Tool for screening and treating dysphagia of severe tracheostomy patient

Abstract

The utility model discloses a tool for screening and treating dysphagia of a severe tracheostomy patient, which comprises two containing rods A which are the same in shape and size and adopt independent sterile bags, a normal saline layer is arranged in an inner cavity of each containing rod A, and an edible fruit green staining fluid layer is further arranged in an inner cavity of one containing rod A; the containing rod A comprises a hollow straight pipe A with two open ends, the top end of the hollow straight pipe A is fixedly connected with a cotton ball, and the bottom end of the hollow straight pipe A is fixedly connected with a handle; the containing rod A is independently and aseptically packaged, so that the use is convenient and sanitary, and the hospital infection risk in the ICU is reduced; a screening effect is achieved on the swallowing function, dominant aspiration and recessive aspiration, and operation is easy and convenient; the lozenge A has double effects of screening and treatment, orderly combination of screening and treatment of dysphagia of patients is realized at low cost, the medical cost is reduced, the cost of the patients is reduced, and the treatment method is mature and effective.

Description

Technical Field

[0001] This utility model relates to the field of medical tools for swallowing disorders, and in particular to a tool for screening and treating swallowing disorders in critically ill tracheotomy patients. Background Technology

[0002] Endotracheal intubation is a common treatment method in the ICU, which can quickly open the airway and improve oxygenation in critically ill patients. However, patients who cannot be extubated in a short period (generally within 14 days) after endotracheal intubation often undergo tracheotomy. After tracheotomy, patients often experience dysphagia, which is the difficulty in swallowing food or water from the mouth to the stomach. The incidence rate is 29.0%-60.4%, which can cause complications such as choking, aspiration, aspiration pneumonia, suffocation, malnutrition, and psychological and social communication difficulties. This prolongs the patient's hospital stay, increases medical costs, reduces the patient's quality of life, and may even lead to death. Therefore, early identification of dysphagia and provision of rehabilitation treatment are particularly important.

[0003] Aspiration is divided into two types: overt aspiration, which is when aspiration can trigger the patient's airway protective reflex, resulting in symptoms such as choking and coughing; and covert aspiration, which is when liquids and food seep into the subglottic area without triggering a cough reflex. Both are important risk factors for aspiration pneumonia.

[0004] Currently, among the clinical screening programs for dysphagia, X-ray video swallowing imaging plays a decisive role in assessing occult aspiration. Isotope tracing technology and fiberoptic nasal endoscopy also have diagnostic significance. However, due to the time-consuming and laborious nature of transporting patients and the long examination time, the above assessment methods are difficult to implement in clinical practice for assessing dysphagia and aspiration in critically ill tracheostomized patients.

[0005] Therefore, a tool for screening and treating dysphagia in critically ill tracheostomy patients is proposed. Utility Model Content

[0006] The purpose of this invention is to provide a tool for screening and treating swallowing disorders in critically ill tracheotomy patients, in order to solve the problems mentioned in the background art.

[0007] To achieve the above objectives, the main technical solutions adopted by this utility model include:

[0008] A tool for screening and treating dysphagia in critically ill tracheostomized patients, comprising:

[0009] Two rods A of the same shape and size are packaged in separate sterile packages. The inner cavity of both rods A is provided with a layer of physiological saline. The inner cavity of one of the rods A is also provided with a layer of edible fruit green staining solution.

[0010] The rod A includes a hollow straight tube A with open ends. A cotton ball is fixedly connected to the top end of the hollow straight tube A, and a handle is fixedly connected to the bottom end of the hollow straight tube A. The inner cavity of the hollow straight tube A is provided with a cavity for storing liquid.

[0011] As a preferred technical solution, one of the physiological saline layers and the edible fruit green staining solution layer are arranged vertically in one cavity, and the other physiological saline layer is arranged in the other cavity.

[0012] As a preferred technical solution, the cavity is further provided with a liquid outlet seal. Two liquid outlet seals are arranged vertically in one of the cavities, with the two liquid outlet seals respectively located at the top and bottom of the corresponding saline layer.

[0013] As a preferred technical solution, the liquid outlet seal is provided in another cavity, and the liquid outlet seal is located on top of the corresponding saline layer.

[0014] As a preferred technical solution, the liquid outlet seal is a semi-fluid high-viscosity polymer layer.

[0015] As a preferred technical solution, the hollow straight tube A is a plastic hollow straight tube.

[0016] As a preferred technical solution, a notch is provided at the lower end of the surface of the hollow straight tube A.

[0017] This utility model has at least the following beneficial effects:

[0018] This application utilizes individually sterile packaging for the A-stick, making it convenient and hygienic to use and reducing the risk of hospital-acquired infections in the ICU. It provides screening for both overt and covert aspiration of swallowing function, and is easy to operate. The A-stick has both screening and therapeutic functions, achieving a low-cost, integrated approach to screening and treating swallowing disorders, reducing medical costs and patient expenses. The treatment method is mature and effective, improving patient quality of life and prognosis. It has high clinical value for critically ill patients and stroke patients with a high incidence of swallowing disorders. Attached Figure Description

[0019] Figure 1 A schematic diagram of the structure of the tool for screening and treating swallowing disorders in critically ill tracheostomized patients provided in Embodiment 1 of this utility model;

[0020] Figure 2 This is Embodiment 1 of the present utility model. Figure 1 A magnified structural diagram of point A in the middle;

[0021] Figure 3 This is a schematic diagram of the tool for screening and treating swallowing disorders in critically ill tracheostomized patients provided in Embodiment 3 of this utility model.

[0022] In the diagram: 100, rod A; 110, hollow straight tube A; 111, notch; 120, cotton ball; 130, handle; 200, physiological saline layer; 300, edible fruit green dyeing solution layer; 400, liquid outlet seal; 500, rod B; 510, hollow straight tube B; 520, hollow conical tube; 530, sealing plug; 600, liquid container; 610, cap; 620, empty groove; 630, through hole; 640, sealing ring gasket. Detailed Implementation

[0023] The technical solutions of the present utility model will be clearly and completely described below with reference to the accompanying drawings of the embodiments. Obviously, the described embodiments are only some embodiments of the present utility model, and not all embodiments. Based on the embodiments of the present utility model, all other embodiments obtained by those of ordinary skill in the art without creative effort are within the protection scope of the present utility model.

[0024] Example 1

[0025] Please see Figures 1-2 This embodiment provides a tool for screening and treating dysphagia in critically ill tracheostomized patients, comprising: two identical-shaped and sized suckers A100 packaged in separate sterile bags; each sucker A100 has a saline layer 200 in its inner cavity, and one of the suckers A100 also has an edible fruit green staining solution layer 300 in its inner cavity; the sucker A100 includes a hollow straight tube A110 with open ends, a cotton ball 120 fixedly connected to the top end of the hollow straight tube A110, a handle 130 fixedly connected to the bottom end of the hollow straight tube A110, and a cavity for storing liquid in the inner cavity of the hollow straight tube A110.

[0026] One of the physiological saline layer 200 and the edible fruit green dyeing solution layer 300 are arranged one above the other in one cavity, while the other physiological saline layer 200 is arranged in another cavity.

[0027] The cavity is also equipped with a liquid outlet seal 400. There are two liquid outlet seals 400 arranged vertically in one of the cavities, with the two liquid outlet seals 400 respectively located at the top and bottom of the corresponding saline layer 200.

[0028] Among them, the liquid outlet seal 400 is provided in another cavity, and the liquid outlet seal 400 is located on top of the corresponding saline layer 200.

[0029] Among them, the liquid outlet seal 400 is a semi-fluid high-viscosity polymer layer, and the semi-fluid high-viscosity polymer is dimethylsiloxane, which can block the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300, preventing leakage and evaporation of the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300.

[0030] Among them, hollow straight tube A110 is a plastic hollow straight tube, and handle 130 is a plastic handle.

[0031] The hollow straight tube A110 has a notch 111 with an annular structure at the lower end of its surface. By forcefully bending the handle 130 at the notch 111, the handle 130 can be broken off from the end of the hollow straight tube A110.

[0032] The working principle of this embodiment is as follows: During screening, a lozenge A100 containing a layer of physiological saline 200 and a layer of edible fruit green staining solution 300 is taken out from an independent sterile package, with the cotton ball 120 facing downwards. The handle 130 is forcefully bent at the notch 111, breaking it off from the end of the hollow straight tube A110. At this time, the physiological saline layer 200, the edible fruit green staining solution 300, and the liquid outlet seal 400 inside the lozenge A100 flow onto the cotton ball 120 under pressure. The patient then holds the cotton ball 120 in their mouth for swallowing function screening, observing for overt aspiration such as choking. After swallowing, subglottic suction is used to check for any fruit green staining solution. Green staining is used to assess latent aspiration; for patients without subglottic suction, sputum can be suctioned through the tracheostomy site, and the presence of fruit green staining in the sputum can be observed to assess latent aspiration; during treatment, take the lozenge A100 containing a layer of physiological saline 200 and place it with the cotton ball 120 facing down. Forcefully bend the handle 130 at the notch 111 to break the handle 130 from the end of the hollow straight tube A110. At this time, the physiological saline layer 200 in the lozenge A100 flows onto the cotton ball 120 under pressure. Then, the moistened lozenge A100 is placed in the refrigerator to freeze. Oropharyngeal ice stimulation rehabilitation treatment can then be performed on patients with swallowing disorders, thereby achieving an orderly combination of screening and treatment.

[0033] Example 2

[0034] This embodiment provides a tool for screening and treating dysphagia in critically ill tracheostomized patients. The difference from Embodiment 1 is that it includes: two identical-shaped and sized suckers A100 packaged in separate sterile bags. One sucker A100 has a mixed liquid layer in its inner cavity, and the other sucker A100 has a saline layer 200 in its inner cavity. The sucker A100 includes a hollow straight tube A110 with open ends. A cotton ball 120 is fixedly connected to the top of the hollow straight tube A110, and a handle 130 is fixedly connected to the bottom of the hollow straight tube A110. The inner cavity of the hollow straight tube A110 has a cavity for storing liquid.

[0035] The mixed liquid layer is located in one of the cavities, and the physiological saline layer 200 is located in the other cavity. The mixed liquid layer is a mixture of physiological saline layer and fruit green staining mixed liquid layer.

[0036] The cavity is also equipped with a liquid outlet seal 400, one of which is located at the top of the mixed liquid layer and the other is located at the top of the saline layer 200.

[0037] Among them, the liquid outlet seal 400 is a semi-fluid high-viscosity polymer layer, and the semi-fluid high-viscosity polymer is dimethylsiloxane, which can block the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300, preventing leakage and evaporation of the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300.

[0038] Among them, hollow straight tube A110 is a plastic hollow straight tube, and handle 130 is a plastic handle.

[0039] The hollow straight tube A110 has a notch 111 with an annular structure at the lower end of its surface. By forcefully bending the handle 130 at the notch 111, the handle 130 can be broken off from the end of the hollow straight tube A110.

[0040] Example 3

[0041] Please see Figure 3 This embodiment provides a tool for screening and treating dysphagia in critically ill tracheostomized patients. The difference from Embodiment 2 is that it includes: a rod B500 and a liquid-holding container 600. The liquid-holding container 600 is located at the top of the rod B500. Both the rod B500 and the liquid-holding container 600 have an inner cavity containing a saline layer 200. The inner cavity of the rod B500 also contains an edible fruit green staining solution layer 300. The rod B500 includes a hollow straight tube B510 with open ends. A hollow conical tube 520 is integrally formed at the top of the hollow straight tube B510. A sealing plug 530 is plugged at the bottom of the hollow straight tube B510. The inner cavity between the hollow straight tube B510 and the hollow conical tube 520 shares a cavity for storing liquid.

[0042] One of the physiological saline layer 200 and the edible fruit green dyeing solution layer 300 are arranged one above the other in the cavity.

[0043] The cavity is also equipped with a liquid outlet seal 400. There are two liquid outlet seals 400 arranged vertically in the cavity, with the two liquid outlet seals 400 located at the top and bottom of the physiological saline layer 200, respectively.

[0044] Among them, the liquid outlet seal 400 is a semi-fluid high-viscosity polymer layer, and the semi-fluid high-viscosity polymer is dimethylsiloxane, which can block the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300, preventing leakage and evaporation of the physiological saline layer 200 and the edible fruit green dyeing liquid layer 300.

[0045] Among them, the hollow straight tube B510 is an edible stainless steel hollow straight tube, the hollow conical tube 520 is an edible stainless steel hollow conical tube, and the sealing plug 530 is a silicone sealing plug, which can be reused by the same patient.

[0046] The liquid holding component 600 includes a cap 610 fitted onto the surface of the hollow conical tube 520. The inner cavity of the cap 610 is provided with a hollow groove 620 for storing liquid. Another layer of physiological saline 200 is disposed in the inner cavity of the hollow groove 620. The bottom of the cap 610 is provided with a through hole 630 for the hollow conical tube 520 to pass through. The top of the through hole 630 communicates with the hollow groove 620. The liquid holding component 600 can store the physiological saline layer 200 separately.

[0047] The inner wall of the through hole 630 is fixedly connected with a sealing ring gasket 640 that contacts the outer surface of the hollow cone tube 520. The sealing ring gasket 640 can improve the sealing performance at the connection between the rod B500 and the liquid container 600, and prevent leakage of the saline layer 200 in the liquid container 600.

[0048] Among them, cap 610 is a plastic cap.

[0049] The working principle of this embodiment is as follows: During screening, the mouthpiece B500 is taken out, the liquid container 600 is removed from the mouthpiece B500, the sealing plug 530 is opened forcefully, and the sealing plug 530 is removed from the end of the hollow straight tube B510. At this time, the physiological saline layer 200, the edible fruit green staining liquid layer 300, and the liquid outlet sealing component 400 in the mouthpiece B500 flow out under pressure, allowing the patient to undergo swallowing function screening by holding the hollow conical tube 520 in their mouth. During treatment, the physiological saline layer 200 is filled into the empty groove 620 through the through hole 630, and then the hollow conical tube 520 is placed in the empty groove 620. After the mouthpiece B500 and the liquid container 600 are placed in the refrigerator to freeze, oropharyngeal ice stimulation rehabilitation treatment can be performed on patients with swallowing disorders, thereby achieving an orderly combination of screening and treatment.

[0050] All parts not described in this utility model are the same as or can be implemented using existing technology. Although embodiments of this utility model have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made to these embodiments without departing from the principles and spirit of this utility model, the scope of which is defined by the appended claims and their equivalents.

Claims

1. A tool for screening and treating dysphagia in critically ill tracheostomized patients, characterized in that, include: Two rods A (100) of the same shape and size are packaged in separate sterile packages. The inner cavity of both rods A (100) is provided with a saline layer (200). The inner cavity of one of the rods A (100) is also provided with an edible fruit green staining solution layer (300). The rod A (100) includes a hollow straight tube A (110) with open ends. A cotton ball (120) is fixedly connected to the top end of the hollow straight tube A (110), and a handle (130) is fixedly connected to the bottom end of the hollow straight tube A (110). The inner cavity of the hollow straight tube A (110) is provided with a cavity for storing liquid.

2. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 1, characterized in that: One of the physiological saline layer (200) and the edible fruit green staining solution layer (300) are arranged vertically in one of the cavities, and the other physiological saline layer (200) is arranged in the other cavity.

3. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 2, characterized in that: The cavity is also provided with a liquid outlet seal (400). There are two liquid outlet seals (400) arranged vertically in one of the cavities. The two liquid outlet seals (400) are respectively located at the top and bottom of the corresponding saline layer (200).

4. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 3, characterized in that: The liquid outlet seal (400) is provided in another cavity, and the liquid outlet seal (400) is located on top of the corresponding saline layer (200).

5. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 4, characterized in that: The liquid outlet seal (400) is a semi-fluid, high-viscosity polymer layer.

6. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 5, characterized in that: The hollow straight tube A (110) is a plastic hollow straight tube, and the handle (130) is a plastic handle.

7. The tool for screening and treating dysphagia in critically ill tracheostomized patients according to claim 6, characterized in that: The lower end of the surface of the hollow straight tube A (110) has a notch (111).

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