中国血液净化 ›› 2014, Vol. 13 ›› Issue (02): 122-123.doi: 10.3969/j.issn.1671-4091.2014.02.016

• 血液净化产品与技术 • 上一篇    下一篇

血液透析机超滤功能合理调校周期的探讨

张稳   

  1. 首都医科大学附属北京同仁医院肾内科
  • 收稿日期:2013-07-18 修回日期:2013-09-11 出版日期:2014-02-12 发布日期:2014-02-12

The appropriate cycle for ultrafiltration function adjustment of hemodialysis machines

  • Received:2013-07-18 Revised:2013-09-11 Online:2014-02-12 Published:2014-02-12

摘要: 目的 探讨血液透析机超滤功能合理的调校周期。方法 选取首都医科大学附属北京同仁医院血液透析中心28台血液透析机,测定不同时间的超滤误差值。按测定时间将样本分为5组,比较不同时间的超滤误差值;按机器品牌将样本分为2组,比较不同品牌之间的超滤误差值。结果 (1)不同测定时间的5组数据之间比较。机器刚校准后的超滤误差值与6个月后、9个月后和12个月后的超滤误差值比较均有统计学差异,P<0.05;3个月后超滤误差值与6个月后、9个月后和12个月后的超滤误差值比较均有统计学差异,P<0.05;(2)不同品牌之间比较。费森尤斯组与贝朗组在9个月后、12个月后的超滤误差值比较有统计学差异,P<0.05 。结论 每6个月进行一次透析机超滤功能的校准,较为合理。

关键词: 血液透析机, 超滤, 调校

Abstract: Objective To find suitable adjustment period of dialysis machine ultrafiltration function. Methods 28 dialysis machines in hemodialysis center of Beijing TongRen hospital ,Capital medical university, were selected. Ultrafiltration errors in different times were measured. The samples were divided into 5 groups by different testing times. Ultrafiltration errors were compared among time groups. Then the samples were divided in 2 groups by different hemodialysis machine brands. Ultrafiltration errors were compared among different brands groups. Results 1.Compared among different testing time groups, ultrafiltration errors were significant different between immediate after adjustment group and 6 months later group,9 months later group, 12 months later group(P<0.05).The differences of ultrafiltration errors between 3 months later group and 6 months later group ,9 months later group, 12 months later group were significant(P<0.05). 2.Compared in different machine brand groups, ultrafiltration errors between Fresenius and Braun machine in 9 months later group and 12 months later group have significant difference(P<0.05). Conclusion It is reasonalbe to adjust hemodialysis machine ultrafiltration function every 6 months.

Key words: Hemodialysis machine, ultrafiltration, adjustment