CN106039390A - Bone wax composition and preparation method thereof - Google Patents
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L24/00—Surgical adhesives or cements; Adhesives for colostomy devices
- A61L24/04—Surgical adhesives or cements; Adhesives for colostomy devices containing macromolecular materials
- A61L24/043—Mixtures of macromolecular materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/04—Materials for stopping bleeding
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- Surgery (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Materials For Medical Uses (AREA)
Abstract
本发明公开了一种骨蜡组合物及其制备方法,该骨蜡组合物的原料由如下重量百分比的组分组成:PEG–PPG–PEG block copolymer 14000 16~40%、PEG–PPG random copolymer 12000 30~68%和分子量为5000的非水溶性壳聚糖16~50%。本发明骨蜡组合物为可吸收,对细胞无毒性,完全生物降解,对血液由促凝作用,在体内能存留足够长的时间有助于骨界面止血,时间达72小时以上。The invention discloses a bone wax composition and a preparation method thereof. The raw materials of the bone wax composition are composed of the following components in weight percentage: PEG-PPG-PEG block copolymer 14000 16-40%, PEG-PPG random copolymer 12000 30-68% and 16-50% of water-insoluble chitosan with a molecular weight of 5000. The bone wax composition of the present invention is absorbable, non-toxic to cells, completely biodegradable, has a coagulation-promoting effect on blood, and can remain in the body for a long enough time to help hemostasis at the bone interface, and the time is more than 72 hours.
Description
技术领域technical field
本发明属于医疗用品技术领域,具体涉及一种骨蜡组合物及其制备方法。The invention belongs to the technical field of medical supplies, and in particular relates to a bone wax composition and a preparation method thereof.
背景技术Background technique
止血一直就是急救医学的重要问题之一。从古至今,无论是内服药止血法或外用止血法(烙法、火针法,草药、膏药外敷等)都是古代医家智慧的结晶。我国东晋葛了洪所著的《肘后备急方》针对各种原因的出血,采取了不种的治疗办法比如烧灼法止血“忽乱伤舌下青脉,血出不止便煞人方,可烧纺铁以灼此脉令焦。”。化疲止血法是传统中医运用活血化癖药物治疗出血证的一种治法,是最具中医药特色的一种治疗方法,化癖止血法包含化癖与止血两个方面,以止血为主,化癖为辅。止血者是塞其流,阻止血液不再从经脉溢出,使血液循着脉道正常循行;化癖者是活其血,祛其癖,将癖阻脏腑的离经之血或滞留于脉内之癖血祛除消散。两种治法看似矛盾,但实际应用中往往紧密联系,统一成法。现代医学止血原理是血小板凝聚到伤口边缘,产生纤维蛋白,形成血栓,堵塞伤口而止血。Hemostasis has always been one of the important issues in emergency medicine. From ancient times to the present, whether it is internal medicine to stop bleeding or external use (burning method, fire needle method, herbal medicine, external application of plaster, etc.), it is the crystallization of the wisdom of ancient doctors. "Elbow Reserve Emergency Prescriptions" written by Ge Liaohong in the Eastern Jin Dynasty of our country adopts different treatment methods for various causes of bleeding, such as cauterization to stop bleeding. Burn the spun iron to burn the pulse." The method of eliminating fatigue and hemostasis is a treatment method of traditional Chinese medicine that uses drugs to promote blood circulation and eliminate addiction to treat bleeding syndrome. It is a treatment method with the most characteristics of traditional Chinese medicine. , supplemented by addiction. Hemostasis is to stop the flow of blood, prevent blood from overflowing from the meridians, and make the blood flow along the meridians normally; to remove addiction is to activate the blood, get rid of the addiction, and keep the blood that is blocked by the addiction from leaving the meridians or staying in the channels. Internal blood addiction dissipates and dissipates. The two governance laws seem to be contradictory, but they are often closely related and unified into a law in practical application. The principle of hemostasis in modern medicine is that platelets aggregate to the edge of the wound, produce fibrin, form a thrombus, block the wound and stop bleeding.
松质骨结构松散、血运丰富,创面出血多为渗血,难以靠血管收缩自行止血,术中亦难以靠电凝、钳夹、止血纱布、明胶海绵填塞等常规方法止血。临床常用骨蜡进行松质骨创面止血。骨蜡的主要成分为蜂蜡、麻油等,生物相容性差且难以被机体降解、吸收,残留在局部对骨愈合造成很大的阻碍,因其止血机理只是机械的物理屏障作用,可阻碍血液成分(纤维蛋白和血小板)的聚集,不利于原始骨痴的形成,从而造成骨不愈合。另外,骨蜡作为异物长期存留体内,形成异物肉芽肿,引起的局部疼痛、渗液等症状,这样既降低了组织的抗感染能力,又增加了术后感染发生的风险。The cancellous bone structure is loose and the blood supply is rich. The wound bleeding is mostly oozing, and it is difficult to stop the bleeding by vasoconstriction. Bone wax is commonly used clinically for hemostasis of cancellous bone wounds. The main components of bone wax are beeswax, sesame oil, etc., which have poor biocompatibility and are difficult to be degraded and absorbed by the body. Residues in the local area will greatly hinder bone healing, because the hemostatic mechanism is only a mechanical physical barrier, which can hinder blood components. The aggregation of (fibrin and platelets) is not conducive to the formation of primitive bone disease, thus causing bone nonunion. In addition, bone wax remains in the body as a foreign body for a long time, forming foreign body granuloma, causing local pain, exudate and other symptoms, which not only reduces the anti-infection ability of the tissue, but also increases the risk of postoperative infection.
此外,骨科手术创伤往往较大,术中对于松质骨骨面出血、静脉窦出血等目前尚无确切的止血手段,术中大量失血较为常见,术中需要输血补充血容量,但却加大了患血液性传染病的风险。国内外学者已经从人工合成高分子材料、生物制剂等,进行了骨蜡替代产品的研究工作。如胶原纤维,明胶海绵,氧化纤维素、聚乳酸和多聚糖等。动物实验和临床应用表明:虽然这些物质生物相容性较好、具有可降解性,但大多数为粉状,胶状,与创面勃合性较差,术中不易操作,易被血流冲走。此类高分子物质原料昂贵,物理性状的不易改性,材料的安全性等方面存在较多尚未解决的实际问题,因此,目前尚未能将其转变为适宜于骨创面止血的理想材料,仍需进一步深入研究和改进。In addition, the trauma of orthopedic surgery is often relatively large, and there is no definite hemostatic method for cancellous bone surface bleeding and venous sinus bleeding during surgery. risk of blood-borne infections. Scholars at home and abroad have carried out research work on bone wax substitute products from synthetic polymer materials, biological agents, etc. Such as collagen fibers, gelatin sponge, oxidized cellulose, polylactic acid and polysaccharides, etc. Animal experiments and clinical applications show that although these substances have good biocompatibility and degradability, most of them are in the form of powder or jelly, which have poor compatibility with wounds, are difficult to operate during surgery, and are easily washed away by blood flow. Walk. The raw materials of such polymer materials are expensive, the physical properties are not easy to modify, and there are many unresolved practical problems in terms of material safety. Further in-depth research and improvement are needed.
发明内容Contents of the invention
本发明的目的在于克服现有技术缺陷,提供一种骨蜡组合物。The purpose of the present invention is to overcome the defects of the prior art and provide a bone wax composition.
本发明的另一目的在于提供上述骨蜡组合物的制备方法。Another object of the present invention is to provide a preparation method of the above-mentioned bone wax composition.
本发明的具体技术方案如下:Concrete technical scheme of the present invention is as follows:
一种骨蜡组合物,其原料由如下重量百分比的组分组成:A kind of bone wax composition, its raw material is made up of the component of following percentage by weight:
PEG–PPG–PEG block copolymer 14000 16~40%PEG–PPG–PEG block copolymer 14000 16~40%
PEG–PPG random copolymer 12000 30~68%PEG–PPG random copolymer 12000 30~68%
分子量为5000的非水溶性壳聚糖 16~50%。16-50% of water-insoluble chitosan with a molecular weight of 5000.
在本发明的一个优选实施方案中,其原料由如下重量比的组分组成:PEG–PPG–PEGblock copolymer 14000:PEG–PPG random copolymer 12000:分子量为5000的非水溶性壳聚糖=2:8:2。In a preferred embodiment of the present invention, its raw material is made up of the component of following weight ratio: PEG-PPG-PEGblock copolymer 14000:PEG-PPG random copolymer 12000: molecular weight is the water-insoluble chitosan=2:8 of 5000 :2.
一种上述骨蜡组合物的制备方法,包括如下步骤:A preparation method of the above-mentioned bone wax composition, comprising the steps of:
(1)按比例称取各原料组分;(1) Take each raw material component in proportion;
(2)将PEG–PPG–PEG block copolymer 14000和PEG–PPG random copolymer12000置于反应容器中,变磁力搅拌边于水浴中加热至90℃,并混合均匀;(2) Put PEG–PPG–PEG block copolymer 14000 and PEG–PPG random copolymer 12000 in a reaction vessel, heat to 90°C in a water bath while stirring with magnetic force, and mix well;
(3)在步骤(2)所得的物料中缓慢加入分子量为5000的非水溶性壳聚糖,并继续磁力搅拌至均匀;(3) in the material of step (2) gained, slowly add the non-water-soluble chitosan that molecular weight is 5000, and continue magnetic stirring to even;
(4)将步骤(3)所得的物料趁热倒入模具中,室温下自然冷却固化,即得所述骨蜡组合物。(4) Pour the material obtained in step (3) into a mold while it is hot, and cool and solidify naturally at room temperature to obtain the bone wax composition.
本发明的有益效果是:The beneficial effects of the present invention are:
1、本发明骨蜡组合物为可吸收,对细胞无毒性,完全生物降解,对血液由促凝作用,在体内能存留足够长的时间有助于骨界面止血,时间达72小时以上。1. The bone wax composition of the present invention is absorbable, non-toxic to cells, completely biodegradable, has a coagulation-promoting effect on blood, and can remain in the body for a long enough time to help stop bleeding at the bone interface for more than 72 hours.
2、本发明的制备工艺简单,原料易得,成本低廉,适合工业化生产。2. The preparation process of the present invention is simple, the raw materials are easily obtained, the cost is low, and it is suitable for industrial production.
附图说明Description of drawings
图1为本发明实施例1制备的骨蜡组合物的红外光谱分析图。Figure 1 is an infrared spectrum analysis chart of the bone wax composition prepared in Example 1 of the present invention.
图2为本发明实施例1制备的骨蜡组合物的TEG分析图。Fig. 2 is a TEG analysis diagram of the bone wax composition prepared in Example 1 of the present invention.
图3为本发明实施例1制备的骨蜡组合物的细胞活性分析图。Fig. 3 is a cell activity analysis graph of the bone wax composition prepared in Example 1 of the present invention.
具体实施方式detailed description
以下通过具体实施方式结合附图对本发明的技术方案进行进一步的说明和描述。The technical solutions of the present invention will be further illustrated and described below through specific embodiments in conjunction with the accompanying drawings.
实施例1Example 1
(1)按如下重量称取各原料组分:PEG–PPG–PEG block copolymer 14000:PEG–PPGrandom copolymer 12000:分子量为5000的非水溶性壳聚糖=2:8:2;(1) Take each raw material component by weight as follows: PEG-PPG-PEG block copolymer 14000: PEG-PPGrandom copolymer 12000: molecular weight is 5000 water-insoluble chitosan=2:8:2;
(2)将PEG–PPG–PEG block copolymer 14000和PEG–PPG random copolymer12000置于反应容器中,变磁力搅拌边于水浴中加热至90℃,并混合均匀;(2) Put PEG–PPG–PEG block copolymer 14000 and PEG–PPG random copolymer 12000 in a reaction vessel, heat to 90°C in a water bath while stirring with magnetic force, and mix well;
(3)在步骤(2)所得的物料中缓慢加入分子量为5000的非水溶性壳聚糖,并继续磁力搅拌至均匀;(3) in the material of step (2) gained, slowly add the non-water-soluble chitosan that molecular weight is 5000, and continue magnetic stirring to even;
(4)将步骤(3)所得的物料趁热倒入模具中,室温下自然冷却固化,即得所述骨蜡组合物。(4) Pour the material obtained in step (3) into a mold while it is hot, and cool and solidify naturally at room temperature to obtain the bone wax composition.
将本实施例制备的骨蜡组合物进行红外光谱分析,具体结果如图1所示,其中B-co/CS为本实施例制备的骨蜡组合物,B-co为PEG–PPG–PEG block copolymer 14000,CS为壳聚糖。The bone wax composition prepared in this example was analyzed by infrared spectroscopy, and the specific results are shown in Figure 1, wherein B-co/CS is the bone wax composition prepared in this example, and B-co is PEG–PPG–PEG block Copolymer 14000, CS is chitosan.
将本实施例制备的骨蜡组合物进行血栓弹力(TEG)分析。TEG分析是以时间为函数,反应血液凝固动态变化(包括纤维蛋白的形成速度,溶解状态和凝状的坚固性、弹力度)的指标。TEG分析测量血块形成及溶解的四项常用基本参数,包括:(1)R,R时间是血样开始检测,直到第一块纤维蛋白凝块形成一段潜伏期,TEG扫描图上幅度为2mm的时间;(2)K,凝血时间K是评估凝块强度达到某一水平(TEG扫描图上幅度为2-20mm所需时间)的速度,反应血块织网速度;(3)α角,评价纤维蛋白块形成及凝块加固的速度,即TEG扫描图上从血块形成向扫描图最大曲线弧度做切线与水平线之间的夹角;(4)MA,TEG扫描图的最大振幅,表示血块具有的最大强度,可以反映血小板功能。如图2所示,可以看出,本实施例制备的骨蜡组合物的R时间为3.3mim,大大低于正常水平的5-10min,说明该骨蜡对血液有促凝的作用。The bone wax composition prepared in this example was subjected to thromboelastometry (TEG) analysis. TEG analysis is an index that reflects the dynamic changes of blood coagulation (including the formation speed of fibrin, the dissolution state and the solidity and elasticity of the coagulation) as a function of time. TEG analysis measures four commonly used basic parameters of blood clot formation and dissolution, including: (1) R, R time is the time from the start of blood sample detection until the first fibrin clot is formed for a period of latency, and the amplitude on the TEG scan is 2mm; (2) K, coagulation time K is the speed at which the clot strength reaches a certain level (the time required for the amplitude of 2-20mm on the TEG scan), reflecting the speed of blood clot weaving; (3) α angle, evaluating the fibrin block The speed of formation and clot reinforcement, that is, the angle between the tangent line and the horizontal line from the formation of the blood clot to the maximum arc of the scan graph on the TEG scan graph; (4) MA, the maximum amplitude of the TEG scan graph, indicating the maximum strength of the blood clot , can reflect platelet function. As shown in Figure 2, it can be seen that the R time of the bone wax composition prepared in this example is 3.3mim, which is much lower than the normal level of 5-10min, indicating that the bone wax has a coagulation-promoting effect on blood.
将本实施例制备的骨蜡组合物进行细胞活性分析。细胞活性是判断体外培养细胞在某些条件下是否能正常生长的重要指标,如药物处理、放射性或紫外线照射、培养条件变化等它是从事相关方而的科学研究的常用手段,更是体外筛选抗肿瘤药物和临床肿瘤药敏试验的重要方法之一。本分析采用cck8方法检测。三组测定分别以1、3、5、7天为观察周期。如图3所示,随着时间增长,数值越来越大,说明本实施例制备的骨蜡组合物对细胞无毒性。The bone wax composition prepared in this example was subjected to cell activity analysis. Cell activity is an important indicator for judging whether cells cultured in vitro can grow normally under certain conditions, such as drug treatment, radioactivity or ultraviolet radiation, changes in culture conditions, etc. One of the important methods of antitumor drug and clinical tumor drug susceptibility test. This analysis was detected by the cck8 method. The three groups of determinations took 1, 3, 5, and 7 days as the observation period respectively. As shown in FIG. 3 , as time goes by, the value becomes larger and larger, indicating that the bone wax composition prepared in this example has no toxicity to cells.
本领域普通技术人员可知,本发明的技术方案在下述范围内变化时,仍然能够得到与上述实施例相同或相近的技术效果:Those of ordinary skill in the art will know that when the technical solution of the present invention changes within the following ranges, the same or similar technical effects as those of the above-mentioned embodiments can still be obtained:
一种骨蜡组合物,其原料由如下重量百分比的组分组成:A kind of bone wax composition, its raw material is made up of the component of following percentage by weight:
PEG–PPG–PEG block copolymer 14000 16~40%PEG–PPG–PEG block copolymer 14000 16~40%
PEG–PPG random copolymer 12000 30~68%PEG–PPG random copolymer 12000 30~68%
分子量为5000的非水溶性壳聚糖 16~50%。16-50% of water-insoluble chitosan with a molecular weight of 5000.
以上所述,仅为本发明的较佳实施例而已,故不能依此限定本发明实施的范围,即依本发明专利范围及说明书内容所作的等效变化与修饰,皆应仍属本发明涵盖的范围内。The above is only a preferred embodiment of the present invention, so the scope of the present invention cannot be limited accordingly, that is, equivalent changes and modifications made according to the patent scope of the present invention and the content of the specification should still be covered by the present invention In the range.
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