中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (12): 848-850.doi: 10.3969/j.issn.1671-4091.2014.12.012

• 血管通路 • 上一篇    下一篇

HD02血液透析监测仪在血管通路功能监测中的应用分析

石梅,陈琳,付春莲,李娟,周莉   

  1. 四川大学华西医院血液净化中心
  • 收稿日期:2014-06-19 修回日期:2014-09-15 出版日期:2014-12-12 发布日期:2014-12-12
  • 通讯作者: 周莉 zhouli126@hotmail.com E-mail:546682994@qq.com

Analysis of the effect of HD02 hemodialysis monitor for vascular access function monitoring

  • Received:2014-06-19 Revised:2014-09-15 Online:2014-12-12 Published:2014-12-12

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摘要： 【摘要】 目的 探讨HD02血液透析监测仪在血液透析患者血管通路功能监测中的应用。方法 选取四川大学华西医院血液净化中心进行长期维持性血液透析148例的患者，使用 HD02型血液透析监测仪，在血液透析治疗中进行通路监测，包括再循环率、内瘘流量、心输出量及心脏指数，并对机器故障情况进行统计与分析。 结果 观察期中，57例Cuff导管患者中发现12例再循环超过5%，占CUFF导管患者人数的 21.1% 。91例内瘘患者中，发现1例患者内瘘再循环25%， 11例患者内瘘流量<500ml/min，占12.09%（其中糖尿病患者4例/36.36%），另1例患者内瘘的即刻可纠正的再循环。16例患者心脏指数>5 L/（min?m2），占17.58%。机器故障7例次，分别为探头无信号/传输丝断裂4次，电源线故障1次，电脑内存条松动、电脑重装后接口设置错误1次，打印机打印程序错误1次。结论 超声稀释法操作简便、安全实用，具有无创伤、快速、安全和可靠等优点，但在操作时应注意规范操作，避免人为因素导致的异常结果出现。

关键词: 血液透析, 血管通路, 超声稀释法, HD02血液透析监测仪

Abstract: To investigate the effect f HD02 hemodialysis monitor in monitoring vascular access function, Method A total of 148 hemodialysis patients treated in Hemodialysis Center of West China Hospital were included in this study. Vascular access functions including re-circulation rate, fistula blood flow rate, cardiac output and cardiac indexmwere measured using HD02 monitor during hemodialysis sessions. Malfunction of HD02 monitor were also analyzed. Result: In the 57patients with cuff catheter, re-circulation rate >5% was found in 12 (21.1%) patients in the ovservation period. In 91 patients with fistula, 25% re-circulation was found in one patient, fistula blood flow rate  <500ml/min in 11 (12.09%) patients including 4 (36.6%) diabetec patients, and instantly re-corrected re-circulation in 1 patient. Monitor malfunction happened 7 times, including 4 probe disorders, 1 power cord disorder, 1 computer disorder and 1 printer disorder. Conclusion: Ultrasonic dilute method is an easy, safe, non-invasive, fast and reliable method for vascular access measurement. Regular manipulation  should be applied to avoid incorrect results.

Key words: hemodialysis, vascular access, ultrasonic dilute, HD02 hemodialysis monitor