A kind of data monitoring method for haemodialysisTechnical field
The present invention relates to hemodialysis apparatus monitoring technology fields, and in particular to a kind of data monitoring for haemodialysisMethod.
Background technique
Haemodialysis is one of acute or chronic renal failure kidneys of patients Replacement Therapy.It is by drawing internal bloodFlow to it is external, through one by the haemodialysis that is formed without several hollow fibres, blood electrolyte similar with concentration containing bodySolution (dialyzate) carries out mass exchange inside and outside hollow fibre one by one, through disperse/convection current, and it is useless to remove intracorporal metabolismObject maintains electrolyte and acid-base balance；Moisture excessive in vivo, and the blood recovery that purification will be passed through are removed simultaneously.
Due to the limitation that the complexity and technology of haemodialysis develop, in blood dialysis, it is more likely that occurMany accidents, these acute complications occurred in dialysis or after dialysis are referred to as acute dialysis complication, due to itBe all fatal under normal conditions, so the enough attention of clinical medical personnel should be caused.
Acute dialysis complication includes imbalance syndrome, hemodialysis hypotension, dialysis hypertension, hyposmolarity, coagulates in pipelineBlood, air embolism etc..Therefore, in blood dialysis, the case where needing each patient of medical staff's close supervision withAnd the working condition of hemodialyzer, guarantee the quality of haemodialysis, avoids patient that contingency occurs.
Summary of the invention
In order to overcome at least one defect (deficiency) described in the above-mentioned prior art, the present invention provides one kind and is used for the present inventionThe data monitoring method of haemodialysis, can be convenient, intuitively monitoring it is current just the patient of haemodialysis and it is currentWhether the hemodialyzer of work is in normal condition, to guarantee the quality of haemodialysis.
To achieve the purpose of the present invention, it is achieved using following technical scheme:
A kind of data monitoring method for haemodialysis, comprising the following steps:
It is carried out each time in blood dialysis in patient, real-time detection and to store different dialysis times corresponding multinomialAnalyse parameter；
It carries out showing that the different dialysis times of real-time detection are corresponding multinomial in first time blood dialysis in patientAnalyse parameter；
It is carried out in second and later blood dialysis in patient, the different dialysis times pair of simultaneous display real-time detectionThe corresponding multinomial dialysis parameters of different dialysis times that the multinomial dialysis parameters and haemodialysis several times before answered are stored.
During patient carries out haemodialysis, the corresponding multinomial dialysis parameters of real-time detection difference dialysis time, andIt will test and come out as the result is shown, medical staff can be convenient, intuitively by shown multinomial dialysis parameters in entire bloodThe physical condition of patient and the working condition of hemodialyzer are monitored during dialysis.
And since the physical condition of different individual patients and the therapeutic scheme of haemodialysis are different, so medical care peopleMember needs to judge the multinomial dialysis parameters that current patents are shown in blood dialysis according to professional knowledge and medical experienceWhether in normal range, and prejudge whether current patents can occur acute dialysis complication.By this of the same patientThe corresponding multinomial dialysis parameters of difference dialysis time all show in blood dialysis several times before, and can be directed to shouldThe multinomial dialysis parameters in not homogeneous blood dialysis that name patient itself is carried out are compared, and can be assisted by comparingMedical staff carries out more accurate judgement to the physical condition of this patient and the working condition of hemodialyzer, thus realNow to the accurate monitoring of the entire blood dialysis of patient.
Further, the corresponding multinomial dialysis parameters of the different dialysis times of real-time detection and before blood several times are shownDialyse the corresponding multinomial dialysis parameters of different dialysis times that are stored specifically: this with haemodialysis is different several times beforeThe corresponding same item dialysis parameters of dialysis time are shown in the same window, this dialysis different with haemodialysis several times beforeTime, corresponding different item dialysis parameters were shown in different windows, and multiple window arrangements are shown.
The dialysis parameters of different item are shown in different windows with the variation of dialysis time, and these windows are arranged in an orderly mannerColumn display, can when medical staff needs to check a certain dialysis parameters according to actual conditions of the patient in blood dialysisEasily to find the corresponding window of this dialysis parameters, it is saturating in this blood to observe this dialysis parameters shown on the windowAnalysis process and the before difference of blood dialysis several times.
Preferably, the curve form that the corresponding dialysis parameters of different dialysis times are changed with dialysis parameters with dialysis time is aobviousShow in the window.
By multinomial dialysis parameters detected in this blood dialysis with the variation of dialysis time, and if beforeThe multinomial dialysis parameters being detected and stored in dry blood dialysis are depicted as change curve with the variation of dialysis time, andAnd the same item dialysis parameters of this and haemodialysis several times before are plotted in same figure with the parameter that dialysis time changesOn, this and the before change curve of every dialysis parameters several times can intuitively, be visually observed, thus saturating to this bloodMultinomial dialysis parameters during analysis with haemodialysis is compared several times before, make medical staff be more easier to judge at thisWhether the working condition of the physical condition and hemodialyzer of patient is in normal condition in secondary blood dialysis, thus moreAccurately monitor entire blood dialysis.
Further, the data monitoring method is further comprising the steps of: will according to the significance level of every dialysis parametersEvery dialysis parameters carry out sequence arrangement, will the corresponding window size setting of display arrangement several dialysis parameters earlier above compared withGreatly, the corresponding window size setting of several dialysis parameters after display arrangement relatively is smaller, and/or display is arranged earlier aboveThe corresponding window of several dialysis parameters compared with dark colour to mark, by the corresponding window of several dialysis parameters after display arrangement relativelyMouth arranges the corresponding window arrangement of several dialysis parameters earlier above in display interface with shallower color mark, and/or by displayCenter, will display arrangement relatively after the corresponding window arrangement of several dialysis parameters on the periphery of display interface.
During Patients Undergoing Hemodialysis, the certain dialysis parameters of key monitoring are needed, for the weight of effectively prominent monitoringEvery dialysis parameters can be ranked up by point according to significance level in advance, will show the relatively important, dialysis of sequence earlier aboveThe corresponding window of parameter is focused on display, and will show that the corresponding window of dialysis parameters relatively secondary, that sequence is compared with after carries outReduction display.Medical staff will not undertake huge monitoring load because of the dialysis parameters excessively monitored as a result, but have weightPoint ground is monitored important dialysis parameters.
Further, the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time are shownIn the same window specifically: being depicted as the same item dialysis parameters of this and haemodialysis several times before with dialysis timeThe curve of variation, and be shown in a window.
When by the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time with dialysisBetween the curve form that changes be shown in a window, can intuitively, visually observe this and before every dialysis several timesThe change curve of parameter, thus to multinomial dialysis parameters and the progress of haemodialysis several times before in this blood dialysisCompare, medical staff is made to be more easier to judge the work of the physical condition and hemodialyzer of patient in this blood dialysisMake whether state is in normal condition, to monitor entire blood dialysis more accurately.
Further, the dialysis parameters include the blood parameters obtained by detection blood, by detection dialyzateAnd the dialyzate parameter obtained.
The process of haemodialysis is to carry out mass exchange by disperse/convection current between blood and dialyzate, therefore in bloodDuring the monitoring of dialysis, for the safety and treatment validity of general warranty haemodialysis, need to monitor blood ginseng simultaneouslySeveral and dialyzate parameter.
Further, the data monitoring method is further comprising the steps of: will show the corresponding window arrangement of blood parametersOn one side of display interface, by the corresponding window arrangement of display dialyzate parameter in the another side of display interface.
It will show that the corresponding window of blood parameters window corresponding with display dialyzate parameter is separately shown in the display interfaceShow, medical staff can be made to be easier to find the corresponding window of a certain dialysis parameters of display, and display interface also can more added withOrderliness.
Further, the data monitoring method is further comprising the steps of: according to request, specify several closes orIt minimizes.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysisIt closes or minimizes, several windows are opened or are maximized, the corresponding window of several dialysis parameters only monitored required for displayMouthful, to increase the flexibility monitored to blood dialysis.
Further, the blood parameters include blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, bloodFlow rate v, blood temperature T1, blood pressure P, blood dry weight ρ, haemoconcentration n1One or more of them, the dialyzateParameter includes dialyzate turnover rate c, dialysate temperature T2, dialysate concentration n2, dialyzate ingredient specific gravity one of which or moreKind.
It can be known by monitoring blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood flow rate vThe efficiency and the abundant degree of dialysis of current patents' haemodialysis.By monitoring blood temperature T1, blood pressure P, blood dry weightρ, haemoconcentration n1It can know whether the physical condition of current patents is at a normal level.By monitoring dialyzate turnover rate c,Dialysate temperature T2, dialysate concentration n, dialyzate ingredient specific gravity can know that the dialyzate configured in current haemodialysis isIt is no appropriate.
Further, the data monitoring method is further comprising the steps of: further comprising the steps of:
When patient's haemodialysis each time is completed, according to the corresponding multinomial dialysis parameters of difference dialysis time detectedCalculate and store the corresponding dialysis index of different dialysis times of the abundant degree of reflection dialysis；
When patient completes first time haemodialysis, the calculated dialysis index of this haemodialysis institute is shown；
When patient completes second and later haemodialysis, show the calculated dialysis index of this haemodialysis institute withThe dialysis index that haemodialysis several times before is stored.
The most important factor for influencing the therapeutic effect of haemodialysis is the abundant degree of dialysis, therefore in patient's blood each timeLiquid dialysis will assess the abundant degree of haemodialysis when completing, assess the therapeutic effect of haemodialysis, to work outThe therapeutic scheme of next step.The abundant degree of haemodialysis is assessed mainly in terms of three: Solute removal assessment, moisture are removedAssessment, clinical assessment.Solute removal assessment is removed score Kt/V, urea reduction rate URR, Solute removal generally by urea and is referred toThe dialysis index such as number SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR carries out quantitative evaluation；Moisture removing is commentedEstimate and is assessed generally by the dry weight before and after patients with hemodialysis.
Wherein, urea remove score Kt/V calculation formula can for Kt/V=-ln (R-0.08 × t)+(4-3.5R) ×UF/W1, in formula R be after dialysis BUN and before dialysing BUN ratio, W is the weight after Patients Undergoing Hemodialysis；Urea reduction rate URRCalculation formula can be URR=100 × (1-C+/C0), C+ is that blood urea nitrogen concentration BUN, C0 are dialysis after dialysis in formulaPreceding blood urea nitrogen concentration BUN；The calculation formula of Solute removal index SRI can beR is in formulaSolute removal amount, G are solute production rates, and C1 is the haemoconcentration n before dialysis1, V1It is urea distribution volume before dialysing；ProteinThe calculation formula of metabolic rate PCR can be PCR=(C0-C+) × (0.045/ Δ t), Δ t is haemodialysis interval twice in formulaNumber of days；The calculation formula of normalized protein metabolic rate nPCR is nPCR=PCR/W2, W in formula2It is patient's actual weight or reasonThink weight.
The dialysis index of this and the haemodialysis several times before of the same patient is all shown to come, it can be for shouldThe dialysis index for the not homogeneous haemodialysis that name patient itself is carried out is compared, both it will be seen that patient is receiving long-termWhether body changes after hemodialysis, and can check whether hemodialyzer dialyses under function because using too longDrop.
Further, the dialysis index includes that urea removes score Kt/V, urea reduction rate URR, Solute removal indexThe one or more of them of SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR.
Urea removes score Kt/V, urea reduction rate URR, Solute removal index SRI, protein metabolism rate PCR, standardizationProtein metabolism rate nPCR is the dialysis index that can reflect the abundant degree of haemodialysis, and items dialysis index is to haemodialysisThe judge of abundant degree has respective pros and cons, and medical staff can integrate a variety of dialysis indexs, comprehensively analyze haemodialysisAbundant degree.
Preferably, show this haemodialysis calculated dialysis index and haemodialysis several times before storedDialysis index specifically: shown with dialysing index with the curve form that haemodialysis number changes.
By this haemodialysis calculated dialysis index and the dialysis index that is stored of haemodialysis several times beforeDialysis index is depicted as with the curve of dialysis number variation, then curve is shown, can intuitively, visually observe withThe variation tendency of the increase dialysis index of dialysis number, so that understanding patient's body after receiving long-term hemodialysis isIt is no to change, and check whether hemodialyzer dialyses function reduction because using too long.
Preferably, when index of dialysing is a variety of, different dialysis indexs is shown in not with the change curve of dialysis numberSame window, multiple window arrangements are shown.
Different dialysis indexs is shown in different windows with the change curve of dialysis number, and these windows are in an orderly mannerArrangement display, medical staff can easily analyze each dialysis index respectively.
Preferably, can be according to request, specified every dialysis index is with the corresponding window of change curve of dialysis numberNo closing or minimum.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysisClose or minimize, several windows open or maximize, only display required for analyze several dialysis indexs with dialyse whenBetween the curve that changes, to increase the flexibility to the abundant degree analyzing process of haemodialysis.
Compared with prior art, the beneficial effect of technical solution of the present invention is:
(1) during patient carries out haemodialysis, this haemodialysis of simultaneous display and blood is saturating several times beforeThe dialysis parameters of analysis can be convenient medical staff and judge whether the physical condition of patient and the working condition of hemodialyzer are locatedIn normal condition, to realize the accurate monitoring to the entire blood dialysis of patient.
(2) it needs the dialysis parameters of key monitoring to correspond to window display to be shown emphatically, medical staff can be madeImportant dialysis parameters are monitored with having emphasis, without undertaking huge monitoring because of the dialysis parameters excessively monitoredLoad.
(3) when patient completes haemodialysis, this and the abundant degree of the reflection dialysis of haemodialysis several times before are shownDialysis index, it will be appreciated that whether patient's body after receiving long-term hemodialysis changes, and checks bloodWhether liquid dialysis apparatus dialyses function reduction because using too long.
Detailed description of the invention
Fig. 1 is that display interface schematic diagram is monitored in the blood dialysis of the embodiment of the present invention.
Fig. 2 is that the haemodialysis of the embodiment of the present invention monitors display interface schematic diagram when completing.
Illustrate: 1. close buttons；2. minimizing button.
Specific embodiment
The attached figures are only used for illustrative purposes and cannot be understood as limitating the patent；
In order to better illustrate this embodiment, the certain components of attached drawing have omission, zoom in or out, and do not represent actual productSize；
To those skilled in the art, it is to be understood that certain known features and its explanation, which may be omitted, in attached drawing's.
In the description of the present invention, it is to be understood that, term " first ", " second " are used for description purposes only, and cannotIt is interpreted as indication or suggestion relative importance or implies the quantity of indicated technical characteristic." first " that limits as a result, "One or more of the features can be expressed or be implicitly included to two " feature.In the description of the present invention, unless otherwise sayingBright, the meaning of " plurality " is two or more.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation " " connectsConnect " it shall be understood in a broad sense, for example, it may be being fixedly connected, it may be a detachable connection, or be integrally connected；It can be machineTool connection, is also possible to be electrically connected；It can be directly connected, be also possible to be indirectly connected with by intermediary, it may be said that twoConnection inside element.For the ordinary skill in the art, above-mentioned term can be understood in the present invention with concrete conditionConcrete meaning.
The following further describes the technical solution of the present invention with reference to the accompanying drawings and examples.
Embodiment
A kind of data monitoring method for haemodialysis, comprising the following steps:
It is carried out each time in blood dialysis in patient, real-time detection and to store different dialysis times corresponding multinomialAnalyse parameter；
It carries out showing that the different dialysis times of real-time detection are corresponding multinomial in first time blood dialysis in patientAnalyse parameter；
It is carried out in second and later blood dialysis in patient, the different dialysis times pair of simultaneous display real-time detectionThe corresponding multinomial dialysis parameters of different dialysis times that the multinomial dialysis parameters and haemodialysis several times before answered are stored.
In specific implementation process, on hemodialyzer setting for detect the various detection devices of every dialysis parameters andMonitoring display screen, detection device detect a dialysis parameters in certain dialysis time interval, and transmission when will test fructufyOnto monitoring display screen, testing result is shown on monitoring display screen.Meanwhile memory is set on hemodialyzer, memoryFor being stored in front of the corresponding multinomial dialysis parameters of different dialysis times of real-time detection in blood dialysis several times.?In this blood dialysis, the data stored are sent monitoring display screen by memory, keeps this haemodialysis different thoroughlyThe different dialysis times that analysis time corresponding multinomial dialysis parameters and haemodialysis several times before are stored are corresponding multinomialAnalysing parameter can be with simultaneous display on monitoring display screen.
During patient carries out haemodialysis, the corresponding multinomial dialysis parameters of real-time detection difference dialysis time, andIt will test and come out as the result is shown, medical staff can be convenient, intuitively by shown multinomial dialysis parameters in entire bloodThe physical condition of patient and the working condition of hemodialyzer are monitored during dialysis.
And since the physical condition of different individual patients and the therapeutic scheme of haemodialysis are different, so medical care peopleMember needs to judge the multinomial dialysis parameters that current patents are shown in blood dialysis according to professional knowledge and medical experienceWhether in normal range, and prejudge whether current patents can occur acute dialysis complication.By this of the same patientThe corresponding multinomial dialysis parameters of difference dialysis time all show in blood dialysis several times before, and can be directed to shouldThe multinomial dialysis parameters in not homogeneous blood dialysis that name patient itself is carried out are compared, and can be assisted by comparingMedical staff carries out more accurate judgement to the physical condition of this patient and the working condition of hemodialyzer, thus realNow to the accurate monitoring of the entire blood dialysis of patient.
In this example it is shown that corresponding multinomial dialysis parameters of the different dialysis times of real-time detection and before several timesThe corresponding multinomial dialysis parameters of the different dialysis times that haemodialysis is stored specifically: this and haemodialysis several times beforeThe corresponding same item dialysis parameters of different dialysis times are shown in the same window, this with haemodialysis is different several times beforeThe corresponding different item dialysis parameters of dialysis time are shown in different windows, and multiple window arrangements are shown.
The dialysis parameters of different item are shown in different windows with the variation of dialysis time, and these windows are arranged in an orderly mannerColumn display, can when medical staff needs to check a certain dialysis parameters according to actual conditions of the patient in blood dialysisEasily to find the corresponding window of this dialysis parameters, it is saturating in this blood to observe this dialysis parameters shown on the windowAnalysis process and the before difference of blood dialysis several times.
Preferably, the curve form that the corresponding dialysis parameters of different dialysis times are changed with dialysis parameters with dialysis time is aobviousShow in the window.
By multinomial dialysis parameters detected in this blood dialysis with the variation of dialysis time, and if beforeThe multinomial dialysis parameters being detected and stored in dry blood dialysis are depicted as change curve with the variation of dialysis time, andAnd the same item dialysis parameters of this and haemodialysis several times before are plotted in same figure with the parameter that dialysis time changesOn, this and the before change curve of every dialysis parameters several times can intuitively, be visually observed, thus saturating to this bloodMultinomial dialysis parameters during analysis with haemodialysis is compared several times before, make medical staff be more easier to judge at thisWhether the working condition of the physical condition and hemodialyzer of patient is in normal condition in secondary blood dialysis, thus moreAccurately monitor entire blood dialysis.
In the present embodiment, data monitoring method is further comprising the steps of: will according to the significance level of every dialysis parametersEvery dialysis parameters carry out sequence arrangement, will the corresponding window size setting of display arrangement several dialysis parameters earlier above compared withGreatly, the corresponding window size setting of several dialysis parameters after display arrangement relatively is smaller, and/or display is arranged earlier aboveThe corresponding window of several dialysis parameters compared with dark colour to mark, by the corresponding window of several dialysis parameters after display arrangement relativelyMouth arranges the corresponding window arrangement of several dialysis parameters earlier above in display interface with shallower color mark, and/or by displayCenter, will display arrangement relatively after the corresponding window arrangement of several dialysis parameters on the periphery of display interface.
During Patients Undergoing Hemodialysis, the certain dialysis parameters of key monitoring are needed, for the weight of effectively prominent monitoringEvery dialysis parameters can be ranked up by point according to significance level in advance, will show the relatively important, dialysis of sequence earlier aboveThe corresponding window of parameter is focused on display, and will show that the corresponding window of dialysis parameters relatively secondary, that sequence is compared with after carries outReduction display.Medical staff will not undertake huge monitoring load because of the dialysis parameters excessively monitored as a result, but have weightPoint ground is monitored important dialysis parameters.
In the present embodiment, the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis timeIt is shown in the same window specifically: the same item dialysis parameters of this and haemodialysis several times before are depicted as with dialysisThe curve of time change, and be shown in a window.
When by the corresponding same item dialysis parameters of this different with haemodialysis several times before dialysis time with dialysisBetween the curve form that changes be shown in a window, can intuitively, visually observe this and before every dialysis several timesThe change curve of parameter, thus to multinomial dialysis parameters and the progress of haemodialysis several times before in this blood dialysisCompare, medical staff is made to be more easier to judge the work of the physical condition and hemodialyzer of patient in this blood dialysisMake whether state is in normal condition, to monitor entire blood dialysis more accurately.
In the present embodiment, dialysis parameters include the blood parameters obtained by detection blood, by detection dialyzateAnd the dialyzate parameter obtained.
The process of haemodialysis is to carry out mass exchange by disperse/convection current between blood and dialyzate, therefore in bloodDuring the monitoring of dialysis, for the safety and treatment validity of general warranty haemodialysis, need to monitor blood ginseng simultaneouslySeveral and dialyzate parameter.
In the present embodiment, data monitoring method is further comprising the steps of: will show the corresponding window arrangement of blood parametersOn one side of display interface, by the corresponding window arrangement of display dialyzate parameter in the another side of display interface.
It will show that the corresponding window of blood parameters window corresponding with display dialyzate parameter is separately shown in the display interfaceShow, medical staff can be made to be easier to find the corresponding window of a certain dialysis parameters of display, and display interface also can more added withOrderliness.
In the present embodiment, data monitoring method is further comprising the steps of: according to request, specify several closes orIt minimizes.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysisIt closes or minimizes, several windows are opened or are maximized, the corresponding window of several dialysis parameters only monitored required for displayMouthful, to increase the flexibility monitored to blood dialysis.
In the present embodiment, blood parameters include blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, bloodFlow rate v, blood temperature T1, blood pressure P, blood dry weight ρ, haemoconcentration n1One or more of them, dialyzate parameterIncluding dialyzate turnover rate c, dialysate temperature T2, dialysate concentration n2, dialyzate ingredient specific gravity one or more of them.
It can be known by monitoring blood urea nitrogen concentration BUN, urea clear index K, ultrafiltration volume UF, blood flow rate vThe efficiency and the abundant degree of dialysis of current patents' haemodialysis.By monitoring blood temperature T1, blood pressure P, blood dry weightρ, haemoconcentration n1It can know whether the physical condition of current patents is at a normal level.By monitoring dialyzate turnover rate c,Dialysate temperature T2, dialysate concentration n, dialyzate ingredient specific gravity can know that the dialyzate configured in current haemodialysis isIt is no appropriate.
It is as shown in Figure 1 the display interface schematic diagram on monitoring display screen in blood dialysis.13 windows are shared in Fig. 1Mouth arrangement display.Assuming that blood urea nitrogen concentration BUN and dialysate temperature T2It is most important two of them dialysis parameters, bloodUrea nitrogen concentration BUN and dialysate temperature T2Corresponding window is that size is maximum in 13 windows, and is located at display interfaceCenter.And more secondary blood parameters, such as urea clear index K, ultrafiltration volume UF, blood flow rate v, blood temperature T1、Blood pressure P, blood dry weight ρ, haemoconcentration n1Corresponding window size is smaller, and is centrally located at a left side for display interfaceSide；More secondary dialyzate parameter, such as dialyzate turnover rate c, dialysate concentration n2, the corresponding window of dialyzate ingredient specific gravitySize is smaller, and is centrally located at the right of display interface.
It in the specific implementation process, can also be by blood urea nitrogen concentration BUN and dialysate temperature T2Corresponding edge of windowThe color of frame and/or background is tuned into deeper color, and the color of other window borders and/or background is tuned into shallower color.
Each window shows a certain dialysis parameters with the change curve of dialysis time, and the solid line in each window indicatesIn this haemodialysis dialysis parameters with dialysis time change curve, dotted line indicate in last haemodialysis dialysis parameters withThe change curve of dialysis time.Shown every dialysis parameters are only used for showing with the change curve of dialysis time in Fig. 1Meaning, every dialysis parameters with dialysis time change curve trend and rule might not be actually consistent.
It further include the window of the every dialysis index normal reference range of a display in display interface, in Patients Undergoing HemodialysisDuring, every dialysis index normal reference range that medical staff can show with reference to the window judges other window institutesWhether every dialysis index of display is within normal range (NR), to monitor the physical condition of patient and the work of hemodialyzerMake state.
There is close button 1 in the upper right corner of each window and minimizes button 2.Medical staff can pass through close button 1Several windows are closed, makes several dialysis parameters monitored required for only showing on monitoring display screen, minimum can also be passed throughChange button 2 and minimize several windows, makes only to show the current desired several dialysis parameters to be monitored on monitoring display screen, whenWhen several dialysis parameters monitored required for preceding change, several windows closed before can also be reopened,Several windows minimized before can be carried out maximizing and restore display.
In the present embodiment, dialyzing method is further comprising the steps of:
When patient's haemodialysis each time is completed, according to the corresponding multinomial dialysis parameters of difference dialysis time detectedCalculate and store the corresponding dialysis index of different dialysis times of the abundant degree of reflection dialysis；
When patient completes first time haemodialysis, the calculated dialysis index of this haemodialysis institute is shown；
When patient completes second and later haemodialysis, show the calculated dialysis index of this haemodialysis institute withThe dialysis index that haemodialysis several times before is stored.
The most important factor for influencing the therapeutic effect of haemodialysis is the abundant degree of dialysis, therefore in patient's blood each timeLiquid dialysis will assess the abundant degree of haemodialysis when completing, assess the therapeutic effect of haemodialysis, to work outThe therapeutic scheme of next step.The abundant degree of haemodialysis is assessed mainly in terms of three: Solute removal assessment, moisture are removedAssessment, clinical assessment.Solute removal assessment is removed score Kt/V, urea reduction rate URR, Solute removal generally by urea and is referred toThe dialysis index such as number SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR carries out quantitative evaluation；Moisture removing is commentedEstimate and is assessed generally by the dry weight before and after patients with hemodialysis.
Wherein, urea remove score Kt/V calculation formula can for Kt/V=-ln (R-0.08 × t)+(4-3.5R) ×UF/W1, in formula R be after dialysis BUN and before dialysing BUN ratio, W is the weight after Patients Undergoing Hemodialysis；Urea reduction rate URRCalculation formula can be URR=100 × (1-C+/C0), C+ is that blood urea nitrogen concentration BUN, C0 are dialysis after dialysis in formulaPreceding blood urea nitrogen concentration BUN；The calculation formula of Solute removal index SRI can beR is in formulaSolute removal amount, G are solute production rates, and C1 is the haemoconcentration n before dialysis1, V1It is urea distribution volume before dialysing；ProteinThe calculation formula of metabolic rate PCR can be PCR=(C0-C+) × (0.045/ Δ t), Δ t is haemodialysis interval twice in formulaNumber of days；The calculation formula of normalized protein metabolic rate nPCR is nPCR=PCR/W2, W in formula2It is patient's actual weight or reasonThink weight.
The dialysis index of this and the haemodialysis several times before of the same patient is all shown to come, it can be for shouldThe dialysis index for the not homogeneous haemodialysis that name patient itself is carried out is compared, both it will be seen that patient is receiving long-termWhether body changes after hemodialysis, and can check whether hemodialyzer dialyses under function because using too longDrop.
In specific implementation process, dialysis parameters processor is set on hemodialyzer, and dialysis parameters processor is according to instituteThe different dialysis times that the corresponding multinomial dialysis parameters of the different dialysis times of detection calculate the abundant degree of reflection dialysis are correspondingDialysis index, and send calculated result on monitoring display screen and show, while being sent in memory and storing.MemoryIt can send the dialysis index of haemodialysis several times before being stored on monitoring display screen, so that this haemodialysisThe dialysis index that dialysis index and haemodialysis several times before are stored can be with simultaneous display on monitoring display screen.
In the present embodiment, dialysis index includes that urea removes score Kt/V, urea reduction rate URR, Solute removal indexThe one or more of them of SRI, protein metabolism rate PCR, normalized protein metabolic rate nPCR.
Urea removes score Kt/V, urea reduction rate URR, Solute removal index SRI, protein metabolism rate PCR, standardizationProtein metabolism rate nPCR is the dialysis index that can reflect the abundant degree of haemodialysis, and items dialysis index is to haemodialysisThe judge of abundant degree has respective pros and cons, and medical staff can integrate a variety of dialysis indexs, comprehensively analyze haemodialysisAbundant degree.
Preferably, show this haemodialysis calculated dialysis index and haemodialysis several times before storedDialysis index specifically: shown with dialysing index with the curve form that haemodialysis number changes.
By this haemodialysis calculated dialysis index and the dialysis index that is stored of haemodialysis several times beforeDialysis index is depicted as with the curve of dialysis number variation, then curve is shown, can intuitively, visually observe withThe variation tendency of the increase dialysis index of dialysis number, so that understanding patient's body after receiving long-term hemodialysis isIt is no to change, and check whether hemodialyzer dialyses function reduction because using too long.
Preferably, when index of dialysing is a variety of, different dialysis indexs is shown in not with the change curve of dialysis numberSame window, multiple window arrangements are shown.
Different dialysis indexs is shown in different windows with the change curve of dialysis number, and these windows are in an orderly mannerArrangement display, medical staff can easily analyze each dialysis index respectively.
Preferably, can be according to request, specified every dialysis index is with the corresponding window of change curve of dialysis numberNo opening.
Medical staff can freely select several windows pass according to actual conditions of the patient in blood dialysisClose or minimize, several windows open or maximize, only display required for analyze several dialysis indexs with dialyse whenBetween the curve that changes, to increase the flexibility to the abundant degree analyzing process of haemodialysis.
It is illustrated in figure 2 display interface schematic diagram when haemodialysis is completed on monitoring display screen.There is 3 windows in Fig. 2A line is formed to sequence side by side, is respectively illustrated urea and is removed score Kt/V, urea reduction rate URR, Solute removal index SRI with saturatingAnalyse the curve of number variation.There is close button 1 in the upper right corner of each window and minimizes button 2.Medical staff can pass throughClose button 1 closes several windows, makes on monitoring display screen several dialysis indexs analyzed required for only display, can also be withSeveral windows are minimized by minimizing button 2, refer to several dialysis analyzed required for only showing on monitoring display screenMark, several windows closed before can also be reopened, several windows minimized before can also be maximizedRestore display.
The same or similar label correspond to the same or similar components；
Described in attached drawing positional relationship for only for illustration, should not be understood as the limitation to this patent；
Obviously, the above embodiment of the present invention be only to clearly illustrate example of the present invention, and not be pairThe restriction of embodiments of the present invention.For those of ordinary skill in the art, may be used also on the basis of the above descriptionTo make other variations or changes in different ways.There is no necessity and possibility to exhaust all the enbodiments.It is all thisMade any modifications, equivalent replacements, and improvements etc., should be included in the claims in the present invention within the spirit and principle of inventionProtection scope within.