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高效液相色谱法测定新生儿咖啡因血药浓度及临床应用
李赛1,李寿林1,苏凌璎2
0
(1. 淮安市妇幼保健院,江苏淮安 223001;2. 南京医科大学附属淮安第一人民医院,江苏淮安 223300)
摘要:
目的:建立测定新生儿血清中咖啡因血药浓度的高效液相色谱法,并对使用咖啡因治疗原发性呼吸暂停新生儿的血药浓度进行测定。 方法:色谱柱为 ZORBAX Extend C18 柱,流动相为乙腈-水(19 ∶ 81,V/ V),柱温 25 ℃ ,流速 1 mL/ min,检测波长273 nm。 结果:咖啡因血药浓度在 1. 0~160. 0 μg / mL 范围内呈良好的线性关系(r = 0. 998 9),平均回收率 98. 40% ~ 102. 40%,日内与日间相对标准差(RSD)≤9. 63%,检测 10 例患儿给药 7 d 后咖啡因血药浓度为(20. 53±11. 12)μg / mL。 结论:建立的高效液相色谱法准确、快速,经验证适用于新生儿血清中咖啡因血药浓度测定。
关键词:  新生儿  咖啡因  高效液相色谱法  血药浓度
DOI:10.13407/j.cnki.jpp.1672-108X.2023.08.009
基金项目:
Determination of Caffeine Blood Concentration in Neonates by High Performance Liquid Chromatography and Its Clinical Application
Li Sai1, Li Shoulin1, Su Lingying2
(1.Huai’an Women and Children’s Health Care Hospital, Jiangsu Huai’an 223001, China; 2. The Affiliated Huai’an No. 1 People’s Hospital of Nanjing Medical University, Jiangsu Huai’an 223300, China)
Abstract:
Objective: To establish the high performance liquid chromatography (HPLC) method for the determination of caffeine blood concentration in neonates, and to determine the concentration of caffeine in neonates with primary apnea. Methods: The determination was performed on ZORBAX Extend C18 column with mobile phase acetonitrile-water (19 ∶ 81, V/ V) at the column temperature of 25 ℃ and flow rate of 1 mL/ min. The detection wavelength was 273 nm. Results: Caffeine blood concentration showed good linearity ( r =0. 998,9) in the range of 1. 0 to 160. 0 μg / mL, with mean recoveries of 98. 40% to 102. 40%. Inter-day and intra-day relative standard deviation (RSD) was ≤9. 63%. The average caffeine blood concentration in 10 children was ( 20. 53± 11. 12) μg / mL after 7 d ofadministration. Conclusion: The established high performance liquid chromatography method is accurate, rapid and validated for the determination of caffeine blood concentration in neonates.
Key words:  neonates  caffeine  high performance liquid chromatography  blood concentration

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