目的 研究紫外线除氯装置用于血液透析水处理系统辅助除氯的效果。 方法 2022、2023年分别测试20组紫外线除氯装置关闭状态下北京大学第一医院水处理系统自来水、炭罐后的总氯浓度;紫外线除氯装置打开状态下自来水、紫外线除氯装置后、炭罐后的总氯浓度,并进行对比分析。 结果 紫外线除氯装置打开后,2022年和2023年自来水总氯平均下降率分别为75.0%和62.5%,装置前后总氯浓度差异显著(t=40.825,P<0.001;t=46.483,P<0.001);与紫外线除氯装置关闭相比,2022年和2023年打开装置时碳罐A1(t=-8.365,P<0.001;t=-17.474,P<0.001)、A2(t=-6.718,P<0.001;t=-16.905,P<0.001)、B1(t=-8.014,P<0.001;t=-12.212,P<0.001)、B2(t=-6.162,P<0.001;t=-13.789,P<0.001)出口总氯浓度均有所下降。 结论 紫外线除氯装置除氯效果显著,可用于血液透析水处理系统。
Objective To analyze the effect of ultraviolet dechlorination device used in hemodialysis water treatment system. Methods Twenty groups of ultraviolet dechlorination devices in our hospital were tested in the years of 2022 and 2023. When the ultraviolet dechlorination device was closed, total chlorine concentrations in water supply and after carbon cans were measured. When the ultraviolet dechlorination device was opened, total chlorine concentrations in water supply, after ultraviolet dechlorination device, and after carbon cans were measured. The results were compared and analysed. Results When the ultraviolet dechlorination device was opened, total chlorine in water supply decreased significantly with the average reduction rates of 75.0% and 62.5% in 2022 and 2023 respectively (t=40.825, P<0.001; t=46.483, P<0.001). When the device was opened in 2022 and 2023, total chlorine concentrations at the outlet of activated carbon tanks A1(t=-8.365, P<0.001; t=-17.474, P<0.001), A2 (t=-6.718, P<0.001; t=-16.905, P<0.001), B1 (t=-8.014, P<0.001; t=-12.212, P<0.001) and B2 (t=-6.162, P<0.001; t=-13.789, P<0.001) decreased significantly, as compared with those when the ultraviolet dechlorination device was closed. Conclusion Ultraviolet dechlorination device is effective and can be used in hemodialysis water treatment system.
[] De Oliveira R M , de los Santos, Carlos Abaeté, Antonello I , et al. Warning: An Anemia Outbreak Due to Chloramine Exposure in a Clean Hemodialysis Unit—an Issue to Be Revisited[J]. Renal Failure, 2009, 31(1):81-83.
[] Pérez-García, Verde, Sanz, et al. r-HuEPO resistance and dialysate chloramine contamination in patients on hemodialysis.[J]. Nephron, 2000.
[] Fluck S , Mckane W , Cairns T , et al. Chloramine-induced haemolysis presenting as erythropoietin resistance[J]. Nephrology Dialysis Transplantation(7):1687-1691.
[] Li B , Ying W , H Zhang, et al. Cost Effective Activated Carbon Treatment Process for Removing Free Chlorine from Water[C]// Asian Pacific Confederation of Chemical Engineering congress. 0.
[] 王丽萍,徐斌,钱灏.净水用颗粒活性炭对水中余氯去除的动力学原理效能[J].净水技术,2018,37(01):47-52+88.DOI:10.15890/j.cnki.jsjs.2018.01.008.
[] 应滋栋. 影响活性炭除氯效果的相关因素[J]. 中国血液净化, 2015, 14(03):186-188.
[] 徐莹. 中压紫外线在游泳池水处理系统中的特点[J]. 给水排水动态, 2010(1):3.
[] 张功臣.中压多谱段紫外线脱氯技术[J].机电信息,2015(11):23-26.DOI:10.19514/j.cnki.cn32-1628/tm.2015.11.006.
[] International Standards Organization[M]. Water treatment equipment for haemodialysis applications and related therapies(ISO 26722:2014).
[] 王琰, 程叙扬, 左力. 透析用水中残余氯的测定[J]. 中国血液净化, 2011(11):55-58.
[]刘晓辉,杨严,屈新怡,邓绰,田爱辉,陈育青.透析中心活性炭除氯性能与季节变化的相关性分析[J].中国血液净化,2022,21(08):617-620.
[] Jin J , El-Din M G , Bolton J R . Assessment of the UV/chlorine process as an advanced oxidation process.[J]. Water Research, 2011, 45(4):1890-1896.
[] Giles M A , Danell R . Water dechlorination by activated carbon, ultraviolet radiation and sodium sulphite. A comparison of treatment systems suitable for fish culture[J]. Water Research, 1983, 17(6):667-676.
[] Astuti M P , Xie R , Aziz N S , et al. Laboratory and pilot plant scale study on water dechlorination by medium pressure ultraviolet (UV) radiation[J]. Matec Web of Conferences, 2017, 101.
[] Banu, rmeci, Karl, et al. UV disinfection of chlorinated water: impact on chlorine concentration and UV dose delivery[J]. Journal of Water Supply: Research and Technology - Aqua, 2005, 54(3):189-199.
[] James R. (2009). Dechlorination by ultraviolet radiation: a suitable alternative to activated carbon in dialysis water systems?Journal of Renal Care 35(4), 205-210.
[] Astuti M P . APPLICATION OF ULTRAVIOLET (UV) TECHNOLOGY ON WATER DECHLORINATION: INFLUENCE OF UV FLUENCE DOSE AND UV TRANSMITTANCE ON CHLORINE REMOVAL EFFICIENCY. 2016.