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高效液相色谱-串联质谱同时测定人血浆中8种抗抑郁药的浓度

SIMULTANEOUS DETERMINATION OF 8 ANTIDEPRESSANTS IN HUMAN PLASMA BY HPLC-MS/MS
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摘要 目的建立同时测定血浆中米氮平、舍曲林、帕罗西汀、度洛西汀、阿米替林、去甲阿米替林、艾司西酞普兰及劳拉西泮8种抗抑郁药物浓度的高效液相色谱-串联质谱法(HPLC-MS/MS)。方法内标为度洛西汀-d7,使用甲醇将血浆样品进行蛋白沉淀后分析。Waters Cortecs C18(2.1 mm×50.0 mm,2.7μm)色谱柱,0.1%甲酸水溶液-0.1%甲酸甲醇溶液梯度洗脱,流速0.5 mL/min,电喷雾阳离子源。通过实验对这一方法的专属性、精密度、回收率等进行考察。结果米氮平、帕罗西汀、艾司西酞普兰在1~200 ng·mL^(-1);舍曲林、去甲阿米替林、度洛西汀、阿米替林及劳拉西泮在2.5~500 ng·mL^(-1)范围内均表现良好的线性关系,回收率为94.70%~101.31%,精密度(RSD)小于15%。结论相较其他方法,该方法在临床同时测定服药患者血液中抗抑郁药物的浓度时具有快速、灵敏、准确的特点,且具有专属性强、重复性好、稳定性高的优点。 Objective To establish a HPLC-MS/MS method for simultaneous determination of mirtazapine,sertraline,paroxetine,duloxetine,amitriptyline,nortriptyline,escitalopram and lorazepam in human plasma.Methods The plasma sam-ple was precipitated with methanol after the addition of internal standard(duloxetine-d7).The chromatographic separation was performed on Waters Cortecs C18(2.1 mm×50.0 mm,2.7μm)with the mobile phase of 0.1%formic acid water-0.1%formic acid methanol at a flow rate of 0.5 mL in each minutes,an electrospray ionization ion-trap source(ESI)was used as the detector and operated in the positive ion mode.The specificity,precision and recovery,of the method were investigated.Results The lin-er calibration curves of mirtazapine,paroxetine,escitalopram were obtained in the concentration range of 1~200 ng·mL^(-1);ser-traline,duloxetine,amitriptyline,nortriptyline,lorazepam in the concentration range of 2.5~500 ng·mL^(-1) respectively.The rela-tive recovery was in the range of 94.70%~101.31%.The RSDs of inter-day and intra-day precision were less than15%.Con-clusions The method is rapid,sensitive,accurate,with high specificity,good repeatability and high stability,and it is suitable for simultaneous determination of antidepressant drug concentrations in patient blood.
作者 王玉平 WANG Yuping(Medical Clinical Laboratory,The Third Hospital of Inner Mongolia Autonomous Region,Hohhot 010013,China)
出处 《内蒙古医科大学学报》 2023年第3期230-234,共5页 Journal of Inner Mongolia Medical University
关键词 高效液相色谱-串联质谱 抗抑郁药 治疗药物监测 HPLC-MS/MS Antidepressants TDM
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