持续质量改进降低腹膜透析的漂管、堵管发生率  

Continuous quality improvement has reduced the incidence of peritoneal dialysis catheter migration and plugging

作　　者：胡静[1] 张浩[1] 季迎[1] 刘骏[1] 张柯[1] 

机构地区：[1]中南大学湘雅三医院肾内科,长沙410013

出　　处：《国际病理科学与临床杂志》2012年第4期287-291,共5页Journal of International Pathology and Clinical Medicine

摘　　要：目的:通过持续质量改进措施,降低腹膜透析患者的漂管、堵管致腹透管功能障碍的发生率。方法:观察持续质量改进(continous quality improvement,CQI)前2002年至2007年的腹膜透析植管患者共226例,持续质量改进后2008年至2011年的腹膜透析植管患者共302例,分析、总结发生漂管、堵管的可能原因;运用PDCA四步法[设计(plan)—实施(do)—检验(check)—应用(act)]设计,并实施减少漂管、堵管发生率的流程。结果:CQI后我中心的腹透植管的漂管、堵管所致腹透管功能障碍的发生率明显降低,由CQI前的5.9%降至2.3%。结论:通过CQI改进措施,降低了腹膜透析的漂管、堵管的发生率。Objective： To reduce the incidence of peritoneal dialysis（PD） catheter dysfunction caused by catheter migration or plugging through a continuous quality improvement（CQI） process.Methods： Two hundred fifty-six patients with catheters inserted（from 2002 to 2007） before CQI,and another 302 patients with catheters inserted（from 2008 to 2011） after CQI were observed and analyzed.The possible causes of catheter migration or plugging were summarized,and,on the basis of this,a PDCA four-step（plan,do,check and act） method was designed with a view to reducing the incidence of migration or catheter plugging.Results： PD catheter dysfunction caused by catheter migration or plugging was significantly reduced from 5.9% to 2.3% of catheters placed.Conclusion： The CQI is a useful method to reduce the incidence of catheter dysfunction in peritoneal dialysis.

关 键 词：腹膜透析 持续质量改进 漂管 堵管 

分 类 号：R692.5[医药卫生—泌尿科学]