目的:观察W-F168-B型和RENATRONⅡ型透析器复用机临床应用对患者透析质量的影响。方法:符合纳入标准的受试者随机分为2组,试验组和对照组的透析器分别用W-F168-B和RENATRONⅡ复用。测定受试者透析前后血红蛋白、白蛋白、肌酐、尿素氮,计算尿素清除率除以分布容积(Kt/V,K为尿素清除率,t为透析时间,V为分布容积)。结果用均数±标准差表示,采用成组设计的t检验,spss13.0统计软件包分析。结果:试验组和对照组Kt/V值分别为1.25±0.26和1.24±0.19,透析前后血红蛋白差值分别为(1.32±0.14)g/L和(1.34±0.27)g/L,白蛋白差值分别为(0.86±0.05)g/L和(0.79±0.18)g/L。t 检验示两组以上各值比较差异无统计学意义(P gt;0.05)。结论:两种透析器复用机对受试者透析充分性的影响无明显差异,能达到较好的透析质量。
Citation:
ZHENG Yujun,YANG Lichuan,CHEN Lin. Efficacy of Clinical Use of Different Dialyzer Reprocessing Machines. West China Medical Journal, 2009, 24(4): 955-956. doi:
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- 1. 学杂志,2007,24(5):1107-1110..
- 2. 张路霞,王梅,王海燕.慢性肾脏病的流行病学研究[J].中华肾脏病杂志,2005,21(7):425-428..
- 3. HIRTH R A. The organization and financing of kidney dialysis and transplant care in the United States of America[J]. Int J Health Care Finance Econ,2007,7(4):301-318..
- 4. 中华医学会.血液透析器复用操作规范[J].中国血液净化,2006,5(1):2-5..
- 5. 韦洮,张大伟,赵惠萍,等.Kt/V标准差作为慢性血液透析患者临床综合状况重要判断指标的探讨[J].中国血液净化,2005,4(3):139-141..
- 6. KURIYAMA S. Characteristics of the clinical practice patterns of hemodialysis in Japan in consideration of DOPPS and the NKF/DOQI guidelines[J]. Clin Exp Nephrol,2008,12(3):165-170..
- 7. National Kidney Foundation. National Kidney Foundation report on dialyzer reuse, Task Force on Reuse of Dialyzers, Council on Dialysis[J]. Am J Kidney Dis,1997,30(6):859-871..
- 8. 杨秀川,王莉.血液透析器复用的研究进展[J].中国血液净化,2003,2(7):358-360..
- 9. 徐立,陈斌,杨金芳.新型全自动复用机在血液净化中的应用[J].实用护理杂志,2001,17(11):15-16..
- 10. 郑智华,张涤华,张辉,等.透析充分性、微炎症和残存肾功能对血液透析患者营养状态的影响[J].中华肾脏病杂志,2006,22(12):734-737.
- 11. 徐秀林,杨瑜静,朱根娣,等.透析器复用过程中主要粘附物成分研究[J].生物医学工程.