不同透析器复用机临床应用效果观察

目的：观察W-F168-B型和RENATRONⅡ型透析器复用机临床应用对患者透析质量的影响。方法：符合纳入标准的受试者随机分为2组,试验组和对照组的透析器分别用W-F168-B和RENATRONⅡ复用。测定受试者透析前后血红蛋白、白蛋白、肌酐、尿素氮,计算尿素清除率除以分布容积（Kt/V,K为尿素清除率,t为透析时间,V为分布容积）。结果用均数±标准差表示,采用成组设计的t检验,spss13.0统计软件包分析。结果：试验组和对照组Kt/V值分别为1.25±0.26和1.24±0.19,透析前后血红蛋白差值分别为（1.32±0.14）g/L和（1.34±0.27）g/L,白蛋白差值分别为（0.86±0.05）g/L和（0.79±0.18）g/L。t检验示两组以上各值比较差异无统计学意义（P〉0.05）。结论：两种透析器复用机对受试者透析充分性的影响无明显差异,能达到较好的透析质量。

Efficacy of Clinical Use of Different Dialyzer Reprocessing Machines

Objective： To observe the clinical efficiency of two dialyzer reprocessing machines： W-F168-B and RENATRON U. Methods： All subjects were randomly divided into two groups. Dialyzers of experimental group and control group were reprocessed by W-F168-B and RENATRON Ⅱ. All subjects＇ haemoglobin, albumin, creatinine and urea nitrogen were detected before and after dialysis and Kt/V （a parameter reflects the exponent of urea clearance rate in dialysis patient） were calculated. Results： Kt/V of experimental group and control group were 1.25±0.26 and 1.24±0.19, respectively. Diversities of haemoglobin before and after dialysis of two groups were （1.32±0. 14）g/L and （1.34±0.27）g/L. Diversities of albumin of two groups were （0. 86±0. 05）g/L and （0.79±0. 18）g/L. t-test showed that Kt/V, diversity of haemoglobin, diversity of albumin had no statistical significances between two groups （P〉0.05）. Conclusion： Both dialyzer reprocessing machines are similar in the effect of subject＇s dialysis sufficiency and give patients a good dialysis efficacy.