【摘要】目的构建血液透析机报废评价体系，使该类医疗设备报废决策及流程更加完善及合理。方法以宝鸡市中心医院血液透析机使用情况为例，采用层次分析法构建报废评价指标体系，采用德尔菲法确定各级指标权重，制定评价标准，计算评价总分并对其分段处置。结果对我院34 台血液透析机进行评价，准予报废共有4台，与科室提出报废申请的实际情况保持一致；预备报废共有6 台，通过改变该类设备的功能参数和使用属性使配置效益最大化；正常使用共有5台，建议加强该类设备的预防性维修工作；良好使用共有18台，该类设备只需日常维护即可正常使用。结论该体系的应用改变了以往血液透析机报废评价过程中流于形式、无法量化的问题，将报废评价客观化、系统化、直观化，对加强医疗设备的全生命周期管理和质量控制工作有促进和指导作用。

【Abstract】Purpose To construct a system for the evaluation of useless hemodialysis machines and to improve a decision- making and technological process for the disposal of useless hemodialysis machines. Method Taking the use of hemodialysis machines in Baoji Central Hospital as an example, an evaluation system for obsolescent hemodialysis machines was established by using the analytical hierarchy process (AHP). The weight of all indicators was determined by using the Delphi method. The evaluation criteria were then developed. Total evaluation score of the equipment was calculated, and disposal of the equipment was conducted in sections. Result A total of 34 hemodialysis machines in our hospital were evaluated. Four units were approved to be scrapped, consistent with the content reported by the department. Six sets were ready to be scrapped; the configuration benefit was maximized by changing the functional parameters and use attributes of the equipment. There were 5 sets in normal use; their preventive maintenance needed to be enhanced. There were 18 sets of equipment in better status; daily maintenance is required for their normal performances. Conclusion The application of this evaluation system resolved the problems that were merely formal and unable to be quantified in the evaluation process of useless hemodialysis machines. Objective, systematic and intuitive
evaluation of scrapping promotes and guides the whole life cycle management and quality control of the medical equipment.