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目的了解近2年新疆部分医疗机构血液透析水及透析液质量现状,为加强血液透析质量管理提供依据。方法对乌鲁木齐市2013-2014年送检的血液透析水及透析液的内毒素和化学污染物进行检测及分析。结果共检测透析水化学污染物101份,合格率81.2%;透析液水内毒素332份,合格率84.0%,水处理装置输出端内毒素合格率(78.6%)低于血液透析装置入口端内毒素检测合格率(87.0%)(P<0.05);乌鲁木齐本地医疗机构内毒素送检合格率高于疆内其他地区内毒素送检合格率;三季度送检的透析液水内毒素合格率低于一、二、四季度送检内毒素合格率。结论新疆医疗机构血液透析水及透析液合格率不高,应加强日常管理、维护和监测。
Objective To understand the current status of hemodialysis water and dialysis fluid quality in some medical institutions in Xinjiang in the recent 2 years, so as to provide basis for strengthening the quality control of hemodialysis. Methods The endotoxin and chemical pollutants of hemodialysis water and dialysate submitted to Urumqi from 2013 to 2014 were tested and analyzed. Results A total of 101 dialysis chemical contaminants were detected with a pass rate of 81.2%. 332 samples of endotoxin in dialysate were obtained with a pass rate of 84.0% and a low endotoxin yield (78.6%) at the output of the water treatment unit below the inlet end of the hemodialysis unit The qualified rate of endotoxin test in local medical institutions in Urumqi was higher than that in other areas in Xinjiang. The passing rate of endotoxin in dialysate submitted in the third quarter was low In the first, second and fourth semester endotoxin submission rate. Conclusion The passing rate of hemodialysis water and dialysis fluid in medical institutions in Xinjiang is not high, so routine management, maintenance and monitoring should be strengthened.