A kind of negatively charged injectable type gelatine microsphere base gel hemostatic material and its preparation side
Method and application
Technical field
The invention belongs to field of biomedical materials, and in particular to a kind of for clinical operation medium and deep and intracavitary bleeding
Negatively charged injectable type gelatine microsphere base gel hemostatic material and its preparation method and application.
Background technique
In surgical procedures, quickly and effectively stop blooding to patient's bleeding position, is conducive to shorten operating time propulsion
Operation goes on smoothly raising success rate of operation, to save more life.Currently, the material that can be used for trauma hemostasis mainly wraps
Include inorganic hemostatic materials and organic hemostatic material.
Inorganic hemostatic materials mainly have zeolite and kaolin etc..Zeolite has good anthemorrhagic performance, can be significantly shorter only
Blood time and reduction amount of bleeding.Zeolite can absorb blood rapidly in hemostasis to agglomerate blood platelet and coagulation factor, reach
To the purpose of quick-acting haemostatic powder.U.S. army's equipmentBleeding-stopping dressing, main component are exactly zeolite, since its is excellent
Haemostatic effect,Bleeding-stopping dressing has saved the life of many wounded in the war in Iraq and Afghanistan.But
Zeolite can discharge a large amount of heat in hemostasis, this is possible to burn tissue, so as to cause inflammation.Kaolin has and zeolite
Similar hemostatic function.2008, kaolin hemostatic gauze was selected in U.S. army " ten big top army materials ", became rare
First choice of fighting hemostasia products.But kaolin does not have biodegradability, needs to move back in hemostasis and remove, this is possible to impaired
Taeniae telarum comes secondary injury and secondary bleeding.
Organic hemostatic material mainly has chitosan, alginate, Fibrin Glue and gelatin etc..Chitosan is in hemostasis
In can assemble blood platelet and red blood cell, while chitosan can also inhibit the activity of body inner fibrin lyase so that
The thrombus of formation is more secured.The chitosan class bleeding-stopping dressing being approved by the FDA in the United States at present has Clo-SurWithChitosan bandage.But it has been reported that due to both bleeding-stopping dressing slabbings, so being used for intracavitary and deep
Effect is unobvious when wound hemostasis.Alginates hemostatic material (such as:Comfeel) have
Stronger water absorbing capacity, in hemostasis can rapid aggregation blood platelet and coagulation factor, while by the sodium ion exchange in body fluid
Calcium ion out can participate in rapidly blood coagulation.But single alginates hemostatic material adhesiveness is poor, and when use needs other
Dressing fix.Fibrin Glue class hemostatic material such as Fibrin Glue foam, is a kind of spray, to surface injury hemostasis have compared with
Good effect, but there is correlative study to show to imitate intracavitary hemostasis due to its poor dispersed and weaker adhesive capacity
Fruit is unsatisfactory.Gelatin class hemostatic material has very strong hydrophily, itself expansion compressing damaged blood vessels reaches hemostasis after water suction
Purpose, while gelatin can also assemble haemocyanin and blood platelet and activate intra platelet free calcium coagulation factor, application at present and face
Most of product on bed be absorbable gelatin sponge (such as:With), this kind of hemostatic material is suitable for hand
Open wound hemostasis and postoperative closing seepage-proof liquid in art, can not be applied to the hemostasis of intracavitary and deep wound.
Due to current hemostatic material or biocompatibility and biological degradability difference or it is applied to intracavitary and deep wound
Mouth haemostatic effect is undesirable.Therefore it is good to need to develop a kind of biocompatibility, there is biodegradability, and for clinical hand
Art medium and deep and the hemostatic material of intracavitary bleeding.
Summary of the invention
The purpose of the present invention is prepare it is a kind of possess excellent anthemorrhagic performance be suitable for the negatively charged of deep and intracavitary bleeding
Lotus injectable type gelatine microsphere base gel hemostatic material, while the gelatine microsphere base gel hemostatic material has good biofacies
Capacitive and biological absorbable degradation property, can stay in the body after hemostasis need not take out.
The present invention is a kind of solidifying for clinical operation medium and deep and the negatively charged injectable type gelatine microsphere base of intracavitary bleeding
Glue hemostatic material:
It is to obtain gelatine microsphere and hydrating agents by the way that aquation occurs after physical mixed;
Wherein, the hydrating agents are deionized water, phosphate buffer, simulated body fluid, one of physiological saline or more
The mixture of kind composition;The gelatine microsphere partial size is 1~500 μm.
The essence of aquation is that hydrone integrally enters mineral lattice, thus the effect for increasing mineral volume.And
After aquation refers to that hydrone enters gelatine microsphere inside in the present invention, make the effect of gelatine microsphere volume increase.
Phosphate-buffered is commonly used for a buffer solution of biological study, and osmotic pressure and ion concentration are usually and people
Body pH is close, and preparation method is as follows: 8g NaCl, 0.2g KCl, 1.44g disodium hydrogen phosphate and 0.24g are dissolved in 1L deionized water
Potassium dihydrogen phosphate adjusts solution ph to 7.4 with HCl.
Simulated body fluid is the component of simulated body fluid and a kind of solution of pH value.Preparation method is as follows: 1L deionized water
In dissolve 8.035g NaCl, 0.355g NaHCO in order3, 0.225g KCl, 0.231g K2HPO4.3H2O, 0.311g
MgCl2.6H2O, 39mL 1.0M HCl, 0.292g CaCl2, 0.072g Na2SO4, 6.118g Tris, 0~5mL 1.0M HCl
Adjust pH to 7.4.
Further, the proportion of the gelatine microsphere and hydrating agents is 1:2~1:3 (g/mL).
Further, the gelatine microsphere base gel hemostatic material preparation method the following steps are included:
(1) it is mutually mixed oily with the emulsifier of 0.01~0.1 times of oil phase volume, is heated to 40~60 DEG C, mechanical stirring is equal
The concentration that 0.01~0.02 times of oil phase volume is slowly added to after even is the gelatin solution of 5wt%~40wt%, then is stirred by machinery
Mix emulsification, mechanical stirring 300~5000rpm of speed, 15~120min of mechanical stirring time;
(2) whole system after stirring is put into progress 10~60min of ice bath in ice water, 0.05~0.5 times is added later
1~5% glutaraldehyde solution of gelatin solution volume is crosslinked 0.5~5h, and dehydrating agent is added after crosslinking and makes in lotion
Gelatine microsphere precipitating;
(3) lotion is filtered, then cleans gelatine microsphere for several times with cleaning agent, except phase and unreacted penta 2 of deoiling
Aldehyde is dried at room temperature, obtains gelatine microsphere.
Further, in the step (1), oil be mutually plant oil, animal tallow oil and one of atoleine or
The miscella of a variety of compositions;Wherein, plant oil is rapeseed oil, peanut oil, soybean oil, olive oil, one of castor oil or
It is a variety of;Animal tallow oil is lard and/or butter;
In the step (1), the hydrophilic lipophilic balance of the emulsifier is 3~6;Wherein hydrophilic lipophilic balance is 3
~6 emulsifier is Span-80 and/or Span -60;
In the step (1), gelatin solution is type A gelatin, the mixing gelatin of type B gelatin or two kinds of gelatin composition 40~
It is dissolved in deionized water and obtaining at 60 DEG C;
In the step (2), dehydrating agent is ethyl alcohol, acetone, isopropanol, one of n,N-Dimethylformamide or a variety of
The mixture of composition;
In the step (3), cleaning agent is ethyl alcohol, acetone, isopropanol, one of n,N-Dimethylformamide or a variety of
The mixture of composition.
The present invention provides a kind of method for preparing aforementioned gelatine microsphere base gel hemostatic material, it the following steps are included:
By gelatine microsphere and hydrating agents physical mixed occur aquation to get.
Application the present invention also provides gelatine microsphere base gel above-mentioned as hemostatic material.
Further, the hemostatic material can be injected with ordinary syringe.
Further, the hemostatic material is the hemostatic material of clinical operation medium and deep and intracavitary bleeding.
The present invention has following prominent characteristics:
1) gelatin is prepared into microballoon, increases specific surface area, increase the contact area of material and blood;Increase material simultaneously
Water absorbing capacity, enable in hemostasis material to absorb the water in blood rapidly, assemble blood platelet concentrate blood formation
Rationality blocks matrix, realizes quick-acting haemostatic powder.
2) by the method modified gelatin of chemical crosslinking, the thermal stability of gelatin is improved, is made it for body temperature ring
Border;Keep gelatine microsphere surface negatively charged by modification simultaneously, surface negative charge can activate Hageman factor, generate fibrin ferment
And intrinsic coagulation access is activated, achieve the purpose that rapidly and effectively to stop blooding.
3) aquation is occurred by gelatine microsphere and water and gelatine microsphere base gel is made, assigned its syringeability, pass through
Ordinary syringe just can be carried out injection;Satisfaction reaches at deep blutpunkte and intracavitary bleeding stops the accurate rapid delivery of hemostasis gel
The requirement of blood point;Simultaneously based on gelatin itself water swelling and the characteristic that can be absorbed degradation, the hemostasis gel of injection absorbs blood
Liquid expansion compressing wound blood vessel, realizes that blood flow reduction reaches hemostasis, and hemostasis gel need not take out, to reduce to patient's
Secondary injury.
Obviously, above content according to the present invention is not being departed from according to the ordinary technical knowledge and customary means of this field
Under the premise of the above-mentioned basic fundamental thought of the present invention, the modification, replacement or change of other diversified forms can also be made.
The specific embodiment of form by the following examples remakes further specifically above content of the invention
It is bright.But the range that this should not be interpreted as to the above-mentioned theme of the present invention is only limitted to example below.It is all to be based on above content of the present invention
The technology realized all belongs to the scope of the present invention.
Detailed description of the invention
Fig. 1 is the scanning electron microscope (SEM) photograph of gelatine microsphere obtained by embodiment 1, and the amplification factor in figure is 200 times.
Fig. 2 is the outside drawing of gelatine microsphere base gel made from embodiment 1.
Fig. 3 is type B gelatin microballoon base gel obtained by embodiment 2 for rabbit liver wound hemostasis Experimental Optical figure.
Specific embodiment
The preparation of the hemostatic material of the present invention of embodiment 1
1, preparation method
Gelatine microsphere is prepared using water oil emulsion process.By 300mL atoleine and 9ml emulsifier Span-80 (Span-80)
It is added in round bottom three-necked bottle and is heated to 45 DEG C, the type B gelatin solution (10wt%) of 10mL is slowly added to after mechanical stirring is uniform,
Emulsion is obtained after 1000rpm mechanical stirring 15min.Whole system is then put into progress ice bath 15min, Zhi Houjia in ice water
The glutaraldehyde cross-linking 2h for entering the 2.5% of 3mL is added ethanol in proper amount and is dehydrated and keeps the gelatine microsphere in lotion heavy after crosslinking
It forms sediment.Lotion is filtered, then alternately clean for several times, to remove atoleine and unreacted penta with acetone and isopropanol
Dialdehyde is dried at room temperature, obtains type B gelatin microballoon.Type B gelatin microballoon mixes that (gelatin is micro- with a certain amount of physiological saline
Ball: physiological saline=1:2.5 (g/mL)) aquation occurs, form type B gelatin microballoon base gel.
2, the characterization result of hemostatic material
The gelatine microsphere that the present invention is obtained carries out granularmetric analysis, counts number 300.Average grain diameter is 14.97 μm.
The gelatine microsphere that the present invention is obtained carries out Zeta potential analysis, and control group is absorbable hemostatic fluid gelatin
SURGIFLOTMProduct, blank control group are type B gelatin raw material.The gelatine microsphere Zeta potential that the present invention obtains is -24.8mV,
Control group Zeta potential is 6.1mV, and blank control group Zeta potential is -0.1mV.Illustrate the gelatine microsphere surface that the present invention obtains
It is negatively charged, absorbable hemostatic fluid gelatin SURGIFLOTMProduct is positively charged, and type B gelatin raw material is negatively charged, but its electricity is negative
Property the microballoon that is prepared into lower than its.
3, the haemostatic effect of hemostatic material
The type B gelatin microballoon base gel (experimental group) that the present invention is obtained is used for the measurement in external clotting time, tests institute
It is fresh new zealand white rabbit arteria auricularis blood with blood, control group is the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMIt produces
Product, blank control group are the physiological saline of equivalent.Method: being respectively charged into general blood collection tube for 0.2g laboratory sample, then respectively
The fresh new zealand white rabbit arteria auricularis blood of 1mL is added, shakes up rear timing rapidly, blood clotting situation is checked every 15s, to blood
Liquid records its clotting time after solidifying completely.Experimental result: experimental group, control group, the external clotting time point of blank control group
It Wei not 57.8s, 112s, 137.6s.
The type B gelatin microballoon base gel (experimental group) that the present invention is obtained is for rabbit liver deep wound (Φ 4*5mm)
Measurement, control group are the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMProduct, blank control group is with no treatment.Side
Method: the intravenous injection of yellow Jackets anesthetic anaesthetizes it, and the disinfection of abdominal operation area preserved skin, ventrimeson row 5cm is left under thoracic cavity
Right long notch, exposure liver, makees the cylindrical blutpunkte of a depth 0.5cm using orthopaedics drill bit (Φ 4) on its liver, certainly to it
After right bleeding 5s, injection experiments sample and timing record its bleeding stopping period.Wound situation after observing hemostasis simultaneously, if wound
Keeping haemostatic state is more than 3min, then it is assumed that bleeding stopping period is effective.Experimental result: experimental group, control group, blank control group are stopped
The blood time is respectively 36.4s, 51.5s, 309.8s.
The preparation of the hemostatic material of the present invention of embodiment 2
1, preparation method
Gelatine microsphere is prepared using water oil emulsion process.Round bottom is added in 300mL atoleine and 9mL emulsifier Span-80
It is heated to 45 DEG C in three-necked bottle, the type B gelatin solution (10wt%) of 10mL is slowly added to after mechanical stirring is uniform, 300rpm is mechanical
Emulsion is obtained after stirring 15min.Whole system is then put into progress ice bath 15min in ice water, is added 3mL's later
2.5% glutaraldehyde cross-linking 2h is added ethanol in proper amount and is dehydrated and precipitates the gelatine microsphere in lotion after crosslinking.To lotion
It is filtered, then alternately clean for several times, to remove atoleine and unreacted glutaraldehyde, room temperature with acetone and isopropanol
Lower drying process, obtains type B gelatin microballoon.Type B gelatin microballoon mixes (gelatine microsphere: physiology salt with a certain amount of physiological saline
Water=1:2.5 (g/mL)) aquation occurs, form type B gelatin microballoon base gel.
2, the characterization result of hemostatic material
The gelatine microsphere that the present invention is obtained carries out granularmetric analysis, counts number 300.Average grain diameter is 80.19 μm.
The gelatine microsphere that the present invention is obtained carries out Zeta potential analysis, and control group is absorbable hemostatic fluid gelatin
SURGIFLOTMProduct, blank control group are type B gelatin raw material.The gelatine microsphere Zeta potential that the present invention obtains is -17.5mV,
Control group Zeta potential is 6.1mV, and blank control group Zeta potential is -0.1mV.Illustrate the gelatine microsphere surface that the present invention obtains
It is negatively charged, absorbable hemostatic fluid gelatin SURGIFLOTMProduct is positively charged, and type B gelatin raw material is negatively charged, but its electricity is negative
Property the microballoon that is prepared into lower than its.
3, the haemostatic effect of hemostatic material
The type B gelatin microballoon base gel (experimental group) that the present invention is obtained is used for the measurement in external clotting time, tests institute
It is fresh new zealand white rabbit arteria auricularis blood with blood, control group is the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMIt produces
Product, blank control group are the physiological saline of equivalent.Method: being respectively charged into general blood collection tube for 0.2g laboratory sample, then respectively
The fresh new zealand white rabbit arteria auricularis blood of 1mL is added, shakes up rear timing rapidly, blood clotting situation is checked every 15s, to blood
Liquid records its clotting time after solidifying completely.Experimental result: experimental group, control group, the external clotting time point of blank control group
It Wei not 50.8s, 112s, 137.6s.
The type B gelatin microballoon base gel (experimental group) that the present invention is obtained is for rabbit liver deep wound (Φ 4*5mm)
Measurement, control group are the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMProduct, blank control group is with no treatment.Side
Method: the intravenous injection of yellow Jackets anesthetic anaesthetizes it, and the disinfection of abdominal operation area preserved skin, ventrimeson row 5cm is left under thoracic cavity
Right long notch, exposure liver, makees the cylindrical blutpunkte of a depth 0.5cm using orthopaedics drill bit (Φ 4) on its liver, certainly to it
After right bleeding 5s, injection experiments sample and timing record its bleeding stopping period.Wound situation after observing hemostasis simultaneously, if wound
Keeping haemostatic state is more than 3min, then it is assumed that bleeding stopping period is effective.Experimental result: experimental group, control group, blank control group are stopped
The blood time is respectively 32.2s, 51.5s, 309.8s.
The preparation of the hemostatic material of the present invention of embodiment 3
1, preparation method
Gelatine microsphere is prepared using water oil emulsion process.Round bottom is added in 300mL atoleine and 9mL emulsifier Span-80
It is heated to 45 DEG C in three-necked bottle, the type A gelatin solution (10wt%) of 10mL, 1000rpm machine are slowly added to after mechanical stirring is uniform
Emulsion is obtained after tool stirring 15min.Whole system is then put into progress ice bath 15min in ice water, 3mL is added later
2.5% glutaraldehyde cross-linking 2h is added ethanol in proper amount and is dehydrated and precipitates the gelatine microsphere in lotion after crosslinking.To lotion
It is filtered, then alternately clean for several times, to remove atoleine and unreacted glutaraldehyde, room temperature with acetone and isopropanol
Lower drying process, obtains type A gelatin microballoon.Type A gelatin microballoon mixes (gelatine microsphere: physiology salt with a certain amount of physiological saline
Water=1:2.5 (g/mL)) aquation occurs, form type A gelatin microballoon base gel.
2, the characterization result of hemostatic material
The gelatine microsphere that the present invention is obtained carries out granularmetric analysis, counts number 300.Average grain diameter is 23.86 μm.
The gelatine microsphere that the present invention is obtained carries out Zeta potential analysis, and control group is absorbable hemostatic fluid gelatin
SURGIFLOTMProduct, blank control group are type A gelatin raw material.The gelatine microsphere Zeta potential that the present invention obtains is -4.2mV, right
It is 6.1mV according to group Zeta potential, blank control group Zeta potential is 5.8mV.Illustrate the gelatine microsphere surface band that the present invention obtains
Negative electrical charge, absorbable hemostatic fluid gelatin SURGIFLOTMProduct is positively charged, and type A gelatin raw material is positively charged.
3, the haemostatic effect of hemostatic material
The type A gelatin microballoon base gel (experimental group) that the present invention is obtained is used for the measurement in external clotting time, tests institute
It is fresh new zealand white rabbit arteria auricularis blood with blood, control group is the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMIt produces
Product, blank control group are the physiological saline of equivalent.Method: being respectively charged into general blood collection tube for 0.2g laboratory sample, then respectively
The fresh new zealand white rabbit arteria auricularis blood of 1mL is added, shakes up rear timing rapidly, blood clotting situation is checked every 15s, to blood
Liquid records its clotting time after solidifying completely.Experimental result: experimental group, control group, the external clotting time point of blank control group
It Wei not 111.67s, 112s, 137.6s.
The type A gelatin microballoon base gel (experimental group) that the present invention is obtained is for rabbit liver deep wound (Φ 4*5mm)
Measurement, control group are the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMProduct, blank control group is with no treatment.Side
Method: the intravenous injection of yellow Jackets anesthetic anaesthetizes it, and the disinfection of abdominal operation area preserved skin, ventrimeson row 5cm is left under thoracic cavity
Right long notch, exposure liver, makees the cylindrical blutpunkte of a depth 0.5cm using orthopaedics drill bit (Φ 4) on its liver, certainly to it
After right bleeding 5s, injection experiments sample and timing record its bleeding stopping period.Wound situation after observing hemostasis simultaneously, if wound
Keeping haemostatic state is more than 3min, then it is assumed that bleeding stopping period is effective.Experimental result: experimental group, control group, blank control group are stopped
The blood time is respectively 42.92s, 51.5s, 309.8s.
The preparation of the hemostatic material of the present invention of embodiment 4
1, preparation method
Gelatine microsphere is prepared using water oil emulsion process.Round bottom is added in 300mL atoleine and 9mL emulsifier Span-80
It is heated to 45 DEG C in three-necked bottle, the type A gelatin solution (10wt%) of 10mL is slowly added to after mechanical stirring is uniform, 300rpm is mechanical
Emulsion is obtained after stirring 15min.Whole system is then put into progress ice bath 15min in ice water, is added 3mL's later
2.5% glutaraldehyde cross-linking 2h is added ethanol in proper amount and is dehydrated and precipitates the gelatine microsphere in lotion after crosslinking.To lotion
It is filtered, then alternately clean for several times, to remove atoleine and unreacted glutaraldehyde, room temperature with acetone and isopropanol
Lower drying process, obtains type A gelatin microballoon.Type A gelatin microballoon mixes (gelatine microsphere: physiology salt with a certain amount of physiological saline
Water=1:2.5 (g/mL)) aquation occurs, form type A gelatin microballoon base gel.
2, the characterization result of hemostatic material
The gelatine microsphere that the present invention is obtained carries out granularmetric analysis, counts number 300.Average grain diameter is 105.03 μm.
The gelatine microsphere that the present invention is obtained carries out Zeta potential analysis, and control group is absorbable hemostatic fluid gelatin
SURGIFLOTMProduct, blank control group are type A gelatin raw material.The gelatine microsphere Zeta potential that the present invention obtains is -0.5mV, right
It is 6.1mV according to group Zeta potential, blank control group Zeta potential is 5.8mV.Illustrate the gelatine microsphere surface band that the present invention obtains
Negative electrical charge, absorbable hemostatic fluid gelatin SURGIFLOTMProduct is positively charged, and type A gelatin raw material is positively charged.
3, the haemostatic effect of hemostatic material
The type A gelatin microballoon base gel (experimental group) that the present invention is obtained is used for the measurement in external clotting time, tests institute
It is fresh new zealand white rabbit arteria auricularis blood with blood, control group is the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMIt produces
Product, blank control group are the physiological saline of equivalent.Method: being respectively charged into general blood collection tube for 0.2g laboratory sample, then respectively
The fresh new zealand white rabbit arteria auricularis blood of 1mL is added, shakes up rear timing rapidly, blood clotting situation is checked every 15s, to blood
Liquid records its clotting time after solidifying completely.Experimental result: experimental group, control group, the external clotting time point of blank control group
It Wei not 107s, 112s, 137.6s.
The type A gelatin microballoon base gel (experimental group) that the present invention is obtained is for rabbit liver deep wound (Φ 4*5mm)
Measurement, control group are the absorbable hemostatic fluid gelatin SURGIFLO of equivalentTMProduct, blank control group is with no treatment.Side
Method: the intravenous injection of yellow Jackets anesthetic anaesthetizes it, and the disinfection of abdominal operation area preserved skin, ventrimeson row 5cm is left under thoracic cavity
Right long notch, exposure liver, makees the cylindrical blutpunkte of a depth 0.5cm using orthopaedics drill bit (Φ 4) on its liver, certainly to it
After right bleeding 5s, injection experiments sample and timing record its bleeding stopping period.Wound situation after observing hemostasis simultaneously, if wound
Keeping haemostatic state is more than 3min, then it is assumed that bleeding stopping period is effective.Experimental result: experimental group, control group, blank control group are stopped
The blood time is respectively 51.1s, 51.5s, 309.8s.
To sum up, the external coagulant property of the gelatine microsphere base gel prepared by the present invention and liver anthemorrhagic performance are better than to inhale
Receive hemostasis fluid gelatin SURGIFLOTMProduct has good haemostatic effect.