交联壳聚糖树脂对部分尿毒症毒物的吸附性能研究

用反向悬浮的方法制备了戊二醛交联壳聚糖树脂吸附剂,并对制得的球形吸附剂用NaBH4进行了氢化还原处理,以提高其在使用环境下的化学稳定性。扫描电子显微镜(SEM)分析表明,吸附剂的表面形态构成了吸附的微观基础。通过对部分尿毒症毒性物质的吸附研究发现,本文研制的壳聚糖吸附剂对这些目标物均产生了一定的吸附作用,吸附平衡时间符合临床要求,其对3种小分子尿毒症毒性物质的吸附能力依肌酐、尿酸、尿素的次序递增,而对促皮质素(ACTH)的吸附量则达到了13.04mg/g,显示了该类吸附剂应用于临床治疗的潜在价值     

尿毒症中分子毒物吸附剂的研究——Ⅱ. 交联剂链长对壳聚糖树脂吸附性能的影响

用甲醛、乙二醛和戊二醛作为交联剂,以反向悬浮的方法制备了3种不同的交联壳聚糖树脂吸附剂,并对其中的后两种用NaBH₄进行了还原处理.经红外光谱表征和扫描电子显微镜观察,氢化还原处理有效地提高了吸附剂的化学稳定性;而交联剂的不同则对吸附剂的表面形态有着明显的影响.通过对尿毒症中分子毒物的模拟物和牛血清白蛋白的吸附研究发现,3种壳聚糖树脂吸附剂都在符合临床血液灌流要求的时间里达到了吸附平衡,在对牛血清白蛋白几乎不发生吸附作用的同时,其对模拟的中分子毒物则都产生了一定的吸附作用,但吸附量有所不同;随着交联剂脂肪链的增长,吸附剂对模拟的中分子毒物的吸附能力逐渐增强;以戊二醛为交联剂时,吸附剂的吸附效果最好.     

Investigations on the adsorbents for uremic middle molecular toxins (Ⅱ)——Influences of crosslinking agent chain length on the adsorption capacities of crosslinked chitosan adsorbents

Chitosan resins, which clinically served as adsorbents in hemoperfusion therapy, were prepared with reversed-phase suspension methodology using three differently structured crosslinking agents, methanal, glyoxal and glutaraldehyde. And the glyoxal and glutaraldehyde crosslinked chitosan resins were reduced with NaBH4 afterwards. By analyzing the results from FTIR and SEM, it was found that the reduction treatment to the adsorbents efficiently improved the chemical stability of these chitosan resins, and the shifts in crosslinking agents exerted influences over the morphologies of the adsorbents obviously. After being put to use in the adsorption tests upon some model uremic middle molecular toxins and BSA in vitro, all three adsorbents demonstrated a fairly realistic adsorption capability to the model toxins but little to BSA. And the adsorption process reached the equilibrium in a clinically qualified short time. But the adsorption capacities of these adsorbents to the model toxins were quite different. It     

尿毒症中分子毒物吸附剂的研究(Ⅰ)——戊二醛交联壳聚糖吸附剂

长期以来 ,血液净化疗法一直是临床上处理各种血液中毒的基本手段[1～ 3] .对尿毒症患者 ,目前普遍采用的治疗措施是对其进行定期的血液或腹膜透析 [1] 缓解病情 ;然而单纯血液透析疗法难以清除患者体内的中分子毒物 ,以致血液透析的患者体内 ,中分子毒物的积累会达到很高的程度 .因此 ,通过研制高效的中分子吸附剂 ,以血液灌流的方式清除中分子毒物 ,对于控制和治疗尿毒症具有重要意义 .据文献报道 ,体内蓄积的中分子毒物中肽类物质占了一定的比例[4～ 9] ,患者的许多顽固临床症状与这些毒物的体内蓄积密切相关 [1,10 ] .本课题组的研究结…