簧有3枚,分别与支撑架顶部前方分叉端部通过环扣连接,再汇聚到下方与金属三角形连接盘的开孔连接,这样组合使得三根弹簧的拉力相同的汇集于一起。As an improvement of the present invention, the spring-type gravity traction device includes a high-precision spring, a triangular connecting plate, a pulley block, a head ring and a traction rope, of which there are 3 high-precision springs, which are respectively connected with the fork ends in front of the top of the support frame. It is connected by a ring buckle, and then converged to the bottom to connect with the opening of the metal triangular connection plate, so that the three springs have the same pulling force and converge together.

作为本发明的一种改进,弹簧中轴设置穿有保险钢丝并与分叉端部及三角形连接盘扣系,以免弹簧在使用过程中出现拉断后的滑落及飞溅。As an improvement of the present invention, the central shaft of the spring is provided with a safety wire and is fastened with the bifurcated end and the triangular connecting plate to prevent the spring from slipping and splashing after being broken during use.

作为本发明的一种改进,金属三角形连接盘中央穿纵向孔与滑轮组相连接,滑轮组下方还有绳子再系住牵引头环,滑轮组通过牵引绳控制,在使用时向下拉到合适位置后向上卡到滑轮组出口边缘卡缝里即可锁紧,再向下拉牵引绳时又可解锁继续控制滑轮组活动。牵引绳的尾端可以扣在上部杆上的套圈上。As an improvement of the present invention, the center of the metal triangular connecting plate is connected to the pulley block through a longitudinal hole, and there is a rope under the pulley block to tie the traction head ring. It can be locked in the edge of the pulley block outlet, and when the traction rope is pulled down, it can be unlocked to continue to control the pulley block activity. The end of the tow rope can be snapped onto the ferrule on the upper pole.

相对于现有技术,本发明具有如下优点:Compared with the prior art, the present invention has the following advantages:

1)该方案可以实现在直立行走状态下进行脊柱牵引治疗,极大地扩大了被牵引人的生活自由度;1) This scheme can realize spinal traction treatment in the state of upright walking, which greatly expands the freedom of life of the person being pulled;

2)该方案在牵引过程无需额外使用秤砣、沙袋等重物,而是利用患者自身重量进行牵引,操作时对自身及周围人员不造成安全威胁;2) This scheme does not need to use additional heavy objects such as scales and sandbags during the traction process, but uses the patient's own weight for traction, and does not pose a safety threat to itself and surrounding personnel during operation;

3)该方案牵引的力度可由被牵引人根据自身的情况进行调节,无需其他人进行协助操作,提高了牵引治疗的简便性。3) The traction strength of the scheme can be adjusted by the person being pulled according to their own conditions, without the need for other people to assist in the operation, which improves the simplicity of the traction treatment.

4)该方案由于使用了3根高精度弹簧等边组合,牵引时即使遇到颠簸,对于被牵引人头部的牵引力量仍可保持柔性稳定。牵引过程中患者头部的可活动空间增大,提高牵引治疗的舒适性。4) Because of the equilateral combination of 3 high-precision springs used in this scheme, even if it encounters bumps during traction, the traction force of the head of the towed person can still remain flexible and stable. During the traction process, the movable space of the patient's head is increased, and the comfort of the traction treatment is improved.

5)该方案后方保护轮可防止支架后倾;即使牵引发生倾斜或侧翻时,牵引力度会瞬间自动减小甚至消失,对患者的颈部不会造成瞬间的剧烈拉拽。位置恢复过程中的牵引力量的恢复也有缓冲时间;因此本发明极大地提高了牵引治疗的安全性。本发明设计巧妙,使用方便,克服已有装置不足,具有广阔的应用前景。5) The rear protection wheel of this solution can prevent the bracket from tilting backward; even if the traction is tilted or rolled over, the traction force will automatically decrease or even disappear instantly, and the patient's neck will not be pulled violently in an instant. The recovery of traction force during position recovery also has buffer time; therefore, the present invention greatly improves the safety of traction therapy. The invention is ingenious in design, convenient in use, overcomes the insufficiency of the existing device, and has broad application prospects.

附图说明Description of drawings

图1是本发明所提供的右斜侧立体示意图;Fig. 1 is the right oblique side perspective schematic diagram provided by the present invention;

图2是本发明所提供的右侧结构示意图;Fig. 2 is the right side structural representation provided by the present invention;

图3是本发明所提供的背面结构示意图;3 is a schematic view of the rear structure provided by the present invention;

图4是本发明所提供的正面结构示意图;Fig. 4 is the front structure schematic diagram provided by the present invention;

图5是本发明所提供的顶面结构示意图。FIG. 5 is a schematic diagram of the top surface structure provided by the present invention.

其中:1、前轮;2、后轮;3、后方保护轮;4、前轮杆;5、后轮杆;6、底部U形杆;7、上部U形杆;8、旋拧式高度调节杆;9、把手;10、底部杆;11、上部杆;12、高度调节螺母;13、套圈;14、顶部弯曲杆;15、前分叉;16、高精度弹簧;17、三角形连接盘;18、滑轮组;19、头环;20、牵引绳。Among them: 1. Front wheel; 2. Rear wheel; 3. Rear protection wheel; 4. Front wheel rod; 5. Rear wheel rod; 6. Bottom U-shaped rod; 7. Upper U-shaped rod; 8. Screw height Adjusting rod; 9, handle; 10, bottom rod; 11, upper rod; 12, height adjustment nut; 13, ferrule; 14, top bending rod; 15, front fork; 16, high precision spring; 17, triangle connection disc; 18, pulley block; 19, head ring; 20, traction rope.

具体实施方式Detailed ways

为了加强对本发明的理解和认识,下面结合附图和具体实施方式对本发明做出进一步的说明和介绍。In order to enhance the understanding and understanding of the present invention, the present invention will be further described and introduced below in conjunction with the accompanying drawings and specific embodiments.

实施例1:参见图1-图5,一种行走式脊柱侧凸牵引装置,所述牵引支架由手扶式行走支架、可调节支撑架及弹簧式重力牵引装置组成。该方案可以实现在行走状态下进行牵引治疗。极大的保留了被牵引人的生活自由度,同时实现脊柱纵向牵引力度的柔性稳定,且便于被牵引人对牵引力量自我调节,整个过程无需额外牵引重物,提高牵引过程的安全性和操作简便性。该方案中,所述手扶式行走支架部分包括前轮1、后轮2、后方保护轮3、前轮杆4、后轮杆5、底部U形杆6、上部U形杆7、旋拧式高度调节杆8以及把手9;所述前轮1设置在支架下方的前部两边,后轮2设置在位于支架下方后部两边,后方保护轮3设置在后轮2的后方。所述手扶式行走支架的前轮杆4和前轮1相连接,后轮杆5与后轮2相连接;底部U形杆6向前延伸后向下弯曲延伸形成前轮杆4,后轮杆5焊接于底部U形杆6及前轮杆4的交界弯曲处。该方案中,如图1-图4所示,所述手扶式行走支架的上部U形杆7设置在底部U形杆6的上方,上部U形杆7的前方水平延伸为把手9。上部U形杆两侧通过垂向的旋拧式高度调节杆8与下方的底部U形杆6的弯曲处相连接。旋拧式高度调节杆8上有旋转套管,拧松后可以通过提拉或下压来控制上部U形杆7距离地面的高度。Embodiment 1: Referring to Figures 1 to 5, a walking type scoliosis traction device, the traction bracket is composed of a hand-held walking bracket, an adjustable support frame and a spring-type gravity traction device. The solution can realize traction therapy in the walking state. It greatly preserves the freedom of life of the person being pulled, and at the same time realizes the flexibility and stability of the longitudinal traction force of the spine, and it is convenient for the person to be pulled to adjust the traction force. Simplicity. In this solution, the walk-behind support part includes a front wheel 1, a rear wheel 2, a rear protection wheel 3, a front wheel rod 4, a rear wheel rod 5, a bottom U-shaped rod 6, an upper U-shaped rod 7, a screw The front wheel 1 is arranged on both sides of the front part below the bracket, the rear wheel 2 is arranged on both sides of the rear part below the bracket, and the rear protection wheel 3 is arranged behind the rear wheel 2. The front wheel rod 4 of the walk-behind support is connected with the front wheel 1, and the rear wheel rod 5 is connected with the rear wheel 2; the bottom U-shaped rod 6 extends forward and then bends downward to form the front wheel rod 4, and the rear The wheel rod 5 is welded at the junction bend of the bottom U-shaped rod 6 and the front wheel rod 4 . In this solution, as shown in FIGS. 1-4 , the upper U-shaped rod 7 of the walk-behind walking support is arranged above the bottom U-shaped rod 6 , and the front of the upper U-shaped rod 7 horizontally extends as a handle 9 . Both sides of the upper U-shaped rod are connected with the bend of the lower bottom U-shaped rod 6 through the vertical screw-type height adjustment rod 8 . There is a rotating sleeve on the screw-type height adjusting rod 8. After loosening, the height of the upper U-shaped rod 7 from the ground can be controlled by pulling or pressing down.

该方案中,如图1-图4所示,所述可调节支撑架包括底部杆10、上部杆11、高度调节螺母12、套圈13、顶部弯曲杆14、前分叉15;所述底部杆10竖直摆放,通过螺丝与底部U形杆6固定,通过环形锁扣与上部U形杆7相连。底部杆10为中孔管状;上部杆11嵌插于底部杆中,靠近出口处的底部杆上设有高度调节螺母12,可以通过拧松螺母后上提、下压改变上部杆11的高度。上部杆中间前方焊有一套圈13,用于穿过牵引绳。In this solution, as shown in Figures 1-4, the adjustable support frame includes a bottom rod 10, an upper rod 11, a height adjustment nut 12, a ferrule 13, a top bending rod 14, and a front fork 15; the bottom The rod 10 is placed vertically, fixed with the bottom U-shaped rod 6 by screws, and connected with the upper U-shaped rod 7 by a ring lock. The bottom rod 10 is tubular with a central hole; the upper rod 11 is inserted into the bottom rod, and the bottom rod near the exit is provided with a height adjustment nut 12 , which can be lifted up and pressed down after loosening the nut to change the height of the upper rod 11 . A set of loops 13 are welded in front of the middle of the upper rod for passing through the traction rope.

该方案中,如图1-图5所示,所述支撑架上部杆11顶端与顶部弯曲杆14垂直连接、然后顶部弯曲杆向前延伸再焊接金属管组成前分叉15,三支分叉之间夹角均为120°。所述弹簧式重力牵引装置由由高精度弹簧16、三角形连接盘17、滑轮组18、头环19、牵引绳20组成,其中高精度弹簧有3枚,分别与支撑架顶部前方分叉15端部环扣连接,再汇聚到下方与三角形连接盘17开孔连接,弹簧中轴有穿有保险钢丝并与分叉端部及三角形连接盘扣系,以免弹簧在使用过程中出现拉断后的滑落及飞溅。In this solution, as shown in Figures 1-5, the top of the upper rod 11 of the support frame is vertically connected to the top bending rod 14, and then the top bending rod is extended forward and then welded with metal pipes to form a front bifurcation 15, three bifurcations The included angle is 120°. The spring-type gravity traction device is composed of a high-precision spring 16, a triangular connecting plate 17, a pulley block 18, a head ring 19, and a traction rope 20. Among them, there are 3 high-precision springs, which are respectively branched from the top of the support frame. The ring buckle is connected, and then converges to the bottom to connect with the opening of the triangular connecting plate 17. The central axis of the spring has a safety wire and is fastened with the bifurcated end and the triangular connecting plate to prevent the spring from slipping and falling off after being broken during use. splash.

该方案中,如图1-图5所示,金属三角形连接盘17中央穿纵向孔与滑轮组18相连接。滑轮组下方还有绳子再系住牵引头环19。滑轮组18通过牵引绳20控制,在使用时向下拉到合适位置后向上卡到滑轮组18出口边缘卡缝里即可锁紧,再向下拉牵引绳20时又可解锁继续控制滑轮组18活动。牵引绳的尾端可以扣在上部杆上的套圈13上。In this solution, as shown in FIGS. 1-5 , the metal triangular connecting plate 17 is connected to the pulley block 18 through a longitudinal hole in the center. There is also a rope under the pulley block to tie the traction head ring 19. The pulley block 18 is controlled by the traction rope 20. When in use, the pulley block 18 can be locked by pulling it down to a suitable position and then snapping up to the edge of the exit edge of the pulley block 18. When the traction rope 20 is pulled down, it can be unlocked to continue to control the pulley block 18. The tail end of the traction rope can be buckled on the ferrule 13 on the upper rod.

该方案中,如图1所示,在行走式脊柱侧凸牵引装置的中部设有可以调节高度的上部U形管7和把手9,可以通过调节旋拧式高度调节杆8来调整至被牵引人相对舒适的高度,便于被牵引人在牵引治疗中双手握持把手进行行走。可调节支撑架后方设有高度调节螺母12,可通过调整上部杆11的高度来调节弹簧式重力牵引装置的高度,直至与被牵引人身高适合的高度。在牵引治疗过程中,被牵引人可以握持两侧把手9扶着牵引支架在房间或户外行走活动,实现了牵引治疗的同时保持极大的生活自由度。整个牵引过程利用被牵引人自身重力作为牵引力量,通过牵引绳20调整滑轮组18高度来调整高精度弹簧16对头颅及脊柱的拉力;此过程中无需在使用传统的秤砣或沙袋等重物作为牵引力量的来源,使用简便。等边分叉高精度弹簧组16合在受到牵拉时通过自身的形变可以缓冲拉力,即使患者的头部姿势发生改变或者支架本身出现颠簸,仍然可以实现牵引力量的柔性稳定。由于后方保护轮3的支撑,使得牵引支架不易后翻;即使发生后倾、侧翻或前翻,牵引力度也会立刻减小甚至消失,不会对患者的颈部造成瞬间的剧烈拉拽。在位置恢复过程中,牵引力量的恢复也有时间缓冲;此外,患者自己可以通过牵引绳控制或去除牵引力。因此本方案极大地提高了牵引治疗的安全性。In this solution, as shown in FIG. 1 , a height-adjustable upper U-shaped tube 7 and a handle 9 are arranged in the middle of the walking scoliosis traction device, which can be adjusted to be pulled by adjusting the screw-type height adjustment rod 8 The height is relatively comfortable for the person, which is convenient for the person to be drawn to hold the handle with both hands to walk during the traction treatment. A height adjustment nut 12 is arranged behind the adjustable support frame, and the height of the spring-type gravity traction device can be adjusted by adjusting the height of the upper rod 11 until the height is suitable for the height of the person being pulled. During the traction therapy, the towed person can hold the handle 9 on both sides and hold the traction bracket to walk in the room or outdoors, which realizes the traction therapy and maintains great freedom of life. The whole traction process uses the person's own gravity as the traction force, and adjusts the height of the pulley block 18 through the traction rope 20 to adjust the pulling force of the high-precision spring 16 on the skull and spine; in this process, there is no need to use traditional weights or sandbags as traction. A source of power, easy to use. The equilateral bifurcated high-precision spring group 16 can buffer the pulling force through its own deformation when being pulled. Even if the patient's head posture changes or the bracket itself bumps, it can still achieve the flexibility and stability of the pulling force. Due to the support of the rear protection wheel 3, the traction bracket is not easy to be turned backward; even if backward tilt, rollover or forward tilt occurs, the traction force will be reduced or even disappeared immediately, and the patient's neck will not be pulled violently in an instant. There is also a time buffer for the recovery of traction force during position recovery; in addition, the patient can control or remove traction force by himself or herself with the traction rope. Therefore, this scheme greatly improves the safety of traction therapy.

工作过程:对于严重的早发性脊柱侧凸畸形,牵引治疗可以起到延缓畸形进展、拖延手术时间的作用;而对于重度脊柱畸形需要行手术治疗的患者,术前行2-3周的脊柱halo牵引可以提高畸形的柔韧性,降低矫形手术难度及风险。其原理在于:患儿在全麻或者局麻状态下,使用螺钉将牵引头环固定在被牵引人的颅骨上。然后通过平卧在床上或者坐在轮椅上使用牵引装置进行脊柱纵向牵引。本发明则可实现让被牵引人在行走状态下进行牵引治疗,有利于锻炼肺部功能及双下肢肌肉的力量及运动协调性。具体的使用过程如下:Working process: For severe early-onset scoliosis, traction therapy can delay the progression of the deformity and delay the operation time; for patients with severe spinal deformity who require surgical treatment, 2-3 weeks of spinal surgery is required before surgery. Halo traction can improve the flexibility of deformity and reduce the difficulty and risk of orthopedic surgery. The principle is: under general anesthesia or local anesthesia, the child uses screws to fix the traction head ring on the skull of the distracted person. Longitudinal traction of the spine is then performed by lying on the bed or in a wheelchair using a traction device. The present invention can realize the traction therapy for the person being pulled in the walking state, which is beneficial to exercise the lung function and the strength and movement coordination of the muscles of the lower limbs. The specific use process is as follows:

请参看图1-图5,首先被牵引人在全麻或局麻下将牵引头环19固定至颅部,然后可自行将头环上的绳子钩在本发明的滑轮组18下方;同时手拉住滑轮组上的牵引绳20调整高精度弹簧对于头环的牵引力;当力量调整至自身能接受的程度时,将牵引绳提拎一下卡在滑轮组18出口边缘的卡缝里,然后将垂下的绳尾放进后方上部11杆的套圈13里即可。当被牵引人想调整牵引力量时,直接向下拉拽牵引绳然后调整至合适力量后再次固定牵引绳即可;当被牵引人想暂停牵引治疗时,直接向下拉拽牵引绳然后将头环从滑轮组18底部解开即可。Please refer to Fig. 1-Fig. 5, firstly, under general or local anesthesia, the towed person fixes the traction head ring 19 to the skull, and then can hook the rope on the head ring under the pulley block 18 of the present invention; Hold the traction rope 20 on the pulley block to adjust the traction force of the high-precision spring on the head ring; when the force is adjusted to a level that can be accepted by itself, lift the traction rope and clamp it in the slot on the edge of the exit of the pulley block 18, and then put the hanging rope Put the tail into the ferrule 13 of the upper 11 rod at the rear. When the towed person wants to adjust the traction force, he can directly pull the traction rope downwards and then adjust the traction rope to a suitable force and fix the traction rope again; The bottom of the pulley block 18 can be unfastened.

需要说明的是上述实施例,并没有用来限定本发明的保护范围,在上述基础上所作出的等同替换或者替代均属于本发明权利要求的保护范围。It should be noted that the above embodiments are not used to limit the protection scope of the present invention, and equivalent replacements or substitutions made on the basis of the above all belong to the protection scope of the claims of the present invention.

Claims (7)

1.一种行走式脊柱侧凸牵引装置,其特征在于,所述牵引装置包括手扶式行走支架、可调节支撑架以及弹簧式重力牵引装置,所述可调节支撑架及弹簧式重力牵引装置均设置在特制的手扶式行走支架上;1. a walking type scoliosis traction device, it is characterized in that, described traction device comprises hand-held walking support, adjustable support frame and spring-type gravity traction device, described adjustable support frame and spring-type gravity traction device All are set on a special hand-held walking bracket; 所述手扶式行走支架包括前轮(1)、后轮(2)、后方保护轮(3)、前轮杆(4)、后轮杆(5)、底部U形杆(6)以及上部U形杆(7),所述前轮(1)设置在支架下方的前部两边,后轮(2)设置在位于支架下方后部两边,后方保护轮(3)设置在后轮(2)的后方;所述前轮杆(4)和前轮(1)相连接,后轮杆(5)与后轮相连接;底部U形杆(6)向前延伸后向下弯曲延伸形成前轮杆(4),后轮杆(5)焊接于底部U形杆(6)及前轮杆(4)的交界弯曲处。The walk-behind support includes a front wheel (1), a rear wheel (2), a rear protection wheel (3), a front wheel rod (4), a rear wheel rod (5), a bottom U-shaped rod (6) and an upper part U-shaped rod (7), the front wheel (1) is arranged on both sides of the front part below the bracket, the rear wheel (2) is arranged on both sides of the rear part below the bracket, and the rear protection wheel (3) is arranged on the rear wheel (2) The front wheel rod (4) is connected with the front wheel (1), and the rear wheel rod (5) is connected with the rear wheel; the bottom U-shaped rod (6) extends forward and then bends downward to form the front wheel The rod (4) and the rear wheel rod (5) are welded at the junction bend of the bottom U-shaped rod (6) and the front wheel rod (4). 2.根据权利要求1所述的行走式脊柱侧凸牵引装置,其特征在于,所述手扶式行走支架还包括旋拧式高度调节杆(8)以及把手(9),手扶式行走支架的上部U形杆(7)设置在底部U形杆的上方,上部U形杆(7)的前方水平延伸为把手(9),上部U形杆(7)两侧通过垂向的旋拧式高度调节杆(8)与下方的底部U形杆的弯曲处相连接,旋拧式高度调节杆(8)上有旋转套管,拧松后通过提拉或下压来控制上部U形杆距离地面的高度。2. The walking-type scoliosis traction device according to claim 1, wherein the walk-behind support also comprises a screw-type height adjustment rod (8) and a handle (9), and the walk-behind support The upper U-shaped rod (7) is arranged above the bottom U-shaped rod, the front of the upper U-shaped rod (7) is horizontally extended as a handle (9), and both sides of the upper U-shaped rod (7) are screwed vertically. The height adjustment rod (8) is connected with the bend of the bottom U-shaped rod below. The screwed height adjustment rod (8) has a rotating sleeve. After loosening, the distance of the upper U-shaped rod can be controlled by pulling or pressing down. the height of the ground. 3.根据权利要求2所述的行走式脊柱侧凸牵引装置,其特征在于,可调节支撑架包括底部杆(10)、上部杆(11)、高度调节螺母(12)、套圈(13)、顶部弯曲杆(14)以及前分叉(15);所述底部杆(10)竖直摆放,通过螺丝与底部U形杆(6)固定,通过环形锁扣与上部U形杆(7)相连,底部杆为中孔管状;上部杆(11)嵌插于底部杆(10)中,靠近出口处的底部杆(10)上设有高度调节螺母(12),通过拧松螺母后上提、下压改变上部杆(11)的高度,上部杆(11)中间前方焊有一套圈(13),用于穿过牵引绳。3. The walking scoliosis traction device according to claim 2, wherein the adjustable support frame comprises a bottom rod (10), an upper rod (11), a height adjustment nut (12), a ferrule (13) , the top bending rod (14) and the front fork (15); the bottom rod (10) is placed vertically, fixed with the bottom U-shaped rod (6) by screws, and connected with the upper U-shaped rod (7) by the ring lock ) are connected, and the bottom rod is tubular with a middle hole; the upper rod (11) is inserted into the bottom rod (10), and the bottom rod (10) near the outlet is provided with a height adjustment nut (12), which is tightened by loosening the nut. Lifting and pressing down change the height of the upper rod (11), and a set of loops (13) is welded in front of the middle of the upper rod (11) for passing through the traction rope. 4.根据权利要求3所述的行走式脊柱侧凸牵引装置,其特征在于,所述上部杆(11)顶端与顶部弯曲杆(14)垂直连接,顶部弯曲杆的另一端向前延伸再焊接金属管组成前分叉(15),三支分叉之间夹角均为120°。4. The walking type scoliosis traction device according to claim 3, wherein the top end of the upper rod (11) is vertically connected with the top bending rod (14), and the other end of the top bending rod is extended forward and then welded The metal tube forms the front bifurcation (15), and the included angles between the three bifurcations are all 120°. 5.根据权利要求4所述的行走式脊柱侧凸牵引装置,其特征在于,所述弹簧式重力牵引装置包括高精度弹簧(16)、三角形连接盘(17)、滑轮组(18)、头环(19)以及牵引绳(20),其中高精度弹簧(16)有3枚,分别与支撑架顶部前方分叉(15)端部通过环扣连接,再汇聚到下方与金属三角形连接盘(17)的开孔连接。5. The walking-type scoliosis traction device according to claim 4, wherein the spring-type gravity traction device comprises a high-precision spring (16), a triangular connecting plate (17), a pulley block (18), a head ring (19) and the traction rope (20), of which there are three high-precision springs (16), which are respectively connected with the ends of the front bifurcation (15) at the top of the support frame through loops, and then converge to the bottom with the metal triangular connection plate (17) ) opening connections. 6.根据权利要求1所述的行走式脊柱侧凸牵引装置,其特征在于,弹簧中轴设置穿有保险钢丝并与分叉端部及三角形连接盘扣系。6 . The walking scoliosis traction device according to claim 1 , wherein the spring central axis is provided with a safety wire and is fastened with the bifurcated end and the triangular connection plate. 7 . 7.根据权利要求6所述的行走式脊柱侧凸牵引装置,其特征在于,金属三角形连接盘(17)中央穿纵向孔与滑轮组(18)相连接,滑轮组下方还有绳子再系住牵引头环(19),滑轮组(18)通过牵引绳(20)控制,牵引绳的尾端扣在上部杆(11)上的套圈(13)上。7. walking type scoliosis traction device according to claim 6 is characterized in that, metal triangular connecting plate (17) is connected with pulley block (18) through longitudinal hole in the center, and there is also rope below pulley block to tie the traction head again The ring (19) and the pulley block (18) are controlled by the traction rope (20), and the tail end of the traction rope is fastened on the ferrule (13) on the upper rod (11).
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