CN109091111B - Device and method for detecting fascial compartment syndrome - Google Patents
Device and method for detecting fascial compartment syndrome Download PDFInfo
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- CN109091111B CN109091111B CN201810970448.4A CN201810970448A CN109091111B CN 109091111 B CN109091111 B CN 109091111B CN 201810970448 A CN201810970448 A CN 201810970448A CN 109091111 B CN109091111 B CN 109091111B
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- 238000000034 method Methods 0.000 title claims description 11
- 206010010121 compartment syndrome Diseases 0.000 title description 6
- 238000001514 detection method Methods 0.000 claims abstract description 69
- 210000003195 fascia Anatomy 0.000 claims abstract description 63
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 51
- 238000002567 electromyography Methods 0.000 claims abstract description 33
- 208000011580 syndromic disease Diseases 0.000 claims abstract description 22
- 230000000638 stimulation Effects 0.000 claims description 51
- 238000009530 blood pressure measurement Methods 0.000 claims description 19
- 238000009529 body temperature measurement Methods 0.000 claims description 12
- 238000005259 measurement Methods 0.000 claims description 12
- 230000004936 stimulating effect Effects 0.000 claims description 11
- 230000002159 abnormal effect Effects 0.000 claims description 5
- 238000004520 electroporation Methods 0.000 claims description 4
- 230000008569 process Effects 0.000 claims description 4
- 238000003556 assay Methods 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims description 3
- 238000002266 amputation Methods 0.000 abstract description 5
- 210000003414 extremity Anatomy 0.000 description 16
- 208000028867 ischemia Diseases 0.000 description 6
- 238000003745 diagnosis Methods 0.000 description 5
- 210000003205 muscle Anatomy 0.000 description 5
- 206010028320 muscle necrosis Diseases 0.000 description 4
- 210000005036 nerve Anatomy 0.000 description 4
- 230000035807 sensation Effects 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 206010021143 Hypoxia Diseases 0.000 description 2
- 208000032023 Signs and Symptoms Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000007954 hypoxia Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000000944 nerve tissue Anatomy 0.000 description 2
- 230000000750 progressive effect Effects 0.000 description 2
- 210000003371 toe Anatomy 0.000 description 2
- 206010011703 Cyanosis Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000004872 arterial blood pressure Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000005713 exacerbation Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 238000002559 palpation Methods 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 239000003053 toxin Substances 0.000 description 1
- 231100000765 toxin Toxicity 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
- A61B5/0053—Detecting, measuring or recording by applying mechanical forces or stimuli by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
- A61B5/015—By temperature mapping of body part
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/389—Electromyography [EMG]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
- A61B5/4528—Joints
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Abstract
The device for detecting the osteofascial chamber syndrome comprises a detecting belt for detecting the osteofascial chamber, a puncture needle, a pressure measuring device for the osteofascial chamber and a control console; the control console comprises a cabinet body, an inflator pump, an electric stimulator, an electromyography instrument and a controller are arranged in the cabinet body, a display screen and an operation panel are arranged on the upper surface of the cabinet body, the controller is respectively connected with the display screen, the operation panel, the inflator pump and the detection belt of the bone fascia chamber in an electrified manner, and the inflator pump is connected with the detection belt of the bone fascia chamber through an air pipe; the device can judge the occurrence plane of the osteofascial chamber syndrome, the data is accurate and reliable, and whether the patient needs amputation or not can be judged by measuring the pressure of the osteofascial chamber syndrome.
Description
Technical Field
The invention belongs to the technical field of medical treatment, and particularly relates to a device and a method for detecting a bone fascial chamber syndrome.
Background
The fascial compartment syndrome is a series of early symptoms and signs caused by acute ischemia and hypoxia of the internal muscles and nerves of the fascial compartment formed by bones, interosseous membranes, muscular intervals and deep fascia, and the main symptoms are changed from pain to painless, pale or cyanosis, marbleized patterns and the like, abnormal sensation, paralysis and no pulse. At present, no special comprehensive measuring device is usually adopted to observe skin color change of a patient, touch skin temperature, judge skin feeling and other modes to judge whether the osteofascial chamber syndrome occurs or not and the occurring position is judged by stimulating skin, but the modes of observing and measuring skin temperature by eyes, stimulating skin judging feeling change and the like are adopted, so that judgment result errors are large, misdiagnosis or missed diagnosis is easy, the judgment mode is closely related to personal experience, the novel people cannot grasp the skin color change, the existing mode is just apparent judgment, strict judgment data is not available, because the osteofascial chamber syndrome is a serious disease, amputation is possibly needed when muscle necrosis occurs, the osteofascial chamber syndrome can be improved by conservative treatment if the muscle necrosis does not occur, operation is not necessary, and the life health of the patient can be endangered when the muscle necrosis does not occur.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides a detection device and a detection method for detecting the fascial chamber syndrome, which can accurately judge the fascial chamber syndrome.
In order to solve the technical problems, the invention adopts the following technical scheme: the device for detecting the osteofascial chamber syndrome comprises a detecting belt for detecting the osteofascial chamber, a puncture needle, a pressure measuring device for the osteofascial chamber and a control console; the control console comprises a cabinet body, an inflator pump, an electric stimulator, an electromyography instrument and a controller are arranged in the cabinet body, a display screen and an operation panel are arranged on the upper surface of the cabinet body, the controller is respectively connected with the display screen, the operation panel, the inflator pump and the detection belt of the bone fascia chamber in an electrified manner, and the inflator pump is connected with the detection belt of the bone fascia chamber through an air pipe;
the bone fascia chamber detection belt comprises a detection belt body, wherein the left side edge of the detection belt body is adhered to the right side edge through a magic tape, the detection belt body is formed by connecting a plurality of groups of detection units, the detection units are arranged side by side up and down, each group of detection units comprises a skin temperature detection belt, a pressurizing belt and an electric stimulation belt, three temperature sensors are uniformly distributed on the skin temperature detection belt along the left-right horizontal direction, the pressurizing belt is an air bag belt, a pressure sensor is arranged in the pressurizing belt, the pressurizing belt is connected with an inflator pump through an air pipe, an electromagnetic valve is arranged on the air pipe, a plurality of electroporation holes are formed in the electric stimulation belt, the plurality of electroporation holes are arranged side by side at intervals, and the electromagnetic valve, the pressure sensor and the three temperature sensors are respectively electrically connected with a controller;
the puncture needle is connected with the pressure measuring device of the bone fascial chamber, the puncture needle comprises a needle body, a handheld pinching plate is arranged on the upper portion of the needle body, anti-slip patterns are arranged on the handheld pinching plate, and length scale marks are arranged on the needle body along the length direction.
A method for detecting a device for detecting a syndrome of a fascial compartment, comprising the steps of:
(1) Debugging and connecting all the equipment parts, and wrapping a fascia-bone chamber detection belt on a diseased limb of a patient, wherein one side edge of the detection belt body is adhered with the other side edge through a magic tape;
(2) And (3) temperature measurement: all temperature sensors on the detection belt body receive the skin temperature of the affected limb, the sensed skin temperature information is transmitted to the controller, the controller receives the temperature information and then transmits the temperature information to the display screen, medical staff can preliminarily judge the occurrence area of the fascia chamber according to the temperature information on the display screen, and the part with a lower temperature value can be preliminarily judged as the occurrence area of the fascia chamber under the temperature measurement;
(3) And (3) measuring pressure: the method comprises the steps that a pressurizing belt of each group of detection units is sequentially pressurized from top to bottom, when the pressurizing belt of each group of detection units is pressurized, the controller is controlled by the operation panel, then the controller opens an inflator pump and a corresponding electromagnetic valve, the corresponding electromagnetic valve is an electromagnetic valve connected to an air pipe on the corresponding pressurizing belt, the inflator pump continuously inflates the pressurizing belt through the air pipe, a pressure sensor in the pressurizing belt monitors the pressure value in the pressurizing belt in real time, the monitored pressure value is transmitted to the controller, after the controller receives the pressure information, the pressure information is transmitted to a display screen, medical staff can read the pressure value in the current pressurizing belt through the display screen, the pressure in the pressurizing belt is gradually increased in the continuous inflation process until a patient feels pain, the pressurizing is stopped, and then the pressure value in the current pressurizing belt is recorded, wherein the pressure value is the pressure bearing maximum value;
after pressurizing the pressurizing belts of all the detecting units, recording all the pressure bearing maximum values, wherein the area with the lower pressure bearing maximum value can be judged as a bone fascia chamber generating area under pressure measurement, and then the bone fascia chamber generating area under temperature measurement is combined, and the common area can be judged as a first bone fascia chamber generating area;
(4) Electrical stimulation assay: then electrically stimulating the electric stimulation belt of each group of detection units from top to bottom, when electrically stimulating the electric stimulation belt of each group of detection units, randomly selecting three electric puncture holes on the electric stimulation belt as three pre-electric stimulation points, then opening an electric stimulator, electrically stimulating the three pre-electric stimulation points respectively by electric stimulation of the hand-held electric stimulator, and inquiring and recording pain feeling of the electric stimulation points of the patient;
after the electric stimulation bands of all the detection units are subjected to electric stimulation, recording pain sense of electric stimulation points of a patient, wherein the pain sense-free area can be judged as an area where the electric stimulation is measured in a lower fascia chamber, then the first fascia chamber generation area is combined, and the common area can be judged as a second fascia chamber generation area;
(5) Electromyography measurement: then, starting electromyography examination on the limb of the patient, opening an electromyography, holding a needle electrode of the electromyography, penetrating into the skin of the limb of the patient from the electric stimulation perforation of a proper electric stimulation belt, performing electromyography acquisition on the limb of the patient by the electromyography, judging that the electromyography is abnormal, determining a lower fascia chamber generating area by electromyography, and then combining the second fascia chamber generating area, and judging that a third fascia chamber generating area is the common area;
(6) And (3) invasive puncture judgment: the temperature measurement, the pressure measurement, the electrical stimulation measurement and the electromyography measurement are noninvasive detection measurement, then the bone and fascia chamber pressure measurement device and the puncture needle are needed to be used for further performing invasive puncture judgment, the bone and fascia chamber pressure measurement device is used for puncturing the limb of a patient, after puncture, the pressure value of the sphygmomanometer of the bone and fascia chamber pressure measurement device is checked, the normal bone and fascia chamber pressure is 0-8mmHg, the bone and fascia chamber generation area under the invasive puncture can be judged, and then the final bone and fascia chamber generation area can be accurately judged by combining the third bone and fascia chamber generation area.
By adopting the technical scheme, the invention has the following beneficial effects: the fascial compartment syndrome is a series of early symptoms and signs of the fascial compartment muscles and nerves formed by bone, bone interstitium, muscle space and deep fascia, resulting from acute ischemia and hypoxia. Also known as acute fascial compartment syndrome and osteofascial compartment syndrome. The disease can be accompanied by serious complications, and the risk of amputation of the affected limb after the occurrence is high, and the disease must be checked in detail and treated as early as possible. The symptoms of the osteofascial syndrome are a progressive process, with persistent severe pain in the limb after trauma and progressive exacerbation, the intrinsic earliest symptoms. Is an important manifestation of the compression and ischemia of the nerves in the fascia compartments. The nerve tissue is most sensitive to ischemia, the sensory fibers are the earliest to appear, and the nerve tissue must be paid attention to the symptoms, and diagnosis and treatment are timely carried out. By the late stage, when ischemia is severe, after the nerve function is lost, the sensation disappears, i.e., no pain and the skin sensation also disappears. The fingers or toes are in a buckling state, the muscle contraction capacity is weakened, and the electromyography is easy to be in a normal state. When the fingers or toes are passively drafted, severe pain can be caused, and the early manifestation of muscle ischemia is caused. The skin on the surface of the affected part is reddish, the temperature is higher, the skin temperature of the far-end limb is reduced because of arterial pressure closure at the far-end of the osteofascial syndrome, the limb is swollen, severe tenderness exists, and palpation can feel that the indoor tension is increased.
Multiple aspects of comprehensive consideration need to be collected when diagnosis is carried out, so that misdiagnosis and missed diagnosis are avoided, muscle necrosis can be caused by missed diagnosis, death of a patient is caused by toxin absorption, and incorrect amputation of the patient can be caused by misdiagnosis, so that multiple aspects of information need to be collected, and comprehensive consideration is needed. If the indexes are normal, the osteofascial syndrome can be eliminated, if abnormal, puncture is needed, and the most important judgment standard is puncture pressure measurement;
the novel technology has comprehensive functions, the position of the osteofascial syndrome can be determined by measuring various information such as skin temperature, sensation and pain of muscles, electromyography and the like of the occurrence part of the osteofascial syndrome on the body, the examination results are displayed on a display screen by adopting data, the judgment can be intuitively carried out, the accuracy of the judgment by using the data is higher than that of the judgment by using clinical experience, and long-time clinical experience accumulation is not needed. The device can judge the occurrence plane of the osteofascial chamber syndrome, the data is accurate and reliable, and whether the patient needs amputation or not can be judged by measuring the pressure of the osteofascial chamber syndrome.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic diagram of the structure of a fascia compartment detection zone according to the present invention;
fig. 3 is a schematic view of the structure of the puncture needle.
Detailed Description
As shown in fig. 1 to 3, the device for detecting the osteofascial chamber syndrome of the present invention comprises a detecting band 1 for detecting the osteofascial chamber, a puncture needle 2, a pressure measuring device for detecting the pressure of the osteofascial chamber and a console; the control console comprises a cabinet body, wherein an inflator pump 3, an electric stimulator 4, an electromyography instrument 5 and a controller 6 are arranged in the cabinet body, a display screen 7 and an operation panel 8 are arranged on the upper surface of the cabinet body, the controller 6 is respectively and electrically connected with the display screen 7, the operation panel 8, the inflator pump 3 and the fascia chamber detection belt 1, and the inflator pump 3 is connected with the fascia chamber detection belt 1 through an air pipe;
the bone fascia chamber detection belt 1 comprises a detection belt body, wherein the left side edge of the detection belt body is adhered to the right side edge through a magic tape 9, the detection belt body is formed by connecting a plurality of groups of detection units, the detection units are arranged side by side up and down, each group of detection units comprises a skin temperature detection belt 10, a pressurizing belt 11 and an electric stimulation belt 12, three temperature sensors 13 are uniformly distributed on the skin temperature detection belt 10 along the left-right horizontal direction, the pressurizing belt 11 is an air bag belt, a pressure sensor is arranged in the pressurizing belt 11, the pressurizing belt 11 is connected with an inflator pump 3 through an air pipe, an electromagnetic valve 14 is arranged on the air pipe, a plurality of electric puncture holes 15 are formed in the electric stimulation belt 12, the electric puncture holes 15 are arranged side by side at intervals left and right, and the electromagnetic valve 14, the pressure sensor and the three temperature sensors 13 are respectively electrically connected with a controller 6;
the puncture needle 2 is connected with a bone fascia chamber pressure measuring device, the puncture needle 2 comprises a needle body, a hand-held pinching plate 16 is arranged on the upper portion of the needle body, anti-slip patterns are arranged on the hand-held pinching plate 16, and length scale marks are arranged on the needle body along the length direction.
A method for detecting a device for detecting a syndrome of a fascial compartment, comprising the steps of:
(1) Debugging and connecting all the equipment parts, and wrapping the fascia-bone chamber detection belt 1 on a diseased limb of a patient, wherein one side edge of the detection belt body is adhered with the other side edge through a magic tape 9;
(2) And (3) temperature measurement: all temperature sensors 13 on the detection belt body receive the skin temperature of the affected limb, the sensed skin temperature information is transmitted to the controller 6, the controller 6 receives the temperature information and then transmits the temperature information to the display screen 7, medical staff can primarily judge the occurrence area of the fascia chamber according to the temperature information on the display screen 7, and the part with a lower temperature value can be primarily judged as the occurrence area of the fascia chamber under temperature measurement;
(3) And (3) measuring pressure: then pressurizing the pressurizing belt 11 of each group of detection units sequentially from top to bottom, controlling the controller 6 by controlling the operation panel 8 when pressurizing the pressurizing belt 11 of each group of detection units, opening the inflator pump 3 and the corresponding electromagnetic valve 14 by the controller 6, wherein the corresponding electromagnetic valve 14 is the electromagnetic valve 14 connected to the air pipe on the corresponding pressurizing belt 11, the inflator pump 3 continuously inflates the pressurizing belt 11 through the air pipe, the pressure sensor in the pressurizing belt 11 monitors the pressure value in the pressurizing belt 11 in real time and transmits the monitored pressure value to the controller 6, after receiving the pressure information, the controller 6 transmits the pressure information to the display screen 7, medical staff can read the pressure value in the current pressurizing belt 11 through the display screen 7, and in the continuous inflation process, the pressure in the pressurizing belt 11 is gradually increased until a patient feels pain, the pressurizing is stopped, and then the pressure value in the current pressurizing belt 11 is recorded as the pressure bearing maximum value;
after pressurizing the pressurizing belts 11 of all the detecting units, recording all the pressure bearing maximum values, wherein the area with the lower pressure bearing maximum value can be judged as the occurrence area of the bone fascia chamber under the pressure measurement, and then the joint temperature measurement is combined with the occurrence area of the bone fascia chamber, and the joint area can be judged as the first bone fascia chamber occurrence area;
(4) Electrical stimulation assay: then electrically stimulating the electric stimulation belt 12 of each group of detection units from top to bottom, when electrically stimulating the electric stimulation belt 12 of each group of detection units, randomly selecting three electric puncture holes 15 on the electric stimulation belt 12 as three pre-electric stimulation points, then opening the electric stimulator 4, electrically stimulating the three pre-electric stimulation points respectively by the electric stimulation of the hand-held electric stimulator 4, and then inquiring and recording pain feeling of the electric stimulation points of the patient;
after the electric stimulation is carried out on the electric stimulation bands 12 of all the detection units, the pain sense of the electric stimulation points of the patient is recorded, wherein the area without pain sense can be judged as the area where the electric stimulation is measured in the lower fascia chamber, then the first fascia chamber generation area is combined, and the common area can be judged as the second fascia chamber generation area;
(5) Electromyography measurement: then starting electromyography examination on the limb of the patient, opening the electromyography 5, holding the needle electrode of the electromyography 5, penetrating into the skin of the limb of the patient from the electric stimulation perforation of the proper electric stimulation belt 12, collecting electromyography on the limb of the patient by the electromyography 5, judging that the electromyography is abnormal, determining that the electromyography is used for measuring the lower fascial chamber generation area, and then combining the second fascial chamber generation area, and judging that the common area is the third fascial chamber generation area;
(6) And (3) invasive puncture judgment: the above steps of temperature measurement, pressure measurement, electrical stimulation measurement and electromyography measurement are noninvasive detection measurement, then a bone fascial chamber pressure measurement device and a puncture needle 2 are needed to further perform invasive puncture determination, the bone fascial chamber pressure measurement device of the present invention is the prior art, the bone fascial chamber pressure measurement device used in this embodiment is the bone fascial chamber tissue internal pressure measurement device disclosed by bulletin number CN204500668U, the bone fascial chamber pressure measurement device is used and the puncture needle 2 is utilized to puncture a limb of a patient, after puncture, the pressure value of a sphygmomanometer of the bone fascial chamber pressure measurement device is checked, the normal bone fascial chamber pressure is 0-8mmHg, if the pressure value is not in the normal range, the bone fascial chamber pressure generation region can be determined as the invasive puncture lower bone fascial chamber generation region, and then the final bone fascial chamber generation region can be accurately determined by combining the third bone fascial chamber generation region.
The present embodiment is not limited in any way by the shape, material, structure, etc. of the present invention, and any simple modification, equivalent variation and modification made to the above embodiments according to the technical substance of the present invention are all included in the scope of protection of the technical solution of the present invention.
Claims (1)
1. The utility model provides a bone fascial chamber syndrome detection device which characterized in that: comprises a fascia chamber detection belt, a puncture needle, a fascia chamber pressure measuring device and a console; the control console comprises a cabinet body, an inflator pump, an electric stimulator, an electromyography instrument and a controller are arranged in the cabinet body, a display screen and an operation panel are arranged on the upper surface of the cabinet body, the controller is respectively connected with the display screen, the operation panel, the inflator pump and the detection belt of the bone fascia chamber in an electrified manner, and the inflator pump is connected with the detection belt of the bone fascia chamber through an air pipe;
the bone fascia chamber detection belt comprises a detection belt body, wherein the left side edge of the detection belt body is adhered to the right side edge through a magic tape, the detection belt body is formed by connecting a plurality of groups of detection units, the detection units are arranged side by side up and down, each group of detection units comprises a skin temperature detection belt, a pressurizing belt and an electric stimulation belt, three temperature sensors are uniformly distributed on the skin temperature detection belt along the left-right horizontal direction, the pressurizing belt is an air bag belt, a pressure sensor is arranged in the pressurizing belt, the pressurizing belt is connected with an inflator pump through an air pipe, an electromagnetic valve is arranged on the air pipe, a plurality of electroporation holes are formed in the electric stimulation belt, the plurality of electroporation holes are arranged side by side at intervals, and the electromagnetic valve, the pressure sensor and the three temperature sensors are respectively electrically connected with a controller;
the puncture needle is connected with the pressure measuring device of the bone fascia chamber, the puncture needle comprises a needle body, a hand-held pinching plate is arranged at the upper part of the needle body, anti-slip patterns are arranged on the hand-held pinching plate, and length scale marks are arranged on the needle body along the length direction;
the detection method of the detection device for the osteofascial chamber syndrome comprises the following steps:
(1) Debugging and connecting all the equipment parts, and wrapping a fascia-bone chamber detection belt on a diseased limb of a patient, wherein one side edge of the detection belt body is adhered with the other side edge through a magic tape;
(2) And (3) temperature measurement: all temperature sensors on the detection belt body receive the skin temperature of the affected limb, the sensed skin temperature information is transmitted to the controller, the controller receives the temperature information and then transmits the temperature information to the display screen, medical staff can preliminarily judge the occurrence area of the fascia chamber according to the temperature information on the display screen, and the part with a lower temperature value can be preliminarily judged as the occurrence area of the fascia chamber under the temperature measurement;
(3) And (3) measuring pressure: the method comprises the steps that a pressurizing belt of each group of detection units is sequentially pressurized from top to bottom, when the pressurizing belt of each group of detection units is pressurized, the controller is controlled by the operation panel, then the controller opens an inflator pump and a corresponding electromagnetic valve, the corresponding electromagnetic valve is an electromagnetic valve connected to an air pipe on the corresponding pressurizing belt, the inflator pump continuously inflates the pressurizing belt through the air pipe, a pressure sensor in the pressurizing belt monitors the pressure value in the pressurizing belt in real time, the monitored pressure value is transmitted to the controller, after the controller receives the pressure information, the pressure information is transmitted to a display screen, medical staff can read the pressure value in the current pressurizing belt through the display screen, the pressure in the pressurizing belt is gradually increased in the continuous inflation process until a patient feels pain, the pressurizing is stopped, and then the pressure value in the current pressurizing belt is recorded, wherein the pressure value is the pressure bearing maximum value;
after pressurizing the pressurizing belts of all the detecting units, recording all the pressure bearing maximum values, wherein the area with the lower pressure bearing maximum value can be judged as a bone fascia chamber generating area under pressure measurement, and then the bone fascia chamber generating area under temperature measurement is combined, and the common area can be judged as a first bone fascia chamber generating area;
(4) Electrical stimulation assay: then electrically stimulating the electric stimulation belt of each group of detection units from top to bottom, when electrically stimulating the electric stimulation belt of each group of detection units, randomly selecting three electric puncture holes on the electric stimulation belt as three pre-electric stimulation points, then opening an electric stimulator, electrically stimulating the three pre-electric stimulation points respectively by electric stimulation of the hand-held electric stimulator, and inquiring and recording pain feeling of the electric stimulation points of the patient;
after the electric stimulation bands of all the detection units are subjected to electric stimulation, recording pain sense of electric stimulation points of a patient, wherein the pain sense-free area can be judged as an area where the electric stimulation is measured in a lower fascia chamber, then the first fascia chamber generation area is combined, and the common area can be judged as a second fascia chamber generation area;
(5) Electromyography measurement: then, starting electromyography examination on the limb of the patient, opening an electromyography, holding a needle electrode of the electromyography, penetrating into the skin of the limb of the patient from the electric stimulation perforation of a proper electric stimulation belt, performing electromyography acquisition on the limb of the patient by the electromyography, judging that the electromyography is abnormal, determining a lower fascia chamber generating area by electromyography, and then combining the second fascia chamber generating area, and judging that a third fascia chamber generating area is the common area;
(6) And (3) invasive puncture judgment: the temperature measurement, the pressure measurement, the electrical stimulation measurement and the electromyography measurement are noninvasive detection measurement, then the bone and fascia chamber pressure measurement device and the puncture needle are needed to be used for further performing invasive puncture judgment, the bone and fascia chamber pressure measurement device is used for puncturing the limb of a patient, after puncture, the pressure value of the sphygmomanometer of the bone and fascia chamber pressure measurement device is checked, the normal bone and fascia chamber pressure is 0-8mmHg, the bone and fascia chamber generation area under the invasive puncture can be judged, and then the final bone and fascia chamber generation area can be accurately judged by combining the third bone and fascia chamber generation area.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810970448.4A CN109091111B (en) | 2018-08-24 | 2018-08-24 | Device and method for detecting fascial compartment syndrome |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810970448.4A CN109091111B (en) | 2018-08-24 | 2018-08-24 | Device and method for detecting fascial compartment syndrome |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109091111A CN109091111A (en) | 2018-12-28 |
| CN109091111B true CN109091111B (en) | 2024-03-15 |
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| CN201810970448.4A Active CN109091111B (en) | 2018-08-24 | 2018-08-24 | Device and method for detecting fascial compartment syndrome |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101530322A (en) * | 2008-10-09 | 2009-09-16 | 张文玺 | Automatic instrument for measuring fascia pressure |
| CN203263379U (en) * | 2013-05-21 | 2013-11-06 | 复旦大学附属上海市第五人民医院 | Intelligent bone fascia compartment pressure measuring device based on single-chip microcomputer technology |
| CN204766079U (en) * | 2015-04-16 | 2015-11-18 | 扬州明广卫生材料有限公司 | Fixed brace with adjustable wrist joint |
| CN209153633U (en) * | 2018-08-24 | 2019-07-26 | 郑州大学第一附属医院 | Compartment syndrome detection device |
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| US9314175B2 (en) * | 2010-07-08 | 2016-04-19 | TCI3—Pressure Applications, LLC | Compartment syndrome monitoring systems and methods |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101530322A (en) * | 2008-10-09 | 2009-09-16 | 张文玺 | Automatic instrument for measuring fascia pressure |
| CN203263379U (en) * | 2013-05-21 | 2013-11-06 | 复旦大学附属上海市第五人民医院 | Intelligent bone fascia compartment pressure measuring device based on single-chip microcomputer technology |
| CN204766079U (en) * | 2015-04-16 | 2015-11-18 | 扬州明广卫生材料有限公司 | Fixed brace with adjustable wrist joint |
| CN209153633U (en) * | 2018-08-24 | 2019-07-26 | 郑州大学第一附属医院 | Compartment syndrome detection device |
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