目的:了解广西血液净化基础现状。方法对广西14个地市115家具备血液净化准入资质的医院进行血液净化基础现状调查,内容包括机器、医生、护师、技师数量,2013年全年开展血液净化治疗的总例次及血液透析、血液透析滤过、血液灌流、血浆置换、连续性血液净化的例次,不良反应发生例次。结果广西拥有血液净化机器1745台,具备血液净化诊疗资质的医生348名,护士828名,技师110名。2013年开展血液净化治疗的总例次为928155例次,血液透析855154例次、血液透析滤过36959例次、血液灌流24714例次、血浆置换1306例次、连续性血液净化10022例次,不良反应发生11097例次。结论广西血液净化诊疗机器设备与医护比例匹配,治疗模式主要是血液透析、血液透析滤过和血液灌流,需要加强对不良反应的监测。
Objective To investigate the current situation of blood purification in Guangxi.Methods A survey on the current situation of blood purification was conducted in 115 qualified hospitals in 14 cities in Guangxi,concerning the numbers of machines,doctors,nurses and technicians as well as the overall cases of blood purification therapy, hemodialysis cases, hemofiltration cases, hemoperfusion cases, plasma exchange cases,continuous blood purification cases and adverse reactions cases in 2013.Results There were 1 745 blood purification machines, 348 doctors,828 nurses and 110 technicians with the qualification for blood purification therapy in Guangxi.There were 928 155 case times of blood purification therapy,855 154 case times of hemodialysis,36 959 case times of hemofiltration,24 714 case times of hemoperfusion,1 306 case times of plasma exchange,10 022 case times of continuous blood purification and 11 097 case times of adverse reactions in 2013.Conclusion The number of blood purification machines matches the ratio of doctors to nurses in Guangxi.The therapy models are mainly hemodialysis, hemofiltration and hemoperfusion.The strengthened surveillance on the adverse reactions is needed.