CN109529143B - Flow control method for automatic peritoneal dialysis machine - Google Patents
Flow control method for automatic peritoneal dialysis machine Download PDFInfo
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- CN109529143B CN109529143B CN201811309529.6A CN201811309529A CN109529143B CN 109529143 B CN109529143 B CN 109529143B CN 201811309529 A CN201811309529 A CN 201811309529A CN 109529143 B CN109529143 B CN 109529143B
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- peritoneal dialysis
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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
Abstract
The invention discloses a process control method for an automatic peritoneal dialysis machine, which comprises the following steps: a user-defined continuous circulating peritoneal dialysis control method and a user-defined tidal peritoneal dialysis control method; the user-defined continuous circulating peritoneal dialysis control method is characterized in that a control flow of short time and small dosage at the initial stage is added on the basis of the continuous circulating peritoneal dialysis control method, and then a control flow of large dosage for a long time is entered; the customized tidal peritoneal dialysis control method is characterized in that the whole direct-current process is divided into a plurality of sections on the basis of the existing tidal peritoneal dialysis control method, and each section is tidal peritoneal dialysis with a small period. The flow control method can play a role in improving ultrafiltration and better removing toxins, and has better applicability to different peritoneal dialysis patients, thereby improving the treatment effect.
Description
Technical Field
The invention relates to the field of automatic peritoneal dialysis, in particular to a flow control method for an automatic peritoneal dialysis machine.
Background
Peritoneal dialysis and hemodialysis, kidney transplantation are currently the three main treatment modalities for end-stage and mid-stage renal patients. Peritoneal dialysis is being adopted by an increasing number of patients as renal transplant patients become less and patients at various hemodialysis centers become saturated due to a shortage of renal resources.
At present, most of automatic peritoneal dialysis control methods are continuous circulation peritoneal dialysis control methods and tidal peritoneal dialysis control methods, and although the two methods can replace manual peritoneal dialysis to achieve a better treatment effect, phenomena of unsatisfactory ultrafiltration effect, insufficient toxin removal and the like still exist for part of patients, and a better automatic peritoneal dialysis flow control method is lacked, so that the peritoneal dialysis patients achieve a better treatment effect, and the development of automatic peritoneal dialysis is hindered to a certain extent.
Disclosure of Invention
The invention aims to provide a flow control method for an automatic peritoneal dialysis machine.
The technical scheme for realizing the purpose of the invention is as follows: a flow control method for an automatic peritoneal dialysis machine comprises self-defined continuous circulation peritoneal dialysis control and self-defined tide type peritoneal dialysis control;
the self-defined continuous circulating peritoneal dialysis control method comprises the following steps:
A) dividing the control flow into two stages;
B) setting the periodicity, single-period injection amount and retention time of the first stage;
C) setting the periodicity, single-period injection amount and retention time of the second stage;
D) number of decision cycles during dialysis:
if the current periodicity is less than or equal to the periodicity of the first stage, adopting the single-period injection amount and the retention time of the first stage to perform flow control;
if the current period is greater than the period number of the first stage and less than or equal to the total period number, adopting the single-period injection amount and the retention time of the second stage to carry out flow control, wherein the total period number is the combination of the period number of the first stage and the period number of the second stage;
the user-defined tide type peritoneal dialysis control method comprises the following steps:
A) setting total cycle number, single cycle injection amount, tidal volume, single cycle ultrafiltration amount and retention time in the dialysis process;
B) setting a drainage complete period interval;
C) number of decision cycles during dialysis:
a) if the number of cycles is (k × drain complete cycle interval +1), where k is 0,1,2 … …, then the infusion volume is the single cycle infusion volume and the drain volume is (tidal volume + single cycle ultrafiltration volume);
b) if the number of cycles is (k × interval of complete drainage cycles), the injection volume is tidal volume, and the drainage volume is until drainage is completed;
c) if the number of cycles is equal to the total number of cycles, determining the injection amount according to the judgment principle in a) and b), and leading the drainage amount until the drainage amount is exhausted;
d) in other periods, the infusion was tidal volume and the drainage volume was (tidal volume + single-cycle ultrafiltration).
Compared with the prior art, the invention has the following remarkable advantages: the invention adopts two flow control methods of self-defined continuous circulation peritoneal dialysis control and self-defined tidal peritoneal dialysis control, can improve ultrafiltration by short time and small dose, better remove toxin by long time and large dose, and has better applicability to different peritoneal dialysis patients, thereby improving treatment effect.
Drawings
Fig. 1 is a schematic diagram of a customized continuous cycling peritoneal dialysis control method.
Fig. 2 is a schematic diagram of a customized tidal peritoneal dialysis control method.
Detailed Description
The invention relates to a flow control method for an automatic peritoneal dialysis machine, which comprises user-defined continuous circulation peritoneal dialysis control and user-defined tide type peritoneal dialysis control;
the self-defined continuous circulating peritoneal dialysis control method comprises the following steps:
A) dividing the control flow into two stages;
B) setting the periodicity, single-period injection amount and retention time of the first stage;
C) setting the periodicity, single-period injection amount and retention time of the second stage;
D) determining the number of cycles during dialysis
a) If the current periodicity is less than or equal to the periodicity of the first stage, adopting the single-period injection amount and the retention time of the first stage to perform flow control;
b) if the current period is greater than the period number of the first stage and less than or equal to the total period number, namely the combination of the period number of the first stage and the period number of the second stage, adopting the injection amount of the single period of the second stage and the retention time to carry out flow control;
the user-defined tide type peritoneal dialysis control method comprises the following steps:
A) setting total cycle number, single cycle injection amount, tidal volume, single cycle ultrafiltration amount and retention time in the dialysis process;
B) setting a drainage complete period interval;
C) determining the number of cycles during dialysis
a) If the number of cycles is (k × drain complete cycle interval +1), where k is 0,1,2 … …, then the infusion volume is the single cycle infusion volume and the drain volume is (tidal volume + single cycle ultrafiltration volume);
b) if the number of cycles is (k × interval of complete drainage cycles), the injection volume is tidal volume, and the drainage volume is until drainage is completed;
c) if the number of cycles is equal to the total number of cycles, injecting according to the judgment principle in a) and b), and ensuring the drainage quantity until drainage is completed;
d) if the period is other, the infusion is tidal volume, and the drainage volume is (tidal volume + single-cycle ultrafiltration volume).
The invention is further described below with reference to the figures and examples.
Examples
As shown in fig. 1, the customized continuous cycling peritoneal dialysis control method comprises two stages, including the following steps:
1) dividing the control flow into two stages;
2) setting the cycle number N, the single-cycle injection amount F1 and the retention time D1 of the first stage;
3) setting the period number (M-N), the single-period injection amount F2 and the retention time D2 of the second stage;
4) determining cycle of cycles during the course of treatment;
5) if the cycle is less than or equal to N, the injection amount is F1, and the retention time is D1;
6) if N < cycle is less than or equal to M, and M is the total number of cycles, the injection amount is F2, and the retention time is D2.
According to the illustration in fig. 2, the customized continuous circulation peritoneal dialysis control method comprises the following specific steps:
1) setting total cycle number M, single cycle injection amount F, tidal volume TF, single cycle ultrafiltration amount UF and retention time D in the treatment process;
2) setting a drainage period interval n;
3) determining cycle of cycles during the course of treatment;
4) if cycle is k × n +1 (where k is 0,1,2 … M/n rounded up), the injection amount is F and the drainage amount is (TF + UF);
5) if cycle is k n (where k is 1,2 … M/n is rounded), the infusion volume is TF, and the drainage volume is the volume that completely drains the fluid in the abdominal cavity;
6) if the cycle is M, injecting according to the judgment principles of a) and b), and completely draining the liquid in the abdominal cavity;
7) in other cycles, TF was injected and the flow rate was (TF + UF).
Claims (1)
1. A flow control system for an automatic peritoneal dialysis machine is characterized by comprising a user-defined continuous circulation peritoneal dialysis control module and a user-defined tide type peritoneal dialysis control module;
the self-defined continuous circulating peritoneal dialysis control module comprises:
A) dividing the control flow into two stages;
B) setting the periodicity, single-period injection amount and retention time of the first stage;
C) setting the periodicity, single-period injection amount and retention time of the second stage;
D) number of decision cycles during dialysis:
if the current periodicity is less than or equal to the periodicity of the first stage, adopting the single-period injection amount and the retention time of the first stage to perform flow control;
if the current period is greater than the period number of the first stage and less than or equal to the total period number, adopting the single-period injection amount and the retention time of the second stage to carry out flow control, wherein the total period number is the combination of the period number of the first stage and the period number of the second stage;
the user-defined tide type peritoneal dialysis control module is as follows:
A) setting total cycle number, single cycle injection amount, tidal volume, single cycle ultrafiltration amount and retention time in the dialysis process;
B) setting a drainage complete period interval;
C) number of decision cycles during dialysis:
a) if the number of cycles is (k × drainage complete cycle interval +1), the infusion volume is the single-cycle infusion volume, and the drainage volume is (tidal volume + single-cycle ultrafiltration volume); wherein k =0,1,2 … [ M/n ], M is the total number of cycles, n is the drainage full cycle interval, and "[ ]" is the rounding symbol, i.e., [ M/n ] represents a maximum integer less than or equal to M/n;
b) if the number of cycles is (k × interval of complete drainage cycles), the injection volume is tidal volume, and the drainage volume is until drainage is completed;
c) if the number of cycles is equal to the total number of cycles, determining the injection amount according to the judgment principle in a) and b), and leading the drainage amount until the drainage amount is exhausted;
d) in other periods, the infusion was tidal volume and the drainage volume was (tidal volume + single-cycle ultrafiltration).
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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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| CN201811309529.6A CN109529143B (en) | 2018-11-05 | 2018-11-05 | Flow control method for automatic peritoneal dialysis machine |
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| CN109529143A CN109529143A (en) | 2019-03-29 |
| CN109529143B true CN109529143B (en) | 2021-05-04 |
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Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| 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 |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8365730B2 (en) * | 2008-03-24 | 2013-02-05 | Covidien Lp | Method and system for classification of photo-plethysmographically detected respiratory effort |
| US8142649B2 (en) * | 2009-01-29 | 2012-03-27 | Baxter International Inc. | Method for optimizing tidal therapies employing ultrafiltrate trending |
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2018
- 2018-11-05 CN CN201811309529.6A patent/CN109529143B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| 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 |