摘要
目的构建区域性器官捐献者连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)快速响应协作体系,并评估其临床效能。方法本研究病例资料均来自广西医科大学第二附属医院,以2020年9月1日至2021年12月31日常规CRRT治疗的29例器官捐献者作为对照组,以2022年1月1日至2023年12月31日启动CRRT快速响应医护团队后的34例器官捐献者作为试验组。比较两组的团队响应时间、置管时间、管路安装及预充时间、上机前准备时间、不良事件发生率、并发症发生率和设备故障次数的差异。结果两组基线资料具有可比性(均P>0.05)。试验组团队响应时间、置管时间、管路安装及预充时间、上机前准备时间均较对照组明显缩短,差异均有统计学意义(均P<0.05);两组不良事件发生率、并发症发生率和设备故障次数无统计学差异(均P>0.05)。结论CRRT快速响应团队可显著缩短治疗准备时间,提升器官维护效率,具有临床推广价值。
Objective To establish and evaluate a rapid response collaboration system for continuous renal replacement therapy(CRRT)in regional organ donors,assessing its clinical efficacy.Methods The case data of this study were all from the Second Affiliated Hospital of Guangxi Medical University.This study retrospectively analyzed data from two groups:the control group consisted of 29 organ donors who received conventional CRRT treatment between September 1,2020 and December 31,2021;the experimental group included 34 organ donors who were treated with the assistance of a CRRT rapid response medical team between January 1,2022,and December 31,2023.The differences in team response time,catheterization time,pipeline installation and pre-charging time,pre-machine preparation time,incidence of adverse events,incidence of complications,and equipment failure rates were compared between the two groups.Results Baseline data between the two groups were comparable(all P>0.05).The experimental group demonstrated significantly shorter response times,catheterization times,pipeline installation and pre-charging times,and pre-machine preparation times compared to the control group,with statistically significant differences(all P<0.05).No statistically significant differences were observed in the incidence of adverse events,complication rates,or equipment failure rates between the two groups(all P>0.05).Conclusion The implementation of a CRRT rapid response team can substantially reduce treatment preparation time,enhance organ maintenance efficiency,and holds significant value for clinical.
作者
雷志影
莫园园
许佳佳
毛海艳
李春燕
孙煦勇
Lei Zhiying;Mo Yuanyuan;Xu Jiajia;Mao Haiyan;Li Chunyan;Sun Xuyong(Transplant Medicine Center,The Second Affiliated Hospital of Guangxi Medical University,Guangxi Nanning 530007,China.)
出处
《实用器官移植电子杂志》
2025年第4期302-306,共5页
Practical Journal of Organ Transplantation(Electronic Version)
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190920)
广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210387)
广西医疗卫生适宜技术开发与推广应用项目(S2023079)。
