CN221411322U - A simple water bag and a simple water bag tool kit for mid-term induction of labor - Google Patents
A simple water bag and a simple water bag tool kit for mid-term induction of labor Download PDFInfo
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Abstract
Description
技术领域Technical Field
本实用新型涉及引产器械,具体涉及一种应用于中期引产的简易水囊,还涉及一种应用于中期引产的简易水囊工具包。The utility model relates to an induction labor instrument, in particular to a simple water bag used for mid-term induction labor, and also to a simple water bag tool kit used for mid-term induction labor.
背景技术Background technique
临床上有些孕妇合并症、并发症较多,病情较重,因为母体疾病,如严重的心、肝、肾、血液系统、高血压等疾病不宜继续妊娠,且常常因为肝肾功能异常不适宜采用利凡诺、米非司酮配伍米索前列醇等药物引产,这种情况下水囊引产是一个合适的选择。Clinically, some pregnant women have many comorbidities and complications, and their conditions are serious. Because of maternal diseases, such as serious heart, liver, kidney, blood system, hypertension and other diseases, it is not suitable to continue the pregnancy. In addition, due to abnormal liver and kidney function, it is often not suitable to use drugs such as rivanol, mifepristone combined with misoprostol to induce labor. In this case, water bag induction of labor is an appropriate choice.
水囊引产,是指将无菌水囊放置在子宫壁和胎膜之间,通过水囊的机械刺激引起宫缩,促进胎儿、胎盘排出。水囊引产的作用机制除了机械性刺激外,还可使局部胎膜剥离,蜕膜发生变性,局灶性坏死,释放内源性前列腺素引起子宫收缩。水囊引产的宫缩较为温和,且可控性较大,如出现强制性宫缩可随时拔除水囊,病人耐受性好,尤其适用于母体存在心、肝、肾等疾病,或者存在肝肾功能异常不适用药物引产者,或疤痕子宫不适宜采用其他引产方式的病人。Water bag induction of labor refers to placing a sterile water bag between the uterine wall and the fetal membrane, and inducing uterine contractions through the mechanical stimulation of the water bag, promoting the expulsion of the fetus and placenta. In addition to mechanical stimulation, the mechanism of action of water bag induction of labor can also cause local detachment of fetal membranes, degeneration of the decidua, focal necrosis, and release of endogenous prostaglandins to cause uterine contractions. The uterine contractions of water bag induction of labor are relatively mild and more controllable. If forced uterine contractions occur, the water bag can be removed at any time. Patients have good tolerance, and it is especially suitable for patients with heart, liver, kidney and other diseases in the mother, or those with liver and kidney dysfunction who are not suitable for drug induction of labor, or patients with scarred uterus who are not suitable for other induction methods.
水囊引产的优点为机械作用,无药物对人体的作用,操作简便安全。目前应用于临床的中孕的水囊引产常用的是现成的产品,但现成的产品价格高,例如cook水囊,在基层医院较难普及。The advantages of water bag induction of labor are mechanical action, no drug effect on the human body, simple and safe operation. At present, the water bag induction of labor in the second trimester used in clinical practice is often a ready-made product, but the ready-made product is expensive, such as the cook water bag, which is difficult to popularize in primary hospitals.
实用新型内容Utility Model Content
针对现有技术中存在的技术问题,本实用新型的目的是:提供一种应用于中期引产的简易水囊和简易水囊工具包,容易取材和自制,操作简单成本低,适合基层医院借鉴和推广。In view of the technical problems existing in the prior art, the purpose of the utility model is to provide a simple water bag and a simple water bag tool kit for mid-term induction of labor, which are easy to obtain and make by yourself, simple to operate and low in cost, and suitable for reference and promotion in grassroots hospitals.
为了达到上述目的,本实用新型采用如下技术方案:In order to achieve the above purpose, the utility model adopts the following technical solutions:
一种应用于中期引产的简易水囊,包括两个弹性水袋、一根注水软管、两根固定线、一根密封绑绳;一个弹性水袋套在另一弹性水袋外形成双层水袋结构,注水软管的前端伸入内层弹性水袋的底部,注水软管的后段位于弹性水袋外;注水软管的前端封堵,出水口开设在注水软管的前段的管壁上;固定线将未注水的弹性水袋紧贴固定在导通状态下的注水软管上,两根固定线在一前一后形成两个绑扎点;弹性水袋注水后,注水软管的后段反折,密封绑绳将反折的注水软管密封绑紧。A simple water bag used for mid-term induced labor comprises two elastic water bags, a water injection hose, two fixing lines and a sealing binding rope; one elastic water bag is sleeved outside the other elastic water bag to form a double-layer water bag structure, the front end of the water injection hose extends into the bottom of the inner elastic water bag, and the rear section of the water injection hose is located outside the elastic water bag; the front end of the water injection hose is blocked, and the water outlet is opened on the tube wall of the front section of the water injection hose; the fixing line fixes the elastic water bag that is not filled with water tightly on the water injection hose in a conducting state, and the two fixing lines form two binding points one in front and one in the back; after the elastic water bag is filled with water, the rear section of the water injection hose is folded back, and the sealing binding rope seals and binds the folded water injection hose tightly.
作为一种优选,注水软管为单腔尿管,单腔尿管的导尿端位于前端,单腔尿管的后端被剪除。As a preferred embodiment, the water injection hose is a single-lumen urinary catheter, the urinary catheter end of the single-lumen urinary catheter is located at the front end, and the rear end of the single-lumen urinary catheter is cut off.
作为一种优选,单腔尿管的长度为28cm-30cm。As a preferred embodiment, the length of the single lumen urinary catheter is 28cm-30cm.
作为一种优选,弹性水袋为安全套。As a preferred embodiment, the elastic water bag is a condom.
作为一种优选,绑扎点包括第一绑扎点和第二绑扎点,第一绑扎点、第二绑扎点、密封绑绳形成的密封绑扎点从前往后依次排列。As a preference, the tying points include a first tying point and a second tying point, and the first tying point, the second tying point, and the sealing tying point formed by the sealing rope are arranged in sequence from front to back.
作为一种优选,第一绑扎点距离注水软管的前端4-5cm,第二绑扎点距离第一绑扎点1-2cm。As a preferred embodiment, the first binding point is 4-5 cm away from the front end of the water injection hose, and the second binding point is 1-2 cm away from the first binding point.
作为一种优选,固定线为丝线,密封绑绳为麻线。As a preferred embodiment, the fixing line is a silk thread and the sealing binding rope is a hemp rope.
一种应用于中期引产的简易水囊工具包,包括:a.应用于中期引产的简易水囊,b.临时置入注水软管中、辅助注水软管插入弹性水袋的辅助导丝,c.接在注水软管的后端、对弹性水袋进行气密性检测和注水的注射器,d.放置未注水简易水囊的包装袋。A simple water bag tool kit for mid-term induction of labor comprises: a. a simple water bag for mid-term induction of labor, b. an auxiliary guide wire temporarily placed in a water injection hose to assist the water injection hose in inserting an elastic water bag, c. a syringe connected to the rear end of the water injection hose to perform air tightness detection and water injection on the elastic water bag, and d. a packaging bag for placing the simple water bag that is not filled with water.
作为一种优选,弹性水袋、注水软管和两根固定线绑扎为一个整体置入包装袋,一根密封绑绳在未绑扎状态下置入包装袋,另一根密封绑绳也在未绑扎状态下置入包装袋作为备用密封绑绳。As a preferred embodiment, the elastic water bag, the water injection hose and the two fixing lines are tied as a whole and placed in the packaging bag, one sealing rope is placed in the packaging bag in an untied state, and another sealing rope is also placed in the packaging bag in an untied state as a spare sealing rope.
作为一种优选,辅助导丝为钢丝。As a preference, the auxiliary guide wire is a steel wire.
本实用新型具有如下优点:The utility model has the following advantages:
1.简易水囊制作的操作过程简单,技术难度较小,医护人员经过简单培训即可制作。1. The operation process of making a simple water bag is simple, the technical difficulty is relatively low, and medical staff can make it after simple training.
2.医护人员掌握好孕妇的适应症和禁忌症,即可上手使用已制作完成的简易水囊,不良反应少。2. Medical staff can use the simple water bags that have been prepared with few adverse reactions after they understand the indications and contraindications for pregnant women.
3.为了避免一个弹性水袋因为注水压力过大导致破裂而设置两个弹性水袋的双层水袋结构,增加弹性水袋的张力。3. In order to prevent an elastic water bag from rupturing due to excessive water injection pressure, a double-layer water bag structure with two elastic water bags is set to increase the tension of the elastic water bag.
4.注水软管伸入内层弹性水袋的底部,内层弹性水袋的底部容易堵着注水软管的前端,为了不被弹性水袋的底部堵住注水软管出水口,注水软管的前端封堵,出水口开设在注水软管的前端的管壁上,有利于出水顺畅。4. The water injection hose extends into the bottom of the inner elastic water bag, and the bottom of the inner elastic water bag is likely to block the front end of the water injection hose. In order to prevent the water outlet of the water injection hose from being blocked by the bottom of the elastic water bag, the front end of the water injection hose is blocked, and the water outlet is opened on the pipe wall at the front end of the water injection hose, which is conducive to smooth water outlet.
5.两个绑扎点的设置,是为了将弹性水袋稳定地固定在注水软管上,双重的绑扎使注水前的气密性检测更准确,双重的绑扎使简易水囊更不易漏水。5. The two tying points are set to stably fix the elastic water bag on the water injection hose. The double tying makes the air tightness test before water injection more accurate and the double tying makes the simple water bag less likely to leak.
6.为了避免绑扎不紧而漏水,密封绑绳绑扎的是反折的注水软管,反折的注水软管本身也有密封作用,相当于双层密封绑扎。6. In order to avoid water leakage due to loose binding, the sealing rope is used to bind the folded water injection hose. The folded water injection hose itself also has a sealing effect, which is equivalent to a double-layer sealing binding.
7.单腔尿管的后端直径比前段大,大直径的后端被剪除后,使注水的注射器的注射端与单腔尿管的接合更紧密。7. The diameter of the rear end of the single-lumen urinary catheter is larger than that of the front end. After the large-diameter rear end is cut off, the injection end of the water-injecting syringe can be more tightly connected with the single-lumen urinary catheter.
8.简易水囊制作过程的取材都是常见的物品(弹性水袋为安全套、辅助导丝为钢丝、固定线为丝线、密封绑绳为麻线、注水是注射器),临床取材容易,成本低,方便自制。8. The materials used in the production process of the simple water bag are all common items (the elastic water bag is a condom, the auxiliary guide wire is a steel wire, the fixing line is a silk thread, the sealing rope is a hemp rope, and the water injection is a syringe). The clinical materials are easy to obtain, the cost is low, and it is convenient to make at home.
9.弹性水袋为安全套,安全套的张力强不易破裂,保证简易水囊的质量和满足使用要求。9. The elastic water bag is a condom. The condom has strong tension and is not easy to break, ensuring the quality of the simple water bag and meeting the requirements of use.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为注水软管的示意图。FIG. 1 is a schematic diagram of a water injection hose.
图2为辅助导丝辅助注水软管伸入弹性水袋的示意图。Figure 2 is a schematic diagram of the auxiliary guide wire-assisted water injection hose extending into the elastic water bag.
图3为注水软管放入后绑扎固定线的示意图。Figure 3 is a schematic diagram of the tying and fixing line after the water injection hose is put in.
图4为简易水囊注水后密封绑扎示意图。Figure 4 is a schematic diagram of the sealing and tying of the simple water bag after water filling.
其中,1为弹性水袋、2为辅助导丝、3为注水软管、4为出水口、5为第一绑扎点、6为第二绑扎点、7为密封绑扎点。Among them, 1 is an elastic water bag, 2 is an auxiliary guide wire, 3 is a water injection hose, 4 is a water outlet, 5 is the first binding point, 6 is the second binding point, and 7 is a sealing binding point.
具体实施方式Detailed ways
下面将结合具体实施方式来对本实用新型做进一步详细的说明。The present invention will be further described in detail below in conjunction with specific implementation methods.
实施例一Embodiment 1
一种应用于中期引产的简易水囊,包括两个弹性水袋、一根注水软管、两根固定线、一根密封绑绳;一个弹性水袋套在另一弹性水袋外形成双层水袋结构,注水软管的前端伸入内层弹性水袋的底部,注水软管的后段位于弹性水袋外;注水软管的前端封堵,出水口开设在注水软管的前段的管壁上;固定线将未注水的弹性水袋紧贴固定在导通状态下的注水软管上,两根固定线在一前一后形成两个绑扎点;弹性水袋注水后,注水软管的后段反折,密封绑绳将反折的注水软管密封绑紧。A simple water bag used for mid-term induced labor comprises two elastic water bags, a water injection hose, two fixing lines and a sealing binding rope; one elastic water bag is sleeved outside the other elastic water bag to form a double-layer water bag structure, the front end of the water injection hose extends into the bottom of the inner elastic water bag, and the rear section of the water injection hose is located outside the elastic water bag; the front end of the water injection hose is blocked, and the water outlet is opened on the tube wall of the front section of the water injection hose; the fixing line fixes the elastic water bag that is not filled with water tightly on the water injection hose in a conducting state, and the two fixing lines form two binding points one in front and one in the back; after the elastic water bag is filled with water, the rear section of the water injection hose is folded back, and the sealing binding rope seals and binds the folded water injection hose tightly.
注水软管为单腔尿管,单腔尿管的导尿端位于前端,单腔尿管的后端被剪除。The water injection hose is a single-lumen urinary catheter, the urinary catheter end of the single-lumen urinary catheter is located at the front end, and the rear end of the single-lumen urinary catheter is cut off.
单腔尿管的长度为28cm-30cm,本实施例优选单腔尿管的长度为29cm。The length of the single lumen urinary catheter is 28cm-30cm. In this embodiment, the preferred length of the single lumen urinary catheter is 29cm.
弹性水袋为安全套。The elastic water bag is a condom.
绑扎点包括第一绑扎点和第二绑扎点,第一绑扎点、第二绑扎点、密封绑绳形成的密封绑扎点从前往后依次排列。The tying points include a first tying point and a second tying point, and the first tying point, the second tying point, and the sealing tying point formed by the sealing tying rope are arranged in sequence from front to back.
第一绑扎点距离注水软管的前端4-5cm,第二绑扎点距离第一绑扎点1-2cm。本实施例优选第一绑扎点距离注水软管的前端4.5cm,第二绑扎点距离第一绑扎点1.5cm。The first tying point is 4-5 cm away from the front end of the water injection hose, and the second tying point is 1-2 cm away from the first tying point. In this embodiment, the first tying point is preferably 4.5 cm away from the front end of the water injection hose, and the second tying point is 1.5 cm away from the first tying point.
固定线为丝线,密封绑绳为麻线。The fixing line is silk thread and the sealing rope is hemp rope.
简易水囊注入的液体量应根据妊娠孕周酌情增减,一般在200~500ml。注入的液体优选为生理盐水。The amount of liquid injected into the simple water bag should be increased or decreased according to the gestational age, generally between 200 and 500 ml. The injected liquid is preferably normal saline.
实施例二Embodiment 2
一种应用于中期引产的简易水囊工具包,包括:a.应用于中期引产的简易水囊,b.临时置入注水软管中、辅助注水软管插入弹性水袋的辅助导丝,c.接在注水软管的后端、对弹性水袋进行气密性检测和注水的注射器,d.放置未注水简易水囊的包装袋。A simple water bag tool kit for mid-term induction of labor comprises: a. a simple water bag for mid-term induction of labor, b. an auxiliary guide wire temporarily placed in a water injection hose to assist the water injection hose in inserting an elastic water bag, c. a syringe connected to the rear end of the water injection hose to perform air tightness detection and water injection on the elastic water bag, and d. a packaging bag for placing the simple water bag that is not filled with water.
弹性水袋、注水软管和两根固定线绑扎为一个整体置入包装袋,一根密封绑绳在未绑扎状态下置入包装袋,另一根密封绑绳也在未绑扎状态下置入包装袋作为备用密封绑绳。The elastic water bag, the water injection hose and the two fixing lines are tied as a whole and placed in a packaging bag, one sealing rope is placed in the packaging bag in an untied state, and another sealing rope is also placed in the packaging bag in an untied state as a spare sealing rope.
如果在注水过程或者使用过程中,第一绑扎点、第二绑扎点或密封绑扎点出现松动或漏水现象,将备用的密封绑绳在松动或漏水处进行绑扎,使简易水囊可以继续正常注水或使用。If the first tying point, the second tying point or the sealing tying point becomes loose or leaks during the water filling process or use, the spare sealing tying rope shall be tied at the loose or leaking place so that the simple water bag can continue to be filled with water or used normally.
辅助导丝为钢丝。The auxiliary guide wire is a steel wire.
简易水囊的制作方法如下:The method of making a simple water bag is as follows:
步骤一、在单腔尿管距离导尿端29cm处,用剪刀剪去单腔尿管的后端。Step 1: Use scissors to cut off the rear end of the single-lumen urinary catheter 29 cm away from the catheter end.
步骤二、将钢丝置入单腔尿管中,分别将2个安全套套入单腔尿管,2个安全套形成双层水袋结构。Step 2: Place the steel wire into the single-lumen urinary catheter, and insert two condoms into the single-lumen urinary catheter respectively, so that the two condoms form a double-layer water bag structure.
步骤三、用一根丝线绑扎安全套,在距离单腔尿管的前端4.5cm处形成第一绑扎点,用另一根丝线绑扎安全套,在距离第一绑扎点1.5cm处形成第二绑扎点;绑扎的松紧度适宜,一方面需满足手工可从单腔尿管取出钢丝,取出钢丝后单腔尿管保持导通,另一方面需满足在气密性检测或注水时,安全套紧贴单腔尿管不漏气或漏水。Step 3: Use a silk thread to tie the condom to form a first tying point 4.5 cm away from the front end of the single-lumen catheter, and use another silk thread to tie the condom to form a second tying point 1.5 cm away from the first tying point. The tightness of the tying should be appropriate. On the one hand, it should be able to manually remove the steel wire from the single-lumen catheter and keep the single-lumen catheter conductive after the steel wire is removed. On the other hand, it should be able to ensure that the condom fits tightly against the single-lumen catheter without leaking air or water during air-tightness testing or water injection.
步骤四、将钢丝从单腔尿管中取出,单腔尿管的后端连接规格为50ml的注射器,往安全套中打气,对简易水囊进行气密性检测。在打气过程中,注射器在抽吸空气时,先与单腔尿管断开连接,此时可用辅助夹钳临时夹紧单腔尿管的后端避免简易水囊漏气,注射器抽满空气后再与单腔尿管的后端连接继续打气;往简易水囊打入空气300ml,观察简易水囊无漏气现象后,移除辅助夹钳和注射器。Step 4: Remove the steel wire from the single-lumen catheter, connect the rear end of the single-lumen catheter to a 50ml syringe, pump air into the condom, and test the air tightness of the simple water bag. During the inflation process, the syringe is disconnected from the single-lumen catheter when sucking air. At this time, the auxiliary clamp can be used to temporarily clamp the rear end of the single-lumen catheter to prevent the simple water bag from leaking. After the syringe is fully pumped with air, it is connected to the rear end of the single-lumen catheter and continues to pump air; inject 300ml of air into the simple water bag, and after observing that the simple water bag has no leakage, remove the auxiliary clamp and syringe.
步骤五、将步骤四制成的未注水的简易水囊和一根麻线在未绑扎状态下置入包装袋,作为备用的另一根麻线也在未绑扎状态下置入包装袋,对包装袋和内置物进行消毒。Step 5: Place the simple water bag without water filling and a hemp rope made in step 4 into the packaging bag without tying them. Place another hemp rope as a spare into the packaging bag without tying them. Disinfect the packaging bag and the contents therein.
步骤六、在简易水囊使用前,通过注射器连接单腔尿管后端,往简易水囊缓慢注入200~500ml的生理盐水,将注水软管后段反折后用一根麻线绑扎形成密封绑扎点,另一根麻线备用。Step 6. Before using the simple water bag, connect the rear end of the single-lumen urinary catheter with a syringe, slowly inject 200-500 ml of normal saline into the simple water bag, fold the rear section of the water injection hose back and tie it with a hemp rope to form a sealed binding point, and keep the other hemp rope for later use.
上述实施例为本实用新型较佳的实施方式,但本实用新型的实施方式并不受上述实施例的限制,其他的任何未背离本实用新型的精神实质与原理下所作的改变、修饰、替代、组合、简化,均应为等效的置换方式,都包含在本实用新型的保护范围之内。The above embodiments are preferred implementation modes of the present invention, but the implementation modes of the present invention are not limited by the above embodiments. Any other changes, modifications, substitutions, combinations, and simplifications that do not deviate from the spirit and principle of the present invention should be equivalent replacement methods and are included in the protection scope of the present invention.
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