一种医用卡盘式丁字鞋的设计与应用

摘要

Objective To design T-shaped shoes with a chuck regulator to facilitate the orthopedics patient in lower limb immobilization,nursing and rehabilitation training.Methods Each of the shoes was composed of the body of low temperature thermoplasticized plate,a regulator,two cross bars controlled by the regulator and a circular silica gel liner at the heel.The stability of triangles kept the limb involved at the middle position,and prevented the lower limb from inward turning,outward turning or dropping.The shape of the triangles was modified by adjusting the regulator to form an individualized fixation posture for each patient.Results The shoes facilitated clinical nursing,enhanced the patient comfort and decreased the complications.Conclusion The shoes gains advantages in wearing,low cost and repeated use,and thus is worthy promoting practically.%目的:设计一种利于骨科患者进行下肢制动、护理、康复训练的医用卡盘式丁字鞋.方法:该丁字鞋由低温热塑板材料的鞋体、足底卡盘式调节器及其控制的2根横向支撑杆和足跟处的圈状硅胶衬垫组成.利用三角形的稳定性,使佩戴的肢体保持中立位,防止下肢发生内旋、外旋、下垂,并通过卡盘式调节器调整2根横向支撑杆,改变三角形的形状,从而达到针对每个患者个体化的固定姿势.结果:该丁字鞋使临床护理工作更加精细、准确,有效提高了患者佩戴的舒适度,降低了患者原有疾病并发症的发生率,患者满意度良好.结论:该丁字鞋穿戴方便、成本较低且可重复使用,值得推广.