CN100437113C - Kit for detecting concentration ratio of phenacetin and acetaminophen in blood and application thereof - Google Patents

Kit for detecting concentration ratio of phenacetin and acetaminophen in blood and application thereof Download PDF

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Publication number
CN100437113C
CN100437113C CNB200610043562XA CN200610043562A CN100437113C CN 100437113 C CN100437113 C CN 100437113C CN B200610043562X A CNB200610043562X A CN B200610043562XA CN 200610043562 A CN200610043562 A CN 200610043562A CN 100437113 C CN100437113 C CN 100437113C
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China
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kit
phenacetin
liver
acetaminophen
aqueous solution
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CN1844923A (en
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汪运山
盖中涛
王庆西
高胜春
刘涛
李栋
曹丽君
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JINAN CELL BIO-TECHNOLOGY Co Ltd
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Individual
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Abstract

The present invention discloses a kit for detecting the concentration ratio of phenacetin and acetaminophen in blood, which comprises a kit body and applying agent filled in the kit body, wherein the applying agent comprises hydrochloric acid with the volume percent of 20%, aqueous solution of 1, 2-naphthoquinone-4-sodium sulfonate with the quality and volume percent of 0.02%, aqueous solution of cetyl three-first-grade ammonium bromide with the quality and volume percent of 1%, aqueous solution of sodium carbonate with the quality volume percent of 8%, and aqueous solution of trichloroacetic acid with the volume percent of 10%. The present invention also discloses the application of the kit in evaluating liver function. The kit of the present invention has the characteristics of high detecting speed, simple operation and low cost.

Description

A kind of kit that detects phenacetin and acetaminophen concentration ratio in the blood
Technical field
The present invention relates to a kind of kit and application thereof, relate in particular to a kind of kit and application in liver function detects and estimates thereof that detects phenacetin and acetaminophen concentration ratio in the blood.Belong to technical field of medical detection.
Background technology
In China, chronic liver disease is common disease and frequently-occurring disease, and only hepatitis b virus carrier accounts for more than 10% of China's total population just up to people more than 100,000,000.1,000,000 neonates are arranged because mother and baby's vertical transmission may be infected hepatitis B every year.In addition, metabolic disorder, medicine, excessive drinking and autoimmune disease also are the common causes that causes that liver damages.Because chronic liver damages and mainly occurs in person between twenty and fifty, in case be transformed into cirrhosis, except that bringing out liver cancer, himself also is a kind of irreversible pathologic process, give society and family economical with cause great burden and misery mentally.Therefore, in liver function detects, accomplish that hepatopathy is early diagnosed, prevent from morning, early treatment is necessary.
At present, (mensuration such as γ-GT), lactic dehydrogenase is referred to as liver function test, and this is incorrect with glutamic-pyruvic transaminase (SGPT), glutamic-oxalacetic transaminease (SGOT), alkaline phosphatase-glutamyl transpeptidase clinically.As people (Postgrad Med 2003 such as Limd JR; That 79:307~312) points out is such, and these inspections are indexs that liver cell suffers damage, and can not reflect the function of liver.Liver function is meant: three big substance metabolism functions of the bio-transformation function of the function of detoxification of liver, liver, the excretory function of liver, liver and liver are at brephic hematopoiesis function.And the routine inspection relevant with these functions at present mainly contains three indexs, and promptly plasma albumin assay, serum bilirubin level are measured and prothrombin time.But in clinical position, often running into some patients like this, is the hepatitis carrier in early days, and the every inspection relevant with liver is all normal, but develops into cirrhosis or liver cancer later on.Some fatty liver, the drink patient of back chronic liver disease for a long time, the institutional framework of liver is obviously destroyed, but it is all normal to have the liver function experimental index now.In case accept operation on liver or interventional therapy, it is weak serious liver function often to occur, even dead.This illustrates that existing detection index sensitivity is low, and poor specificity can not satisfy clinical needs.Thereby correct evaluating liver function is the key of liver diseases early diagnosis, early prevention and early treatment.
Correct evaluating liver function is clinical both at home and abroad and the long-term emphasis of paying close attention to of element task person.The research in this field in recent years makes substantial progress, and finds that the outer metabolism of phenacetin liver is few, and is not induced by classical liver drug enzyme derivant sodium phenobarbital.Illustrate that it is the desirable target spot of evaluating liver function that the ethyl enzyme is removed in phenacetin oxygen position.Phenacetin is the specific substrate that the ethyl enzyme is removed in liver second ammonia ether oxygen position, and this enzyme is constitutive expression at liver.After the oral or intravenous injection, go under the ethyl enzymatic in phenacetin oxygen position, phenacetin is metabolised to acetaminophen.Measure phenacetin and acetaminophen ratio in the blood, can accurately reflect the bio-transformation function of liver.The phenacetin few side effects, bad reaction is little, and the minimum toxic dose of human body is desirable probe medicines of clinical trial greater than 5 grams.
The content of phenacetin and acetaminophen now more in the serum adopts exact instrument analytic approach (HPLC) to measure, though this method is accurate, and the precision height, the cost height, speed is slow, and poor practicability is difficult for promoting.Therefore, press for method and the kit that phenacetin and acetaminophen concentration ratio in a kind of not only easy but also accurate, practical detection blood can be arranged.
Summary of the invention
At the deficiencies in the prior art, the problem to be solved in the present invention provides a kind of kit and application in liver function detects and estimates thereof that detects phenacetin and acetaminophen concentration ratio in the blood.
Kit of the present invention can accurately be measured phenacetin and acetaminophen concentration ratio in the blood, and simple and efficient, easy to operate, cost is low, is suitable for the use of hospitals at different levels.
The kit of phenacetin and acetaminophen concentration ratio comprises box body in the detection blood of the present invention, is located at the application reagent in the box body; It is characterized in that: described application reagent is respectively: percent by volume is 20% hydrochloric acid, the quality percent by volume is 0.02%1, the aqueous solution of 2-naphthoquinones-4-sodium sulfonate, the quality percent by volume is the aqueous solution of 1% cetyl trimethyl ammonium bromide, the quality percent by volume is the aqueous solution of 8% sodium carbonate, and percent by volume is 10% trichloroacetic acid solution.
The application of above-mentioned kit in the evaluating liver function.
The using method of mentioned reagent box is as follows:
(1) the oral 1 gram phenacetin of patient, blood drawing after 2 hours, separation of serum is standby.
(2) get serum 1ml, add 10% trichloroacetic acid 1.5ml, carry out the deproteinized operation, centrifugal 15min under 3000 rev/mins of conditions isolates supernatant.
(3) get the 25ml volumetric flask and add above-mentioned 1ml supernatant, 0.25ml 20% hydrochloric acid, water-bath backflow 45min.
(4) be cooled to room temperature after, add 7.5ml 8% sodium carbonate, fully vibration adds 6ml 0.02%1,2-naphthoquinones-4-sodium sulfonate, 1ml 1% cetyl trimethyl ammonium bromide then successively.
(5) according to the principle of dual-wavelength spectrophotometry, measure absorbance at 491nm and 539nm wavelength, according to formula Δ A 1=0.000205C (Δ A 1Be the absorbance difference of 491nm and 539nm in the chromogenic reaction curve, the unit of C is ug/ml) measure the content of phenacetin, the content equation of measuring paracetamol is Δ A 2=0.000243C (Δ A 2Be the absorbance value difference of 470nm and 516nm in the chromogenic reaction curve, the unit of C is ug/ml).
(6) according to the concentration ratio of phenacetin and the acetaminophen index as the evaluating liver function, wherein: the ratio of the two is less than or equal to 1 in the healthy population, and dysfunction of liver person's ratio is greater than 1.
Kit advantage provided by the invention is:
(1) detection speed is fast.Remove the sample processing time in early stage, use liquid chromatography measure single component machine working time greater than 20 minutes, two kinds of compositions of this experiment measuring machine working time greater than 40 minutes, one day by the calculation of 8 hour working time, every day, test sample was less than 12 examples, and use this kit machine working time less than 2 minutes, can satisfy the needs of clinical a large amount of test sample.
(2) easy and simple to handle, cost is low.Liquid phase chromatography needs liquid chromatograph, and the instrument costliness requires height to operating personnel, and this kit agents useful for same is a general chemistry reagent, and used instrument also is the common spectrophotometer that medical institutions at different levels all have, and use cost is low, and is easy to utilize.
Embodiment
Embodiment 1
Single part of kit:
Preparation 10cm * 15cm * 10cm box body is provided with five slotted eyes that become dress to use reagent in box body, become to adorn a plastic bottle (volume 5ml) respectively, contains 10% trichloroacetic acid 2ml; Two flint glass F bottles (volume 2ml) contain 20% hydrochloric acid 1ml; No. three bottle plastic bottles (volume 10ml) contain 8% sodium carbonate 8ml; No. four Brown Glass Brown glass bottles and jars onlys (volume 10ml) contain 0.02%1,2-naphthoquinones-4-sodium sulfonate 7ml; No. five plastic bottles (volume 5ml) contain 1% cetyl trimethyl ammonium bromide 2ml; Promptly make the single part kit that detects phenacetin and acetaminophen concentration ratio in the blood.
Embodiment 2
Amount and reagent bottle volumetric quantity thereof according to embodiment 1 described application reagent, the scalable 10 person-portion kits that detect phenacetin and acetaminophen concentration ratio in the blood that are prepared into, hundred person-portion kits of phenacetin and acetaminophen concentration ratio in the detection blood, 300 person-portion kits of phenacetin and acetaminophen concentration ratio in the detection blood, 500 person-portion kits of phenacetin and acetaminophen concentration ratio in the detection blood.
Embodiment 3
Single part of kit of phenacetin and acetaminophen concentration ratio carries out the liver function detection of patient with liver cirrhosis in the Application Example 1 described detection blood:
(1) the oral 1 gram phenacetin of patient, blood drawing after 2 hours, separation of serum is standby.
(2) get serum 1ml, add 10% trichloroacetic acid 1.5ml, carry out the deproteinized operation, centrifugal 15min under 3000 rev/mins of conditions isolates supernatant.
(3) get the 25ml volumetric flask and add above-mentioned 1ml supernatant, 0.25ml 20% hydrochloric acid, water-bath backflow 45min.
(4) be cooled to room temperature after, add 7.5ml 8% sodium carbonate, fully vibration adds 6ml 0.02%1,2-naphthoquinones-4-sodium sulfonate, 1ml 1% cetyl trimethyl ammonium bromide then successively.
(5) according to the principle of dual-wavelength spectrophotometry, measure absorbance at 491nm and 539nm wavelength, according to formula Δ A 1=0.000205C (Δ A 1Be the absorbance difference of 491nm and 539nm in the chromogenic reaction curve, the unit of C is ug/ml) measure the content of phenacetin, the content equation of measuring paracetamol is Δ A 2=0.000243C (Δ A 2Be the absorbance value difference of 470nm and 516nm in the chromogenic reaction curve, the unit of C is ug/ml).
(6) according to the concentration ratio of phenacetin and the acetaminophen index as the evaluating liver function, dysfunction of liver person's ratio is greater than 1.
Detect to such an extent that the concentration ratio of described patient with liver cirrhosis phenacetin and acetaminophen is 4.6, diagnosable is dysfunction of liver.
Embodiment 4
Same quadrat method, the kit of Application Example 1 has been estimated the liver function of 20 routine normal persons and 12 routine patient with liver cirrhosis, found that the oral phenacetin of normal person after 2 hours, the ratio of phenacetin and acetaminophen is all less than 1 in its blood, and patient with liver cirrhosis is greater than 4.

Claims (1)

1. a kit that detects phenacetin and acetaminophen concentration ratio in the blood comprises box body, is located at the application reagent in the box body; It is characterized in that: described application reagent is respectively: percent by volume is 20% hydrochloric acid, the quality percent by volume is 0.02%1, the aqueous solution of 2-naphthoquinones-4-sodium sulfonate, the quality percent by volume is the aqueous solution of 1% cetyl trimethyl ammonium bromide, the quality percent by volume is the aqueous solution of 8% sodium carbonate, and percent by volume is 10% trichloroacetic acid solution.
CNB200610043562XA 2006-04-11 2006-04-11 Kit for detecting concentration ratio of phenacetin and acetaminophen in blood and application thereof Expired - Fee Related CN100437113C (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101349678B (en) * 2007-06-12 2011-12-21 贺平 Detection reagent kit for accurately evaluating liver function in early stage
CN101226175A (en) * 2008-02-04 2008-07-23 李晓冬 Application of acetophenetidin in preparation of medicaments for testing liver cancer high risk group

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0089857A1 (en) * 1982-03-24 1983-09-28 R.P. Scherer Corporation Pharmaceutical compounds and process for the manufacture of same
CN1077288A (en) * 1993-04-01 1993-10-13 壬京 Simplify the immunological method and the kit of fast detecting hepatitis
CN1184255A (en) * 1997-10-21 1998-06-10 曾真 Detection method and reagent kit for subtype of hepatitis B virogene
WO2002002084A1 (en) * 2000-06-29 2002-01-10 Vincent Lenaerts Cross-linked high amylose starch for use in controlled-release pharmaceutical formulations and processes for its manufacture
WO2004038428A2 (en) * 2002-10-25 2004-05-06 Labopharm Inc. Controlled-release compositions

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0089857A1 (en) * 1982-03-24 1983-09-28 R.P. Scherer Corporation Pharmaceutical compounds and process for the manufacture of same
CN1077288A (en) * 1993-04-01 1993-10-13 壬京 Simplify the immunological method and the kit of fast detecting hepatitis
CN1184255A (en) * 1997-10-21 1998-06-10 曾真 Detection method and reagent kit for subtype of hepatitis B virogene
WO2002002084A1 (en) * 2000-06-29 2002-01-10 Vincent Lenaerts Cross-linked high amylose starch for use in controlled-release pharmaceutical formulations and processes for its manufacture
WO2004038428A2 (en) * 2002-10-25 2004-05-06 Labopharm Inc. Controlled-release compositions

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