CN104162183A - Chitosan and halloysite nanotube compound styptic powder and preparation method thereof - Google Patents
Chitosan and halloysite nanotube compound styptic powder and preparation method thereof Download PDFInfo
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Abstract
Description
技术领域technical field
本发明属于生物医用材料领域,具体涉及一种壳聚糖与埃洛石纳米管的复合止血粉及其制备方法。The invention belongs to the field of biomedical materials, and in particular relates to a composite hemostatic powder of chitosan and halloysite nanotubes and a preparation method thereof.
背景技术Background technique
止血是临床治疗的重要组成部分,有效的止血是手术患者生命安全的必要保障,止血材料在各种外科手术中,对减少出血,缩短手术时间及患者愈合有着重要的影响。近年来医用可吸收止血材料引起了各国医学界和产业界的高度重视,新型止血材料已成为外科止血领域的研究热点之一。理想的医用止血材料应满足以下特点:(1)生物相容性好,无明显毒副反应;(2)止血迅速,止血效果明显;(3)除了能够启动机体本身的凝血机制外,有对处于抗凝血治疗状态下的血液也有良好止血功能;(3)使用方便,能够适应不规则创面,真正完全覆盖不规则创面;(4)具有良好的组织黏附性,不易脱落;(5)对创面不产生局部压迫,促进创面迅速愈合。Hemostasis is an important part of clinical treatment. Effective hemostasis is a necessary guarantee for the life safety of surgical patients. Hemostatic materials have an important impact on reducing bleeding, shortening operation time and healing of patients in various surgical operations. In recent years, medical absorbable hemostatic materials have attracted great attention from the medical and industrial circles of various countries, and new hemostatic materials have become one of the research hotspots in the field of surgical hemostasis. An ideal medical hemostatic material should meet the following characteristics: (1) good biocompatibility and no obvious toxic and side effects; (2) rapid hemostasis and obvious hemostatic effect; Blood under anticoagulant treatment also has good hemostatic function; (3) easy to use, can adapt to irregular wounds, and truly completely cover irregular wounds; (4) has good tissue adhesion and is not easy to fall off; (5) The wound does not generate local pressure, which promotes the rapid healing of the wound.
目前临床上常用的止血器材是止血带、止血海绵,但对具有不规则形状的、胸腔、腹腔和盆腔等器脏的动脉破裂的止血效果很不理想。因此,开发针对这些出血部位的快速、安全、有效的新型止血材料成为生物材料领域中的重要课题。目前临床上常用的可吸收止血材料主要有纤维蛋白胶、明胶海绵、淀粉基微球等,这些止血材料在一定程度上改善了外科手术的止血状况,但仍然存在很多不足,例如对大血管止血效率低,对有凝血障碍的患者效果欠佳,与创面结合不充分,可能传染人或动物血源性疾病,成本较高等。在现有医疗设备和环境不断改善的同时,国内外医学界对手术要求也不断提高,势必需要一种新的多功能止血材料。The commonly used hemostatic equipment clinically at present is tourniquet and hemostatic sponge, but the hemostatic effect on ruptured arteries of organs such as the chest cavity, abdominal cavity and pelvic cavity with irregular shapes is very unsatisfactory. Therefore, the development of fast, safe and effective new hemostatic materials for these bleeding sites has become an important topic in the field of biomaterials. At present, the commonly used absorbable hemostatic materials in clinical practice mainly include fibrin glue, gelatin sponge, starch-based microspheres, etc. These hemostatic materials have improved the hemostasis of surgical operations to a certain extent, but there are still many shortcomings, such as the hemostasis of large blood vessels. The efficiency is low, the effect on patients with coagulation disorders is not good, the combination with the wound is not sufficient, it may infect human or animal blood-borne diseases, and the cost is high. While the existing medical equipment and environment are constantly improving, the medical field at home and abroad also continuously improves the requirements for surgery, and a new multifunctional hemostatic material is bound to be needed.
针对目前临床使用的外科止血材料的不足,开发快速、高效、稳定、安全、方便的新型止血材料对于材料开发与临床应用均具有重要意义。近年来医用可吸收止血材料引起了各国医学界和产业界的高度重视,新型止血材料已成为外科止血领域的研究热点之一。壳聚糖是甲壳素部分脱乙酰的产物,广泛存在于甲壳纲动物虾、蟹的甲壳、昆虫的甲壳、真菌和植物的细胞壁中,是自然界中唯一带正电荷的碱性多糖。Malette等于1983年首次发表了关于壳聚糖止血功能的研究,其后壳聚糖的止血性能越来越受到人们的关注。国内外众多研究已经证实壳聚糖具有优良的止血功能,一方面通过蛋白质介导黏附血小板,形成的复合物加速血纤维蛋白单体的聚合并共同形成凝块;另一方面诱导红细胞聚集,刺激血管收缩,最终形成血栓,封合伤口。它的止血作用不依赖于正常凝血系统和血小板,因此正日益成为生物材料的研究热点。但是壳聚糖类止血粉材料形成凝胶后的强度较低,凝胶化后有部分水残留等问题。In view of the shortage of surgical hemostatic materials currently used clinically, the development of fast, efficient, stable, safe and convenient new hemostatic materials is of great significance for material development and clinical application. In recent years, medical absorbable hemostatic materials have attracted great attention from the medical and industrial circles of various countries, and new hemostatic materials have become one of the research hotspots in the field of surgical hemostasis. Chitosan is the product of partial deacetylation of chitin, which widely exists in the crustaceans of shrimps, crabs, insects, fungi and plant cell walls, and is the only positively charged alkaline polysaccharide in nature. In 1983, Malette et al first published a study on the hemostatic function of chitosan, and then the hemostatic function of chitosan has attracted more and more attention. Numerous studies at home and abroad have confirmed that chitosan has excellent hemostatic function. On the one hand, through protein-mediated adhesion to platelets, the complex formed accelerates the polymerization of fibrin monomers and forms clots together; on the other hand, it induces red blood cell aggregation and stimulates The blood vessels constrict and eventually a thrombus forms, sealing the wound. Its hemostatic effect does not depend on the normal coagulation system and platelets, so it is increasingly becoming a research hotspot of biomaterials. However, the chitosan-based hemostatic powder material has low strength after forming a gel, and there are some problems such as water residue after gelation.
无机类止血材料的作用机理是利用其高的比表面积快速吸收血液中的水分,从而局部浓缩凝血因子和血小板,最终达到促进凝血的效果。典型的代表是沸石(产品QuikClot)、高岭土(产品Combat Gauze)、蒙脱土(产品WoundStat)以及介孔硅材料(产品TraumaStat)等。但是这些材料本身也存在一些问题,主要是生物安全性较差,容易引起炎症反应和一定程度的毒性反应。埃洛石是由20几个高岭石片层卷曲而成,管内径约为15~20nm,外径约为50nm,长度约为100~1500 nm,是天然的多壁纳米管,具有非常高的比表面积。目前,埃洛石的应用主要是集中陶瓷、药物缓释体系、模板、微反应器、催化剂等方面,在生物医学领域研究也引起了科学家们的关注,其具有良好的生物相容性,在止血领域的有止血海绵的报道。The mechanism of action of inorganic hemostatic materials is to use their high specific surface area to quickly absorb water in the blood, thereby locally concentrating blood coagulation factors and platelets, and finally achieving the effect of promoting blood coagulation. Typical representatives are zeolite (product QuikClot), kaolin (product Combat Gauze), montmorillonite (product WoundStat), and mesoporous silicon materials (product TraumaStat). However, these materials also have some problems, mainly because of their poor biological safety and easy to cause inflammation and a certain degree of toxicity. Halloysite is curled from more than 20 kaolinite sheets. The inner diameter of the tube is about 15-20nm, the outer diameter is about 50nm, and the length is about 100-1500nm. It is a natural multi-walled nanotube with a very high specific surface area. At present, the application of halloysite mainly focuses on ceramics, drug slow-release systems, templates, microreactors, catalysts, etc. It has also attracted the attention of scientists in the field of biomedicine, and it has good biocompatibility. There are reports of hemostatic sponges in the field of hemostasis.
发明内容Contents of the invention
为解决现有技术的缺点和不足之处,本发明的首要目的在于提供一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法。In order to solve the shortcomings and deficiencies of the prior art, the primary purpose of the present invention is to provide a preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes.
本发明的另一目的在于提供上述制备方法获得的壳聚糖与埃洛石纳米管的复合止血粉。该复合止血粉一方面克服了壳聚糖类止血材料较低的凝胶强度和凝胶化后的水残留问题,另一方面克服了传统无机止血材料所引起的生物相容性问题。Another object of the present invention is to provide the composite hemostatic powder of chitosan and halloysite nanotubes obtained by the above preparation method. The composite hemostatic powder overcomes the problems of low gel strength and water residue after gelation of chitosan hemostatic materials on the one hand, and overcomes the biocompatibility problems caused by traditional inorganic hemostatic materials on the other hand.
为实现上述发明目的,本发明采用如下技术方案:In order to realize the above-mentioned purpose of the invention, the present invention adopts following technical scheme:
一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法,包括以下步骤:A preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes, comprising the following steps:
(1)将壳聚糖溶于乙酸水溶液中配制成壳聚糖溶液,然后加入埃洛石纳米管,并室温搅拌20~30h后,加入氢氧化钠水溶液将pH调为7制得悬浊液,或是加入有机沉淀剂制得悬浊液,或是加入交联剂制得悬浊液;(1) Dissolve chitosan in acetic acid aqueous solution to prepare a chitosan solution, then add halloysite nanotubes, and stir at room temperature for 20-30 hours, then add aqueous sodium hydroxide solution to adjust the pH to 7 to prepare a suspension , or adding an organic precipitant to obtain a suspension, or adding a cross-linking agent to obtain a suspension;
(2)将步骤(1)得到的悬浊液离心分离,所得沉淀用去离子水洗涤后,重复离心分离和去离子水洗涤的操作2~5次,之后将沉淀冷冻干燥,即得到所述壳聚糖与埃洛石纳米管的复合止血粉。(2) Centrifuge the suspension obtained in step (1), wash the obtained precipitate with deionized water, repeat the operation of centrifugal separation and deionized water washing for 2 to 5 times, and then freeze-dry the precipitate to obtain the described Composite hemostatic powder of chitosan and halloysite nanotubes.
优选的,步骤(1)中通过加入交联剂的方式制备悬浊液时,在得到悬浊液后通过喷雾干燥的方式去除溶剂,得到所述壳聚糖与埃洛石纳米管的复合止血粉。Preferably, when the suspension is prepared by adding a cross-linking agent in step (1), after the suspension is obtained, the solvent is removed by spray drying to obtain the composite hemostatic compound of chitosan and halloysite nanotubes pink.
更优选的,在进行喷雾干燥时,通过蠕动泵将悬浊液泵入喷雾干燥仪喷雾,与热气流相遇使溶剂挥发;蠕动泵的进料流量为15~50mL/h,进气温度为100~500℃;喷雾干燥仪喷嘴孔径为0.7mm,所述热气流为氮气。More preferably, when spray drying, the suspension is pumped into the spray dryer by a peristaltic pump for spraying, and the solvent is volatilized when it meets the hot air flow; the feed flow rate of the peristaltic pump is 15-50mL/h, and the inlet temperature is 100 ~500°C; the nozzle diameter of the spray dryer is 0.7mm, and the hot gas flow is nitrogen.
优选的,步骤(1)所述壳聚糖的分子量为1~30万,脱乙酰度为60~98%;所述壳聚糖溶液的质量浓度为0.2~3.0%。Preferably, the chitosan in step (1) has a molecular weight of 1-300,000 and a deacetylation degree of 60-98%; the mass concentration of the chitosan solution is 0.2-3.0%.
优选的,步骤(1)所述壳聚糖与埃洛石纳米管的质量比为1.00:(0.05~50.00)。Preferably, the mass ratio of chitosan to halloysite nanotubes in step (1) is 1.00:(0.05-50.00).
优选的,步骤(1)所述有机沉淀剂为无水乙醇、丙酮、乙醚和四氢呋喃中的一种;有机沉淀剂与壳聚糖溶液的质量比为(2~5):1。Preferably, the organic precipitant in step (1) is one of absolute ethanol, acetone, ether and tetrahydrofuran; the mass ratio of the organic precipitant to the chitosan solution is (2-5):1.
优选的,步骤(1)所述交联剂为乙二醛、戊二醛、三聚磷酸钠、四聚磷酸钠和京尼平中的一种;交联剂与壳聚糖的质量比为(0~0.1):1.0。Preferably, the linking agent described in step (1) is one of glyoxal, glutaraldehyde, sodium tripolyphosphate, sodium tetrapolyphosphate and genipin; the mass ratio of linking agent and chitosan is (0~0.1):1.0.
更优选的,所述交联剂与壳聚糖的质量比为(0.03~0.10):1.00。More preferably, the mass ratio of the cross-linking agent to chitosan is (0.03-0.10):1.00.
优选的,步骤(2)所述离心分离的速度为3000rpm,时间为30min。Preferably, the speed of centrifugation in step (2) is 3000rpm, and the time is 30min.
上述制备方法得到的壳聚糖与埃洛石纳米管的复合止血粉。The composite hemostatic powder of chitosan and halloysite nanotube obtained by the above preparation method.
与现有技术相比,本发明具有以下优点及有益效果:Compared with the prior art, the present invention has the following advantages and beneficial effects:
本发明制备方法简单,综合了壳聚糖类和无机止血材料的优点,所制得的复合止血粉止血效果好,一方面克服了壳聚糖类止血材料较低的凝胶强度和凝胶化后的水残留问题,另一方面克服了传统无机止血材料所引起的生物相容性差的问题。The preparation method of the present invention is simple, combines the advantages of chitosan and inorganic hemostatic materials, the hemostatic effect of the prepared composite hemostatic powder is good, on the one hand overcomes the lower gel strength and gelation of chitosan hemostatic materials On the other hand, it overcomes the problem of poor biocompatibility caused by traditional inorganic hemostatic materials.
具体实施方式Detailed ways
下面结合实施例对本发明作进一步详细的描述,但本发明的实施方式不限于此。The present invention will be further described in detail below in conjunction with examples, but the embodiments of the present invention are not limited thereto.
实施例1Example 1
一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法,包括以下步骤:A preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes, comprising the following steps:
(1)将壳聚糖(壳聚糖分子量为5万,脱乙酰度为91%)溶于乙酸水溶液中配制成质量浓度为2%的壳聚糖溶液,然后加入埃洛石纳米管(壳聚糖与埃洛石纳米管的质量比为1:2),并室温搅拌24h后,加入0.1M的氢氧化钠水溶液将pH调为7制得悬浊液;(1) Chitosan (chitosan molecular weight is 50,000, deacetylation degree is 91%) is dissolved in acetic acid aqueous solution and is mixed with the chitosan solution that mass concentration is 2%, then adds halloysite nanotube (shell The mass ratio of polysaccharides to halloysite nanotubes is 1:2), and after stirring at room temperature for 24 hours, adding 0.1M aqueous sodium hydroxide solution to adjust the pH to 7 to prepare a suspension;
(2)将步骤(1)得到的悬浊液在3000rpm速度下离心分离30min,所得沉淀用去离子水洗涤后,重复离心分离(3000rpm,30min)和去离子水洗涤的操作3次,之后将沉淀冷冻干燥(冷冻室温度为-80摄氏度,干燥腔的压力为100Pa),即得到所述壳聚糖与埃洛石纳米管的复合止血粉。(2) The suspension obtained in step (1) was centrifuged at a speed of 3000rpm for 30min, after the gained precipitate was washed with deionized water, the operation of centrifugation (3000rpm, 30min) and deionized water washing was repeated for 3 times, and then The precipitate is freeze-dried (the temperature of the freezer is -80 degrees Celsius, and the pressure of the drying chamber is 100 Pa), and the composite hemostatic powder of the chitosan and halloysite nanotubes is obtained.
所本实施例得到的壳聚糖与埃洛石纳米管的复合止血粉进行兔止血试验:选取3只新西兰白兔,常规手术麻醉后,大腿的动脉被剪断,敷上该复合止血粉,记录止血时间为19.8±1.4秒。结果表明,按本发明制备的复合止血粉具有良好的止血作用。The composite hemostatic powder of chitosan and halloysite nanotubes obtained in the present embodiment was subjected to a rabbit hemostatic test: select 3 New Zealand white rabbits, after routine operation anesthesia, the artery of the thigh was cut, and the composite hemostatic powder was applied, and recorded The hemostasis time was 19.8±1.4 seconds. The results show that the compound hemostatic powder prepared according to the invention has good hemostatic effect.
实施例2Example 2
一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法,包括以下步骤:A preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes, comprising the following steps:
(1)将壳聚糖(壳聚糖分子量为5万,脱乙酰度为60%)溶于乙酸水溶液中配制成质量浓度为3%的壳聚糖溶液,然后加入埃洛石纳米管(壳聚糖与埃洛石纳米管的质量比为1:50),并室温搅拌24h后,加入丙酮制得悬浊液(丙酮与壳聚糖溶液的质量比为1:1);(1) Chitosan (chitosan molecular weight is 50,000, deacetylation degree is 60%) is dissolved in acetic acid aqueous solution and is mixed with the chitosan solution that mass concentration is 3%, then adds halloysite nanotube (shell The mass ratio of polysaccharide and halloysite nanotube is 1:50), and after stirring at room temperature for 24h, adding acetone makes suspension (the mass ratio of acetone and chitosan solution is 1:1);
(2)将步骤(1)得到的悬浊液在3000rpm速度下离心分离30min,所得沉淀用去离子水洗涤后,重复离心分离(3000rpm,30min)和去离子水洗涤的操作3次,之后将沉淀冷冻干燥(冷冻室温度为-80摄氏度,干燥腔的压力为100Pa),即得到所述壳聚糖与埃洛石纳米管的复合止血粉。(2) The suspension obtained in step (1) was centrifuged at a speed of 3000rpm for 30min, after the gained precipitate was washed with deionized water, the operation of centrifugation (3000rpm, 30min) and deionized water washing was repeated for 3 times, and then The precipitate is freeze-dried (the temperature of the freezer is -80 degrees Celsius, and the pressure of the drying chamber is 100 Pa), and the composite hemostatic powder of the chitosan and halloysite nanotubes is obtained.
所本实施例得到的壳聚糖与埃洛石纳米管的复合止血粉进行兔止血试验:选取3只新西兰白兔,常规手术麻醉后,大腿的动脉被剪断,敷上该复合止血粉,记录止血时间为23.8±2.1秒。结果表明,按本发明制备的复合止血粉具有良好的止血作用。The composite hemostatic powder of chitosan and halloysite nanotubes obtained in the present embodiment was subjected to a rabbit hemostatic test: select 3 New Zealand white rabbits, after routine operation anesthesia, the artery of the thigh was cut, and the composite hemostatic powder was applied, and recorded The hemostasis time was 23.8±2.1 seconds. The results show that the compound hemostatic powder prepared according to the invention has good hemostatic effect.
实施例3Example 3
一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法,包括以下步骤:A preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes, comprising the following steps:
(1)将壳聚糖(壳聚糖分子量为30万,脱乙酰度为98%)溶于乙酸水溶液中配制成质量浓度为0.2%的壳聚糖溶液,然后加入埃洛石纳米管(壳聚糖与埃洛石纳米管的质量比为1:20),并室温搅拌24h后,加入三聚磷酸钠制得悬浊液(三聚磷酸钠和壳聚糖的质量比为0.1:1);(1) Chitosan (chitosan molecular weight is 300,000, deacetylation degree is 98%) is dissolved in the acetic acid aqueous solution and is mixed with the chitosan solution that mass concentration is 0.2%, then adds halloysite nanotube (shell The mass ratio of polysaccharide to halloysite nanotubes is 1:20), and after stirring at room temperature for 24 hours, add sodium tripolyphosphate to obtain a suspension (the mass ratio of sodium tripolyphosphate and chitosan is 0.1:1) ;
(2)然后使用喷雾干燥仪,通过蠕动泵,将步骤(1)制得的悬浊液喷雾,与热气流相遇,挥发溶剂,得到所述壳聚糖与埃洛石纳米管的复合止血粉;其中喷雾干燥的技术参数为:蠕动泵进料流量为20mL/h.,进气温度为300摄氏度;喷嘴孔径为0.7mm;热气流为氮气。(2) Then use a spray drying instrument to spray the suspension prepared in step (1) by a peristaltic pump, meet the hot air flow, and volatilize the solvent to obtain the composite hemostatic powder of chitosan and halloysite nanotubes ; The technical parameters of the spray drying are: the feed flow rate of the peristaltic pump is 20mL/h., the inlet temperature is 300 degrees Celsius; the nozzle aperture is 0.7mm; the hot gas flow is nitrogen.
所本实施例得到的壳聚糖与埃洛石纳米管的复合止血粉进行兔止血试验:选取3只新西兰白兔,常规手术麻醉后,大腿的动脉被剪断,敷上该复合止血粉,记录止血时间为18.7±1.8秒。结果表明,按本发明制备的复合止血粉具有良好的止血作用。The composite hemostatic powder of chitosan and halloysite nanotubes obtained in the present embodiment was subjected to a rabbit hemostatic test: select 3 New Zealand white rabbits, after routine operation anesthesia, the artery of the thigh was cut, and the composite hemostatic powder was applied, and recorded The hemostasis time was 18.7±1.8 seconds. The results show that the compound hemostatic powder prepared according to the invention has good hemostatic effect.
实施例4Example 4
一种壳聚糖与埃洛石纳米管的复合止血粉的制备方法,包括以下步骤:A preparation method of a composite hemostatic powder of chitosan and halloysite nanotubes, comprising the following steps:
(1)将壳聚糖(壳聚糖分子量为10万,脱乙酰度为85%)溶于乙酸水溶液中配制成质量浓度为3%的壳聚糖溶液,然后加入埃洛石纳米管(壳聚糖与埃洛石纳米管的质量比为1:1),并室温搅拌24h后,加入三聚磷酸钠制得悬浊液(三聚磷酸钠和壳聚糖的质量比为0.3:1);(1) Chitosan (chitosan molecular weight is 100,000, deacetylation degree is 85%) is dissolved in acetic acid aqueous solution and is mixed with the chitosan solution that mass concentration is 3%, then adds halloysite nanotube (shell The mass ratio of polysaccharide to halloysite nanotubes is 1:1), and after stirring at room temperature for 24 hours, sodium tripolyphosphate was added to obtain a suspension (the mass ratio of sodium tripolyphosphate and chitosan was 0.3:1) ;
(2)将步骤(1)得到的悬浊液在3000rpm速度下离心分离30min,所得沉淀用去离子水洗涤后,重复离心分离(3000rpm,30min)和去离子水洗涤的操作3次,之后将沉淀冷冻干燥(冷冻室温度为-80摄氏度,干燥腔的压力为100Pa),即得到所述壳聚糖与埃洛石纳米管的复合止血粉。(2) The suspension obtained in step (1) was centrifuged at a speed of 3000rpm for 30min, after the gained precipitate was washed with deionized water, the operation of centrifugation (3000rpm, 30min) and deionized water washing was repeated for 3 times, and then The precipitate is freeze-dried (the temperature of the freezer is -80 degrees Celsius, and the pressure of the drying chamber is 100 Pa), and the composite hemostatic powder of the chitosan and halloysite nanotubes is obtained.
所本实施例得到的壳聚糖与埃洛石纳米管的复合止血粉进行兔止血试验:选取3只新西兰白兔,常规手术麻醉后,大腿的动脉被剪断,敷上该复合止血粉,记录止血时间为25.7±3.8秒。结果表明,按本发明制备的复合止血粉具有良好的止血作用。The composite hemostatic powder of chitosan and halloysite nanotubes obtained in this embodiment was subjected to a rabbit hemostatic test: select 3 New Zealand white rabbits, after routine operation anesthesia, the artery of the thigh was cut off, and the composite hemostatic powder was applied, and recorded The hemostasis time was 25.7±3.8 seconds. The results show that the compound hemostatic powder prepared according to the invention has good hemostatic effect.
上述实施例为本发明较佳的实施方式,但本发明的实施方式并不受上述实施例的限制,其他的任何未背离本发明的精神实质与原理下所作的改变、修饰、替代、组合、简化,均应为等效的置换方式,都包含在本发明的保护范围之内。The above-mentioned embodiment is a preferred embodiment of the present invention, but the embodiment of the present invention is not limited by the above-mentioned embodiment, and any other changes, modifications, substitutions, combinations, Simplifications should be equivalent replacement methods, and all are included in the protection scope of the present invention.
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