CN109529143A - Automated peritoneal dialysis machine flow control method - Google Patents
Automated peritoneal dialysis machine flow control method Download PDFInfo
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- CN109529143A CN109529143A CN201811309529.6A CN201811309529A CN109529143A CN 109529143 A CN109529143 A CN 109529143A CN 201811309529 A CN201811309529 A CN 201811309529A CN 109529143 A CN109529143 A CN 109529143A
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- periodicity
- peritoneal dialysis
- control method
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
- A61M1/282—Operational modes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
- A61M1/282—Operational modes
- A61M1/284—Continuous flow peritoneal dialysis [CFPD]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
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- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Urology & Nephrology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a kind of automated peritoneal dialysis machine flow control method, the flow control method includes: customized duration circulation peritoneal dialysis control method and customized tidal peritoneal dialysis control method；The customized duration circulation peritoneal dialysis control method is to increase short time at initial stage, low dose of control flow on the basis of duration recycles peritoneal dialysis control method, then enters the control flow of large dosage for a long time；Entire direct current process is divided into several segments that is, on the basis of existing tidal peritoneal dialysis control method by the customized tidal peritoneal dialysis control method, every section be all a minor cycle tidal peritoneal dialysis.Flow control method of the invention can play the role of improving ultrafiltration, preferably remove toxin, have better applicability to different patients undergoing peritoneal dialysis, to promote therapeutic effect.
Description
Technical field
The present invention relates to automated peritoneal dialysis fields, and in particular to a kind of automated peritoneal dialysis machine flow control method.
Background technique
Peritoneal dialysis and haemodialysis, kidney transplant are three kinds of essential therapeutic arsenals of middle end stage renal patient at present.By
Cause the patient of kidney transplant gradually few in the shortage of kidney source, and the patient of Blood Dialyzing Center at different levels is gradually saturated, peritoneal dialysis just quilt
More and more patients are used.
Currently, automated peritoneal dialysis control method is mostly duration circulation peritoneal dialysis control method and tidal peritoneal dialysis
Control method, although this two methods can replace Manual peritoneal dialysis reach preferable therapeutic effect, for some patients,
There are still ultrafiltration effects, and undesirable, toxin removes phenomena such as inadequate, lacks more preferably automated peritoneal dialysis flow control method,
So that patients undergoing peritoneal dialysis is reached better therapeutic effect, hinders the development of automated peritoneal dialysis to a certain extent.
Summary of the invention
The purpose of the present invention is to provide a kind of automated peritoneal dialysis machine flow control methods.
Realize the technical solution of the object of the invention are as follows: a kind of automated peritoneal dialysis machine flow control method, including make by oneself
Adopted duration circulation peritoneal dialysis control and customized tidal peritoneal dialysis control；
The customized duration recycles peritoneal dialysis control method are as follows:
A control flow) is divided into two stages；
B periodicity, the monocycle injection rate, indwelling time of first stage) are set；
C periodicity, the monocycle injection rate, indwelling time of second stage) are set；
D) in dialysis procedure, determine periodicity:
If current period number is less than or equal to the periodicity of first stage, uses the monocycle injection rate of first stage and stay
Set time progress Row control；
If current period is greater than the periodicity of first stage, it is less than or equal to total periodicity, then uses the single-revolution of second stage
Phase injection rate and indwelling time carry out Row control, and total periodicity is that first stage periodicity adds the comprehensive of second stage periodicity
It closes；
The customized tidal peritoneal dialysis control method are as follows:
A) when total periodicity in setting dialysis procedure, monocycle injection rate, tidal capacity, monocycle ultrafiltration volume and indwelling
Between；
B) setting drains complete period distances；
C) in dialysis procedure, determine periodicity:
If a) periodicity is (k* drains complete period distances+1), wherein k=0,1,2 ..., then injection rate is monocycle note
Enter amount, drainage flow is (tidal capacity+monocycle ultrafiltration volume)；
If b) periodicity is (k* drains complete period distances), injection rate is tidal capacity, and drainage flow is until drawing to the greatest extent
Until；
If c) periodicity is equal to total periodicity, injection rate according to a), b) in decision principle determine that drainage flow is until draw
Until to the greatest extent；
D) other periods, it is injected to tidal capacity, drainage flow is (tidal capacity+monocycle ultrafiltration volume).
Compared with prior art, remarkable advantage of the invention are as follows: the present invention recycles peritoneal dialysis using customized duration
Control and customized tidal peritoneal dialysis control two kinds of flow control methods, can be long by short time, low dose of raising ultrafiltration
Time, large dosage preferably remove toxin, have better applicability to different patients undergoing peritoneal dialysis, to promote treatment effect
Fruit.
Detailed description of the invention
Fig. 1 is customized duration circulation peritoneal dialysis control method schematic diagram.
Fig. 2 is customized tidal peritoneal dialysis control method schematic diagram.
Specific embodiment
A kind of automated peritoneal dialysis machine flow control method of the invention, including customized duration recycle peritoneal dialysis
Control and customized tidal peritoneal dialysis control；
The customized duration recycles peritoneal dialysis control method are as follows:
A control flow) is divided into two stages；
B periodicity, the monocycle injection rate, indwelling time of first stage) are set；
C periodicity, the monocycle injection rate, indwelling time of second stage) are set；
D) in dialysis procedure, determine periodicity
If a) current period number be less than or equal to the first stage periodicity, using the first stage monocycle injection rate and
Indwelling time carries out Row control；
If b) current period is greater than the periodicity of first stage, it is less than or equal to total periodicity, i.e. first stage periodicity adds
The synthesis of second stage periodicity then carries out Row control using the monocycle injection rate of second stage and indwelling time；
The customized tidal peritoneal dialysis control method are as follows:
A) when total periodicity in setting dialysis procedure, monocycle injection rate, tidal capacity, monocycle ultrafiltration volume and indwelling
Between；
B) setting drains complete period distances；
C) in dialysis procedure, determine periodicity
If a) periodicity is (k* drains complete period distances+1), wherein k=0,1,2 ..., then injection rate is monocycle note
Enter amount, drainage flow is (tidal capacity+monocycle ultrafiltration volume)；
If b) periodicity is (k* drains complete period distances), injection rate is tidal capacity, and drainage flow is until drawing to the greatest extent
Until；
If c), periodicity is equal to total periodicity, injection according to a), b) in decision principle, drainage flow is until drawing and being to the greatest extent
Only；
D) if other periods, it is injected to tidal capacity, drainage flow is (tidal capacity+monocycle ultrafiltration volume).
The invention will be further described with reference to the accompanying drawings and examples.
Embodiment
According to Fig. 1, customized duration circulation peritoneal dialysis control method includes two stages, and specific steps are such as
Under:
1) control flow is divided into two stages；
2) periodicity N, the monocycle injection rate F1, indwelling time D1 of first stage are set；
3) periodicity (M-N), the monocycle injection rate F2, indwelling time D2 of second stage are set；
4) over the course for the treatment of, determine periodicity cycle；
If 5) cycle≤N, injection rate F1, indwelling time D1；
If 6) N < cycle≤M, M are total periodicity, then injection rate is F2, indwelling time D2.
According to Fig.2, specific step is as follows for customized duration circulation peritoneal dialysis control method:
1) set therapeutic process in total periodicity M, monocycle injection rate F, tidal capacity TF, monocycle ultrafiltration volume UF and
Indwelling time D；
2) setting drainage period distances n；
3) over the course for the treatment of, determine periodicity cycle；
If 4) cycle=k*n+1 (wherein k=0,1,2 ... M/n are rounded), then injection rate is F, and drainage flow is (TF+UF)；
If 5) cycle=k*n (wherein k=1,2 ... M/n are rounded), then injection rate is TF, and drainage flow is by intraperitoneal liquid
Drainage is complete；
If 6) cycle=M, injection is according to a), b) decision principle, drainage flow are that intraperitoneal liquid drain is complete；
7) other periods, it is injected to TF, drainage flow is (TF+UF).
Claims (2)
1. a kind of automated peritoneal dialysis machine flow control method, which is characterized in that saturating including customized duration circulation peritonaeum
Analysis control and customized tidal peritoneal dialysis control；
The customized duration recycles peritoneal dialysis control method are as follows:
A control flow) is divided into two stages；
B periodicity, the monocycle injection rate, indwelling time of first stage) are set；
C periodicity, the monocycle injection rate, indwelling time of second stage) are set；
D) in dialysis procedure, determine periodicity:
If current period number is less than or equal to the periodicity of first stage, when using the monocycle injection rate and indwelling of first stage
Between carry out Row control；
If current period is greater than the periodicity of first stage, it is less than or equal to total periodicity, then is infused using the monocycle of second stage
Enter amount and indwelling time carries out Row control, total periodicity is the synthesis that first stage periodicity adds second stage periodicity；
The customized tidal peritoneal dialysis control method are as follows:
A total periodicity, monocycle injection rate, tidal capacity, monocycle ultrafiltration volume and the indwelling time in dialysis procedure) are set；
B) setting drains complete period distances；
C) in dialysis procedure, determine periodicity:
If a) periodicity is (k* drains complete period distances+1), wherein k=0,1,2 ..., then injection rate is monocycle injection
Amount, drainage flow are (tidal capacity+monocycle ultrafiltration volume)；
If b) periodicity is (k* drains complete period distances), injection rate is tidal capacity, and drainage flow is until drawing to the greatest extent；
If c) periodicity is equal to total periodicity, injection rate according to a), b) in decision principle determine that drainage flow is until drawing and being to the greatest extent
Only；
D) other periods, it is injected to tidal capacity, drainage flow is (tidal capacity+monocycle ultrafiltration volume).
2. automated peritoneal dialysis machine flow control method according to claim 1, which is characterized in that k=0,1,2 ...
[M/n], M are total periodicity, and for n to drain complete period distances, " [] " is that rounding symbol is that [M/n] expression one is less than or waits
In the maximum integer of M/n.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811309529.6A CN109529143B (en) | 2018-11-05 | 2018-11-05 | Flow control method for automatic peritoneal dialysis machine |
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|---|---|---|---|
| CN201811309529.6A CN109529143B (en) | 2018-11-05 | 2018-11-05 | Flow control method for automatic peritoneal dialysis machine |
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| CN109529143A true CN109529143A (en) | 2019-03-29 |
| CN109529143B CN109529143B (en) | 2021-05-04 |
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Citations (8)
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|---|---|---|---|---|
| WO2009134881A1 (en) * | 2008-05-02 | 2009-11-05 | Baxter International Inc. | Optimizing therapy outcomes for peritoneal dialysis |
| CN102026676A (en) * | 2008-04-09 | 2011-04-20 | 株式会社Jms | Haemodialysis device |
| US20120150102A1 (en) * | 2009-01-29 | 2012-06-14 | Baxter Healthcare S.A. | Method for optimizing tidal therapies employing ultrafiltrate trending |
| US20130146056A1 (en) * | 2008-03-24 | 2013-06-13 | Covidien Lp | Method and system for classification of photo-plethysmographically detected respiratory effort |
| CN103619372A (en) * | 2011-03-23 | 2014-03-05 | 纳科斯达格医药股份有限公司 | Peritoneal dialysis system, device and method |
| CN105447305A (en) * | 2015-11-12 | 2016-03-30 | 中国船舶重工集团公司第七一六研究所 | Remotely monitored peritoneal dialysis system and monitoring method |
| CN106573097A (en) * | 2014-08-13 | 2017-04-19 | 弗雷森纽斯医疗护理德国有限责任公司 | Device for determining the peritoneal pressure |
| CN106794296A (en) * | 2014-09-05 | 2017-05-31 | 弗雷森纽斯医疗护理德国有限责任公司 | Equipment for performing tidal peritoneal dialysis treatment |
-
2018
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Patent Citations (8)
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| US20130146056A1 (en) * | 2008-03-24 | 2013-06-13 | Covidien Lp | Method and system for classification of photo-plethysmographically detected respiratory effort |
| CN102026676A (en) * | 2008-04-09 | 2011-04-20 | 株式会社Jms | Haemodialysis device |
| WO2009134881A1 (en) * | 2008-05-02 | 2009-11-05 | Baxter International Inc. | Optimizing therapy outcomes for peritoneal dialysis |
| US20120150102A1 (en) * | 2009-01-29 | 2012-06-14 | Baxter Healthcare S.A. | Method for optimizing tidal therapies employing ultrafiltrate trending |
| CN103619372A (en) * | 2011-03-23 | 2014-03-05 | 纳科斯达格医药股份有限公司 | Peritoneal dialysis system, device and method |
| CN106573097A (en) * | 2014-08-13 | 2017-04-19 | 弗雷森纽斯医疗护理德国有限责任公司 | Device for determining the peritoneal pressure |
| CN106794296A (en) * | 2014-09-05 | 2017-05-31 | 弗雷森纽斯医疗护理德国有限责任公司 | Equipment for performing tidal peritoneal dialysis treatment |
| CN105447305A (en) * | 2015-11-12 | 2016-03-30 | 中国船舶重工集团公司第七一六研究所 | Remotely monitored peritoneal dialysis system and monitoring method |
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Address after: 222006 No. 18, Shenghu Road, Lianyungang, Jiangsu Patentee after: The 716th Research Institute of China Shipbuilding Corp. Patentee after: JIANGSU JARI TECHNOLOGY GROUP Co.,Ltd. Patentee after: PEKING UNIVERSITY PEOPLE'S Hospital Address before: 222006 No. 18, Shenghu Road, Lianyungang, Jiangsu Patentee before: 716TH RESEARCH INSTITUTE OF CHINA SHIPBUILDING INDUSTRY Corp. Patentee before: JIANGSU JARI TECHNOLOGY GROUP Co.,Ltd. Patentee before: PEKING UNIVERSITY PEOPLE'S Hospital |
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