CN2562783Y - Neurogenic visical therapeutic instrument - Google Patents
Neurogenic visical therapeutic instrument Download PDFInfo
- Publication number
- CN2562783Y CN2562783Y CN 02272944 CN02272944U CN2562783Y CN 2562783 Y CN2562783 Y CN 2562783Y CN 02272944 CN02272944 CN 02272944 CN 02272944 U CN02272944 U CN 02272944U CN 2562783 Y CN2562783 Y CN 2562783Y
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- Prior art keywords
- control unit
- bladder
- low
- output
- cpu control
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- 230000001225 therapeutic effect Effects 0.000 title claims abstract description 19
- 230000001272 neurogenic effect Effects 0.000 title 1
- 239000004973 liquid crystal related substance Substances 0.000 claims abstract description 6
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 6
- 208000000693 Neurogenic Urinary Bladder Diseases 0.000 claims abstract 7
- 206010029279 Neurogenic bladder Diseases 0.000 claims abstract 7
- 210000002700 urine Anatomy 0.000 abstract description 11
- 230000000694 effects Effects 0.000 abstract description 7
- 238000000338 in vitro Methods 0.000 abstract description 3
- 210000002569 neuron Anatomy 0.000 description 19
- 206010046555 Urinary retention Diseases 0.000 description 6
- 206010012601 diabetes mellitus Diseases 0.000 description 6
- 230000014759 maintenance of location Effects 0.000 description 6
- 210000005036 nerve Anatomy 0.000 description 6
- 230000004936 stimulating effect Effects 0.000 description 6
- 230000000638 stimulation Effects 0.000 description 6
- 206010046543 Urinary incontinence Diseases 0.000 description 5
- 239000004020 conductor Substances 0.000 description 4
- 238000009413 insulation Methods 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000002460 smooth muscle Anatomy 0.000 description 3
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 208000019206 urinary tract infection Diseases 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 1
- 208000032131 Diabetic Neuropathies Diseases 0.000 description 1
- 206010012645 Diabetic autonomic neuropathy Diseases 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
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- 208000001647 Renal Insufficiency Diseases 0.000 description 1
- 208000028990 Skin injury Diseases 0.000 description 1
- LEHOTFFKMJEONL-UHFFFAOYSA-N Uric Acid Chemical compound N1C(=O)NC(=O)C2=C1NC(=O)N2 LEHOTFFKMJEONL-UHFFFAOYSA-N 0.000 description 1
- TVWHNULVHGKJHS-UHFFFAOYSA-N Uric acid Natural products N1C(=O)NC(=O)C2NC(=O)NC21 TVWHNULVHGKJHS-UHFFFAOYSA-N 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 239000000951 adrenergic alpha-1 receptor antagonist Substances 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 208000015114 central nervous system disease Diseases 0.000 description 1
- 230000000718 cholinopositive effect Effects 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 150000002270 gangliosides Chemical class 0.000 description 1
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- 230000010030 glucose lowering effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 201000006370 kidney failure Diseases 0.000 description 1
- 210000000265 leukocyte Anatomy 0.000 description 1
- 210000002418 meninge Anatomy 0.000 description 1
- 230000004060 metabolic process Effects 0.000 description 1
- 230000007830 nerve conduction Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 210000000954 sacrococcygeal region Anatomy 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
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- 230000000087 stabilizing effect Effects 0.000 description 1
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- Electrotherapy Devices (AREA)
Abstract
一种神经原膀胱治疗仪，包括：机箱、低频信号发生装置、CPU控制单元以及电源，液晶显示器、指示灯分别接于CPU控制单元的相应输出端口，CPU控制单元相应输入端接控制按钮，低频信号发生装置的输出设置两路输出接口，低频信号发生装置的控制端接到CPU控制单元输出端。采用两路低频脉冲信号多方位反复交替无创体外刺激膀胱，引起膀胱缓慢收缩而排出尿液，适应于医院住院和家庭的神经原膀胱病人，结构简单，成本低，操作使用方便，安全性好，无明显副作用，治疗效果明显可靠。
A neurogenic bladder therapy instrument, comprising: a chassis, a low-frequency signal generating device, a CPU control unit and a power supply, a liquid crystal display and an indicator light are respectively connected to corresponding output ports of the CPU control unit, the corresponding input terminals of the CPU control unit are connected to control buttons, and the low-frequency The output of the signal generating device is provided with two output interfaces, and the control end of the low-frequency signal generating device is connected to the output end of the CPU control unit. Two-way low-frequency pulse signals are used to repeatedly and alternately non-invasively stimulate the bladder in vitro, causing the bladder to contract slowly and discharge urine. It is suitable for patients with neurogenic bladder in hospitals and at home. It has simple structure, low cost, convenient operation and good safety. There is no obvious side effect, and the therapeutic effect is obvious and reliable.
Description
Technical field
This utility model relates to a kind of Medical Instruments, and particularly a kind of neuron bladder therapeutic instrument is exclusively used in that the bladder residual urine that treatment neuron bladder causes increases, urine retention is or/and urinary incontinence etc.
Background technology
Foreign study is found, the main diseases of neuron bladder is because of having effect or side effect, peripheral nerve or the vegetative nerve pathological changes of completeness and incomplete spinal cord injury, spinal cord spinal meninges bulging disease, central nervous system disease, some drugs treatment, especially see so that the former bladder of the diabetes nerve due to the diabetic autonomic neuropathy more, and along with the incidence rate that increases the neuron bladder year by year of diabetes prevalence also grows with each passing day.The neuron bladder shows as mainly that the bladder residual urine increases, urine retention/and urinary incontinence, and the vicious cycle generation renal failure that " block-infect-blocks " because of urethra is or/and systemic infection is dead eventually.
The main treatment measure of neuron bladder both at home and abroad has: etiological treatment, neurotrophy medicine such as ganglioside, cholinomimetic thing, urethral catheterization, intermittently self-urethral catheterization, continue urethral catheterization and suprapubic cystotomy etc., curative effect is all dissatisfied, and influences patient's quality of life and life-span greatly.So far, still there be not a kind of non-invasive therapy means or the therapeutic instrument that can effectively eliminate or reduce neuron bladder patient's bladder residual urine, urine retention and urinary incontinence really both at home and abroad.
Summary of the invention
In view of the prior art above shortcomings, the utility model proposes a kind of neuron bladder therapeutic instrument, it eliminates or reduces neuron bladder patient's bladder residual urine, urine retention and urinary incontinence with the noinvasive means, the curative effect of avoiding traditional non-invasive therapy is not obvious and have the wound treatment easily to cause to drive in the wrong direction urinary tract infection or/and have a strong impact on drawback such as patient quality of life.
The neuron bladder therapeutic instrument that the utility model proposes, comprise: cabinet, low frequency signal generating means, CPU control unit and power supply, liquid crystal display, display lamp are connected to the corresponding output end mouth of CPU control unit respectively, CPU control unit respective input connects control knob, the output of low frequency signal generating means is provided with the two-way output interface, and the control end of low frequency signal generating means is received CPU control unit outfan.Each output interface of low frequency signal generating means is equipped with a signal output apparatus, described signal output apparatus has the insulation difficulty bipolar conductor that fractures of band plug, another termination press-button type joint of the difficult bipolar conductor that fractures of insulation, press-button type joint receiving electrode sheet.
This neuron bladder therapeutic instrument adopts the multi-faceted noinvasive stimulated in vitro bladder that replaces repeatedly of two-way low frequency pulse signal, cause that bladder slowly shrinks and the discharge urine, eliminate or reduce neuron bladder patient's bladder residual urine, urine retention and urinary incontinence with the noinvasive means, the curative effect of avoiding traditional non-invasive therapy is not obvious and have the wound treatment easily to cause to drive in the wrong direction urinary tract infection or/and have a strong impact on drawback such as patient quality of life.
The press-button type joint that signal output apparatus adopts bipolar difficulty to fracture lead and can join with general cardiac monitoring electrode slice can be avoided the skin injury to treatment target.Volume is little, and is simple in structure, is easy to carry, and cost is low, easy for operation, and safety is good, and non-evident effect, therapeutic effect are obviously reliable, is adapted to that hospital is in hospital and the neuron bladder patient of family use.
Description of drawings
Fig. 1 is a neuron bladder therapeutic instrument main machine structure sketch map;
Fig. 2 is its signal output apparatus structural representation;
Fig. 3 is its electric theory diagram;
Fig. 4 is the embodiment circuit diagram.
The specific embodiment
Neuron bladder therapeutic instrument main frame and two signal output apparatus.Fig. 1 is its main machine structure sketch map, and wherein 13 is cabinet, and handle or belt buckle 2 are set on the cabinet, is easy to carry.LCDs 1 is positioned at the front of cabinet, the side of cabinet is equipped with external power supply jack 3 and low frequency signal two-way output plughole 4,5, power switch button 6 also is housed on the front panel, regularly regulates button 7, display lamp 8, voltage-regulation button 9, Current Regulation button 10, frequency adjustment button 11 and buzzer 12 etc., circuit part places in the cabinet by pcb board.
This machine is equipped with two signal output apparatus shown in Figure 2, is used for low frequency signal is exported.This signal output apparatus has the insulation difficulty bipolar conductor 16 that fractures of band plug 14, another termination press-button type joint 15 of the difficult bipolar conductor that fractures of insulation, press-button type joint 15 receiving electrode sheets (not drawing among the figure).Electrode slice adopts the electrode slice of common electrocardiogram monitor etc.
Circuit part is shown in Fig. 3,4.Mainly comprise low frequency signal generating means, CPU control unit and power supply, liquid crystal display, display lamp are connected to the corresponding output end mouth of CPU control unit respectively, CPU control unit respective input connects control knob (keypad), the output of low frequency signal generating means is provided with two-way output interface (I, II), and the control end of low frequency signal generating means is received CPU control unit outfan.Host power supply is a DC-AC two-use, and the CPU control unit can be controlled output frequency, electric current and voltage.Can replace triggering and replace the output signal ripple from two output ports respectively by the control requirement.
One embodiment circuit as shown in Figure 4, the CPU control unit adopts chips such as AT89C2051, liquid crystal display is HT1621, liquid crystal display HT1621 (CS, CK, DB) receives three outfans of AT89C2051, driving audion (8050) base stage of buzzer connects the outfan of AT89C2051 by a resistance, and LED light is connected in series a resistance has another outfan of AT89C2051 to drive.Control knob connects the input of AT89C2051, the output of low frequency signal generator is provided with the two-way output interface, and each output interface of low frequency generator is equipped with a press-button type joint that adopts bipolar difficulty to fracture lead and can join with general cardiac monitoring electrode slice.Power supply can be ac-dc dual power supply, and alternating current power supply is with traditional transformator blood pressure lowering, rectification filtering voltage stabilizing circuit.The low frequency pulse signal frequency range that this typical case implements circuit output is 20-100Hz, and peak value of pulse is 200-800mv, and output current is at 10-20mA.
This therapeutic instrument is used for the low frequency signal ripple of may command output frequency, electric current and voltage the treatment of neuron bladder first; Adopt the noinvasive means to get around to be difficult to the injured nerve part of the neuron bladder that recovers by treatment first, directly cause by stimulated in vitro that smooth muscle of bladder slowly shrinks and bladder dwindles and discharges urine to reach therapeutic purposes from the smooth muscle of bladder level.It is used for puerperal or abdominal postoperative or the temporary urine retention of waist sacrococcygeal region anesthesia postoperative first, in order to avoid the various drawbacks that urethral catheterization brings.Especially first be used for the former bladder patient's of diabetes nerve therapeutic effect clinical verification.
It also can share the neuron bladder that merges the prostatic hyperplasia hypertrophy with treatment with the selectivity alpha 1-receptor inhibitor of diastole sphincter vesicae.
Adopt the former bladder patient's of the external electric pulse stimulation treatment diabetes nerve of this therapeutic instrument clinical observation test situation as follows:
1, test objective
Observe the influence of external electric pulse stimulation bladder (EEPSV), inquire into the DNB noinvasive and effective Therapeutic Method diabetes nerve source bladder (DNB) patient's bladder residual urine (BRU) and leukocyte excretion rate (ULR).
2, test method
All BRU increase that (〉=50ml) patient DNB is in glucose-lowering treatment, amount according to its BRU be divided into gently (50～250ml), in (251～450ml), heavy (＞450ml) degree DNB, each is light, moderate DNB patient (slight patient's DNB 107 examples, moderate DNB patient 71 examples) be divided into electric pulse stimulation group and matched group respectively at random, severe DNB patient (49 example) then is divided into stimulating group and stimulation+α at random
1-blocker group stimulates and all to adopt external bladder angle, both sides and the bladder front and rear wall orientation of alternately stimulating of electric pulse, smooth muscle of bladder is constantly shunk and dwindles and urinates; MAIN OUTCOME MEASURES has treatment front and back patient's blood glucose, blood fat, variations such as BRU, ULR.
3, result of the test
Patient's DNB age, diabetes (DM) course of disease, ULR, BRU and GHb increase (p＜0.05) with the weight of DNB; Nerve conduction velocity (NCV) then slow down (p all＜0.05).
Gently, among the moderate DNB patient, it is suitable that the sugar before and after stimulating group and the treatment of control group, fat and uric acid metabolism improve degree, but the BRU of stimulating group and ULR obviously reduce (p is all＜0.02), matched group does not then have significant change (p all＞0.05).
In severe patient DNB, the BRU and the ULR of stimulating group obviously reduces (p is all＜0.01), and urine meaning rate (URR) obviously raises (p is all＜0.05), but stimulation+α
1The minimizing of-blocker group BRU and ULR is than stimulating group more obvious (p all＜0.05).
4, conclusion
External bladder electric pulse stimulation can reduce or eliminate patient's DNB BRU and ULR effectively, even recovers severe patient's DNB urine meaning, in severe patient DNB with α
1-blocker share better efficacy.
Claims (5)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 02272944 CN2562783Y (en) | 2002-08-30 | 2002-08-30 | Neurogenic visical therapeutic instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 02272944 CN2562783Y (en) | 2002-08-30 | 2002-08-30 | Neurogenic visical therapeutic instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN2562783Y true CN2562783Y (en) | 2003-07-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 02272944 Expired - Lifetime CN2562783Y (en) | 2002-08-30 | 2002-08-30 | Neurogenic visical therapeutic instrument |
Country Status (1)
| Country | Link |
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| CN (1) | CN2562783Y (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101828925A (en) * | 2010-06-08 | 2010-09-15 | 深圳市人民医院 | Electrical-stimulation bladder dynamic detector and detecting method thereof |
-
2002
- 2002-08-30 CN CN 02272944 patent/CN2562783Y/en not_active Expired - Lifetime
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101828925A (en) * | 2010-06-08 | 2010-09-15 | 深圳市人民医院 | Electrical-stimulation bladder dynamic detector and detecting method thereof |
| CN101828925B (en) * | 2010-06-08 | 2012-08-01 | 深圳市人民医院 | Electrical-stimulation bladder dynamic detector and detecting method thereof |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| ASS | Succession or assignment of patent right |
Owner name: LIHE MEDICAL APPLIANCE CO., LTD., SHENZHEN CITY Free format text: FORMER OWNER: SHENZHEN CITY PEOPLE S HOSPITAL Owner name: NONE Free format text: FORMER OWNER: JINAN UNIV. MEDICAL COLLEGE SECOND AFFILIATED HOSPITAL Effective date: 20040114 |
|
| C41 | Transfer of patent application or patent right or utility model | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20040114 Address after: 518020, 604, R & D complex building, Tsinghua information harbor, North Zone, Nanshan District hi tech Zone, Guangdong, Shenzhen Patentee after: Shenzhen Lihe Medical Instrument Co., Ltd. Address before: 518020, No. 1017 East Gate Road, Shenzhen, Guangdong, Luohu District Co-patentee before: The Second Affiliated Hospital of Jinan University Medical College Patentee before: Shenzhen People's Hospital |
|
| C17 | Cessation of patent right | ||
| CX01 | Expiry of patent term |
Expiration termination date: 20120830 Granted publication date: 20030730 |