[Adsorbent effect of activated carbon on small molecular uremic toxin and its influence factors].

Bo Yang, Yun-sheng Jiang, Jun Li
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Abstract

Objective: To analyze the adsorbent effect of activated carbon on uremic toxin and its influence factors.

Methods: 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.

Results: 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.

Conclusion: 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.

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[活性炭对小分子尿毒症毒素的吸附作用及其影响因素]。
目的:分析活性炭对尿毒症毒素的吸附效果及其影响因素。方法:将尿毒症毒素(尿素、肌酐和尿酸)溶解于蒸馏水中,得到尿毒症毒液。在溶液中加入活性炭,测定不同时间点尿毒症毒素的浓度。同时加入胆汁、氨基酸、林格氏液、葡萄糖溶液、盐酸或氢氧化钠等可能的相关物质,以确定影响因素。结果:加活性炭5 min后,尿毒症毒液中毒素浓度降低。尿素浓度在30 min时最低,50 min后升高;而肌酐和尿酸浓度在添加活性炭后10 ~ 30min达到最低水平,此后一直维持在同一水平。胆汁、氨基酸、电解质、葡萄糖和pH值对尿酸的吸附无显著影响,但对尿素和肌酐的吸附有显著影响。胆汁和氨基酸对尿素浓度的影响仅次于葡萄糖、NaOH和HCl。pH 2.0溶液对肌酐浓度的影响最显著,其次是葡萄糖。结论:活性炭对尿毒症毒素有吸附作用,但吸附效果随时间的延长而降低。胆汁、葡萄糖、氨基酸、NaOH和HCl对活性炭对尿毒症毒素的吸附效果有一定影响。
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