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CN102350006A - Medical moist composite dressing and preparation method thereof - Google Patents

Medical moist composite dressing and preparation method thereof Download PDF

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Publication number
CN102350006A
CN102350006A CN2011103284196A CN201110328419A CN102350006A CN 102350006 A CN102350006 A CN 102350006A CN 2011103284196 A CN2011103284196 A CN 2011103284196A CN 201110328419 A CN201110328419 A CN 201110328419A CN 102350006 A CN102350006 A CN 102350006A
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medical
composite dressing
short fiber
dressing
lactide
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黄庆
徐纪刚
周杰
曲希明
崔华帅
吴鹏飞
史贤宁
李�杰
沈锂鸣
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China Textile Academy
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China Textile Academy
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Abstract

The invention discloses a medical moist composite dressing which comprises 20-50% of poly(glycolide-co-lactide) (PGLA) and 50-80% of sodium carboxymethylcellulose by mass percent. According to the technical scheme disclosed by the invention, as the medical moist composite dressing comprises the PGLA and the sodium carboxymethylcellulose and the PGLA has good mechanical properties, a network structure is formed in the dressing, thus forming protective layers on the surfaces of wounds, avoiding secondary wounds, providing space and nutrition exchange environment for granulation growth in the wound healing process or facilitating epithelium climbing growth, and being beneficial to wound healing; used as the dressing, the sodium carboxymethylcellulose can absorb plenty of exuded tissue fluid and prevent formation of adhesion during regeneration of the epithelium and movement of inflammatory cells and other cells while keeping the wounds moist; and through the synergy of the PGLA and the sodium carboxymethylcellulose, the change times of the dressing can be reduced, and wound healing can be accelerated.

Description

Medical wet combine dressing and manufacturing approach thereof
Technical field
The present invention relates to medical disposable material and manufacturing field thereof, in particular to a kind of medical wet combine dressing and manufacturing approach thereof.
Background technology
The wound dressing of textile wound is one of topmost medical disposable material in the modern medicine, and traditional dressing comprises that mainly gauze, sponge, bandage etc. can make wound touch the dryness dressing of oxygen.1962, doctor Wen Te of London University proved that the wound that uses moist dressing is exposed to intimate normal healing in the air, and speed of wound healing is obviously accelerated, and this viewpoint is all supported in a large amount of subsequently bases and clinical research.To the nineties in last century, be that the high-grade moist dressing of raw material develops rapidly with biomaterial, macromolecular material, composite etc.In August, 2000 FDA Food and Drug Administration (FDA) is lay special stress in the industry guide of the wound surface medical supplies (medicine for external use and dressing) of new promulgation; Keeping the moist environment of wound surface is the processing method of standard, and this has facilitated the moist dressing the present and the future all can be the main flow of Wound dressing.
At present, most medical wet dressing all contains high absorbency material, although compare with traditional dressing, speed of wound healing is obviously accelerated, and in use, the number of times that moist dressing need be changed is still relatively more frequent, speed of wound healing still remains to be improved.There is same problem in the medical wet dressing that sodium carboxymethyl cellulose is made, and its number of times that need change is also relatively more frequent.
Summary of the invention
The present invention aims to provide a kind of medical wet combine dressing and manufacturing approach thereof, to solve the medical moist dressing frequent technical problem of replacing number of times in use in the prior art.
To achieve these goals, according to an aspect of the present invention, a kind of medical wet combine dressing is provided.This medical wet combine dressing comprises that the quality percentage composition is 20~50% poly (glycolide-lactide) and 50~80% sodium carboxymethyl cellulose.
Further, to be poly (glycolide-lactide) and sodium carboxymethyl cellulose obtain with the form of the short fiber method through acupuncture the medical wet combine dressing.
Further, the density of medical wet combine dressing is 100~160g/m 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.
Further, the pH value of medical wet combine dressing is 6.0~8.0.
According to a further aspect in the invention, a kind of above-mentioned each manufacturing approach of medical wet combine dressing is provided, poly (glycolide-lactide) and sodium carboxymethyl cellulose have been processed short fiber respectively, processed the medical wet combine dressing through the method for acupuncture then.
Further; The poly (glycolide-lactide) raw material through dry, 240 ℃ of melt spinnings, thin dawn crimping machines curl, cut off and make the poly (glycolide-lactide) short fiber; And the filament number of control poly (glycolide-lactide) short fiber is 2~5dtex, and fibre length is 38~76mm, fracture strength >=2.0cN/dtex; Two-way elongation at break >=16%, strength retention were 2 weeks interior 30~50%.
Further, the filament number of sodium carboxymethyl cellulose short fiber is 1~4dtex, and fibre length is 38~51mm, and fracture strength is 1.5~3.5cN/dtex, and is 100-120g/m through regulating lapping THICKNESS CONTROL medical wet combine dressing density 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.
Further, regulate pH value to 6.0~8.0 of medical wet combine dressing.
Further; Needling process be the poly (glycolide-lactide) short fiber with the sodium carboxymethyl cellulose short fiber through premixing, shredding, mix, combing, lapping, pin reinforcing in advance, heat treatment, forming step accomplish said acupuncture course; Wherein, the temperature of top and bottom rolls is 110~140 ℃ during heat treatment.
Further, the medical wet combine dressing behind the adjusting pH value is carried out the gamma-rays sterilization.
Use technical scheme of the present invention; Because this medical wet combine dressing comprises poly (glycolide-lactide) and sodium carboxymethyl cellulose; Poly (glycolide-lactide) has the good mechanical performance, and the network structure that in dressing, forms makes the gel film that sodium carboxymethyl cellulose produces can be long-term placement of wound site and not fragile, thereby forms protection in wound surface; Can reduce the change of dressing number of times; Avoid being wound once more of wound, and, help the healing of wound for granulation growth in the wound healing process provides space and nutrition switched environment or make things convenient for epithelial tissue to climb the length of growing nonparasitically upon another plant; Sodium carboxymethyl cellulose uses as dressing can absorb the tissue fluid of oozing out in a large number, and when keeping wound moistening, the formation of adhesion, prevention inflammatory cell and other cells is mobile during the prevention epithelium regeneration, and both are collaborative, thereby quicken the healing of wound surface.
The specific embodiment
Need to prove that under the situation of not conflicting, embodiment and the characteristic among the embodiment among the present invention can make up each other.To combine embodiment to specify the present invention below.
In a kind of typical embodiment of the present invention, a kind of medical wet combine dressing is provided, this medical wet combine dressing comprises that the quality percentage composition is 20~50% poly (glycolide-lactide) and 50~80% sodium carboxymethyl cellulose.On the one hand; Sodium carboxymethyl cellulose is a kind of water-soluble cellulose derivative; The integrity that in a large amount of moisture absorptions, can also keep self structure; And have that absorbability is good, nontoxic, characteristics such as non-immunogenicity and good biocompatibility, can vertically absorb the tissue fluid of oozing out in a large number when using as dressing, can not make it diffuse to the skin of wound perimeter along dressing.On the other hand; Poly (glycolide-lactide) has the good mechanical performance; The gel film that the network structure that in the medical wet combine dressing, forms forms sodium carboxymethyl cellulose fibre can be placed and not fragile at wound site for a long time, and the change of dressing number of times is few, helps the healing of wound.When wound enters into granulation growth stage, the poly (glycolide-lactide) fibrillar meshwork structure in this medical compound moist dressing can be used as skeleton, for the granulation growth provides space and nutrition switched environment.At wound healing the last stage, i.e. epithelization regeneration period, fibrillar meshwork structure of the present invention then is beneficial to the epithelial tissue growth and climbs and attach very much.In addition, after poly (glycolide-lactide) and sodium carboxymethyl cellulose are compound, there is synergism between them.Because the network of poly (glycolide-lactide) makes sodium carboxymethyl cellulose when keeping wound moistening, the formation of adhesion in the time of can stoping epithelium regeneration, stop moving of inflammatory cell and other cells, thereby quicken the healing of wound surface.And form gel behind the dressing absorption liquid, and have low adhesion, when changing dressings, be prone to by complete removal.
The quality percentage composition of poly (glycolide-lactide) is 20~50% in the medical wet combine dressing; The quality percentage composition of sodium carboxymethyl cellulose is 50~80%; The medical wet combine dressing of processing with this ratio; In the healing humidity that guarantees wound, also provide the good network structure as skeleton, the healing of accelerated in wounds.And the present invention can also regulate soak time through the composition of adjustment combine dressing; After wound heals basically; Dressing will all be absorbed by the body, and not need dressing is taken out from wound, thereby eliminate the destructive once more possibility of wound surface quilt; Make the change of dressing number of times few, help the healing of wound.
In a kind of typical embodiment of the present invention, to be poly (glycolide-lactide) and sodium carboxymethyl cellulose obtain with the form of the short fiber method through acupuncture the medical wet combine dressing.The brute force of the non-woven fabrics that this method obtains (medical wet combine dressing) can not receive sodium carboxymethyl cellulose and absorbefacient influence of poly (glycolide-lactide) and reduce.Preferably, the density of medical combine dressing is 100-120g/m 2, help the quickly-healing of wound; Water absorption rate reaches more than 10 times, to guarantee the formation of the moist environment that wound healing needs; Two-way elongation at break>30% is to bear pullling or pulling of certain force.
Preferably, the pH value of medical combine dressing is 6.0~8.0.Weak acid environment to guarantee itself and human body is consistent, helps the healing of wound, can not produce the damageability effect to tissue; In addition, keep the scope of this pH value,,, the pH value of wound circumference is changed, tissue is produced damage because the absorptive tissue transudate reacts to avoid dressing in use.
According to a further aspect in the invention; A kind of manufacturing approach of above-mentioned medical wet combine dressing is provided; In a kind of typical embodiment; Poly (glycolide-lactide) and sodium carboxymethyl cellulose are processed short fiber respectively, process compound nonwoven cloth through the method for acupuncture then, be i.e. the medical wet combine dressing.
The manufacturing process of poly (glycolide-lactide) short fiber comprises: the poly (glycolide-lactide) raw material through dry, 240 ℃ of melt spinnings, thin dawn crimping machines curl, cut off and make the poly (glycolide-lactide) short fiber.The poly (glycolide-lactide) short fiber need meet the following conditions: (a) filament number 2~5dtex; (b) length 38~76mm; (c) fracture strength >=2.0cN/dtex; (d) two-way elongation at break >=16%; (e) strength retention was 2 weeks interior 30~50%.
In a kind of typical embodiment of the present invention; Behind vacuum drying, adopt the melt spinning method that spins, leads one to obtain poly (glycolide-lactide) undrawn yarn (200~240 ℃ of spinning temperatures, 4~6 times of drafting multiples) the poly (glycolide-lactide) section that market is buied; Through the multistage drawing-off; Obtain the poly (glycolide-lactide) long filament, again through boundling, preheating, curl, operations such as typing, cut-out finally obtain the poly (glycolide-lactide) short fiber.
Sodium carboxymethyl cellulose short fiber fiber can be commercially available, but need meet the following conditions: (a) filament number 1~4dtex; (b) fracture strength 1.5~3.5cN/dtex; (c) length 38~51mm.
In a kind of typical embodiment of the present invention, needling process be the poly (glycolide-lactide) short fiber with the sodium carboxymethyl cellulose short fiber through premixing, shredding, mix, combing, lapping, pin reinforcing in advance, heat treatment, forming step accomplish said acupuncture course.Preferably, the temperature of top and bottom rolls is 110~140 ℃ during heat treatment, and the surface treatment Horizon lay the grain of needle fabric is sliding under this temperature conditions.
In a kind of typical embodiment of the present invention, regulate pH value to 6.0~8.0 of medical wet combine dressing, then it is carried out the gamma-rays sterilization.
Below will combine embodiment 1-4 to further specify the beneficial effect of medical wet combine dressing provided by the present invention.
Embodiment 1
At first with poly (glycolide-lactide) section (vacuum 750~760mmHg), dry 12 hours, 120 ℃ of baking temperatures, moisture content<80ppm behind the chip drying under vacuum.Dry good poly (glycolide-lactide) section process screw rod on spinning, drawing-off all-in-one is extruded, two sections drawing-offs, coilings obtain the poly (glycolide-lactide) long filament, and extruder temperature is respectively: 220 ℃ in 1 district, 230 ℃ in 2 districts, 230 ℃ in 3 districts, 240 ℃ in 4 districts; Spinning melt pump (0.3cc) rotating speed is 16r/min; The temperature of first draw roll and speed are respectively 50 ℃, 120m/min; The temperature of second draw roll and speed are respectively 70 ℃, 380m/min; The temperature of the 3rd draw roll and speed are respectively 120 ℃, 600m/min; Winding speed is 580m/min.The fibrous fracture intensity that obtains is that 5.8cN/dtex, extension at break are 22.0%, and strength retention was 2 weeks interior 30~50%.Through behind the boundling, through preheating (70 ℃), curl, typing (120 ℃), cut off, obtaining filament number is that 2.5dtex, length are the poly (glycolide-lactide) short fiber of 38mm with the poly (glycolide-lactide) long filament that obtains.
(filament number 4dtex, fibre length 38mm, fracture strength 1.5~3.5cN/dtex) are carried out premixing according to weight ratio at 20: 80 with poly (glycolide-lactide) short fiber and sodium carboxymethyl cellulose short fiber; Through shredding, mixing, combing, lapping, pin, main pin, upward main pin, heat treatment (120 ℃), molding down in advance, be processed into needle punched non-woven fabrics then.Acupuncture course is selected the 40# pricker, stings 3 times, and depth of needling is respectively 6mm, 3~4mm, 3~4mm.Wherein, be 100g/m through regulating the medical combine dressing density of lapping THICKNESS CONTROL 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.Regulate pH to 6.0~8.0 of this medical combine dressing, carry out the gamma-rays sterilization again.
Embodiment 2
According to obtaining filament number with embodiment 1 said same procedure is that 2.5dtex, length are the poly (glycolide-lactide) short fiber of 55mm; (filament number 1.5dtex, fibre length 51mm, fracture strength 1.5~3.5cN/dtex) are carried out premixing according to weight ratio at 30: 70 with poly (glycolide-lactide) short fiber and sodium carboxymethyl cellulose short fiber; Through shredding, mixing, combing, lapping, pin, main pin, upward main pin, heat treatment (110 ℃), molding down in advance, be processed into needle punched non-woven fabrics then.Acupuncture course is selected the 40# pricker, stings 3 times, and depth of needling is respectively 6mm, 3~4mm, 3~4mm.Wherein, be 160g/m through regulating the medical combine dressing density of lapping THICKNESS CONTROL 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.Regulate pH to 6.0~8.0 of this medical combine dressing, carry out the gamma-rays sterilization again.
Embodiment 3
According to obtaining filament number with embodiment 1 said same procedure is that 3.5dtex, length are the poly (glycolide-lactide) short fiber of 76mm; (filament number 1.5dtex, fibre length 45mm, fracture strength 1.5~3.5cN/dtex) are carried out premixing according to weight ratio at 40: 60 with poly (glycolide-lactide) short fiber and sodium carboxymethyl cellulose short fiber; Then through shredding, mixing, combing, lapping, pin, main pin, upward main pin, heat treatment (140 ℃), molding down in advance; Be processed into needle punched non-woven fabrics, again through after the gamma-rays sterilization.Acupuncture course is selected the 40# pricker, stings 3 times, and depth of needling is respectively 6mm, 3~4mm, 3~4mm.Wherein, be 130g/m through regulating the medical combine dressing density of lapping THICKNESS CONTROL 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.Regulate pH to 6.0~8.0 of this medical combine dressing, carry out the gamma-rays sterilization again.
Embodiment 4
According to obtaining filament number with embodiment 1 said same procedure is that 5dtex, length are the poly (glycolide-lactide) short fiber of 38mm; (filament number 1.5dtex, fibre length 40mm, fracture strength 1.5~3.5cN/dtex) are carried out premixing according to weight ratio at 50: 50 with poly (glycolide-lactide) short fiber and sodium carboxymethyl cellulose short fiber; Through shredding, mixing, combing, lapping, pin, main pin, upward main pin, heat treatment (130 ℃), molding down in advance, be processed into needle punched non-woven fabrics then.Acupuncture course is selected the 40# pricker, stings 3 times, and depth of needling is respectively 6mm, 3~4mm, 3~4mm.Wherein, be 140g/m through regulating the medical combine dressing density of lapping THICKNESS CONTROL 2, water absorption rate reaches more than 10 times, two-way elongation at break>30%.Regulate pH to 6.0~8.0 of this medical combine dressing, carry out the gamma-rays sterilization again.
Comparative Examples
The medical wet dressing of sodium carboxymethyl cellulose preparation.The sodium carboxymethyl cellulose short fiber is processed into needle punched non-woven fabrics through shredding, mixing, combing, lapping, pin, main pin, upward main pin, heat treatment (130 ℃), molding down in advance, through after the gamma-rays sterilization, becomes sodium carboxymethyl cellulose dressing again.
During application, doctor's dressing sticks on patient's the skin surface, and then is fixed on the wound with adhesive plaster or polyurethane film.
Adopt the medical wet combine dressing of embodiment of the invention 1-4 and the medical wet dressing in the Comparative Examples that the wound of moderate wound is handled, 10 patients of every embodiment use result such as table one:
Table one
Figure BDA0000102063040000051
This shows that the replacing number of times when medical wet combine dressing provided by the invention uses significantly reduces, and the effect of speedup wound healing is also very obvious.
The above is merely the preferred embodiments of the present invention, is not limited to the present invention, and for a person skilled in the art, the present invention can have various changes and variation.All within spirit of the present invention and principle, any modification of being done, be equal to replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (10)

1.一种医用湿性复合敷料,其特征在于,包括质量百分含量为20~50%的聚乙丙交酯和50~80%的羧甲基纤维素钠。1. A medical moist composite dressing, characterized in that it comprises 20-50% polyglycolide and 50-80% sodium carboxymethyl cellulose in a mass percentage. 2.根据权利要求1所述的医用湿性复合敷料,其特征在于,所述医用湿性复合敷料是所述聚乙丙交酯和所述羧甲基纤维素钠以短纤维的形式通过针刺的方法得到的。2. medical moist composite dressing according to claim 1, is characterized in that, described medical wet composite dressing is that described polyethylene lactide and described sodium carboxymethyl cellulose pass through acupuncture in the form of short fiber method obtained. 3.根据权利要求2所述的医用湿性复合敷料,其特征在于,所述医用湿性复合敷料的密度为100~160g/m2,吸水率达到10倍以上,双向断裂伸长率>30%。3. The medical wet composite dressing according to claim 2, characterized in that the medical wet composite dressing has a density of 100-160 g/m 2 , a water absorption rate of more than 10 times, and a two-way elongation at break>30%. 4.根据权利要求1所述的医用湿性复合敷料,其特征在于,所述医用湿性复合敷料的pH值为6.0~8.0。4. The medical wet composite dressing according to claim 1, characterized in that the pH value of the medical wet composite dressing is 6.0-8.0. 5.一种权利要求1-4中任一项所述的医用湿性复合敷料的制造方法,其特征在于,将所述聚乙丙交酯和所述羧甲基纤维素钠分别制成短纤维,然后通过针刺的方法将聚乙丙交酯短纤维和羧甲基纤维素钠短纤维制成医用湿性复合敷料。5. a manufacture method of the medical moist composite dressing described in any one of claims 1-4, is characterized in that, described polylactide and described sodium carboxymethyl cellulose are respectively made short fiber , and then the polylactide short fiber and the sodium carboxymethyl cellulose short fiber are made into a medical wet composite dressing by the acupuncture method. 6.根据权利要求5所述的医用湿性复合敷料的制造方法,其特征在于,聚乙丙交酯原料通过干燥、240℃熔融纺丝、细旦卷曲机卷曲、切断制得所述聚乙丙交酯短纤维,并且控制所述聚乙丙交酯短纤维的单丝纤度为2~5dtex,纤维长度为38~76mm,断裂强度≥2.0cN/dtex,双向断裂伸长率≥16%,强度保持率为2周内30~50%。6. The manufacture method of medical moist composite dressing according to claim 5, is characterized in that, polyethylene lactide raw material is obtained described polyethylene glycol lactide by drying, 240 ℃ of melt spinning, fine-denier crimping machine crimping, cutting off. Lactide short fiber, and the monofilament fineness of the polyethylene lactide short fiber is controlled to be 2-5dtex, the fiber length is 38-76mm, the breaking strength is ≥2.0cN/dtex, the bidirectional elongation at break is ≥16%, and the strength The retention rate is 30-50% within 2 weeks. 7.根据权利要求6所述的医用湿性复合敷料的制造方法,其特征在于,所述羧甲基纤维素钠短纤维的单丝纤度为1~4dtex,纤维长度为38~51mm,断裂强度为1.5~3.5cN/dtex,且通过调节铺网厚度控制所述医用湿性复合敷料密度为100~120g/m2,吸水率达到10倍以上,双向断裂伸长率>30%。7. the manufacture method of medical moist composite dressing according to claim 6 is characterized in that, the monofilament fineness of described sodium carboxymethylcellulose short fiber is 1~4dtex, and fiber length is 38~51mm, and breaking strength is 1.5-3.5cN/dtex, and the density of the medical wet composite dressing is controlled to be 100-120g/m 2 by adjusting the thickness of the laying net, the water absorption rate is more than 10 times, and the two-way elongation at break is more than 30%. 8.根据权利要求7所述的医用湿性复合敷料的制造方法,其特征在于,调节所述医用湿性复合敷料的pH值到6.0~8.0。8. The manufacturing method of the medical wet composite dressing according to claim 7, characterized in that the pH value of the medical wet composite dressing is adjusted to 6.0-8.0. 9.根据权利要求7所述的医用湿性复合敷料的制造方法,其特征在于,所述聚乙丙交酯短纤维与羧甲基纤维素钠短纤维经过预混合、开松、混合、梳理、铺网、预针加固、热处理、成型步骤完成所述针刺过程;其中,所述热处理时上下轧辊的温度为110~140℃。9. the manufacture method of medical moist composite dressing according to claim 7, is characterized in that, described polylactide short fiber and sodium carboxymethyl cellulose short fiber are through premixing, loosening, mixing, carding, Laying, pre-needling and reinforcement, heat treatment, and forming steps complete the needling process; wherein, during the heat treatment, the temperature of the upper and lower rolls is 110-140°C. 10.根据权利要求8所述的医用湿性复合敷料的制造方法,其特征在于,对调节pH值后的所述医用湿性复合敷料进行γ射线消毒。10. The manufacturing method of the medical wet composite dressing according to claim 8, characterized in that, the medical wet composite dressing after adjusting the pH value is sterilized by gamma rays.
CN2011103284196A 2011-10-25 2011-10-25 Medical moist composite dressing and preparation method thereof Pending CN102350006A (en)

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Cited By (4)

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CN103751833A (en) * 2014-01-28 2014-04-30 北京百利康生化有限公司 Medical antibacterial wound dressing and preparation method thereof
CN106563149A (en) * 2015-10-10 2017-04-19 如皋市启润运动用品有限公司 Medical functional biological dressing sheet
CN106729930A (en) * 2017-03-17 2017-05-31 广州润虹医药科技有限公司 A kind of compound hydrophilic fibre dressing and preparation method thereof
CN108385277A (en) * 2018-01-22 2018-08-10 潍坊爱普长实化工有限公司 A kind of strong non-woven fabrics of lightweight high humidity and its production technology and application

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103751833A (en) * 2014-01-28 2014-04-30 北京百利康生化有限公司 Medical antibacterial wound dressing and preparation method thereof
CN103751833B (en) * 2014-01-28 2015-06-24 北京百利康生化有限公司 Medical antibacterial wound dressing and preparation method thereof
CN106563149A (en) * 2015-10-10 2017-04-19 如皋市启润运动用品有限公司 Medical functional biological dressing sheet
CN106729930A (en) * 2017-03-17 2017-05-31 广州润虹医药科技有限公司 A kind of compound hydrophilic fibre dressing and preparation method thereof
CN108385277A (en) * 2018-01-22 2018-08-10 潍坊爱普长实化工有限公司 A kind of strong non-woven fabrics of lightweight high humidity and its production technology and application

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Application publication date: 20120215