CN113456918A - Method for irrigating intestinal tract through intestinal tract stoma - Google Patents
Method for irrigating intestinal tract through intestinal tract stoma Download PDFInfo
- Publication number
- CN113456918A CN113456918A CN202011114883.0A CN202011114883A CN113456918A CN 113456918 A CN113456918 A CN 113456918A CN 202011114883 A CN202011114883 A CN 202011114883A CN 113456918 A CN113456918 A CN 113456918A
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- Prior art keywords
- intestinal tract
- water injection
- injection pipe
- intestinal
- water
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 210000001035 gastrointestinal tract Anatomy 0.000 title claims abstract description 64
- 238000000034 method Methods 0.000 title claims abstract description 14
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 87
- 238000002347 injection Methods 0.000 claims abstract description 57
- 239000007924 injection Substances 0.000 claims abstract description 57
- 230000008602 contraction Effects 0.000 claims abstract description 20
- 238000003780 insertion Methods 0.000 claims abstract description 13
- 230000037431 insertion Effects 0.000 claims abstract description 13
- 230000002572 peristaltic effect Effects 0.000 claims abstract description 9
- 230000002262 irrigation Effects 0.000 claims abstract description 7
- 238000003973 irrigation Methods 0.000 claims abstract description 7
- 210000000936 intestine Anatomy 0.000 claims description 4
- 210000003813 thumb Anatomy 0.000 claims description 4
- 210000003811 finger Anatomy 0.000 claims description 2
- 230000000968 intestinal effect Effects 0.000 abstract description 18
- 239000007788 liquid Substances 0.000 description 4
- 230000002349 favourable effect Effects 0.000 description 3
- 230000008855 peristalsis Effects 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 206010068797 Anastomotic fistula Diseases 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 239000000741 silica gel Substances 0.000 description 2
- 229910002027 silica gel Inorganic materials 0.000 description 2
- 241000792859 Enema Species 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 206010054048 Postoperative ileus Diseases 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000010878 colorectal surgery Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 239000007920 enema Substances 0.000 description 1
- 229940095399 enema Drugs 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 210000003736 gastrointestinal content Anatomy 0.000 description 1
- 208000008384 ileus Diseases 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003097 mucus Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
- A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0266—Stands, holders or storage means for irrigation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
- A61M3/0295—Cannula; Nozzles; Tips; their connection means with inflatable balloon
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention belongs to the technical field of intestinal lavage equipment, in particular to a method for lavaging intestinal tracts through an intestinal stoma, which comprises the following steps of 1, preparing a lavage device, wherein the lavage device comprises a water injection pipe, the insertion section of the water injection pipe is provided with a water outlet, the front side of the water outlet is provided with at least two flexible bags, and each flexible bag is independently connected with a pump structure; step 2, operating the pump structure to enable the flexible bag to be in a contraction state, and then inserting the insertion section of the water injection pipe into the intestinal tract; step 3, controlling a water injection pipe to inject water, and simultaneously and continuously operating a pump structure in sequence to enable all the flexible bags to sequentially and continuously expand and contract, so that intestinal tract sections in contact with all the flexible bags form peristaltic fluctuation; and 4, after the intestinal tract segment irrigation in the step 3 is finished, the water injection pipe is pushed for a certain distance along the intestinal tract, and then the operation in the step 3 is repeated. This scheme has been solved among the prior art for a long time spaciously put the problem that the intestinal of useless usefulness can't carry out abundant lavage.
Description
Technical Field
The invention belongs to the technical field of intestinal tract lavage methods, and particularly relates to a method for lavaging intestinal tracts through an intestinal tract stoma.
Background
In colorectal surgery, a stoma is made in the small intestine to discharge stool in order to facilitate postoperative recovery of the colorectal. After the colorectal recovery (generally, half to one year after the operation), the stoma reduction operation is needed, and the continuity of the intestinal tract is recovered, so that the normal defecation through the anus is realized. Before performing stoma reduction, it is important to perform a stoma enema to prepare the intestine sufficiently. The existing clysis operation method mainly comprises the steps of directly inserting a water injection pipe into an intestinal tract from a stoma, then carrying out water injection and lavage, and slowly pushing the water injection pipe into the intestinal tract when carrying out the water injection and lavage until the lavage is finished, and taking out the water injection pipe. Because the long-term spacious useless usefulness of putting of the intestinal of stoma distal end, the intestinal intracavity is narrow because of having a large amount of mucus adhesion, and the resistance is big when the water injection pipe of lavage usefulness impels in the intestinal, can't thoroughly insert sometimes even to can't guarantee abundant lavage intestinal. Moreover, intestinal obstruction and anastomotic fistula frequently occur in the intestinal tract after the stoma reduction operation is performed, and the normal life of the patient is affected.
Disclosure of Invention
The invention aims to provide a method for irrigating an intestinal tract through an intestinal stoma, which aims to solve the problem that the intestinal tract which is used for a long time in the prior art cannot be sufficiently irrigated.
In order to achieve the above object, a basic aspect of the present invention provides a method of irrigating an intestine through an enterostomy, comprising the steps of,
step 3, controlling a water injection pipe to inject water, and simultaneously and continuously operating a pump structure in sequence to enable all the flexible bags to sequentially and continuously expand and contract, so that intestinal tract sections in contact with all the flexible bags form peristaltic fluctuation;
and 5, stopping water injection of the water injection pipe after the intestinal tract part needing lavage is lavaged, controlling the pump structure to enable all the flexible bags to be in a contraction state, and then removing the water injection pipe out of the intestinal tract from the stoma.
The principle and the beneficial effect of the basic scheme are as follows: the front side of the water outlet refers to the side of the water injection pipe which enters the intestinal tract before the water outlet in the process of inserting the water injection pipe into the intestinal tract. The intestinal tract forms peristaltic fluctuation through the step 3, the space of the intestinal cavity of the intestinal tract section which is contacted with the flexible bag is increased when the intestinal tract is in peristaltic fluctuation, so that the intestinal tract can be irrigated sufficiently by water injected by the water injection pipe, and meanwhile, the water injection pipe can be propelled in the intestinal tract after the space of the intestinal cavity is increased, so that the irrigating quality of the intestinal tract is improved; through the operation of step 3 and step 4, make the intestinal form the peristaltic fluctuation by the lavage in time, be favorable to taking exercise the peristaltic function of the intestinal of long-term spacious useless usefulness to be favorable to reducing the circumstances of ileus, anastomotic fistula when the intestinal resumes normal use and take place, be favorable to patient to resume normal life fast.
Further, in the step 1, four flexible bags are arranged, four pump structures are also arranged, and the four pump structures are arranged side by side; in the step 3, four pump structures arranged side by side are operated by four fingers except the thumb of a single hand. By adopting the arrangement mode, the medical staff can control the expansion and contraction of the four flexible bags by one hand, thereby facilitating the use and operation and being beneficial to improving the lavage efficiency.
Further, in the step 1, a check piece in an elastic sac-shaped structure is fixedly arranged on the rear side of the water outlet, and an operation piece for controlling the expansion and contraction of the check piece is connected to the check piece; in the step 2, the check piece is in a contraction state and is inserted into the intestinal tract along with the water injection pipe; in the step 3, before the water injection pipe injects water, the operating piece is controlled to enable the check piece to be in an expansion state; in the step 4, the operating piece is controlled to enable the check piece to be in a contraction state between the water injection pipe is pushed in the intestinal tract. By adopting the arrangement mode, the non-return piece can form a blocking effect when water entering the intestinal canal flows along the opposite direction of the insertion direction of the water injection pipe in the expansion state, thereby avoiding the phenomenon that the water in the intestinal canal overflows the human body to pollute clothes of patients and medical staff.
Drawings
FIG. 1 is a schematic view of an embodiment of an irrigation device for use in a method of irrigating an intestinal tract through an enterostomy according to the present invention;
fig. 2 is a schematic cross-sectional view of the sleeve, water injection tube and catheter of the irrigation device.
Detailed Description
The following is further detailed by way of specific embodiments:
reference numerals in the drawings of the specification include: the water injection device comprises a water injection pipe 1, an operating part 2, a pump cavity 21 of the operating part, a buckle 3, a pump structure 4, a pump cavity 41, a sleeve 5, a check part 6, a water outlet 7, a flexible bag 8 and a guide pipe 9.
Example (b): a method of irrigating an intestine through an enterostomy, comprising the steps of:
And 2, enabling the check piece 6 and the four flexible bags 8 to be in a contraction state, and then inserting the insertion section of the water injection pipe 1 into the intestinal tract from the intestinal tract stoma of the human body, so that the water injection pipe 1 drives the flexible bags 8 and the check piece 6 to be inserted into the intestinal tract.
And 3, pushing the piston rod of the operating element 2 to enable the liquid in the pump cavity 21 of the piston compression operating element to enter the check piece 6, enabling the check piece 6 to expand and support the intestinal tract, and then locking the piston rod of the operating element 2 by using the buckle 3 to enable the check piece 6 to be in an expansion state. Then, the water is injected into the intestinal tract through the water inlet of the water injection pipe 1 and lavages, at the moment, the four pump structures are held by one hand, the piston rods of the four pump structures 4 are continuously and sequentially pressed by the other four thumbs except the thumb and then loosened, the piston reciprocates in the pump cavity 41, so that the liquid in the pump cavity 41 correspondingly communicated with the flexible bag 8 enters the corresponding flexible bag 8 through the guide pipe 9 and is sucked back into the pump cavity 41, the flexible bag 8 is expanded and contracted rhythmically, when the four flexible bags 8 are continuously and sequentially expanded and contracted, a peristaltic effect is formed in the intestinal tract, and when the water injected into the intestinal tract from the water outlet 7 passes through the intestinal tract corresponding to the flexible bag 8, the intestinal tract is fully expanded under the peristaltic action, so that the intestinal tract is fully lavaged, and the lavaging effect of the intestinal tract is improved; meanwhile, the intestinal tract peristalsis is realized through continuous expansion and contraction of the four flexible bags, the intestinal tract is stimulated to regenerate peristalsis waves, the peristalsis function of the intestinal tract is exercised, and the intestinal tract is pre-adapted to the stimulation of intestinal contents after stoma returning operation.
After the intestinal tract segment corresponding to the flexible bag 8 in the step 4 and the step 3 is irrigated, the check piece 6 of the adjusting operation piece 2 is in a contraction state, and the flexible bag 8 is also in the contraction state without pressing all the pump structures 4. Then, after the water injection tube 1 is advanced a distance along the intestinal tract, the operating member 2 is pressed to make the check member 6 in the expanded state, and the operation in step 3 is repeated, thereby irrigating the intestinal tract segment. So operate repeatedly, accomplish up to the whole lavages of the intestinal position of needs lavage to make the intestinal when the lavage, tempered the wriggling function of intestinal again, reduced the emergence of the condition of postoperative ileus, anastomotic stoma fistula.
And 5, stopping water injection of the water injection pipe 1, adjusting the operating piece 2 to enable the non-return piece to be in a contraction state, not pressing all the pump structures 4 to enable all the flexible bags 8 to be in the contraction state, and then moving the water injection pipe 1 out of the intestinal tract from the stoma.
The foregoing is merely an example of the present invention and common general knowledge of known specific structures and features of the embodiments is not described herein in any greater detail. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.
Claims (3)
1. A method of irrigating an intestine through an enterostomy, comprising: comprises the following steps of (a) carrying out,
step 1, preparing an irrigating device, wherein the irrigating device comprises a water injection pipe, a water outlet is formed in an insertion section of the water injection pipe, at least two flexible bags are arranged on the insertion section and positioned on the front side of the water outlet, and each flexible bag is independently connected with a pump structure;
step 2, operating the pump structure to enable the flexible bag to be in a contraction state, and then inserting the insertion section of the water injection pipe into the intestinal tract until the water outlet completely enters the intestinal tract;
step 3, controlling a water injection pipe to inject water, and simultaneously and continuously operating a pump structure in sequence to enable all the flexible bags to sequentially and continuously expand and contract, so that intestinal tract sections in contact with all the flexible bags form peristaltic fluctuation;
step 4, after the intestinal tract segment irrigation in the step 3 is finished, controlling a pump structure to enable all the flexible bags to be in a contraction state, then pushing the water injection pipe for a distance along the intestinal tract, and then repeating the operation in the step 3;
and 5, stopping water injection of the water injection pipe after the intestinal tract part needing lavage is lavaged, controlling the pump structure to enable all the flexible bags to be in a contraction state, and then removing the water injection pipe out of the intestinal tract from the stoma.
2. A method of irrigating a bowel through an enterostomy according to claim 1, wherein: in the step 1, four flexible bags are arranged, four pump structures are also arranged, and the four pump structures are arranged side by side; in the step 3, four pump structures arranged side by side are operated by four fingers except the thumb of a single hand.
3. A method of irrigating a bowel through an enterostomy according to claim 2, wherein: in the step 1, a check piece in an elastic sac-shaped structure is fixedly arranged on the rear side of the water outlet, and an operating piece for controlling the expansion and contraction of the check piece is connected to the check piece; in the step 2, the check piece is in a contraction state and is inserted into the intestinal tract along with the water injection pipe; in the step 3, before the water injection pipe injects water, the operating piece is controlled to enable the check piece to be in an expansion state; in the step 4, the operating piece is controlled to enable the check piece to be in a contraction state between the water injection pipe is pushed in the intestinal tract.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011114883.0A CN113456918A (en) | 2020-10-19 | 2020-10-19 | Method for irrigating intestinal tract through intestinal tract stoma |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011114883.0A CN113456918A (en) | 2020-10-19 | 2020-10-19 | Method for irrigating intestinal tract through intestinal tract stoma |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113456918A true CN113456918A (en) | 2021-10-01 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011114883.0A Pending CN113456918A (en) | 2020-10-19 | 2020-10-19 | Method for irrigating intestinal tract through intestinal tract stoma |
Country Status (1)
| Country | Link |
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| CN (1) | CN113456918A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112500984A (en) * | 2020-11-26 | 2021-03-16 | 中国人民解放军陆军军医大学第二附属医院 | Fermentation device is cultivateed to stoma excrement and urine |
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Application publication date: 20211001 |