The invention relates to the technical field of pharmaceutical chemicals, in particular to a preparation process of
hydrocortisone acetate. The preparation process comprises the following steps: carbonyl protection reaction: sequentially adding
ethylene glycol,
triethyl orthoformate and a compound 1 into a reaction flask, then adding p-toluenesulfonic acid, adding water for
crystallization, filtering and
drying to obtain a compound 2; a reduction
hydrolysis reaction; and a replacement reaction: adding the compound 3 into the reaction
solvent, adding
potassium acetate, carrying out a heating reaction, after the reaction is completed, cooling, adding water for
crystallization, filtering to obtain a crude product of
hydrocortisone acetate, dissolving with
dichloromethane and water for desalting, washing with water for layering, concentrating to be dry, crystallizing with an
alcohol solvent, and discharging to obtain a refined product of
hydrocortisone acetate. According to the present invention, the method has characteristics of simple and convenient operation, high product yield, and high purity, and the method of cooling after the reaction, adding water, precipitating, filtering, removing most of the impurities, dissolving to remove the salt, and carrying out
alcohol refining and discharging is provided, such that the method has characteristics of simple and convenient operation, and the obtained product has characteristics of high yield and high purity.