摘要
目的观察过氧乙酸和伦拿灵消毒对透析器的影响。方法对23例患者使用的透析器分别用过氧乙酸和伦拿灵消毒处理,检测透析前后血尿素氮,计算出其下降率;对透析器使用后的容积进行对比;对同一个患者使用的两个透析器(分别用过氧乙酸和伦拿灵消毒处理)进行电镜观察;记录透析器复用过程中的过敏反应、透析器有无破膜以及丢弃的原因。结果透析器重复使用5次,两种消毒剂对清除率的影响无差异,7次时差异有极显著意义(P<0.01);伦拿灵消毒处理的透析器使用容积明显大于过氧乙酸,破膜发生率低;电镜下明显可见过氧乙酸消毒处理第6次使用后的透析器血室腔内有血液成分残留。结论伦拿灵消毒处理可以有效地清除透析器血室腔内残留的血液成分,在透析器重复使用10次时仍可维持有效的血室腔容积,对透析器清除率无影响(P>0.05)。
Objective To observe the effect of peracetic acid and LunLaling for the disinfection of dialyzer. MethodThe 23 dialyzer used by patients were selected and disinfected by peracetic acid and LunLaling. The concentration of carbamide nitrogen was estimated before and after dialysis. The rate of reduction, status of dialyzer, allergic reaction due repeated using of dialyzer were observed and compared. Result After 5 times of dialyzer repeated, there is no significant difference in dialyzer disinfection effect by the two kinds of disinfector. There is significant different in dialyzer disinfection effect by the two kinds of disinfector after 7 times of dialyzer repeated using （P〈 0.01）. The Volume of dialyzer usage treated by LunLaling was bigger than that treated by of peracetic acid. Conclusion LunLaling can maintain effective eliminate the blood remain in dialyzer＇ s blood room, and can maintain the effect volume of blood room cell after 10 times repeated using, and no effect was found for the rate of elimination.
出处
《护士进修杂志》
北大核心
2007年第3期198-200,共3页
Journal of Nurses Training
关键词
血液透析
透析器
消毒
过氧乙酸
伦拿灵
Blood dialysis
Dialyzer
Disinfection
Peracetic acid
LunLaling
