CN104689365A - Compound biological dressing for accelerating wound healing and preparation method thereof - Google Patents
Compound biological dressing for accelerating wound healing and preparation method thereof Download PDFInfo
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Abstract
本发明公开了一种促创面愈合的复合生物敷料及其制备方法,该复合生物敷料是由亲水性较差的医用明胶和亲水性较强的透明质酸按照一定的比例混合并加入交联剂制成,通过真空冷冻干燥处理,使制成得敷料带孔而透气,从而获得理想的水蒸气通过率特性,可充分吸收创面的渗液,避免积液,维持最佳的创面修复的湿润环境,促进皮肤细胞有丝分裂,增加创面皮肤细胞的数量,从而加速创面愈合。本发明的复合生物敷料其原料从动物身上提炼得到,具有原料易得、制备工艺简单、可降解且使用方便的优势,是一种理想的创面修复敷料。
The invention discloses a composite biological dressing for promoting wound healing and a preparation method thereof. The composite biological dressing is composed of medical gelatin with poor hydrophilicity and hyaluronic acid with strong hydrophilicity mixed in a certain proportion and added with cross It is made of combination agent and vacuum freeze-dried to make the dressing porous and breathable, so as to obtain the ideal water vapor transmission rate characteristics, which can fully absorb the exudate of the wound surface, avoid fluid accumulation, and maintain the best wound healing effect. A humid environment promotes mitosis of skin cells and increases the number of skin cells on the wound, thereby accelerating wound healing. The composite biological dressing of the present invention has the advantages of being extracted from animals and has the advantages of easy availability of raw materials, simple preparation process, degradability and convenient use, and is an ideal dressing for wound repair.
Description
技术领域 technical field
本发明属于医用敷料技术领域,特别是涉及一种促进皮肤创面愈合的可降解复合生物敷料及其制备方法。 The invention belongs to the technical field of medical dressings, in particular to a degradable composite biological dressing for promoting skin wound healing and a preparation method thereof.
背景领域 background field
皮肤创伤后医用敷料可起到保护创面的作用,为创伤的修复提供良好的环境。临床上常用的敷料如各种纱布、棉垫等,虽然成本低,原料来源广泛,但传统敷料表面粗糙、干燥,易摩擦造成创面进一步损伤。同时创面的新生肉芽易长入敷料的网眼中,换药时扯拉敷料易引起疼痛并导致出血损伤创面。传统纱布吸水性差,对于创面渗出较多的患者往往需要多次更换,加大临床工作量。尤其随着老龄化社会的逼近和糖尿病患者的日益增多,糖尿病溃疡、静脉性溃疡、褥疮等难愈性创面的修复成为临床医生面临的重大难题,传统敷料已难以达到促进这些创面愈合的要求。自从湿性创面愈合理论提出后,湿润的创面环境能促进创伤愈合的疗效被已广泛认可接受。 Medical dressings after skin trauma can protect the wound surface and provide a good environment for wound repair. Commonly used clinical dressings, such as various gauzes and cotton pads, are low in cost and have a wide range of raw materials, but the surface of traditional dressings is rough and dry, and they are easy to rub and cause further damage to the wound. At the same time, the new granulation on the wound surface is easy to grow into the mesh of the dressing, and pulling the dressing when changing the dressing is likely to cause pain and cause bleeding to damage the wound surface. Traditional gauze has poor water absorption, and often needs to be replaced several times for patients with a lot of wound exudation, which increases the clinical workload. Especially with the approach of an aging society and the increasing number of diabetic patients, the repair of refractory wounds such as diabetic ulcers, venous ulcers, and decubitus ulcers has become a major problem for clinicians. Traditional dressings have been difficult to meet the requirements for promoting the healing of these wounds. Since the theory of moist wound healing was put forward, the effect of moist wound environment on promoting wound healing has been widely recognized and accepted.
作为一个好的敷料,要能够提供最适宜伤口生长的湿润环境,才能促进创面组织细胞的增殖分化,从而促进创伤愈合。过度的湿润会导致创面积液,而创面的湿润度不够则会导致创面干燥脱水,不利于创伤愈合,因此理想的创面愈合环境要求湿润程度必须在适当的范围内。理想的创伤敷料要求能将创面水分保持在一个最佳的水平,以往对创伤敷料的实验研究表明,材料的水蒸气通过率(WVTR)可以用来判断其吸湿透气的能力,水蒸气通过率如果在2000-2500g/m2/天左右,则说明该材料能维持创面湿润达到一个理想状态,是理想的创伤敷料。创伤敷料的水蒸气主要取决于材料的吸水性能与材料的透气孔径。通过我们的研究发现,当医用明胶与透 明质酸以一定比例和技术工艺进行偶联后,能达到最佳的水蒸气通过率,制作出理想的创伤敷料。 As a good dressing, it must be able to provide the most suitable moist environment for wound growth, so as to promote the proliferation and differentiation of wound tissue cells, thereby promoting wound healing. Excessive moisture will lead to wound fluid, while insufficient wound surface moisture will lead to dryness and dehydration of the wound surface, which is not conducive to wound healing. Therefore, the ideal wound healing environment requires the degree of humidity to be within an appropriate range. An ideal wound dressing requires the ability to maintain the moisture of the wound surface at an optimal level. Previous experimental studies on wound dressings have shown that the water vapor transmission rate (WVTR) of a material can be used to judge its ability to absorb moisture and breathe. If the water vapor transmission rate If it is around 2000-2500g/m 2 /day, it means that the material can keep the wound surface moist to an ideal state, and it is an ideal wound dressing. The water vapor of wound dressing mainly depends on the water absorption performance of the material and the air permeability pore size of the material. Through our research, we found that when medical gelatin and hyaluronic acid are coupled in a certain ratio and technical process, the best water vapor transmission rate can be achieved, and an ideal wound dressing can be produced.
虽然医用明胶和透明质酸两种材料都具备很多生物学优点,但是单独的医用明胶或透明质酸材料都难以成为最理想的创伤敷料。医用明胶亲水性不够,无法充分吸收创面的渗液从而导致创面/伤口积液;而透明质酸亲水性太强,可能导致创面脱水,如果两者以一定比例结合则能达到合适的吸水性。 Although both medical gelatin and hyaluronic acid have many biological advantages, neither medical gelatin nor hyaluronic acid alone can be the most ideal wound dressing. Medical gelatin is not hydrophilic enough to fully absorb the exudate of the wound, resulting in wound/wound effusion; while hyaluronic acid is too hydrophilic, which may lead to dehydration of the wound. If the two are combined in a certain ratio, they can achieve proper water absorption sex.
通过我们的研究发现,当医用明胶∶透明质酸=99∶1~50∶50重量比例,并在适当条件下采用低温冻干的方法形成多孔复合材料,能达到良好的水蒸气通过率。 Through our research, we found that when the weight ratio of medical gelatin: hyaluronic acid = 99:1-50:50, and the porous composite material is formed by low-temperature freeze-drying under appropriate conditions, a good water vapor transmission rate can be achieved.
发明内容 Contents of the invention
本发明的目的在于提供一种多孔、可降解、具有良好的水蒸气通过率、能有效促进创伤愈合的复合生物敷料。 The object of the present invention is to provide a composite biological dressing which is porous, degradable, has good water vapor transmission rate and can effectively promote wound healing.
为实现上述目的,本发明提供的技术方案为:一种促创面愈合的复合生物敷料,其原料按重量组成为:医用明胶50~99份、透明质酸1~50份;在上述组分中加入0.05%-2%的交联剂,所述交联剂为碳二亚胺、戊二醛、甲醛、双环氧化合物、二乙烯基砜中的一种。该复合生物敷料的孔径为50-500um。 In order to achieve the above object, the technical solution provided by the present invention is: a composite biological dressing for promoting wound healing, its raw materials are composed by weight: 50-99 parts of medical gelatin, 1-50 parts of hyaluronic acid; in the above components 0.05%-2% of a cross-linking agent is added, and the cross-linking agent is one of carbodiimide, glutaraldehyde, formaldehyde, diepoxide, and divinyl sulfone. The pore diameter of the composite biological dressing is 50-500um.
优选地,其原料按重量组成为:医用明胶80~90份,透明质酸10~20份;在上述组分中加入0.05%-2%的交联剂,所述交联剂为碳二亚胺、戊二醛、甲醛、双环氧化合物、二乙烯基砜中的一种。该复合生物敷料的孔径为50-500um。 Preferably, the raw materials are composed by weight: 80-90 parts of medical gelatin, 10-20 parts of hyaluronic acid; 0.05%-2% of a cross-linking agent is added to the above components, and the cross-linking agent is carbodiazepine One of amines, glutaraldehyde, formaldehyde, diepoxides, and divinylsulfone. The pore diameter of the composite biological dressing is 50-500um.
本发明的另一目的在于提供上述促创面愈合的复合生物敷料的制备方法,包括以下步骤: Another object of the present invention is to provide the preparation method of the above-mentioned composite biological dressing for promoting wound healing, comprising the following steps:
1)将医用明胶用pH=4.7的醋酸溶液溶解成浓度为5mg/mL的溶液; 1) Dissolving the medical gelatin with an acetic acid solution of pH=4.7 into a solution with a concentration of 5 mg/mL;
2)将透明质酸用pH=4.7的醋酸溶液溶解成浓度为5mg/mL的溶液; 2) Dissolving hyaluronic acid in acetic acid solution with pH=4.7 into a solution with a concentration of 5 mg/mL;
3)将上述两种溶液按一定比例混合,使混合液中医用明胶占50~99份、透明质酸占1~50份。 3) The above two solutions are mixed according to a certain ratio, so that the mixed solution includes 50-99 parts of medical gelatin and 1-50 parts of hyaluronic acid.
4)在混合液中分别加入质量分数为0.05%-2%的交联剂,快速搅拌后将混合液在-10℃~45℃下冷冻12-48h,然后在真空冷冻干燥机中冷冻干燥48h,得到复合水凝胶,用钴60消毒即可。 4) Add a cross-linking agent with a mass fraction of 0.05%-2% to the mixed solution, and after rapid stirring, freeze the mixed solution at -10°C to 45°C for 12-48h, and then freeze-dry it in a vacuum freeze dryer for 48h , to obtain a composite hydrogel, which can be sterilized with cobalt 60 .
本发明的促创面愈合的复合生物敷料具有以下特点:该敷料除了同时拥有医用明胶与透明质酸两者的生物学作用外,通过两种原料的适当配比使该材料具有合适的亲水性以及合适孔径,以及理想的水蒸气通过率,能很好地保护创面和伤口,促进创伤愈合。 The composite biological dressing for promoting wound healing of the present invention has the following characteristics: In addition to the biological effects of both medical gelatin and hyaluronic acid, the dressing has suitable hydrophilicity through the proper proportion of the two raw materials As well as the appropriate pore size and ideal water vapor transmission rate, it can well protect wounds and wounds and promote wound healing.
附图说明 Description of drawings
以下是结合附图对本发明作进一步说明。 The present invention will be further described below in conjunction with the accompanying drawings.
图1是本发明复合生物敷料表面和断面的SEM形貌图。 Fig. 1 is the SEM topography diagram of the surface and section of the composite biological dressing of the present invention.
图2(1)-(2)是不同比例的复合生物敷料的水蒸气通过率比较图。 Figure 2(1)-(2) is a comparison chart of water vapor transmission rate of composite biological dressings with different proportions.
图3是不同比例的复合生物敷料与空白组的细胞毒性实验形态学比较。 Figure 3 is a morphological comparison of the cytotoxicity experiments between the composite biological dressings with different proportions and the blank group.
图4是不同比例的复合生物敷料的细胞毒性实验数据分析比较图。 Fig. 4 is a comparison chart of cytotoxicity test data analysis of composite biological dressings with different proportions.
图5是不同比例的复合生物敷料应用在小鼠创面上的观察比较图。 Fig. 5 is an observation and comparison diagram of different ratios of composite biological dressings applied to mouse wounds.
具体实施方法: Specific implementation method:
实施例1: Example 1:
分别将一定量的医用明胶和透明质酸加入配置pH=4.7的醋酸溶液,均配制成浓度为5mg/mL的2种溶液。将配制好的医用明胶溶液与透明质酸溶液分别按质量比9∶1均匀混合,并在混合液中分别加入质量分数为0.1%的EDC交联剂,快速搅拌4h。将混合液在-45℃下冷冻12h,然后在真空冷冻干燥机中冷冻干燥48h,得到医用明胶/透明质酸复合水凝胶。钴60消毒即 得到图1所示的医用明胶/透明质酸(9∶1)复合生物敷料表面和断面的SEM形貌。 A certain amount of medical gelatin and hyaluronic acid were respectively added to an acetic acid solution with a pH of 4.7 to prepare two solutions with a concentration of 5 mg/mL. The prepared medical gelatin solution and the hyaluronic acid solution were uniformly mixed at a mass ratio of 9:1, and 0.1% EDC cross-linking agent was added to the mixed solution, and stirred rapidly for 4 hours. The mixture was frozen at -45°C for 12 hours, and then freeze-dried in a vacuum freeze dryer for 48 hours to obtain a medical gelatin/hyaluronic acid composite hydrogel. Cobalt 60 disinfection can obtain the SEM morphology of the surface and section of the medical gelatin/hyaluronic acid (9:1) composite biological dressing shown in Figure 1.
实施例2: Example 2:
分别将一定量的医用明胶和透明质酸分别加入配置pH=4.7的醋酸溶液,均配制成浓度为5mg/mL的2种溶液。将配制好的医用明胶溶液与透明质酸溶液分别按质量比8∶2均匀混合,并在混合液中分别加入质量分数为0.1%的EDC交联剂,快速搅拌4h。将混合液在-45℃下冷冻12h,然后在真空冷冻干燥机中冷冻干燥48h,得到医用明胶/透明质酸复合水凝胶。钴60消毒即可。 A certain amount of medical gelatin and hyaluronic acid were respectively added to the acetic acid solution with pH = 4.7 to prepare two solutions with a concentration of 5 mg/mL. The prepared medical gelatin solution and the hyaluronic acid solution were uniformly mixed at a mass ratio of 8:2, and 0.1% EDC cross-linking agent was added to the mixed solution, and stirred rapidly for 4 hours. The mixture was frozen at -45°C for 12 hours, and then freeze-dried in a vacuum freeze dryer for 48 hours to obtain a medical gelatin/hyaluronic acid composite hydrogel. Cobalt 60 can be used for disinfection.
实施例3:医用明胶/透明质酸复合生物敷料的水蒸气通过率实验。 Example 3: Water vapor transmission rate experiment of medical gelatin/hyaluronic acid composite biological dressing.
水凝胶的水蒸气通过率(WVTR)决定该材料吸湿透气的能力,按照医用明胶STM标准来测量材料水蒸气通过率,将实施例1、实施例2所得到的材料放置于含有10ml水的圆柱形塑料杯中(直径34mm)。在材料的周围使用聚四氟乙烯,以防止任何水分通过材料的边界蒸发,放置于37℃和35%的相对湿度的培养箱中。间隔时间称重并得出材料随时间变化的趋势。水蒸气通过率由下式计算: The water vapor transmission rate (WVTR) of the hydrogel determines the moisture absorption and breathability of the material, and the water vapor transmission rate of the material is measured according to the medical gelatin STM standard. The material obtained in Example 1 and Example 2 is placed in a container containing 10ml of water In a cylindrical plastic cup (diameter 34mm). Teflon was used around the material to prevent any moisture from evaporating through the boundaries of the material, placed in an incubator at 37°C and 35% relative humidity. Intervals are weighed and the material is trended over time. The water vapor passing rate is calculated by the following formula:
A指被测量样本的面积。每组不同比例的材料重复三次。不同比例的医用明胶/透明质酸复合生物敷料的水蒸气通过率结果如图2所示。其中医用明胶∶透明质酸=9∶1的水蒸气通过率为2247g/m2/d明胶y,医用明胶∶透明质酸=8∶2的水蒸气通过率为2263g/m2/day,它们的水蒸气通过率则恰恰在位于2000-2500g/m2/day范围左右。 A refers to the area of the sample to be measured. Each group of materials with different proportions was repeated three times. The water vapor transmission rate results of different proportions of medical gelatin/hyaluronic acid composite biological dressings are shown in Figure 2. Wherein the water vapor transmission rate of medical gelatin: hyaluronic acid=9:1 is 2247g/ m2 /d gelatin y, the water vapor transmission rate of medical gelatin: hyaluronic acid=8: 2 is 2263g/m2/day, they The water vapor transmission rate is just in the range of 2000-2500g/m 2 /day.
实施例4:医用明胶/透明质酸复合生物敷料的细胞形态学观察 Example 4: Cell morphology observation of medical gelatin/hyaluronic acid composite biological dressing
按照IS010993标准,将实施例1、实施例2所得到的材料(复合材料中医用明胶∶透明质酸=9∶1以及医用明胶∶透明质酸=8∶2两组的)以6cm2/ml的标准浸提于1640培养液中,置于37℃、5%CO2、湿度为100%的恒温培养箱中培养24h,得到浸提液。在24孔培养板中,种入细胞密度为5×103个/ml的L929细胞悬液1ml,培养24h后,换掉原培养液,用PBS冲洗两次后,加入材料浸提液。培养1天后,于倒置相差光学显微镜下,对细胞形态学进行观察,从而对细胞的生长情况进行评估。试验表明(图3)加入材料浸提液生长的L929成纤维细胞与正常成纤维细胞细胞形态不具有差异。但医用明胶∶透明质酸=9∶1组细胞生长数量比其它组较多。 According to the ISO10993 standard, the materials obtained in Example 1 and Example 2 (composite medical gelatin: hyaluronic acid = 9: 1 and medical gelatin: hyaluronic acid = 8: 2) were mixed at 6 cm 2 /ml The standard leached in 1640 culture solution, placed in a constant temperature incubator at 37° C., 5% CO 2 , and 100% humidity, and cultivated for 24 hours to obtain an extract. In a 24-well culture plate, 1ml of L929 cell suspension with a cell density of 5× 103 cells/ml was seeded. After 24 hours of culture, the original culture medium was replaced, washed twice with PBS, and then the material extract was added. After culturing for 1 day, the cell morphology was observed under an inverted phase-contrast optical microscope, so as to evaluate the growth of the cells. The test showed ( FIG. 3 ) that the L929 fibroblasts grown by adding the material extract had no difference in cell morphology from the normal fibroblasts. However, the number of cells in the medical gelatin: hyaluronic acid = 9:1 group grew more than other groups.
实施例5:医用明胶/透明质酸复合生物敷料的细胞毒性 Embodiment 5: the cytotoxicity of medical gelatin/hyaluronic acid composite biological dressing
为了进一步量化实施例1、实施例2所得到的材料的细胞毒性,即加入不同比例材料浸提液后细胞的生长数量情况。我们采取了MTT的方法来进行测量。按照IS010993标准,将实施例1、实施例2、实施例3所得到的材料以6cm2/ml的标准浸提于1640培养液中,置于37℃、5%CO2、湿度为100%的恒温培养箱中培养24h,得到浸提液。在96孔培养板中种入细胞密度为104个/ml的L929细胞悬液100ul,培养1天,换掉原培养液,用PBS冲洗两次后,每孔加入100ul的不同比例的医用明胶和透明质酸复合生物敷料的材料浸提液。培养1天后,用MTT实验检测细胞活性。每孔加入20ulMTT溶液(5mg/ml,即0.5%MTT),继续培养4h。终止培养,小心吸去孔内培养液。每孔加入150ulDMSO,置摇床上低速震荡10min,使结晶物充分溶解。在酶联免疫检测仪OD490nm处测量各孔的吸光值。采用浸提液法对生物医用材料进行细胞毒性试验时,常以细胞的相对增殖度为标准划分安全等级。 In order to further quantify the cytotoxicity of the materials obtained in Example 1 and Example 2, that is, the growth and quantity of cells after adding different proportions of material extracts. We took the MTT approach for measurement. According to the ISO10993 standard, the materials obtained in Example 1, Example 2, and Example 3 were leached into 1640 culture solution at a standard of 6 cm 2 /ml, and placed in a room with 37°C, 5% CO 2 , and a humidity of 100%. Cultivate in a constant temperature incubator for 24 hours to obtain an extract. Plant 100ul of L929 cell suspension with a cell density of 104 /ml in a 96-well culture plate, culture for 1 day, replace the original culture medium, wash twice with PBS, and add 100ul of medical gelatin in different proportions to each well and hyaluronic acid compound biological dressing material extract. After culturing for 1 day, the cell viability was detected by MTT assay. Add 20ul of MTT solution (5mg/ml, ie 0.5% MTT) to each well and continue culturing for 4h. To terminate the culture, carefully aspirate the culture medium in the well. Add 150ul of DMSO to each well, shake on a shaker at low speed for 10min, and fully dissolve the crystals. The absorbance of each well was measured at OD490nm in an enzyme-linked immunosorbent assay instrument. When the leachate method is used to test the cytotoxicity of biomedical materials, the relative proliferation degree of cells is often used as the standard to divide the safety level.
结果如图所示(图4)该复合材料中医用明胶∶透明质酸=9∶1以及医用明胶∶透明质酸=8∶2两组的细胞毒性为零级,即不存在细胞毒性。 The results are shown in the figure ( FIG. 4 ). The cytotoxicity of the composite materials of Chinese medicine gelatin: hyaluronic acid = 9: 1 and medical gelatin: hyaluronic acid = 8: 2 is zero order, that is, there is no cytotoxicity.
实施例6:医用明胶/透明质酸复合生物敷料的活体动物实验 Embodiment 6: Live animal experiment of medical gelatin/hyaluronic acid composite biological dressing
在C57BL/6J小鼠背面建立全层创面模型。实验分为实验组及空白对照组,创面建立后实验组采用实施例1、实施例2所得到的敷料对创面进行换药(复合材料中医用明胶∶透明质酸=9∶1以及医用明胶∶透明质酸=8∶2两组),空白对照组则任其自然愈合。在固定焦距、像素的条件下对小鼠背部创面进行连续拍照,记录不同材料组小鼠背部创面愈合情况。实验表明实验组愈合时间明显短于空白对照组(见图5)。 A full-thickness wound model was established on the back of C57BL/6J mice. The experiment is divided into an experimental group and a blank control group. After the wound is set up, the experimental group adopts the dressings obtained in Example 1 and Example 2 to change the wound (composite Chinese medicine gelatin: hyaluronic acid=9: 1 and medical gelatin: hyaluronic acid=8:2 two groups), and the blank control group was allowed to heal naturally. Under the condition of fixed focal length and pixels, the back wounds of mice were continuously photographed, and the wound healing conditions of mice in different material groups were recorded. The experiment showed that the healing time of the experimental group was significantly shorter than that of the blank control group (see Figure 5).
以上的具体实施方式仅为本发明的较佳实施例,并不用以限制本发明,凡在本发明的精神及原则之内所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。 The specific implementation above is only a preferred embodiment of the present invention, and is not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention should be included in the present invention within the scope of protection.
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