CN107561038A - Creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate - Google Patents

Creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate Download PDF

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Publication number
CN107561038A
CN107561038A CN201710800891.2A CN201710800891A CN107561038A CN 107561038 A CN107561038 A CN 107561038A CN 201710800891 A CN201710800891 A CN 201710800891A CN 107561038 A CN107561038 A CN 107561038A
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China
Prior art keywords
dialyzate
hemodialysis
creatinine content
central processing
processing unit
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Pending
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CN201710800891.2A
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Chinese (zh)
Inventor
程根阳
杨科朋
尹留根
肖静
赵占正
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN201710800891.2A priority Critical patent/CN107561038A/en
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Pending legal-status Critical Current

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Abstract

The invention discloses creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate, this method is included in the hemodialysis dialysate samples that different creatinine contents are prepared in specimen cup, spectra collection is carried out to the hemodialysis dialysate samples in above-mentioned using spectrometer outside the nearly feux rouges of Fourier transformation, establish creatinine content in the hemodialysis dialyzate based near infrared spectrum and quantitatively differentiate model, discriminating model in will be above-mentioned is sent in central processing unit, near infrared spectra collection is carried out to hemodialysis dialyzer outlet dialyzate using on-line monitoring probe, the near infrared spectrum of creatinine content in the dialyzer outlet dialyzate of collection is sent in central processing unit;Central processing unit quantitatively differentiates that model is compared to creatinine content in two kinds of dialyzates, if exceeding setting value with detection liquid hold-up, central processing unit sends alarm command to alarm.This method human error and systematic error effectively reduce, and model accuracy rate is high, improves operating efficiency.

Description

Creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate
Technical field
The present invention relates to medical inspection determination techniques field, creatinine content is supervised online in more particularly to a kind of hemodialysis dialyzate Survey method and system.
Background technology
At present, blood purification in clinical treatment by widespread need.By taking kidney trouble dialysis treatment as an example, China there are about 200 Ten thousand End-stage Renal Disease Patients, 400,000 are receiving hemodialysis, and dialysis is controlled with the speed increase more than 10%, patient every year The demand for the treatment of is very big.
Blood dialysis therapy is the principle using pellicle, and the blood of patient and dialyzate are introduced inside and outside dialyzer simultaneously Side, by means of solute gradient, osmotic gradient and the spread of film both sides, by diffusion, convection current, toxin etc. is removed, by this Method removes the excessive moisture and metabolic waste of internal retention, while leaves required material, corrects electrolyte and soda acid is put down Weighing apparatus is disorderly.
Creatinine (CR) is the product of human muscle's metabolism, mainly passes through the irreversible slow shape of non-enzymatic dehydration by creatine Into, then be discharged into blood, with homaluria, it is not easy by food effect, can be by glomerular filtration, seldom can quilt in renal tubule Absorb again, creatinine includes serum creatinine and urine creatinine, and serum creatinine measurement renal function is more meaningful, and serum creatinine concentration measure is to comment The efficiency index of valency glomerular filtration rate(GFR, it can effectively reflect the substantial damage degree of renal function, clinically detection contributes to Judge the state of an illness, it is significant.
When carrying out hemodialysis to the exceeded patient of creatinine content in blood, dialyzer need to be used.Dialyzer may go out Now blocking or disrepair phenomenon.The reason for dialyzer blocks mainly has:A, blood is oversize from the pump time in vitro, and this is that dialyzer blocks The main reason for;B, heparin dosage deficiency, patient dialyse first heparin injection rate it is particularly significant, usually 0.2~0.5mg/ Kg, if test tube of hepari is insufficient first, additional heparin amount is big also without positive effect again in dialysis;C, dialysis person itself because disease, Nephrosis latter stage at end, blood viscosity increase.
Dialyzer be blocked after should change in time, otherwise extracorporal circulatory system stop, arterial blood line, vein bloody path also can therewith by It is stifled, cause dialysis person's blood largely to lose, it is very harmful.And observe general 5~10 minutes of the process that dialyzer is blocked, in order to and Shi Faxian dialyzer cloggings, it is necessary to monitored on-line to dialysis procedure, search out the changing rule of dialysate concentration.
Prior art using electrical conductivity detection, dialysate concentration monitoring etc. prevented, but there is also it is certain the shortcomings that, such as Sample the promptness of detection not enough and produce pollution, concentration monitor needs high-precision sensor, sensor probe to occur Corrosion phenomenon and generation situations such as cause measured value inaccuracy.
The content of the invention
It is an object of the invention to provide creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate, to solve The problem of being proposed in above-mentioned background technology.
The invention provides creatinine content on-line monitoring system in a kind of hemodialysis dialyzate, including base, fixed mobile jib and Pole, the fixed mobile jib are vertically mounted on base, and the pole is arranged on fixed mobile jib by knob, the pole It is parallel with base;Groove is provided with the pole, roller is installed in the groove, the roller is connected with solid by connecting rod Fixed board, test bar is provided with the fixed plate, and the test bar passes through detection line and the Fourier transformation being arranged on base The nearly outer spectrometer connection of feux rouges:A pair of elevating levers are additionally provided with the base, the pair of elevating lever is provided with lifter plate, the liter Drop plate is provided with neck, is provided with specimen cup in the neck, the top of the specimen cup is provided with two through holes, the side of specimen cup It is respectively equipped with funnel type inlet and drain pipe road;The bottom of the specimen cup is provided with a cavity, and rotating shaft is provided with the cavity, The rotating shaft and the agitating screw being arranged in specimen cup are rotatablely connected, and the rotating shaft is by motor and is arranged on fixed mobile jib Controller electrical connection;Dialyzer is additionally provided with the base, the blood entry port of the dialyzer passes through blood catheter and people Body arterial blood outlet side connects;The blood outlet of the dialyzer is connected by blood catheter and human vein blood input side Connect;The dialyzate entrance of the dialyzer is connected by dialysis catheter with clean dialyzate bucket;The dialyzate of the dialyzer goes out For mouth by dialysis catheter and dialyzate monitoring probe connection, the other end that the dialyzate monitors probe is connected near infrared spectrum Detector, the near-infrared spectrometer are connected with central processing unit by wire, and the central processing unit passes through wire point The outer spectrometer of the nearly feux rouges of Fourier transformation and alarm are not connected with.
It is preferred that the drain pipe road is provided with rotary valve, the other end in drain pipe road is connected with devil liquor recovery bottle.
It is preferred that the dialyzate outlet of the dialyzer is connected by dialysis pipeline with devil liquor recovery bottle.
Creatinine content on-line monitoring method in a kind of hemodialysis dialyzate, comprises the following steps:
1) the hemodialysis dialysate samples of different creatinine contents are prepared in specimen cup;
2) spectra collection is carried out to the hemodialysis dialysate samples in step 1) using the outer spectrometer of the nearly feux rouges of Fourier transformation;
3) establish creatinine content in the hemodialysis dialyzate based near infrared spectrum and quantitatively differentiate model;
4) the discriminating model in step 3) is sent in central processing unit;
5) near infrared spectra collection is carried out to hemodialysis dialyzer outlet dialyzate using on-line monitoring probe, by the saturating of collection The near infrared spectrum of creatinine content is sent in central processing unit in parser outlet dialyzate;
6) central processing unit quantitatively differentiates that model is compared to creatinine content in the dialyzate in step 4) and step 5), If exceeding setting value with the creatinine content in detection dialyzate, central processing unit sends alarm command, alarm hair to alarm Go out alarm.
Compared to the prior art the present invention, the advantage is that:
Creatinine content on-line monitoring system in a kind of hemodialysis dialyzate provided by the invention, by the liter for controlling elevating lever Drop, so as to the lifting of convenient control specimen cup, and then test bar is facilitated to be inserted freely into or extract out specimen cup so that measure Efficiency improves;By opening the agitating screw in specimen cup, measure liquid can be made more to homogenize, and then effectively increase measure Data;The system really realizes Fast nondestructive evaluation, and compared with other monitoring methods, human error and systematic error effectively drop Low, model accuracy rate is high, improves operating efficiency;Reliable technology guarantee, warp are provided for the prevention, treatment, first aid of nephrosis Ji, social effect are huge.
Brief description of the drawings
Fig. 1 is creatinine content on-line monitoring system structure chart in a kind of hemodialysis dialyzate provided by the invention.
Description of reference numerals:
1- bases, 2- fixation mobile jibs, 3- poles, 4- knobs, 5- rollers, 6- fixed plates, 7- test bars, 8- detection lines, The outer spectrometer of the nearly feux rouges of 9- Fourier transformations, 10- elevating levers, 11- lifter plates, 12- necks, 13- specimen cups, 13-1- cavitys, 14- Agitating screw, 15- rotating shafts, 16- funnel type inlets, 17- drain pipes road, 18- rotary valves, 19- devil liquor recovery bottles, 20- human bodies Arterial blood outlet side, 21- dialyzers, 22- human vein blood input sides, the clean dialyzate buckets of 23-, the monitoring of 24- dialyzates Probe, 25- near infrared light spectrum monitoring instruments, 26- central processing units, 27- alarms.
Embodiment
Below in conjunction with the accompanying drawings, the specific embodiment of the present invention is described in detail, it is to be understood that of the invention Protection domain do not limited by embodiment.
As shown in figure 1, the embodiments of the invention provide creatinine content on-line monitoring system in a kind of hemodialysis dialyzate, including Base 1, fixed mobile jib 2 and pole 3, fixed mobile jib 2 are vertically mounted on base 1, and pole 3 is arranged on by knob 4 and fixed On mobile jib 2, pole 3 is parallel with base 1;Groove is provided with pole 3, roller 5 is installed, roller 5 is connected by connecting rod in groove Fixed plate 6 is connected to, test bar 7 is installed in fixed plate 6, test bar 7 passes through detection line 8 and the Fourier being arranged on base 1 The outer spectrometer 9 of nearly feux rouges is converted to connect:A pair of elevating levers 10 are additionally provided with base 1, a pair of elevating levers 10 are provided with lifter plate 11, rise Drop plate 11 is provided with neck 12, is provided with specimen cup 13 in neck 12, the top of specimen cup 13 is provided with two through holes, specimen cup 13 Side is respectively equipped with funnel type inlet 16 and drain pipe road 17;The bottom of specimen cup 13 is provided with a cavity 13-1, cavity 13-1 Interior to be provided with rotating shaft 15, rotating shaft 15 is rotatablely connected with the agitating screw 14 being arranged in 13 glasss of sample, and rotating shaft 15 is by motor with setting Put the controller electrical connection on fixed mobile jib 2;Dialyzer 21 is additionally provided with base 1, the blood entry port of dialyzer 21 passes through Blood catheter is connected with human body artery blood outlet side 20;The blood outlet of dialyzer 21 passes through blood catheter and human vein blood Liquid input side 22 connects;The dialyzate entrance of dialyzer 21 is connected by dialysis catheter with clean dialyzate bucket 23;Dialyzer 21 Dialyzate outlet be connected by dialysis catheter and dialyzate monitoring probe 24, dialyzate monitors 24 other end of popping one's head in and is connected with Near-infrared spectrometer 25, near-infrared spectrometer 25 are connected with central processing unit 26, central processing unit 26 by wire Spectrometer 9 and alarm 27 outside the nearly feux rouges of Fourier transformation are connected to by wire.
In the present invention, drain pipe road 17 is provided with rotary valve 18, and the other end in drain pipe road 17 is connected with devil liquor recovery Bottle 19.The dialyzate outlet of dialyzer 21 is connected by dialysis pipeline with devil liquor recovery bottle 19.
Creatinine content on-line monitoring method in a kind of hemodialysis dialyzate, comprises the following steps:
1) the hemodialysis dialysate samples of different creatinine contents are prepared in specimen cup;
2) spectra collection is carried out to the hemodialysis dialysate samples in step 1) using the outer spectrometer of the nearly feux rouges of Fourier transformation;
3) establish creatinine content in the hemodialysis dialyzate based near infrared spectrum and quantitatively differentiate model;
4) the discriminating model in step 3) is sent in central processing unit;
5) near infrared spectra collection is carried out to hemodialysis dialyzer outlet dialyzate using on-line monitoring probe, by the saturating of collection The near infrared spectrum of creatinine content is sent in central processing unit in parser outlet dialyzate;
6) central processing unit quantitatively differentiates that model is compared to creatinine content in the dialyzate in step 4) and step 5), If exceeding setting value with the creatinine content in detection dialyzate, central processing unit sends alarm command, alarm hair to alarm Go out alarm.
In summary, creatinine content on-line monitoring system in a kind of hemodialysis dialyzate provided in an embodiment of the present invention, passes through The lifting of elevating lever is controlled, so as to the lifting of convenient control specimen cup, and then facilitates test bar to be inserted freely into or extract out Specimen cup so that determination efficiency improves;By opening the agitating screw in specimen cup, measure liquid can be made more to homogenize, entered And effectively increase determination data;The system really realizes Fast nondestructive evaluation, compared with other monitoring methods, human error and Systematic error effectively reduces, and model accuracy rate is high, improves operating efficiency;Provided reliably for the prevention, treatment, first aid of nephrosis Technology ensure, economy, social effect are huge.
Disclosed above is only several specific embodiments of the present invention, and still, the embodiment of the present invention is not limited to this, is appointed What what those skilled in the art can think change should all fall into protection scope of the present invention.

Claims (4)

1. creatinine content on-line monitoring system in a kind of hemodialysis dialyzate, including base (1), fixed mobile jib (2) and pole (3), Characterized in that, the fixed mobile jib (2) is vertically mounted on base (1), the pole (3) is arranged on by knob (4) On fixed mobile jib (2), the pole (3) is parallel with base (1);
Groove is provided with the pole (3), roller (5) is installed, the roller (5) is connected with by connecting rod in the groove Fixed plate (6), test bar (7) is installed, the test bar (7) is by detection line (8) and is arranged on bottom on the fixed plate (6) Outer spectrometer (9) connection of the nearly feux rouges of Fourier transformation on seat (1);
A pair of elevating levers (10) are additionally provided with the base (1), the pair of elevating lever (10) is provided with lifter plate (11), described Lifter plate (11) is provided with neck (12), is provided with specimen cup (13) in the neck (12), is set above the specimen cup (13) There are two through holes, the side of specimen cup (13) is respectively equipped with funnel type inlet (16) and drain pipe road (17);
The bottom of the specimen cup (13) is provided with a cavity (13-1), is provided with rotating shaft (15) in the cavity (13-1), described turn Axle (15) and the agitating screw (14) being arranged in sample (13) cup are rotatablely connected, and the rotating shaft (15) is by motor with being arranged on Controller electrical connection on fixed mobile jib (2);
Dialyzer (21) is additionally provided with the base (1), the blood entry port of the dialyzer (21) passes through blood catheter and people Body arterial blood outlet side (20) connects;The blood outlet of the dialyzer (21) is defeated by blood catheter and human vein blood Enter side (22) connection;
The dialyzate entrance of the dialyzer (21) is connected by dialysis catheter with clean dialyzate bucket (23);The dialyzer (21) dialyzate outlet monitors probe (24) with dialyzate by dialysis catheter and is connected, the dialyzate monitoring probe (24) The other end is connected with near-infrared spectrometer (25), and the near-infrared spectrometer (25) is connected with centre by wire Device (26) is managed, the central processing unit (26) is connected to spectrometer (9) and alarm outside the nearly feux rouges of Fourier transformation by wire Device (27).
2. creatinine content on-line monitoring system in a kind of hemodialysis dialyzate as claimed in claim 1, it is characterised in that it is described go out Liquid pipe road (17) is provided with rotary valve (18), and the other end of drain pipe road (17) is connected with devil liquor recovery bottle (19).
3. creatinine content on-line monitoring system in a kind of hemodialysis dialyzate as claimed in claim 2, it is characterised in that described The dialyzate outlet of parser (21) is connected by dialysis pipeline with devil liquor recovery bottle (19).
4. creatinine content on-line monitoring method in a kind of hemodialysis dialyzate, it is characterised in that comprise the following steps:
1) the hemodialysis dialysate samples of different creatinine contents are prepared in specimen cup;
2) spectra collection is carried out to the hemodialysis dialysate samples in step 1) using the outer spectrometer of the nearly feux rouges of Fourier transformation;
3) establish creatinine content in the hemodialysis dialyzate based near infrared spectrum and quantitatively differentiate model;
4) the discriminating model in step 3) is sent in central processing unit;
5) near infrared spectra collection is carried out to hemodialysis dialyzer outlet dialyzate using on-line monitoring probe, by the dialyzer of collection The near infrared spectrum of creatinine content is sent in central processing unit in outlet dialyzate;
6) central processing unit quantitatively differentiates that model is compared to creatinine content in the dialyzate in step 4) and step 5), if band Creatinine content in detection dialyzate exceedes setting value, and central processing unit sends alarm command to alarm, and alarm sends report Alert sound.
CN201710800891.2A 2017-09-07 2017-09-07 Creatinine content on-line monitoring method and system in a kind of hemodialysis dialyzate Pending CN107561038A (en)

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
CN109709066A (en) * 2019-03-04 2019-05-03 永仁牧云生物科技有限公司 Quality determining method is used in a kind of processing of olive oil

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WO2016141451A1 (en) * 2015-03-11 2016-09-15 Hormoz Azizian Method and technique for verification of olive oil composition
CN206248604U (en) * 2016-09-29 2017-06-13 吉林工程技术师范学院 A kind of use electrochemica biological sensor determines the device of Lactose in Milk content
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Publication number Priority date Publication date Assignee Title
CN102901707A (en) * 2012-07-26 2013-01-30 苏州天和自动化系统有限公司 Spectrum detection rod capable of continuously measuring
CN202757880U (en) * 2012-07-26 2013-02-27 苏州天和自动化系统有限公司 Spectrum detecting rod capable of continuously detecting
CN104535631A (en) * 2015-01-20 2015-04-22 三诺生物传感股份有限公司 Electrochemical measurement method
WO2016141451A1 (en) * 2015-03-11 2016-09-15 Hormoz Azizian Method and technique for verification of olive oil composition
CN104949978A (en) * 2015-07-01 2015-09-30 南京普朗医疗设备有限公司 Two-channel intelligent handheld detector
CN105628640A (en) * 2015-09-24 2016-06-01 首都师范大学 Terahertz spectrum technology based urine detection method
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Cited By (2)

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Publication number Priority date Publication date Assignee Title
CN109709066A (en) * 2019-03-04 2019-05-03 永仁牧云生物科技有限公司 Quality determining method is used in a kind of processing of olive oil
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