在线血容量监测在血液透析患者数据信息系统的应用  

Design studies and discussions of online blood volume monitoring system in hemodialysis patient data information management

作　　者：赵丽萍[1] 张飞鸿[1] 周怡[1] 

机构地区：[1]上海交通大学附属第六人民医院血液透析中心,上海200233

出　　处：《中国医学装备》2014年第3期25-28,共4页China Medical Equipment

摘　　要：目的:依据血容量监测的相关原理及监测方法,将血液透析患者在线血容量监测数据进行信息化管理。方法:将在线血容量监测仪所记载的血液透析患者的治疗参数通过相关技术形式对监测数据进行下载研究分析。结果:血容量监测可以直观了解患者透析过程中血容量的变化,有助于避免透析中低血压的发生,并可评价患者干体重。在充分获取数据的同时,有效利用血容量监测系统(BVMS),对相关治疗数据进行下载、输出及编辑,实现了信息化管理。结论:通过掌握血容量变化(△BV)与血压关联性的画面构成,在一定程度上可以推测血压下降的原因;通过将监测数据相结合可有助于干体重的管理,有利血液透析患者数据信息的管理,并可根据患者临床表现结合血容量监测来确定合适的超滤量,调整干体重,制定适合的治疗方案。Objective： According to the relevant principles of blood volume monitoring and monitoring methods, to apply online monitoring data information management in the blood volume monitoring for hemodialysis patients. Methods：through the relevant technical form and its function of monitoring data to study and analyze of treatment parameters of hemodialysis patients described in online blood volume monitor, to achieve data analyzed by using information management system. Results： the blood volume can be visually monitored during the hemodialysis to understand changes in the blood volume of hemodialysis patients, it helps to avoid the occurrence of hypotension and evaluation of patients with dry weights during the hemodialysis. The data can be downloaded, exported, and edited at the same the while fully access to treatment data by effective using of blood volume monitoring data management system （BVMS）, in order to achieve data analyzed by using information management system. Conclusion：by understanding the correlation betweenΔBV and blood pressure screen composition can help to speculate the reasons for drop in blood pressure;by combining the examination data can help to control dry weight management, by fully accessing to data can help to manage hemodialysis patient data information management system, and according to patients expression and display of blood volume monitoring to determine the appropriate amount of ultrafiltration, adjust dry weight and develop an appropriate treatment plan.

关 键 词：血液透析 血容量监测 信息化管理 干体重 

分 类 号：R197.324[医药卫生—卫生事业管理]