Tool for measuring skin around stoma

Abstract

The invention discloses a tool for measuring the skin around a stoma, and relates to the technical field of measurement of the skin around the stoma, and the tool comprises a measuring scale which is of a transparent structure; the measuring scale is provided with a measuring area, and a sleeving hole is formed in the center of the measuring area and used for being arranged on the peripheral side wall of the stoma in a sleeving mode. A plurality of annular routing holes which are concentrically distributed with the sleeving hole are further formed in the measuring area, a plurality of radial punching lines are further arranged in the radial direction of the annular punching lines, and the annular routing holes and the radial punching lines divide the measuring area into a plurality of independent areas which can be torn off; when the independent area close to the sleeving hole is torn off, the inner diameter of the sleeving hole is increased for adjustment. When the measuring scale is used, a user replacing the stoma only needs to fit the measuring scale to the stoma, and through surrounding abnormal skin delineation and calculation, the more accurate complication area of the skin around the stoma can be provided, the damage degree of the skin around the stoma can be more accurately positioned by the user replacing the stoma, and an objective theoretical basis is provided for later evaluation of the rehabilitation condition of the skin around the stoma.

Description

Technical Field

[0001] The present invention relates to the technical field of peristomal skin measurement, and particularly to a peristomal skin measurement tool. Background Technique

[0002] Stoma surgery is currently an effective way to treat CRC. Some studies have pointed out that the incidence of peristomal dermatitis after intestinal stoma surgery is as high as 26% - 50%. In October 2020, WCET released the "International Stoma Guidelines (2nd Edition)" (hereinafter referred to as the "Guidelines"). The Guidelines recommend using validated assessment tools to distinguish peristomal skin complications and describe the degree of tissue damage. However, there is currently no generally recognized tool to describe peristomal skin complications.

[0003] Peristomal skin in clinical practice often has peristomal skin complications due to leakage, lack of preoperative stoma positioning, poor stoma structure, low or sunken stoma, poor wearing of the stoma baseplate or wearing the stoma baseplate for more than 5 days, rich hair growth, granuloma, etc. When problems occur, the area is often irregular; some areas improve, but there are new areas, and the overall conversion is difficult, resulting in a very large error in the assessment results of stoma patients. For stoma changers, most of the time, it is roughly judged by experience, which is relatively subjective. Therefore, there is an urgent need to design a tool that can measure the peristomal skin to solve the above problems. Summary of the Invention

[0004] The purpose of the present invention is to provide a peristomal skin measurement tool to solve the problems raised in the above background technique.

[0005] To achieve the above purpose, the present invention provides the following technical solution: A peristomal skin measurement tool includes a measuring ruler, and the measuring ruler is of a transparent structure; The measuring ruler has a measuring area, and a sleeve hole is provided at the center position of the measuring area for sleeving on the side wall around the stoma; The measuring area is also provided with a plurality of annular punching holes concentrically distributed with the sleeve hole, and a plurality of radial punching lines are arranged along the radial direction of the annular punching lines. The annular punching holes and the radial punching lines divide the measuring area into a plurality of detachable independent areas; When the independent area close to the sleeve hole is torn off, the inner diameter of the sleeve hole becomes larger for adjustment.

[0006] In a further embodiment, the measuring area between two adjacent radial punching lines is a single-piece measuring piece; The area between two adjacent annular punching lines on the single-piece measuring piece is a local tearing area.

[0007] In a further embodiment, the area of the local tearing area is smaller at the position closer to the sleeve hole.

[0008] In a further embodiment, the interval between two adjacent annular punching lines is 1-2 mm.

[0009] In a further embodiment, the measurement area is provided with criss-crossing measurement marking lines, and the interval between two adjacent measurement marking lines in the longitudinal distribution and the transverse distribution is 1 mm.

[0010] In a further embodiment, digital positioning points are respectively arranged at the middle positions of the four side edges of the measurement area, which are 12, 3, 6, and 9 respectively.

[0011] In a further embodiment, a function annotation area is also arranged on one side wall of the measuring ruler.

[0012] In a further embodiment, a scale line of 0-10 cm is arranged on one side wall of the measuring ruler, and the scale line provides data reference for the criss-crossing measurement marking lines.

[0013] Compared with the prior art, the beneficial effects of the present invention are as follows: The present invention is a measurement tool for the skin around a stoma. The stoma changer only needs to accurately fit the measuring ruler to the stoma, and through the surrounding abnormal skin circle and calculation, it can provide a more accurate area of skin complications around the stoma, which is convenient for the stoma changer to more accurately locate the degree of skin damage around the stoma, and provides an objective theoretical basis for the evaluation of the later rehabilitation status of the skin around the stoma. BRIEF DESCRIPTION OF THE DRAWINGS

[0014] Figure 1 It is a top view of the main structure of the present invention; Figure 2 It is a schematic diagram of the main structure of the present invention with a single measurement piece not lifted; Figure 3 It is a schematic diagram of the main structure of the present invention with a single measurement piece lifted; Figure 4 It is a half-sectional view of the main structure of the present invention with a single measurement piece lifted; Figure 5 It is a schematic diagram of the main structure of the present invention with all measurement pieces lifted upward; Figure 6 It is a half-sectional view of the main structure of the present invention with all measurement pieces lifted upward; Figure 7 It is a schematic diagram of the main structure of the present invention with the sleeved hole enlarged.

[0015] In the figure: 1, measuring ruler; 2, measurement area; 21, single measurement piece; 22, local tearing area; 3, sleeved hole; 4, function annotation area. DETAILED DESCRIPTION OF THE EMBODIMENTS

[0016] The technical solutions in the embodiments of the present invention will be clearly and completely described below. Apparently, the described embodiments are only a part of the embodiments of the present invention, rather than all of them. All other embodiments obtained by those of ordinary skill in the art based on the embodiments of the present invention without creative efforts shall fall within the protection scope of the present invention.

[0017] In an embodiment, the present embodiment provides a skin measurement tool around a stoma, including a measuring ruler 1. The measuring ruler 1 is of a transparent structure. As Figure 1 and Figure 2 shown, except for the measuring area 2 of the measuring ruler 1, the material is made of polystyrene (PS), colorless and transparent, and the light transmittance is as high as 88-92%. At the same time, the measuring area 2 is made of low-density polyethylene (LDPE), with good transparency, and is a flexible, transparent, non-toxic and odorless material, which can better contact and fit with the body surface. At the same time, the overall thickness of the measuring ruler 1 is 1 mm or thinner, avoiding visual deviation caused by too thick a thickness, thereby reducing the counting error.

[0018] As Figure 1 , Figure 2 and Figure 3 shown, the measuring ruler 1 has a measuring area 2. A sleeve hole 3 is provided at the center position of the measuring area 2 for sleeving on the side wall around the stoma; a plurality of annular scoring holes concentric with the sleeve hole 3 are also provided on the measuring area 2. Along the radial direction of the annular scoring line, a plurality of radial scoring lines are also provided. The annular scoring holes and the radial scoring lines divide the measuring area 2 into a plurality of detachable independent areas.

[0019] First, align the sleeve hole 3 with the stoma of the patient and sleeve it outside the stoma, and place the entire measuring ruler 1 on the skin surface around the stoma to complete the placement work before measurement of the measuring ruler 1. Since the sizes and shapes of the stomas of different patients are different, users can adjust according to needs. At the same time, in order to avoid touching the measuring area 2 part by hand and increasing the risk of skin infection, when tearing the annular scoring line and the radial scoring line, clinically common forceps can be used. When tearing, the clamping part at the end of the forceps clamps the annular scoring line or the radial scoring line and lifts it up, and it can be easily torn off with a little force.

[0020] When tearing the annular scoring line and the radial scoring line, the operation method is to start from the side wall close to the inner diameter of the sleeve hole 3 and continuously tear outward along the radial direction of the sleeve hole 3. The tearing process is: first start tearing along the radial scoring line, and then start tearing along the annular scoring line. This operation can tear off a single local tearing area 22.

[0021] When the independent area close to the sleeve hole 3 is torn off, the inner diameter of the sleeve hole 3 becomes larger and is adjusted. The adjusted structure of the sleeve hole 3 is as Figure 7 shown, so as to adapt to a stoma with a relatively larger size.

[0022] Specifically, the measurement area 2 between two adjacent radial perforations is a single-piece measurement sheet 21; the area between two adjacent annular perforations on the single-piece measurement sheet 21 is a partial tearing area 22. Here, the interval between two adjacent annular perforations is 1-2 mm, preferably 1 mm, so that the area of a single partial tearing area 22 is minimized. Figure 4 、 Figure 5 and Figure 6 As shown, according to the size of the stoma, starting from the inner side of the sleeve hole 3, the punching distribution direction along the tearing annular punching line and the radial punching line is the tearing force direction, and try to avoid deviating from the distribution direction to avoid unnecessary tearing of the measuring area 2.

[0023] from Figure 1 It can be clearly seen that the closer the local tearing area 22 is to the sleeve hole 3, the smaller the area. The advantage of this is that the smaller the area of a single local tearing area 22 is, the more targeted the local tearing area 22 can be for stomas with irregular surrounding side walls. For local positions that are concave toward the side of the stoma center, there is no need to tear off too many local tearing areas 22, while for local positions that are convex away from the stoma center, more local tearing areas 22 need to be torn off. In this way, it can adapt to the measurement of stomas with irregular sizes. The purpose of this design is that if the sleeve hole 3 is completely torn off along the annular perforation line, the torn sleeve hole 3 will still be a regular circular hole structure. However, for irregular stomas, the sleeve hole 3 with an increased inner diameter than before will inevitably meet the irregular stoma sleeve requirements. However, there will inevitably be a large gap between the side wall of some positions on the inner wall of the sleeve hole 3 and the side wall around the stoma. Then the skin complication area of the stoma edge located at the gap will not be calculated, and the error will undoubtedly increase.

[0024] In the above operation, the stoma changer tears off the partial tearing area 22 according to the size and shape of the stoma visually, such as Figure 5 In the illustrated state, the measurement area 2 is slightly torn along each radial perforation line near the inner wall of the sleeve hole 3. This allows the inner wall of the sleeve hole 3 to extend upward along the stoma wall when the sleeve hole 3 is positioned outside the stoma. This allows the skin around the stoma to be completely within the lateral displacement area, ensuring complete coverage for area calculation. The partial tear zone 22 is removed to prevent the partial tear zone 22 from extending too far upward along the stoma wall when the stoma is large, potentially obstructing the physician's field of view during calculation.

[0025] Then, after the measuring ruler 1 is placed outside the stoma, in order to facilitate the doctor to calculate the area of skin complications around the stoma, the detailed clinical measurement steps are as follows: 1. Clean your hands: Use the seven-step hand washing method to avoid cross-infection.

[0026] 2. Disinfect the measuring ruler 1: Wipe the ruler surface with 75% alcohol (do not soak).

[0027] 3. Patient position: Gently assist the patient to lie flat. If the patient cannot lie flat, assist the patient to assume a comfortable position that is convenient for measurement, and keep the local skin flat. For patients who are thinner, the waist can be appropriately padded to make the skin of the stoma area more clearly exposed. At the same time, pay attention to gentle movements to avoid pulling the stoma and the surrounding skin.

[0028] 4. Correctly hold the measuring ruler 1. In this embodiment, digital positioning points are respectively provided at the middle positions of the four side edges of the measurement area 2, which are 12, 3, 6, and 9 respectively. As Figure 1 shown, the function of the digital positioning points is to have a basic positioning of the stoma position. While sleeving the sleeve hole 3 outside the stoma, ensure that the 12 o'clock direction of the measuring ruler 1 is aligned with the patient's head side. Clinically, the 12 o'clock direction is regarded as the correct direction.

[0029] 5. Place the measuring ruler 1 steadily on the stoma, align the center part with the stoma center, and make the measuring ruler 1 fit the skin to avoid pressing.

[0030] 6. Through the transparent measuring ruler 1, use a colored pen to mark the area of the abnormal skin on the ruler.

[0031] 7. Recording: As Figure 1 shown, there are criss-crossing measurement marking lines on the measurement area 2. The intervals between adjacent two measurement marking lines in the longitudinal distribution and the transverse distribution are both 1 mm. The four criss-crossing measurement marking lines form a measurement cell of 1 mm 2 . Then, according to the measurement cells on the measuring ruler 1, calculate the area of the abnormal skin, and combine the corresponding traits (such as: redness, surface breakage, ulceration, etc.). Describe it. For example, if there are 20 measurement cells with mucosal ulceration directly above the stoma, then it is recorded as ulceration 20 mm 2 , and it is expressed as: ulceration 20 mm at the 12 o'clock direction 2 .

[0032] For special populations: For example, for special stoma populations, mostly the elderly: For patients with stoma prolapse or obvious stoma edema, because the size of the stoma end is relatively large, after pressing the measuring ruler 1, the stoma mucosa is likely to block the skin area around the stoma that needs to be measured, which will affect the accuracy of the measurement area. The measurer needs to remove the redundant local tearing area 22 on the measuring ruler 1 according to the size of the stoma end, so that the stoma end protrudes from the ruler surface, and make the stoma ruler more accurately measure the area of the abnormal skin.

[0033] In summary, for a stoma changer, it is only necessary to accurately fit the measuring ruler 1 to the stoma, and use a colored pen to circle the abnormal skin under multiple measuring marking lines that crisscross. Medical staff can count the number of marked areas one by one according to the circled area, which can provide the area of peristomal skin complications, facilitating doctors to more accurately locate the degree of peristomal skin damage and providing an objective theoretical basis for the evaluation of the later peristomal skin rehabilitation status. At the same time, there is a scale line of 0-10 cm on one side wall of the measuring ruler 1, and the scale line provides data reference for the crisscross measuring marking lines.

[0034] The relatively prominent design points of the above-mentioned measuring ruler 1 are as follows: This measuring ruler 1 is dedicated to the evaluation of the skin around the stoma of postoperative patients. When measuring the stoma diameter, the range of peristomal dermatitis, and the area of erythema / ulceration, it can greatly reduce the measurement error. The overall structure is made of medical-grade environmentally friendly materials, which are waterproof, anti-fouling, with clear scales, and flexible and easy to operate.

[0035] As Figure 1 shown, there is also a function annotation area 4 on one side wall of the measuring ruler 1. The use of the measuring ruler 1 is noted in the function annotation area 4: Observe and evaluate the discoloration and tissue hyperplasia of the skin around the patient's stoma, and mark its size and position with a colored pen in the measuring area 2.

[0036] Although the embodiments of the present invention have been shown and described, for those of ordinary skill in the art, it can be understood that various changes, modifications, substitutions, and variations can be made to these embodiments without departing from the principles and spirit of the present invention. The scope of the present invention is defined by the appended claims and their equivalents.

Claims

1. A peristomal skin measurement tool, characterized in that, Comprising: A measuring ruler (1), the measuring ruler (1) being of a transparent structure; The measuring ruler (1) has a measuring area (2), and a sleeve hole (3) is provided at the center position of the measuring area (2) for sleeving on the side wall around the stoma; A plurality of annular punching lines concentric with the sleeve hole (3) are further provided on the measuring area (2), and a plurality of radial punching lines are also provided along the radial direction of the annular punching lines. The annular punching lines and the radial punching lines divide the measuring area (2) into a plurality of tearable independent areas; When the independent area close to the sleeve hole (3) is torn off, the inner diameter of the sleeve hole (3) becomes larger for adjustment.

2. The peristomal skin measurement tool according to claim 1, characterized in that The measuring area (2) between two adjacent radial punching lines is a single-piece measuring piece (21); The area between two adjacent annular punching lines on the single-piece measuring piece (21) is a partial tearing area (22).

3. The stoma-peristomal skin measurement tool according to claim 2, wherein The area of the partial tearing area (22) is smaller at the position closer to the sleeve hole (3).

4. The peristomal skin measurement tool according to claim 1, characterized in that The interval between two adjacent annular punching lines is 1-2 mm.

5. The stoma surrounding skin measurement tool according to claim 1, characterized in that, Measurement marking lines are provided on the measuring area (2) in a crisscross pattern, and the interval between two adjacent measurement marking lines in the longitudinal and transverse distributions is 1 mm.

6. The stoma peristomal skin measurement tool according to claim 1, wherein Digital positioning points are respectively provided at the middle positions of the four side edges of the measuring area (2), which are 12, 3, 6, and 9 respectively.

7. The stoma surrounding skin measurement tool according to claim 1, characterized in that A function annotation area (4) is further provided on one side wall of the measuring ruler (1).

8. The stoma surrounding skin measurement tool according to any one of claims 1-7, characterized in that, Scale lines from 0 to 10 cm are provided on one side wall of the measuring ruler (1), and the scale lines provide data reference for the crisscross measurement marking lines.

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