CN109300543A - A kind of data monitoring method for haemodialysis - Google Patents
A kind of data monitoring method for haemodialysis Download PDFInfo
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- CN109300543A CN109300543A CN201811210936.1A CN201811210936A CN109300543A CN 109300543 A CN109300543 A CN 109300543A CN 201811210936 A CN201811210936 A CN 201811210936A CN 109300543 A CN109300543 A CN 109300543A
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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Abstract
It the present invention relates to a kind of data monitoring method for haemodialysis, is carried out in blood dialysis each time in patient, real-time detection simultaneously stores the corresponding multinomial dialysis parameters of different dialysis times；It carries out showing the corresponding multinomial dialysis parameters of the different dialysis times of real-time detection in first time blood dialysis in patient；It is carried out in second and later blood dialysis in patient, the corresponding multinomial dialysis parameters of different dialysis times that the corresponding multinomial dialysis parameters of the different dialysis times of simultaneous display real-time detection and haemodialysis several times before are stored.The present invention can be convenient, intuitively whether monitoring is currently just being in normal condition in the patient of haemodialysis and the hemodialyzer being currently operating, to guarantee the quality of haemodialysis.
Description
Technical field
The present invention relates to hemodialysis apparatus monitoring technology fields, and in particular to a kind of data monitoring for haemodialysis
Method.
Background technique
Haemodialysis is one of acute or chronic renal failure kidneys of patients Replacement Therapy.It is by drawing internal blood
Flow to it is external, through one by the haemodialysis that is formed without several hollow fibres, blood electrolyte similar with concentration containing body
Solution (dialyzate) carries out mass exchange inside and outside hollow fibre one by one, through disperse/convection current, and it is useless to remove intracorporal metabolism
Object maintains electrolyte and acid-base balance；Moisture excessive in vivo, and the blood recovery that purification will be passed through are removed simultaneously.
Due to the limitation that the complexity and technology of haemodialysis develop, in blood dialysis, it is more likely that occur
Many accidents, these acute complications occurred in dialysis or after dialysis are referred to as acute dialysis complication, due to it
Be all fatal under normal conditions, so the enough attention of clinical medical personnel should be caused.
Acute dialysis complication includes imbalance syndrome, hemodialysis hypotension, dialysis hypertension, hyposmolarity, coagulates in pipeline
Blood, air embolism etc..Therefore, in blood dialysis, the case where needing each patient of medical staff's close supervision with
And the working condition of hemodialyzer, guarantee the quality of haemodialysis, avoids patient that contingency occurs.
Summary of the invention
In order to overcome at least one defect (deficiency) described in the above-mentioned prior art, the present invention provides one kind and is used for the present invention
The data monitoring method of haemodialysis, can be convenient, intuitively monitoring it is current just the patient of haemodialysis and it is current
Whether the hemodialyzer of work is in normal condition, to guarantee the quality of haemodialysis.
To achieve the purpose of the present invention, it is achieved using following technical scheme:
A kind of data monitoring method for haemodialysis, comprising the following steps:
It is carried out each time in blood dialysis in patient, real-time detection and to store different dialysis times corresponding multinomial
Analyse parameter；
It carries out showing that the different dialysis times of real-time detection are corresponding multinomial in first time blood dialysis in patient
Analyse parameter；
It is carried out in second and later blood dialysis in patient, the different dialysis times pair of simultaneous display real-time detection
The corresponding multinomial dialysis parameters of different dialysis times that the multinomial dialysis parameters and haemodialysis several times before answered are stored.
During patient carries out haemodialysis, the corresponding multinomial dialysis parameters of real-time detection difference dialysis time, and
It will test and come out as the result is shown, medical staff can be convenient, intuitively by shown multinomial dialysis parameters in entire blood
The physical condition of patient and the working condition of hemodialyzer are monitored during dialysis.
And since the physical condition of different individual patients and the therapeutic scheme of haemodialysis are different, so medical care people
Member needs to judge the multinomial dialysis parameters that current patents are shown in blood dialysis according to professional knowledge and medical experience
Whether in normal range, and prejudge whether current patents can occur acute dialysis complication.By this of the same patient
The corresponding multinomial dialysis parameters of difference dialysis time all show in blood dialysis several times before, and can be directed to should
The multinomial dialysis parameters in not homogeneous blood dialysis that name patient itself is carried out are compared, and can be assisted by comparing
Medical staff carries out more accurate judgement to the physical condition of this patient and the working condition of hemodialyzer, thus real
Now to the accurate monitoring of the entire blood dialysis of patient.
Further, the corresponding multinomial dialysis parameters of the different dialysis times of real-time detection and before blood several times are shown
Dialyse the corresponding multinomial dialysis parameters of different dialysis times that are stored specifically: this with haemodialysis is different several times before
The corresponding same item dialysis parameters of dialysis time are shown in the same window, this dialysis different with haemodialysis several times before
Time, corresponding different item dialysis parameters were shown in different windows, and multiple window arrangements are shown.
The dialysis parameters of different item are shown in different windows with the variation of dialysis time, and these windows are arranged in an orderly manner
Column display, can when medical staff needs to check a certain dialysis parameters according to actual conditions of the patient in blood dialysis
Easily to find the corresponding window of this dialysis parameters, it is saturating in this blood to observe this dialysis parameters shown on the window
Analysis process and the before difference of blood dialysis several times.
Preferably, the curve form that the corresponding dialysis parameters of different dialysis times are changed with dialysis parameters with dialysis time is aobvious
Show in the window.
By multinomial dialysis parameters detected in this blood dialysis with the variation of dialysis time, and if before
The multinomial dialysis parameters being detected and stored in dry blood dialysis are depicted as change curve with the variation of dialysis time, and
And the same item dialysis parameters of this and haemodialysis several times before are plotted in same figure with the parameter that dialysis time changes
On, this and the before change curve of every dialysis parameters several times can intuitively, be visually observed, thus saturating to this blood
Multinomial dialysis parameters during analysis with haemodialysis is compared several times before, make medical staff be more easier to judge at this
Whether the working condition of the physical condition and hemodialyzer of patient is in normal condition in secondary blood dialysis, thus more
Accurately monitor entire blood dialysis.
Further, the data monitoring method is further comprising the steps of: will according to the significance level of every dialysis parameters
Every dialysis parameters carry out sequence arrangement, will the corresponding window size setting of display arrangement several dialysis parameters earlier above compared with
Greatly, the corresponding window size setting of several dialysis parameters after display arrangement relatively is smaller, and/or display is arranged earlier above
The corresponding window of several dialysis parameters compared with dark colour to mark, by the corresponding window of several dialysis parameters after display arrangement relatively
Mouth arranges the corresponding window arrangement of several dialysis parameters earlier above in display interface with shallower color mark, and/or by display
Center, will display arrangement relatively after the corresponding window arrangement of several dialysis parameters on the periphery of display interface.
During Patients Undergoing Hemodialysis, the certain dialysis parameters of key monitoring are needed, for the weight of effectively prominent monitoring
Every dialysis parameters can be ranked up by point according to significance level in advance, will show the relatively important, dialysis of sequence earlier above
The corresponding window of parameter is focused on display, and will show that the corresponding window of dialysis parameters relatively secondary, that sequence is compared with after carries out
Reduction display.Medical staff will not undertake huge monitoring load because of the dialysis parameters excessively monitored as a result, but have weight
Point ground is monitored important dialysis parameters.
Further, the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time are shown
In the same window specifically: being depicted as the same item dialysis parameters of this and haemodialysis several times before with dialysis time
The curve of variation, and be shown in a window.
When by the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time with dialysis
Between the curve form that changes be shown in a window, can intuitively, visually observe this and before every dialysis several times
The change curve of parameter, thus to multinomial dialysis parameters and the progress of haemodialysis several times before in this blood dialysis
Compare, medical staff is made to be more easier to judge the work of the physical condition and hemodialyzer of patient in this blood dialysis
Make whether state is in normal condition, to monitor entire blood dialysis more accurately.
Further, the dialysis parameters include the blood parameters obtained by detection blood, by detection dialyzate
And the dialyzate parameter obtained.
The process of haemodialysis is to carry out mass exchange by disperse/convection current between blood and dialyzate, therefore in blood
During the monitoring of dialysis, for the safety and treatment validity of general warranty haemodialysis, need to monitor blood ginseng simultaneously
Several and dialyzate parameter.
Further, the data monitoring method is further comprising the steps of: will show the corresponding window arrangement of blood parameters
On one side of display interface, by the corresponding window arrangement of display dialyzate parameter in the another side of display interface.
It will show that the corresponding window of blood parameters window corresponding with display dialyzate parameter is separately shown in the display interface
Show, medical staff can be made to be easier to find the corresponding window of a certain dialysis parameters of display, and display interface also can more added with
Orderliness.
Further, the data monitoring method is further comprising the steps of: according to request, specify several closes or
It minimizes.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysis
It closes or minimizes, several windows are opened or are maximized, the corresponding window of several dialysis parameters only monitored required for display
Mouthful, to increase the flexibility monitored to blood dialysis.
Further, the blood parameters include blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood
Flow rate v, blood temperature T1, blood pressure P, blood dry weight ρ, haemoconcentration n1One or more of them, the dialyzate
Parameter includes dialyzate turnover rate c, dialysate temperature T2, dialysate concentration n2, dialyzate ingredient specific gravity one of which or more
Kind.
It can be known by monitoring blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood flow rate v
The efficiency and the abundant degree of dialysis of current patents' haemodialysis.By monitoring blood temperature T1, blood pressure P, blood dry weight
ρ, haemoconcentration n1It can know whether the physical condition of current patents is at a normal level.By monitoring dialyzate turnover rate c,
Dialysate temperature T2, dialysate concentration n, dialyzate ingredient specific gravity can know that the dialyzate configured in current haemodialysis is
It is no appropriate.
Further, the data monitoring method is further comprising the steps of: further comprising the steps of:
When patient's haemodialysis each time is completed, according to the corresponding multinomial dialysis parameters of difference dialysis time detected
Calculate and store the corresponding dialysis index of different dialysis times of the abundant degree of reflection dialysis；
When patient completes first time haemodialysis, the calculated dialysis index of this haemodialysis institute is shown；
When patient completes second and later haemodialysis, show the calculated dialysis index of this haemodialysis institute with
The dialysis index that haemodialysis several times before is stored.
The most important factor for influencing the therapeutic effect of haemodialysis is the abundant degree of dialysis, therefore in patient's blood each time
Liquid dialysis will assess the abundant degree of haemodialysis when completing, assess the therapeutic effect of haemodialysis, to work out
The therapeutic scheme of next step.The abundant degree of haemodialysis is assessed mainly in terms of three: Solute removal assessment, moisture are removed
Assessment, clinical assessment.Solute removal assessment is removed score Kt/V, urea reduction rate URR, Solute removal generally by urea and is referred to
The dialysis index such as number SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR carries out quantitative evaluation；Moisture removing is commented
Estimate and is assessed generally by the dry weight before and after patients with hemodialysis.
Wherein, urea remove score Kt/V calculation formula can for Kt/V=-ln (R-0.08 × t)+(4-3.5R) ×
UF/W1, in formula R be after dialysis BUN and before dialysing BUN ratio, W is the weight after Patients Undergoing Hemodialysis；Urea reduction rate URR
Calculation formula can be URR=100 × (1-C+/C0), C+ is that blood urea nitrogen concentration BUN, C0 are dialysis after dialysis in formula
Preceding blood urea nitrogen concentration BUN；The calculation formula of Solute removal index SRI can beR is in formula
Solute removal amount, G are solute production rates, and C1 is the haemoconcentration n before dialysis1, V1It is urea distribution volume before dialysing；Protein
The calculation formula of metabolic rate PCR can be PCR=(C0-C+) × (0.045/ Δ t), Δ t is haemodialysis interval twice in formula
Number of days；The calculation formula of normalized protein metabolic rate nPCR is nPCR=PCR/W2, W in formula2It is patient's actual weight or reason
Think weight.
The dialysis index of this and the haemodialysis several times before of the same patient is all shown to come, it can be for should
The dialysis index for the not homogeneous haemodialysis that name patient itself is carried out is compared, both it will be seen that patient is receiving long-term
Whether body changes after hemodialysis, and can check whether hemodialyzer dialyses under function because using too long
Drop.
Further, the dialysis index includes that urea removes score Kt/V, urea reduction rate URR, Solute removal index
The one or more of them of SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR.
Urea removes score Kt/V, urea reduction rate URR, Solute removal index SRI, protein metabolism rate PCR, standardization
Protein metabolism rate nPCR is the dialysis index that can reflect the abundant degree of haemodialysis, and items dialysis index is to haemodialysis
The judge of abundant degree has respective pros and cons, and medical staff can integrate a variety of dialysis indexs, comprehensively analyze haemodialysis
Abundant degree.
Preferably, show this haemodialysis calculated dialysis index and haemodialysis several times before stored
Dialysis index specifically: shown with dialysing index with the curve form that haemodialysis number changes.
By this haemodialysis calculated dialysis index and the dialysis index that is stored of haemodialysis several times before
Dialysis index is depicted as with the curve of dialysis number variation, then curve is shown, can intuitively, visually observe with
The variation tendency of the increase dialysis index of dialysis number, so that understanding patient's body after receiving long-term hemodialysis is
It is no to change, and check whether hemodialyzer dialyses function reduction because using too long.
Preferably, when index of dialysing is a variety of, different dialysis indexs is shown in not with the change curve of dialysis number
Same window, multiple window arrangements are shown.
Different dialysis indexs is shown in different windows with the change curve of dialysis number, and these windows are in an orderly manner
Arrangement display, medical staff can easily analyze each dialysis index respectively.
Preferably, can be according to request, specified every dialysis index is with the corresponding window of change curve of dialysis number
No closing or minimum.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysis
Close or minimize, several windows open or maximize, only display required for analyze several dialysis indexs with dialyse when
Between the curve that changes, to increase the flexibility to the abundant degree analyzing process of haemodialysis.
Compared with prior art, the beneficial effect of technical solution of the present invention is:
(1) during patient carries out haemodialysis, this haemodialysis of simultaneous display and blood is saturating several times before
The dialysis parameters of analysis can be convenient medical staff and judge whether the physical condition of patient and the working condition of hemodialyzer are located
In normal condition, to realize the accurate monitoring to the entire blood dialysis of patient.
(2) it needs the dialysis parameters of key monitoring to correspond to window display to be shown emphatically, medical staff can be made
Important dialysis parameters are monitored with having emphasis, without undertaking huge monitoring because of the dialysis parameters excessively monitored
Load.
(3) when patient completes haemodialysis, this and the abundant degree of the reflection dialysis of haemodialysis several times before are shown
Dialysis index, it will be appreciated that whether patient's body after receiving long-term hemodialysis changes, and checks blood
Whether liquid dialysis apparatus dialyses function reduction because using too long.
Detailed description of the invention
Fig. 1 is that display interface schematic diagram is monitored in the blood dialysis of the embodiment of the present invention.
Fig. 2 is that the haemodialysis of the embodiment of the present invention monitors display interface schematic diagram when completing.
Illustrate: 1. close buttons；2. minimizing button.
Specific embodiment
The attached figures are only used for illustrative purposes and cannot be understood as limitating the patent；
In order to better illustrate this embodiment, the certain components of attached drawing have omission, zoom in or out, and do not represent actual product
Size；
To those skilled in the art, it is to be understood that certain known features and its explanation, which may be omitted, in attached drawing
's.
In the description of the present invention, it is to be understood that, term " first ", " second " are used for description purposes only, and cannot
It is interpreted as indication or suggestion relative importance or implies the quantity of indicated technical characteristic." first " that limits as a result, "
One or more of the features can be expressed or be implicitly included to two " feature.In the description of the present invention, unless otherwise saying
Bright, the meaning of " plurality " is two or more.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation " " connects
Connect " it shall be understood in a broad sense, for example, it may be being fixedly connected, it may be a detachable connection, or be integrally connected；It can be machine
Tool connection, is also possible to be electrically connected；It can be directly connected, be also possible to be indirectly connected with by intermediary, it may be said that two
Connection inside element.For the ordinary skill in the art, above-mentioned term can be understood in the present invention with concrete condition
Concrete meaning.
The following further describes the technical solution of the present invention with reference to the accompanying drawings and examples.
Embodiment
A kind of data monitoring method for haemodialysis, comprising the following steps:
It is carried out each time in blood dialysis in patient, real-time detection and to store different dialysis times corresponding multinomial
Analyse parameter；
It carries out showing that the different dialysis times of real-time detection are corresponding multinomial in first time blood dialysis in patient
Analyse parameter；
It is carried out in second and later blood dialysis in patient, the different dialysis times pair of simultaneous display real-time detection
The corresponding multinomial dialysis parameters of different dialysis times that the multinomial dialysis parameters and haemodialysis several times before answered are stored.
In specific implementation process, on hemodialyzer setting for detect the various detection devices of every dialysis parameters and
Monitoring display screen, detection device detect a dialysis parameters in certain dialysis time interval, and transmission when will test fructufy
Onto monitoring display screen, testing result is shown on monitoring display screen.Meanwhile memory is set on hemodialyzer, memory
For being stored in front of the corresponding multinomial dialysis parameters of different dialysis times of real-time detection in blood dialysis several times.?
In this blood dialysis, the data stored are sent monitoring display screen by memory, keeps this haemodialysis different thoroughly
The different dialysis times that analysis time corresponding multinomial dialysis parameters and haemodialysis several times before are stored are corresponding multinomial
Analysing parameter can be with simultaneous display on monitoring display screen.
During patient carries out haemodialysis, the corresponding multinomial dialysis parameters of real-time detection difference dialysis time, and
It will test and come out as the result is shown, medical staff can be convenient, intuitively by shown multinomial dialysis parameters in entire blood
The physical condition of patient and the working condition of hemodialyzer are monitored during dialysis.
And since the physical condition of different individual patients and the therapeutic scheme of haemodialysis are different, so medical care people
Member needs to judge the multinomial dialysis parameters that current patents are shown in blood dialysis according to professional knowledge and medical experience
Whether in normal range, and prejudge whether current patents can occur acute dialysis complication.By this of the same patient
The corresponding multinomial dialysis parameters of difference dialysis time all show in blood dialysis several times before, and can be directed to should
The multinomial dialysis parameters in not homogeneous blood dialysis that name patient itself is carried out are compared, and can be assisted by comparing
Medical staff carries out more accurate judgement to the physical condition of this patient and the working condition of hemodialyzer, thus real
Now to the accurate monitoring of the entire blood dialysis of patient.
In this example it is shown that corresponding multinomial dialysis parameters of the different dialysis times of real-time detection and before several times
The corresponding multinomial dialysis parameters of the different dialysis times that haemodialysis is stored specifically: this and haemodialysis several times before
The corresponding same item dialysis parameters of different dialysis times are shown in the same window, this with haemodialysis is different several times before
The corresponding different item dialysis parameters of dialysis time are shown in different windows, and multiple window arrangements are shown.
The dialysis parameters of different item are shown in different windows with the variation of dialysis time, and these windows are arranged in an orderly manner
Column display, can when medical staff needs to check a certain dialysis parameters according to actual conditions of the patient in blood dialysis
Easily to find the corresponding window of this dialysis parameters, it is saturating in this blood to observe this dialysis parameters shown on the window
Analysis process and the before difference of blood dialysis several times.
Preferably, the curve form that the corresponding dialysis parameters of different dialysis times are changed with dialysis parameters with dialysis time is aobvious
Show in the window.
By multinomial dialysis parameters detected in this blood dialysis with the variation of dialysis time, and if before
The multinomial dialysis parameters being detected and stored in dry blood dialysis are depicted as change curve with the variation of dialysis time, and
And the same item dialysis parameters of this and haemodialysis several times before are plotted in same figure with the parameter that dialysis time changes
On, this and the before change curve of every dialysis parameters several times can intuitively, be visually observed, thus saturating to this blood
Multinomial dialysis parameters during analysis with haemodialysis is compared several times before, make medical staff be more easier to judge at this
Whether the working condition of the physical condition and hemodialyzer of patient is in normal condition in secondary blood dialysis, thus more
Accurately monitor entire blood dialysis.
In the present embodiment, data monitoring method is further comprising the steps of: will according to the significance level of every dialysis parameters
Every dialysis parameters carry out sequence arrangement, will the corresponding window size setting of display arrangement several dialysis parameters earlier above compared with
Greatly, the corresponding window size setting of several dialysis parameters after display arrangement relatively is smaller, and/or display is arranged earlier above
The corresponding window of several dialysis parameters compared with dark colour to mark, by the corresponding window of several dialysis parameters after display arrangement relatively
Mouth arranges the corresponding window arrangement of several dialysis parameters earlier above in display interface with shallower color mark, and/or by display
Center, will display arrangement relatively after the corresponding window arrangement of several dialysis parameters on the periphery of display interface.
During Patients Undergoing Hemodialysis, the certain dialysis parameters of key monitoring are needed, for the weight of effectively prominent monitoring
Every dialysis parameters can be ranked up by point according to significance level in advance, will show the relatively important, dialysis of sequence earlier above
The corresponding window of parameter is focused on display, and will show that the corresponding window of dialysis parameters relatively secondary, that sequence is compared with after carries out
Reduction display.Medical staff will not undertake huge monitoring load because of the dialysis parameters excessively monitored as a result, but have weight
Point ground is monitored important dialysis parameters.
In the present embodiment, the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time
It is shown in the same window specifically: the same item dialysis parameters of this and haemodialysis several times before are depicted as with dialysis
The curve of time change, and be shown in a window.
When by the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time with dialysis
Between the curve form that changes be shown in a window, can intuitively, visually observe this and before every dialysis several times
The change curve of parameter, thus to multinomial dialysis parameters and the progress of haemodialysis several times before in this blood dialysis
Compare, medical staff is made to be more easier to judge the work of the physical condition and hemodialyzer of patient in this blood dialysis
Make whether state is in normal condition, to monitor entire blood dialysis more accurately.
In the present embodiment, dialysis parameters include the blood parameters obtained by detection blood, by detection dialyzate
And the dialyzate parameter obtained.
The process of haemodialysis is to carry out mass exchange by disperse/convection current between blood and dialyzate, therefore in blood
During the monitoring of dialysis, for the safety and treatment validity of general warranty haemodialysis, need to monitor blood ginseng simultaneously
Several and dialyzate parameter.
In the present embodiment, data monitoring method is further comprising the steps of: will show the corresponding window arrangement of blood parameters
On one side of display interface, by the corresponding window arrangement of display dialyzate parameter in the another side of display interface.
It will show that the corresponding window of blood parameters window corresponding with display dialyzate parameter is separately shown in the display interface
Show, medical staff can be made to be easier to find the corresponding window of a certain dialysis parameters of display, and display interface also can more added with
Orderliness.
In the present embodiment, data monitoring method is further comprising the steps of: according to request, specify several closes or
It minimizes.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysis
It closes or minimizes, several windows are opened or are maximized, the corresponding window of several dialysis parameters only monitored required for display
Mouthful, to increase the flexibility monitored to blood dialysis.
In the present embodiment, blood parameters include blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood
Flow rate v, blood temperature T1, blood pressure P, blood dry weight ρ, haemoconcentration n1One or more of them, dialyzate parameter
Including dialyzate turnover rate c, dialysate temperature T2, dialysate concentration n2, dialyzate ingredient specific gravity one or more of them.
It can be known by monitoring blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood flow rate v
The efficiency and the abundant degree of dialysis of current patents' haemodialysis.By monitoring blood temperature T1, blood pressure P, blood dry weight
ρ, haemoconcentration n1It can know whether the physical condition of current patents is at a normal level.By monitoring dialyzate turnover rate c,
Dialysate temperature T2, dialysate concentration n, dialyzate ingredient specific gravity can know that the dialyzate configured in current haemodialysis is
It is no appropriate.
It is as shown in Figure 1 the display interface schematic diagram on monitoring display screen in blood dialysis.13 windows are shared in Fig. 1
Mouth arrangement display.Assuming that blood urea nitrogen concentration BUN and dialysate temperature T2It is most important two of them dialysis parameters, blood
Urea nitrogen concentration BUN and dialysate temperature T2Corresponding window is that size is maximum in 13 windows, and is located at display interface
Center.And more secondary blood parameters, such as urea clear index K, ultrafiltration volume UF, blood flow rate v, blood temperature T1、
Blood pressure P, blood dry weight ρ, haemoconcentration n1Corresponding window size is smaller, and is centrally located at a left side for display interface
Side；More secondary dialyzate parameter, such as dialyzate turnover rate c, dialysate concentration n2, the corresponding window of dialyzate ingredient specific gravity
Size is smaller, and is centrally located at the right of display interface.
It in the specific implementation process, can also be by blood urea nitrogen concentration BUN and dialysate temperature T2Corresponding edge of window
The color of frame and/or background is tuned into deeper color, and the color of other window borders and/or background is tuned into shallower color.
Each window shows a certain dialysis parameters with the change curve of dialysis time, and the solid line in each window indicates
In this haemodialysis dialysis parameters with dialysis time change curve, dotted line indicate in last haemodialysis dialysis parameters with
The change curve of dialysis time.Shown every dialysis parameters are only used for showing with the change curve of dialysis time in Fig. 1
Meaning, every dialysis parameters with dialysis time change curve trend and rule might not be actually consistent.
It further include the window of the every dialysis index normal reference range of a display in display interface, in Patients Undergoing Hemodialysis
During, every dialysis index normal reference range that medical staff can show with reference to the window judges other window institutes
Whether every dialysis index of display is within normal range (NR), to monitor the physical condition of patient and the work of hemodialyzer
Make state.
There is close button 1 in the upper right corner of each window and minimizes button 2.Medical staff can pass through close button 1
Several windows are closed, makes several dialysis parameters monitored required for only showing on monitoring display screen, minimum can also be passed through
Change button 2 and minimize several windows, makes only to show the current desired several dialysis parameters to be monitored on monitoring display screen, when
When several dialysis parameters monitored required for preceding change, several windows closed before can also be reopened,
Several windows minimized before can be carried out maximizing and restore display.
In the present embodiment, dialyzing method is further comprising the steps of:
When patient's haemodialysis each time is completed, according to the corresponding multinomial dialysis parameters of difference dialysis time detected
Calculate and store the corresponding dialysis index of different dialysis times of the abundant degree of reflection dialysis；
When patient completes first time haemodialysis, the calculated dialysis index of this haemodialysis institute is shown；
When patient completes second and later haemodialysis, show the calculated dialysis index of this haemodialysis institute with
The dialysis index that haemodialysis several times before is stored.
The most important factor for influencing the therapeutic effect of haemodialysis is the abundant degree of dialysis, therefore in patient's blood each time
Liquid dialysis will assess the abundant degree of haemodialysis when completing, assess the therapeutic effect of haemodialysis, to work out
The therapeutic scheme of next step.The abundant degree of haemodialysis is assessed mainly in terms of three: Solute removal assessment, moisture are removed
Assessment, clinical assessment.Solute removal assessment is removed score Kt/V, urea reduction rate URR, Solute removal generally by urea and is referred to
The dialysis index such as number SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR carries out quantitative evaluation；Moisture removing is commented
Estimate and is assessed generally by the dry weight before and after patients with hemodialysis.
Wherein, urea remove score Kt/V calculation formula can for Kt/V=-ln (R-0.08 × t)+(4-3.5R) ×
UF/W1, in formula R be after dialysis BUN and before dialysing BUN ratio, W is the weight after Patients Undergoing Hemodialysis；Urea reduction rate URR
Calculation formula can be URR=100 × (1-C+/C0), C+ is that blood urea nitrogen concentration BUN, C0 are dialysis after dialysis in formula
Preceding blood urea nitrogen concentration BUN；The calculation formula of Solute removal index SRI can beR is in formula
Solute removal amount, G are solute production rates, and C1 is the haemoconcentration n before dialysis1, V1It is urea distribution volume before dialysing；Protein
The calculation formula of metabolic rate PCR can be PCR=(C0-C+) × (0.045/ Δ t), Δ t is haemodialysis interval twice in formula
Number of days；The calculation formula of normalized protein metabolic rate nPCR is nPCR=PCR/W2, W in formula2It is patient's actual weight or reason
Think weight.
The dialysis index of this and the haemodialysis several times before of the same patient is all shown to come, it can be for should
The dialysis index for the not homogeneous haemodialysis that name patient itself is carried out is compared, both it will be seen that patient is receiving long-term
Whether body changes after hemodialysis, and can check whether hemodialyzer dialyses under function because using too long
Drop.
In specific implementation process, dialysis parameters processor is set on hemodialyzer, and dialysis parameters processor is according to institute
The different dialysis times that the corresponding multinomial dialysis parameters of the different dialysis times of detection calculate the abundant degree of reflection dialysis are corresponding
Dialysis index, and send calculated result on monitoring display screen and show, while being sent in memory and storing.Memory
It can send the dialysis index of haemodialysis several times before being stored on monitoring display screen, so that this haemodialysis
The dialysis index that dialysis index and haemodialysis several times before are stored can be with simultaneous display on monitoring display screen.
In the present embodiment, dialysis index includes that urea removes score Kt/V, urea reduction rate URR, Solute removal index
The one or more of them of SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR.
Urea removes score Kt/V, urea reduction rate URR, Solute removal index SRI, protein metabolism rate PCR, standardization
Protein metabolism rate nPCR is the dialysis index that can reflect the abundant degree of haemodialysis, and items dialysis index is to haemodialysis
The judge of abundant degree has respective pros and cons, and medical staff can integrate a variety of dialysis indexs, comprehensively analyze haemodialysis
Abundant degree.
Preferably, show this haemodialysis calculated dialysis index and haemodialysis several times before stored
Dialysis index specifically: shown with dialysing index with the curve form that haemodialysis number changes.
By this haemodialysis calculated dialysis index and the dialysis index that is stored of haemodialysis several times before
Dialysis index is depicted as with the curve of dialysis number variation, then curve is shown, can intuitively, visually observe with
The variation tendency of the increase dialysis index of dialysis number, so that understanding patient's body after receiving long-term hemodialysis is
It is no to change, and check whether hemodialyzer dialyses function reduction because using too long.
Preferably, when index of dialysing is a variety of, different dialysis indexs is shown in not with the change curve of dialysis number
Same window, multiple window arrangements are shown.
Different dialysis indexs is shown in different windows with the change curve of dialysis number, and these windows are in an orderly manner
Arrangement display, medical staff can easily analyze each dialysis index respectively.
Preferably, can be according to request, specified every dialysis index is with the corresponding window of change curve of dialysis number
No opening.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysis
Close or minimize, several windows open or maximize, only display required for analyze several dialysis indexs with dialyse when
Between the curve that changes, to increase the flexibility to the abundant degree analyzing process of haemodialysis.
It is illustrated in figure 2 display interface schematic diagram when haemodialysis is completed on monitoring display screen.There is 3 windows in Fig. 2
A line is formed to sequence side by side, is respectively illustrated urea and is removed score Kt/V, urea reduction rate URR, Solute removal index SRI with saturating
Analyse the curve of number variation.There is close button 1 in the upper right corner of each window and minimizes button 2.Medical staff can pass through
Close button 1 closes several windows, makes on monitoring display screen several dialysis indexs analyzed required for only display, can also be with
Several windows are minimized by minimizing button 2, refer to several dialysis analyzed required for only showing on monitoring display screen
Mark, several windows closed before can also be reopened, several windows minimized before can also be maximized
Restore display.
The same or similar label correspond to the same or similar components；
Described in attached drawing positional relationship for only for illustration, should not be understood as the limitation to this patent；
Obviously, the above embodiment of the present invention be only to clearly illustrate example of the present invention, and not be pair
The restriction of embodiments of the present invention.For those of ordinary skill in the art, may be used also on the basis of the above description
To make other variations or changes in different ways.There is no necessity and possibility to exhaust all the enbodiments.It is all this
Made any modifications, equivalent replacements, and improvements etc., should be included in the claims in the present invention within the spirit and principle of invention
Protection scope within.
Claims (10)
1. a kind of data monitoring method for haemodialysis, which comprises the following steps:
It is carried out each time in blood dialysis in patient, real-time detection simultaneously stores the corresponding multinomial dialysis ginseng of different dialysis times
Number；
It is carried out in first time blood dialysis in patient, shows the corresponding multinomial dialysis ginseng of the different dialysis times of real-time detection
Number；
It is carried out in second and later blood dialysis in patient, the different dialysis times of simultaneous display real-time detection are corresponding
The corresponding multinomial dialysis parameters of the different dialysis times that multinomial dialysis parameters and before haemodialysis several times are stored.
2. the data monitoring method according to claim 1 for haemodialysis, which is characterized in that show real-time detection
The different dialysis times that the corresponding multinomial dialysis parameters of different dialysis times and haemodialysis several times before are stored are corresponding
Multinomial dialysis parameters specifically: the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time are aobvious
Show in the same window, the corresponding different item dialysis parameters of this different with haemodialysis several times before dialysis time are shown in
Different windows, multiple window arrangements are shown.
3. the data monitoring method according to claim 2 for haemodialysis, which is characterized in that further include following step
It is rapid: according to the significance level of every dialysis parameters by every dialysis parameters carry out sequence arrangement, by display arrangement earlier above several
The corresponding window size setting of item dialysis parameters is larger, will show the corresponding window size of several dialysis parameters after arrangement relatively
Setting is smaller, and/or display is arranged the corresponding window of several dialysis parameters earlier above to mark compared with dark colour, and display is arranged
The corresponding window of several dialysis parameters after arranging relatively is with shallower color mark, and/or several items that display is arranged earlier above are saturating
The corresponding window arrangement of parameter is analysed in the center of display interface, by the corresponding window of several dialysis parameters after display arrangement relatively
It is arranged in the periphery of display interface.
4. the data monitoring method according to claim 3 for haemodialysis, which is characterized in that this and it is several before
The corresponding same item dialysis parameters of secondary haemodialysis difference dialysis time are shown in the same window specifically: by this and before
The same item dialysis parameters of haemodialysis several times are depicted as the curve changed with dialysis time, and are shown in a window.
5. the data monitoring method according to claim 1-4 for haemodialysis, which is characterized in that described
Analysis parameter includes by detecting the blood parameters that blood obtains, the dialyzate parameter obtained by detecting dialyzate.
6. the data monitoring method according to claim 5 for haemodialysis, which is characterized in that further include following step
It is rapid: will to show that on one side of display interface, the corresponding window of display dialyzate parameter is arranged for the corresponding window arrangement of blood parameters
It is listed in the another side of display interface.
7. the data monitoring method according to claim 6 for haemodialysis, which is characterized in that further include following step
It is rapid: according to request, to specify several closes or minimum.
8. the data monitoring method according to claim 7 for haemodialysis, which is characterized in that the blood parameters packet
Include blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood flow rate v, blood temperature T1, blood pressure P,
Blood dry weight ρ, haemoconcentration n1One or more of them, the dialyzate parameter includes dialyzate turnover rate c, dialyzate temperature
Spend T2, dialysate concentration n2, dialyzate ingredient specific gravity one or more of them.
9. -4, the described in any item data monitoring methods for haemodialysis of 5-8 according to claim 1, which is characterized in that also
The following steps are included:
When patient's haemodialysis each time is completed, calculated according to the corresponding multinomial dialysis parameters of difference dialysis time detected
And store the corresponding dialysis index of different dialysis times of the abundant degree of reflection dialysis；
When patient completes first time haemodialysis, the calculated dialysis index of this haemodialysis institute is shown；
When patient completes second and later haemodialysis, the calculated dialysis index of this haemodialysis institute and before is shown
The dialysis index that haemodialysis several times is stored.
10. the data monitoring method according to claim 9 for haemodialysis, which is characterized in that the dialysis index
Score Kt/V, urea reduction rate URR, Solute removal index SRI, protein metabolism rate PCR, normalization protein are removed including urea
The one or more of them of matter metabolic rate nPCR.
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110648755A (en) * | 2019-09-10 | 2020-01-03 | 云南博亚医院有限公司 | Hemodialysis quality evaluation and management system |
| CN111781096A (en) * | 2020-07-10 | 2020-10-16 | 成都大熊猫繁育研究基地 | Correction method of panda urine hormone |
| CN112992333A (en) * | 2019-12-18 | 2021-06-18 | 森睿软件系统(上海)有限公司 | Diagnostic device and method for diagnosing adequacy of hemodialysis |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101175515A (en) * | 2005-06-22 | 2008-05-07 | 日机装株式会社 | Hemodialysis treatment apparatus and method for hemodialysis treatment |
| CN101193667A (en) * | 2005-04-08 | 2008-06-04 | 日机装株式会社 | Hemodialysis apparatus and method for hemodialysis |
| CN102625718A (en) * | 2009-09-04 | 2012-08-01 | B·布莱恩·阿维图姆股份公司 | Kidney substitution treatment machine |
| US20130167052A1 (en) * | 2011-12-22 | 2013-06-27 | Michael Niesslein | Drug Delivery Devices and Related Systems and Methods |
| CN104487975A (en) * | 2012-05-18 | 2015-04-01 | 皇家飞利浦有限公司 | Method of rendering hemodynamic instability index indicator information |
-
2018
- 2018-10-17 CN CN201811210936.1A patent/CN109300543A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101193667A (en) * | 2005-04-08 | 2008-06-04 | 日机装株式会社 | Hemodialysis apparatus and method for hemodialysis |
| CN101175515A (en) * | 2005-06-22 | 2008-05-07 | 日机装株式会社 | Hemodialysis treatment apparatus and method for hemodialysis treatment |
| CN102625718A (en) * | 2009-09-04 | 2012-08-01 | B·布莱恩·阿维图姆股份公司 | Kidney substitution treatment machine |
| US20130167052A1 (en) * | 2011-12-22 | 2013-06-27 | Michael Niesslein | Drug Delivery Devices and Related Systems and Methods |
| CN104487975A (en) * | 2012-05-18 | 2015-04-01 | 皇家飞利浦有限公司 | Method of rendering hemodynamic instability index indicator information |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110648755A (en) * | 2019-09-10 | 2020-01-03 | 云南博亚医院有限公司 | Hemodialysis quality evaluation and management system |
| CN112992333A (en) * | 2019-12-18 | 2021-06-18 | 森睿软件系统(上海)有限公司 | Diagnostic device and method for diagnosing adequacy of hemodialysis |
| CN111781096A (en) * | 2020-07-10 | 2020-10-16 | 成都大熊猫繁育研究基地 | Correction method of panda urine hormone |
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