[an error occurred while processing this directive]
血液净化中心管理

血液透析机透析液流量的校准与稳定性分析及质量控制策略优化

  • 李涛 ,
  • 何宇 ,
  • 王威
展开
  • 430070 武汉,1中部战区总医院医学工程科

收稿日期: 2024-06-20

  修回日期: 2024-10-14

  网络出版日期: 2025-03-12

Calibration and stability analysis of dialysis fluid flow in hemodialysis machines and optimization of quality control strategies

  • LI Tao ,
  • HE Yu ,
  • WANG Wei
Expand
  • Department of Medical Engineering, Central Theater Command General Hospital, Wuhan 430070, China

Received date: 2024-06-20

  Revised date: 2024-10-14

  Online published: 2025-03-12

摘要

目的  为确保血液透析治疗的充分性和可靠性,对比分析3种品牌血液透析机的透析液流量校准情况与稳定性,旨在提出优化的质量控制方法,指导临床完善治疗方案。 方法 依据JJF1353-2012标准,采用HDM99XP血液透析机质量检测仪,对A、B、C 3组(每组8台)透析机的透析液流量进行检测与分析,对每组偏差最大的机器进行为期6个月的稳定性测试。 结果 在500 ml/min校准点,3组透析机的平均透析液流量分别为(497.6±14.4)、(489.4±19.0)、(484.0±23.2)ml/min,3组间比较差异无统计学意义(F=1.021,P=0.377)。稳定性测试显示C组稳定性最差,偏差达33.8 ml/min。 结论 尽管各品牌血液透析机平均透析液流量差异不大,但C组稳定性不佳。建议将稳定性检测纳入质量控制体系,鉴于透析液流量普遍偏低,临床实践中应适当提高设定值,以确保治疗效果,优化医疗服务质量。

本文引用格式

李涛 , 何宇 , 王威 . 血液透析机透析液流量的校准与稳定性分析及质量控制策略优化[J]. 中国血液净化, 2025 , 24(03) : 243 -245 . DOI: 10.3969/j.issn.1671-4091.2025.02.016

Abstract

Objective  The calibration and stabilization of dialysate flow rate were compared among three brands of hemodialysis machines, in order to optimize the quality control system, to guide the improvement of hemodialysis procedures, and thereby to ensure the adequacy and reliability of hemodialysis.  Method  According to the JJF1353-2012 standard, the HDM99XP blood dialysis machine quality detector was used to examine and analyze the dialysate flow rate in three groups of dialysis machines (groups A, B, and C, 8 units in each group). The machine with the largest deviation in each group was subjected to a stability test for 6 months.  Result  At the 500mL/min calibration point, the average dialysate flow rates of the three groups were 497.6±14.4 mL/min, 489.4±19.0 mL/min, and 484.0±23.2 mL/min respectively, without statistical differences (F=1.021, P=0.377). Stability tests showed that group C was the worst, with a deviation up to 33.8mL/min.  Conclusion  The stability of dialysate flow rate was unsatisfactory in group C machines, despite the fact that the average dialysate flow rate was similar among the three brands of machines. We recommend that stability test should be incorporated into the quality control system, and that the set value should be appropriately increased in clinical practice in the present situation of lower dialysate flow rate to ensure hemodialysis effectiveness and medical service quality.

参考文献

[1]韩延丽.血液透析装置的工作原理及校准方法[J].计量与测试技术, 2016, 43(8):72-73
[2]国家药品不良反应监测中心.国家医疗器械不良事件监测年度报告(2022年)[S], 国家药品不良反应监测中心, 2023-04-07.
[3]帅万钧, 杨冬.血液净化设备质量控制检测技术[M].中国质检出版社, 2011.
[4]王慧娟, 杨祥睿.血液透析机校准中稳定性和重复性的测量[J].计量与测试技术, 2018, 45(03):46-47
[5]沙亚兵.系列血液透析机的常见故障分析及维护[J].中国医疗设备, 2017, 32(3):96-98
[6]玉新华, 方如美, 陆恩峰, 等.费森尤斯型血液透析机常见故障维修例[J].医疗卫生装备, 2016, 37(9):158-159
[7]赵世财, 石平, 陈旭萍等.透析设备质量管理在肺癌伴慢性肾衰患者治疗中的效果评价[J].中国医学装备, 2022, 19(10):122-126
[8]张玉凤.血液透析机主要性能参数的质量检测[J].质量安全与检验检测, 2021, 31(01):51-53
[9]方桂珍,郑传权贝朗Dialog血液透析机的定标与校准[J].贝朗Dialog血液透析机的定标与校准[J][J].中国医疗设备, 2012, 27((4)):121-122
[10]王质刚.血液净化设备工程与临床[M].人民军医出版社, 2006.
[11]刘学军.血液透析实用技术手册.第2版[M].中国协和医科大学出版社, 2010.
[12]何宇, 徐富强, 王威等.基于稳定性和重复性测量的血液透析机校准结果分析[C].中国医学装备协会.中国医学装备大会暨2023医学装备展览会会议论文汇编.2023:411-414.
[13]白培进, 周凌辉, 张佐炳, 等.超声引导下改良手术在血液透析高流量自体动静脉内瘘限流中的应用[J].中国血液净化, 2022, 21(3):202-205
[14]门雯瑾, 丁致民, 王晓飞.在线尿素清除率监测对血液透析充分性评价的研究[J].中国血液净化, 2011, 10(12):647-650
[15]饶利民, 杜丽鹏.一种血液透析机常用的维修思路[J].中国血液净化, 2018, 17(8):561-562
[16]李黎, 贺新颖, 邓险峰, 等.血液透析机实际透析液总流量的测定[J].中国血液净化, 2016, 15(8):441-443
文章导航

/

[an error occurred while processing this directive]