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的患者148例,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。
Objective To investigate the effect of 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 index were measured using HD02 monitor during hemodialysis sessions.Malfunction of HD02 monitor was also analyzed.Result In the 57 patients with cuff catheter,re-circulation rate ＞5％ was found in 12 （21.1％） patients in the observation period.In the 91 patients with fistula,25％ recirculation was found in one patient,fistula blood flow rate ＜500 ml/min in 11 （12.09％） patients including 4 （36.6％） diabetic patients,and instantly re-corrected re-circulation in one patient.Monitor malfunction happened 7 times,including 4 probe disorders,one power cord disorder,one computer disorder and one 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.
出处
《中国血液净化》
2014年第12期848-850,共3页
Chinese Journal of Blood Purification
