血液灌流治疗高胆红素血症的研究进展

胆红素是血红素的分解产物，由于它的毒性，去除胆红素一直是人工肝支持装置研究的热门课题，本文综述了包括ＮＫ－１１０，ＢＲ－６０１，ＡＲ－１，ＭＲ等在内的十几种用于治疗高胆红素血症的高效吸附剂。     

血液灌流吸附剂的研究——DAC包膜活性炭的制备及性能

本文研制了一种ＤＡＣ包膜活性炭血液灌流吸附剂，对模拟血中中分子物质有好的吸附能力，对其吸附特性进行了理论探讨。     

胆红素医用吸附剂研究进展

当人体发生病变后若体内产生并蓄积过量的胆红素会造成高胆红素血症,其在新生儿和肝炎症中尤为常见,进而有引起神经毒性甚至死亡的危险。目前,药物疗法对其的效果不理想,换血疗法虽然有效但仍然存在诸多风险和局限,而血液净化疗法虽然潜力优越,但治疗效果和使用安全性方面仍需大力改善和提高,故设计研制安全高效的清除胆红素的医用吸附剂一直是临床上血液净化研究中的难点。当前的胆红素医用吸附剂主要集中在活性炭类、合成高分子树脂类、多糖类、磁性材料类等,本文主要介绍有关医用胆红素吸附剂的研究进展,并展望了胆红素医用吸附材料的发展前景。     

聚甲基丙烯酸羟乙酯树脂对胆红素的吸附研究

本文通过水相悬浮聚合制备了大孔交联聚甲基丙烯酸羟乙酯（PHEMA）树脂，研究了PHEMA树脂以及用乙醇胺功能基化后的PHEMA树脂对胆红素的吸附性能。结果表明，PHEMA树脂对胆红素的吸附性能受树脂孔结构，吸附温度，离子强度以及溶液中白蛋白的影响。该类吸附剂对胆红素有良好的吸附性能，其中用乙醇胺功能基化的树脂表现出更好的吸附能力。     

IA免疫吸附剂血液灌流对血液某些指标及脏器组织形态学影响实验研究

前文介绍了ＶＴ共聚物上固定ＤＮＡ制得免疫吸附剂，探讨了其结构和血液相容性，本文介绍ＩＡ吸附剂对狗进行血液灌流，观察该吸附剂对实验动物狗血液有形成分，某些生物化学指标及主要脏器的影响。     

含氨基,羟基吸附剂对胆红素的吸附

本文分别合成了含氨基和羟基的高分子吸附剂，并对它们对胆红素的吸附性能进行了研究。实验表明，经3小时的吸附后，含氨基和含羟基的吸附剂对胆红素的吸附率可达80％以上，对其吸附胆红素的性能和机理进行了探讨。     

IA免疫吸附剂血液灌流治疗系统性红斑狼疮病例研究

本文介绍用IA免疫吸附剂血液灌流临床治疗系统性红斑狼疮患者的研究结果。     

HA型大孔吸附树脂及活性炭对胆红素吸附性能的研究

本文选用HA型大孔吸附剂对患者血中胆红素进行了动态、静态吸附性能实验,考察了其对血液生化的影响。同时,用瑞典GAMBRO肾罐中活性炭进行了比较,实验结果表明,HA吸附剂对直接胆红素的吸附功效与进口活性基本相同,但血液生化指标HA吸附剂优于活性炭。     

血液灌流用内毒素吸附材料研究

内毒素血症是败血症致死率极高的主要原因之一,迅速并有效地清除患者体内的内毒素,是临床医学面临的一个难题．用血液灌流的方法,选用有效的吸附剂,通过体外循环从血液中直接清除内毒素,受到了人们越来越多的关注．国内外研究者已开始研究利用该方法治疗内毒素血症,用活性炭     

Studies on Thermodynamic Properties of Adsorption of Theophylline by Phenolic Resin Adsorbents

In the present work, the equilibrium adsorption of theophylline was studied by phenolic resin adsor-bents: JDW-2 (made by ourselves) and Duolite S-761 within a temperature range of 303--323 K. The experi-mental results show that the Freundlich adsorption law is applicable to the adsorption of theophylline on thetwo adsorbents, the exponents n＞l indicate that they are favorable to the adsorptions; the negative values ofall the isosteric adsorption enthalpies for the theophylline indicate the exothermic process of the adsorption,while the range(10—40 kJ/mol) of their magnitudes manifests the physisorption process; other thermody-namic properties, the free energy changes and the entropy change associated with adsorption have been calcu-lated from the Gibbs adsorption equation and the Gibbs-Helmholtz equation.     

以壳聚糖为载体的内毒素吸附剂

内毒素血症(Endotoxemia)可出现于多种疾病过程中,导致器官坏死、不可逆休克和死亡。如何及时并有效地清除患者体内的内毒素,是临床医学面临的一个难题．选用高效吸附剂,籍助血液灌流的方法从血液中直接清除内毒素,受到了人们越来越多的关注。     

Bilirubin Removal by Polymeric Adsorbents for Hyperbilirubinemia Therapy

Hyperbilirubinemia, presenting as jaundice, is a life-threatening critical illness in newborn babies and acute severe hepatic failure patients. Over the past few decades, extracorporeal hemoadsorption by adsorbent therapy has been widely applied in the treatment of hyperbilirubinemia. The capability of hemoadsorption depends on the adsorbents. Most of the clinically used bilirubin adsorbents are made up of styrene/divinylbenzene copolymer and quaternary ammonium salt, which usually have poor biocompatibility and weak mechanical strength. To overcome the drawbacks of commercial polymer adsorbents, advanced synthetic and natural polymers with/without nanomaterials have been designed, and novel adsorbent fabrication technologies have also been developed. In this review, the adsorption mechanism of bilirubin adsorbents has been summarized, which is the basic criterion in adsorbent development. Furthermore, the preparation method, adsorption mechanism, relative merits and practicability of the emerging bilirubin adsorbents have been evaluated. Based on the existing studies, this work highlights the future direction of the efforts on how to design and develop bilirubin adsorbents with good overall clinical performance. Perhaps this study can change traditional perspectives and propose new strategies for bilirubin clearance from the aspects of pathogenic mechanisms, metabolic pathways, and material-based innovation.     

以赖氨酸为配基的内毒素吸附剂的研究

内毒素血症可出现于多种疾病中,如大面积烧伤、重症肝炎、肝硬化等疾病,使机体免疫功能严重受损,引起多器官功能衰竭等一系列严重的病理变化,最终导致不可逆休克和死亡,在美国每年都有超过10万人死于此病,临床上尚无有效的治疗方法,因此,及时、有效地清除或破坏患者体内的内毒素,     

含氨基聚甲基丙烯酸羟乙酯树脂对胆红素的吸附性能研究

以交联聚甲基丙烯酸羟乙酯树脂为载体,以己二胺和多乙烯多胺为功能基制备了一系列胆红素吸附剂,研究了它们在不同吸附温度、离子强度和胆红素浓度等条件下,对胆红素的吸附性能的影响.研究表明,该类吸附剂对胆红素具有良好的吸附性能,其中以己二胺和质子化己二胺为功能基的吸附剂对胆红素的吸附作用最佳.     

寡肽吸附剂的制备及吸附机理

为清除尿毒症患者血清中分离出的八肽VVRGCTWW(V8), 制备了不同间隔臂长含苯环的吸附剂Phenc. 吸附实验结果显示, 吸附剂Phe3c具有非常好的吸附能力. 采用NMR和分子模拟技术对吸附剂的模型体系的吸附机理进行了研究. 结果显示, 配体中的苯环可与八肽形成π-π堆积, 而且间隔臂的增长可以克服空间位阻效应, 有效增加配体与V8的作用几率, 进而增强吸附剂与八肽的相互作用. 研究结果表明, 采用合理的分子模型及分子对接方法, 不仅可以合理解释吸附剂的吸附机理, 而且可用于吸附剂的虚拟筛选.     

Highly Efficient Adsorption of Bilirubin by Ti3C2Tx MXene

We discovered that the 2D Ti₃C₂T_x MXene sheet displays an ultra-high removal capability for bilirubin (BR). In particular, MXene shows 47.6 times higher removal efficiency over traditional activated carbon absorbents. The effect of MXene on the removal rate of BR in BR solution containing different concentrations of bovine serum albumin (BSA) was studied. The adsorption capacity of BSA for BR at high concentration of 5 g L⁻¹ was about 85% of the best adsorption capacity. The MXene before and after adsorption was characterized by SEM, FT-IR and XPS. Furthermore, MXene beads were prepared, and the hemoperfusion simulation experiment was carried out. The results show that the adsorption capacity of MXene for bilirubin can reach 1192.9 mg g⁻¹. This study suggests that MXene may be promising in the treatment of hyperbilirubinemia.     

计算机模拟内毒素吸附剂吸附机理的研究

应用计算机模拟的方法研究了内毒素吸附剂的吸附机理. 模拟结果显示, 以二甲胺为配体的吸附剂, 当β位存在羟基时, 此羟基可与内毒素分子间形成氢键, 并形成一个八元环的稳定结构. 此时吸附剂与内毒素之间存在静电、 氢键、 疏水相互作用和八元环的协同作用. 同时模拟了羟基位于配体不同位置的吸附剂与内毒素的相互作用. 结果表明, 静电作用为主要的相互作用力, 羟基的位置对吸附剂的吸附能力影响显著.     

复合型吸附材料pei/sio2对胆红素的吸附作用

胆红素;吸附材料;聚乙烯亚胺;静电相互作用;吸附作用