血液透析中心配供液系统设计与应用

Design and application of central preparation and supply system of dialysate for hemodialysis

目的:依据透析液中心配供液系统建设应遵循的相关标准要求,设计并实现符合临床要求的中心配供液系统装置,提高透析治疗医疗质量。方法:分析国家和行业标准中的技术细节要求,研究血液净化中心配供液系统技术响应的解决方案,以执行质量管理体系并可持续改进为原则优化各环节的设计、工艺。在医院血液净化中心的实践中,应用YY0793.1-2010"血液透析和相关治疗用水处理设备技术"标准进行效果评估。结果:血液净化中心安装使用了中心配供液系统之后,有效地控制了系统的空气污染、颗粒污染、微生物及内毒素污染,透析浓缩液纯度更高,符合医药卫生技术指标,保障了高品质的透析。结论:设计并研建的中心配供液系统在技术指标和临床应用上达到国家与行业标准要求。大型透析中心建立中心配供液是未来的发展趋势,可有效提高科室的工作质量和工作效率,利于实现真正意义上的超纯净透析,达到患者受益、医疗安全、疗效提高、成本节约以及干净整洁的效应,代表着行业发展方向。

Objective： To design and produce the device of central preparation and supply system of dialysate according to the clinical requirement as the relative standards which this system should abide, and to enhance the medical quality of dialysate. Methods： The optimal design and process program of every section were discussed according to the requirement of national standards and industrial standards and the technical requirement of researching central preparation and supply system of dialysate. The requirements of quality system were implemented in every section of the design and application in the central preparation and supply system of dialysate and these requirements were continuously improved, and finally, they were applied in the blood purifying center of hospital. Results： After the central preparation and supply system of dialysate was installed and applied in the blood purifying center, a series of contaminations of the system, such as air contamination, particle contamination, microorganism contamination and endotoxin contamination, were efficiently controlled, and the purity of concentrated solution of dialysate was increased to higher level. Therefore, the dialysate of high quality were obtained. Conclusion： The central preparation and supply system of dialysate is a development tendency in large dialysate center, and it can efficiently increase work quality and work efficiency. A better central preparation and supply system will achieve ultra pure dialysate in real meaning, and it can make profits for patients, achieve medical safety, enhance efficiency, cost saving and achieve clean and tidy. It represents the industrial development direction, and it can contribute the whole development and outside influence of hospital.