胆石病人胆汁的光谱及稳定性分析

采用红外光谱及二阶导数谱、紫外光谱、动态激光光散射粒度分析、Zeta电位等测试与分析方法，对胆石病人的原胆汁及经离心处理后的胆汁进行了分析。结果表明，胆石病人的胆汁是一个非均匀体系, 处于相对不稳定状态;离心后的胆汁聚沉物主要含有胆固醇、胆红素及其钙盐、蛋白、磷脂等物质，与该病人胆石核心的主要成分非常相似。胆汁中磷脂类囊泡的破坏以及一些难溶性钙盐的生成是影响胆汁稳定性及胆石形成的主要因素。磷脂和蛋白等有机基质在该病人结石的成核过程中可能起诱导和调控作用。

Stability of Patient Bile and Study on Its Influential Factors

The patient bile and its centrifugate were studied by FTIR spectra, UV-Vis spectra, particle size analysis, and zeta potential determination. The result showed that the patient bile was in a heterogenetic and unstable state, and some of the ultramicrons in the patient bile assembled to form precipitate after centrifugalized at different speeds. According to FTIR and UV-Vis spectra, the authors found that the composition of the precipitates was mainly cholesterol, bilirubin, calcium bilirubinate, protein, phospholipid and so on, which was much close to that of the core of patient gallstone. The change in the properties of cholesterol/phospholipid vesicles, and the production of the undissolvable calcium salt in the patient bile had crucial influence on the stability of the patient bile, which played important roles in the core-formation and initial growth of gallstone that were induced by the matrixes such as proteins, phospholipids etc.