悬挂式腹膜透析液加热保温袋的研制与应用  

The Development and Application of a Hanging Peritoneal Dialysis Fluid Heating and Insulation Bag

作　　者：吕明花[1] 王惠珍 杨绮璇 李申恒[1] Lv Minghua;Wang Huizhen;Yang Qixuan;Li Shenheng(The Pearl River Hospital of Southern Medical University,Guangzhou Guangdong 510280,China)

机构地区：[1]南方医科大学珠江医院,广东广州510280

出　　处：《医疗装备》2024年第14期21-24,共4页Medical Equipment

基　　金：广东省教育厅高水平大学建设经费南方医科大学临床研究启动项目(LC2016YM012)。

摘　　要：目的研制一款悬挂式腹膜透析液加热保温袋,使腹膜透析液加热后能够恒温灌注腹腔,减少换液中因透析液温度下降导致的相关胃肠道症状。方法悬挂式腹膜透析液加热保温袋袋体由3层组成,内层为碳纤维发热膜和热探头感应器,中间层为防水布,外层为潜水面料并装有拉链,袋体顶部连接悬挂绳。连接电源工作后,悬挂式腹膜透析液加热保温袋可加热腹膜透析液并进入保温模式,恒温腹腔灌注至换液结束。选取2021年8月至2022年4月医院收治的400例腹膜透析患者进行临床验证,以随机数字表法分为观察组与对照组,每组200例。观察组使用本研究设计的悬挂式腹膜透析液加热保温袋进行腹腔灌注,对照组使用保温箱加热透析液进行腹腔灌注。比较两组腹腔灌注疼痛评分和灌注后24 h腹泻情况。结果腹腔灌注过程中,观察组疼痛评分低于对照组(P<0.05);灌注后24 h内,观察组腹泻发生率低于对照组(P<0.05)。结论悬挂式腹膜透析液加热保温袋能够减少换液中因透析液温度下降导致的相关胃肠道症状,适用于住院或居家腹膜透析患者。Objective To develop a hanging peritoneal dialysis fluid heating and insulation bag,which can provide constant temperature perfusion of peritoneal dialysis fluid into the abdominal cavity after heating,and reduce gastrointestinal symptoms caused by the decrease in dialysis fluid temperature during fluid exchange.Methods The body of the hanging peritoneal dialysis fluid heating insulation bag was composed of three layers,the inner layer was carbon fiber heating film and heat probe sensor,the middle layer was waterproof cloth,the outer layer was equipped with zipper,and the top was connected with a suspension rope.After being connected to the power supply,the hanging peritoneal dialysate heating insulation bag can heat the peritoneal dialysate and enter the insulation mode,and the constant temperature abdominal perfusion can be performed until the end of fluid exchange.With the selection of 400 peritoneal dialysis patients admitted to the hospital from August 2021 to April 2022 for clinical validation,they were randomly divided into the observation group and the control group using a random number table method,with 200 cases in each group.With the use of the hanging peritoneal dialysis solution heating insulation bag designed in this study for abdominal perfusion in the observation group,and the use of an incubator to heat dialysate in the control group,the abdominal perfusion pain score and the diarrhea at 24 h after perfusion were compared between the two groups.Results During abdominal perfusion,the pain score of the observation group was lower than that of the control group(P<0.05);Within 24 hours after infusion,the incidence of diarrhea in the observation group was lower than that in the control group(P<0.05).Conclusion The hanging peritoneal dialysis fluid heating and insulation bag can reduce gastrointestinal symptoms caused by the decrease in dialysis fluid temperature during fluid exchange,and is suitable for hospitalized or home peritoneal dialysis patients.

关 键 词：腹膜透析 透析液 温度 加热保温袋 

分 类 号：R4[医药卫生—临床医学]