Yang Bo, Jiang Yun-sheng, Li Jun
Department of Nephrology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Hunan Yi Ke Da Xue Xue Bao. 2003 Jun;28(3):285-7.
To analyze the adsorbent effect of activated carbon on uremic toxin and its influence factors.
Uremic toxins (urea, creatinine and uric acid) were dissolved in the distilled water to obtain uremic toxic solution. Activated carbon was added to the solution, and the concentrations of uremic toxins were measured at different time spots. To determine the influence factors, some possible related materials, such as bile, amino acid, Ringer's, solution of glucose, HCl or NaOH respectively were added simultaneously.
The concentrations of toxins in uremic toxic solution decreased 5 min after adding the activated carbon. The concentration of urea was the lowest at 30 min, but it increased after 50 min; while the concentrations of creatinine and uric acid reached the lowest level from 10 to 30 min after adding the activated carbon, and maintained at the same level after that. The bile, amino acid, electrolyte, glucose and pH value did not influence the adsorption of uric acid significantly, but they influenced the adsorption of urea and creatinine. Bile and amino acid influenced the concentration of urea remarkably, following glucose, NaOH and HCl. The effect of pH 2.0 solution on the creatinine concentration was the most significant, following glucose.
Activated carbon has adsorptive effect on uremic toxins, but its adsorptive effect decreases as time goes on. Bile, glucose, amino acid, NaOH and HCl can affect the adsorptive effect of activated carbon on uremic toxins to some extent.
分析活性炭对尿毒症毒素的吸附作用及其影响因素。
将尿毒症毒素(尿素、肌酐和尿酸)溶解于蒸馏水中制成尿毒症毒素溶液。向该溶液中加入活性炭,并在不同时间点测定尿毒症毒素的浓度。为确定影响因素,分别同时加入一些可能相关的物质,如胆汁、氨基酸、林格氏液、葡萄糖溶液、盐酸或氢氧化钠。
加入活性炭后5分钟,尿毒症毒素溶液中的毒素浓度降低。尿素浓度在30分钟时最低,但在50分钟后升高;而肌酐和尿酸浓度在加入活性炭后10至30分钟达到最低水平,之后维持在同一水平。胆汁、氨基酸、电解质、葡萄糖和pH值对尿酸的吸附影响不显著,但对尿素和肌酐的吸附有影响。胆汁和氨基酸对尿素浓度影响显著,其次是葡萄糖、氢氧化钠和盐酸。pH值为2.0的溶液对肌酐浓度的影响最显著,其次是葡萄糖。
活性炭对尿毒症毒素有吸附作用,但其吸附作用随时间推移而降低。胆汁、葡萄糖、氨基酸、氢氧化钠和盐酸在一定程度上会影响活性炭对尿毒症毒素的吸附作用。