血液透析机质量控制的研究及探讨
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摘要
目的研究血液透析机质控的方法和周期,对不同品牌的透析机进行质量评价。方法选取重庆医科大学附属永川医院血透中心两个品牌共30台透析机,每季度末对透析机的电导率、温度等性能指标进行检测,对结果进行分析。结果电导率与温度的误差在各个时间点都有显著性差异(P<0.05)。静脉压的误差一季度与三、四季度有显著性差异(P<0.05),二季度与三、四季度有显著性差异(P<0.05)。动脉压和透析液流量的误差,一季度与二、三、四季度有显著性差异(P<0.05),二季度与三、四季度有显著性差异(P<0.05)。进口某品牌与国产某品牌透析机第三和第四季度的检测中电导率与温度的误差有显著性差异(P<0.05)。结论一年里各项性能指标的误差均显著增加;进口某品牌透析机在稳定性上优于国产某品牌,但可通过检测校准使两种机型的性能指标上处于相近的水平上。
Objective To evaluate the quality of dialyzer of different brands via studying the quality control method and cycle of blood dialyzer. Methods A total of 30 installed hemodialysis machines of two brands were selected from the hemodialysis center of Yongchuan Hospital, Chongqing Medical University. The conductivity, temperature, and other performance indicators of the hemodialysis machines were tested at the end of each quarter, and the results were analyzed. Results The errors in conductivity and temperature had significant differences at various time points(P<0.05). The error of venous pressure was significantly different between the first quarter and the third and fourth quarters(P<0.05), and there was a significant difference between the second quarter and the third and fourth quarters(P<0.05). The errors in arterial pressure and dialysate flow rate were significantly different in the first quarter from the second, third, and fourth quarters(P<0.05), and there was a significant difference between the second quarter and the third and fourth quarters(P<0.05). In the third and fourth quarter of the domestic models and imported models hemodialysis machine, there was a significant difference in conductivity and temperature(P<0.05). Conclusion The deviation of each performance index is significantly increased in one year's detection. Imported models hemodialysis machine is superior to domestic models in stability, but the performance indexes of the two models can be similar by testing and calibrating.
Objective To evaluate the quality of dialyzer of different brands via studying the quality control method and cycle of blood dialyzer. Methods A total of 30 installed hemodialysis machines of two brands were selected from the hemodialysis center of Yongchuan Hospital, Chongqing Medical University. The conductivity, temperature, and other performance indicators of the hemodialysis machines were tested at the end of each quarter, and the results were analyzed. Results The errors in conductivity and temperature had significant differences at various time points(P<0.05). The error of venous pressure was significantly different between the first quarter and the third and fourth quarters(P<0.05), and there was a significant difference between the second quarter and the third and fourth quarters(P<0.05). The errors in arterial pressure and dialysate flow rate were significantly different in the first quarter from the second, third, and fourth quarters(P<0.05), and there was a significant difference between the second quarter and the third and fourth quarters(P<0.05). In the third and fourth quarter of the domestic models and imported models hemodialysis machine, there was a significant difference in conductivity and temperature(P<0.05). Conclusion The deviation of each performance index is significantly increased in one year's detection. Imported models hemodialysis machine is superior to domestic models in stability, but the performance indexes of the two models can be similar by testing and calibrating.
引文
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[13]孟伶俊.血液透析机主要性能参数的质量控制检测分析[J].中国医疗器械信息,2018,24(4):3-4.
[2]张路霞,王海燕.中国慢性肾病的现状及挑战——来自中国慢性肾脏病流行病学调查的启示[J].中华内科杂志,2012,51(7):497-498.
[3]陈婧婧,蔡天智.我国血液透析市场潜力巨大——2014年血液透析贸易市场透视[J].中国医疗器械信息,2015,21(5):39-43.
[4]熊飞,闵永龙,张燕敏,等.2016年武汉市血液透析质控调查报告[J].临床肾脏病杂志,2017,17(8):461-465.
[5]祝荣文,杨道荣,尚会强,等.构建透析设备质量控制管理体系[J].中国医学装备,2016,13(4):44-47.
[6]杨智才,林宁,林家荣,等.血液净化中心配制透析液质量监测平台的研制[J].中国医疗设备,2017,32(10):142-143.
[7]金亮冰,李东升,陈爱军.便携式血液净化装置参数校准仪的研制[J].传感器与微系统,2013,32(4):128-131.
[8]朱兴喜,王星星,于春华,等.血液透析机质量控制检测技术参数规范的探讨[J].中国医学装备,2011,8(6):14-18.
[9]刘学军,陆文进,张凌.血液透析机消毒效果的临床观察[J].中华医院感染学杂志,2014,24(1):245-246.
[10]冯靖祎,郑骏,姚向峰.血液透析数据集成采集技术的研究[J].中国生物医学工程学报,2012,31(4):629-633.
[11]朱兴喜,唐立源,江锦,等.基于HDM99X型基准仪对血液透析机检测的应用[J].中国医学装备,2011,8(7):17-21.
[12]林科楠.血液透析机的校准法[J].质量技术监督研究,2011,(4):30-34.
[13]孟伶俊.血液透析机主要性能参数的质量控制检测分析[J].中国医疗器械信息,2018,24(4):3-4.