HPLC法测定胆道感染患者胆汁中头孢曲松浓度
头孢曲松,,头孢曲松;HPLC;胆道感染;个体化给药;,1仪器与试剂,2方法与结果,3讨论,参考文献
摘 要 目的:建立胆汁中头孢曲松浓度的测定方法,用于临床个体化给药监测。方法:C18(200 mm×4.6 mm,5μm)色谱柱,流动相为ψ[甲醇∶水(0.015 mol/L溴化四丁基铵)]=40∶60,流速:1.0 mL/min,检测波长254 nm。结果:日内和日间RSD均小于5%。8名患者静脉滴注头孢曲松1 g,胆汁中药物峰浓度为14.37~2907μg/mL,8 h内胆汁排泄率0.28%~37.3%,个体差异较大。结论:方法简便、快速,可用于胆汁样品的CTRX浓度测定。胆汁中CTRX浓度取决于患者胆汁分泌情况,个体差异较大,应根据具体情况个体化给药。关键词 头孢曲松;HPLC;胆道感染;个体化给药;
Determination of the concentration of ceftriaxone in bile of biliary tract infection patients with HPLC
HAN Liping,ZHANG Yanjun,LUO Ke
(Department of Pharmacy,Guangzhou General Hospital of Guangzhou Military Command,Guangzhou,Guangdong 510010)
Abstract Objective: To establish a method for the determination of ceftriaxone concentration in bile so as to monitor the clinical drug use. Methods: Spherisorb C18(4.6 mm×200 mm) column was used. Methanol∶water(0.015 mol/L Tetrabutyl Ammonium Bromide)(40∶60)was used as the mobile phase .The detection wavelength was 254 nm. Results: The level of RSD withinday and betweenday was ≤5%. 1.0 g ceftriaxone was given to each of 8 patients by intravenous drip and it reached Cmax= 19.05~2907μg/mL,bile excrete rate of CTRX was 0.28%~37.3% in 8 h. The individual diversity was prominent. Conclusion: The method is simple and convenient,and applicable to determine drug concentration in bile. ......
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