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CN110075169A - A kind of compound percutaneous plaster and preparation method thereof for treating chronic ache - Google Patents

A kind of compound percutaneous plaster and preparation method thereof for treating chronic ache Download PDF

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CN110075169A
CN110075169A CN201910496407.0A CN201910496407A CN110075169A CN 110075169 A CN110075169 A CN 110075169A CN 201910496407 A CN201910496407 A CN 201910496407A CN 110075169 A CN110075169 A CN 110075169A
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transdermal patch
corydalis
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chronic pain
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欧册华
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Affiliated Hospital of Southwest Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/165Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A61K31/167Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • A61K31/573Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • A61K36/286Carthamus (distaff thistle)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/65Paeoniaceae (Peony family), e.g. Chinese peony
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/66Papaveraceae (Poppy family), e.g. bloodroot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7038Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7053Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]

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  • Pain & Pain Management (AREA)
  • Rheumatology (AREA)
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  • General Chemical & Material Sciences (AREA)
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Abstract

The present invention relates to pharmaceutical technology fields, it specifically discloses a kind of for treating the compound percutaneous plaster of chronic ache, is made of the following components according to parts by weight: 1~3 part of 10~20 parts of safflower, 20~35 parts of rhizoma corydalis, 5~8 parts of radix paeoniae rubra, 3~5 parts of lidocaine hydrochloride injection, dipropium dipropionate and betamethasone sodium phosphate mixture, 1~3 part of compound penetrating agent.The present invention also provides a kind of for treating the preparation method of the compound percutaneous plaster of chronic ache.Provided by the present invention for treating the compound percutaneous plaster of chronic ache, there is good therapeutic effect for chronic ache.

Description

一种用于治疗慢性疼痛的复合透皮贴片及其制备方法A composite transdermal patch for treating chronic pain and its preparation method

技术领域technical field

本发明涉及医药技术领域,具体公开一种用于治疗慢性疼痛的复合透皮贴片及其制备方法。The invention relates to the technical field of medicine, and specifically discloses a composite transdermal patch for treating chronic pain and a preparation method thereof.

背景技术Background technique

“慢性疼痛”能够引起从外周到中枢神经系统的一系列病理生理变化,并通过特异性的症状和体征体现出不同的病理变化。慢性疼痛不但多发、迁延,而且严重影响患者的工作与生活。"Chronic pain" can cause a series of pathophysiological changes from the peripheral to the central nervous system, and show different pathological changes through specific symptoms and signs. Chronic pain is not only frequent and persistent, but also seriously affects the work and life of patients.

慢性疼痛的治疗目前以口服药物为主,同时可对支配疼痛区域的相应神经进行神经阻滞治疗以调节神经功能。目前神经阻滞主要是在B超的引导下以注射器进行穿刺,注射器针尖抵达相应神经后注入药物,常用药物为局部麻醉药和激素的混合液。神经阻滞是一种有创伤的操作,具有相关风险,操作技术难度大,且只能在医院内进行,不易大范围推广实施。The treatment of chronic pain is currently dominated by oral drugs, and nerve block therapy can be performed on the corresponding nerves innervating the pain area to regulate nerve function. At present, the nerve block is mainly punctured with a syringe under the guidance of B-ultrasound. The needle tip of the syringe reaches the corresponding nerve and injects drugs. The commonly used drugs are a mixture of local anesthetics and hormones. Nerve block is a traumatic operation with associated risks. The operation is technically difficult, and it can only be performed in a hospital, so it is not easy to implement on a large scale.

发明内容SUMMARY OF THE INVENTION

本发明提供一种用于治疗慢性疼痛的复合透皮贴片,该复合透皮贴片含有神经阻滞用药的相关成分,能够贴敷在患者疼痛区域对疼痛进行治疗,住院期间和出院后均可自行使用,安全有效、使用方便。The invention provides a composite transdermal patch for treating chronic pain. The composite transdermal patch contains relevant components of nerve block medication, and can be applied to the patient's painful area to treat pain. It can be used by itself, safe, effective and convenient to use.

本发明的第一个目的是提供一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:红花10~20份、延胡索20~35份、赤芍5~8份、盐酸利多卡因注射液3~5份、二丙酸倍他米松与倍他米松磷酸钠混合物1~3份、复合促渗剂1~3份;The first object of the present invention is to provide a compound transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 10-20 parts of safflower, 20-35 parts of corydalis, red 5-8 parts of peony root, 3-5 parts of lidocaine hydrochloride injection, 1-3 parts of mixture of betamethasone dipropionate and betamethasone sodium phosphate, 1-3 parts of compound penetration enhancer;

其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为3-5:2。Wherein, the mass ratio of betamethasone dipropionate to betamethasone sodium phosphate is 3-5:2.

进一步地,一种用于治疗慢性疼痛的复合透皮贴片,按重量份数计由以下组分制成:红花15份、延胡索28份、赤芍6份、盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;Further, a compound transdermal patch for treating chronic pain is made of the following components in parts by weight: 15 parts of safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra, 5 parts of Lidocaine Hydrochloride Injection 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture, 1 part of compound penetration enhancer;

其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为4:2。Wherein, the mass ratio of betamethasone dipropionate to betamethasone sodium phosphate is 4:2.

进一步地,所述盐酸利多卡因注射液中盐酸利多卡因的浓度为0.1g/5mL。Further, the concentration of lidocaine hydrochloride in the lidocaine hydrochloride injection is 0.1g/5mL.

进一步地,所述复合促渗剂选自乙醇、丙二醇、脂肪酸酯、二甲基亚砜及其同类物、油酸、亚油酸、月桂醇、氮酮及其同系物、十二烷基硫酸钠、吐温-80、尿素、水杨酸、吡咯烷酮类、薄荷醇、樟脑、柠檬烯、桉树脑中的一种或多种。Further, the compound penetration enhancer is selected from ethanol, propylene glycol, fatty acid ester, dimethyl sulfoxide and its congeners, oleic acid, linoleic acid, lauryl alcohol, azone and its homologues, lauryl One or more of sodium sulfate, Tween-80, urea, salicylic acid, pyrrolidones, menthol, camphor, limonene, and eucalyptol.

更进一步地,所述复合促渗剂由乙醇、薄荷醇及樟脑按质量比为3:3:4组成。Furthermore, the composite penetration enhancer is composed of ethanol, menthol and camphor in a mass ratio of 3:3:4.

本发明的第二个目的是提供一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:The second object of the present invention is to provide a method for preparing a composite transdermal patch for the treatment of chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取红花10~20份、延胡索20~35份、赤芍5~8份、盐酸利多卡因注射液3~5份、二丙酸倍他米松及倍他米松磷酸钠混合物1~3份、复合促渗剂1~3份;Step 1. Weigh 10-20 parts of safflower, 20-35 parts of Corydalis Corydalis, 5-8 parts of Radix Paeoniae Rubra, 3-5 parts of lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone dipropionate in parts by weight. 1-3 parts of metasone sodium phosphate mixture, 1-3 parts of compound penetration enhancer;

其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为3-5:2;Wherein, the mass ratio of said betamethasone dipropionate to betamethasone sodium phosphate is 3-5:2;

步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, sieving, and mixing uniformly to obtain a solid powder mixture;

步骤3、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物、复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入60~80%粘合剂,搅拌均匀,脱气,得到药物混合物;Step 3, mix the lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture, composite penetration enhancer and step 2 obtained in step 1, and then press its Add 60-80% of the binder by total weight, stir evenly, and degas to obtain the drug mixture;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖控释膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with a release-controlling film after drying, cut, seal and package to obtain a composite transdermal patch.

进一步地,步骤2中所述过筛为过200目筛。Further, the sieving described in step 2 is through a 200 mesh sieve.

进一步地,所述粘合剂为丙烯酸酯共聚物乳液。Further, the adhesive is an acrylate copolymer emulsion.

进一步地,所述控释膜选自乙烯-乙酸乙烯共聚物膜、聚氯乙烯膜、聚乙烯膜或微孔聚丙烯膜中的一种。Further, the release-controlling membrane is selected from one of ethylene-vinyl acetate copolymer membranes, polyvinyl chloride membranes, polyethylene membranes or microporous polypropylene membranes.

更进一步地,所述控释膜为聚乙烯膜。Furthermore, the controlled-release film is a polyethylene film.

本发明中中药组分的药理作用如下:The pharmacological effect of Chinese medicine component in the present invention is as follows:

1、红花:辛,温,无毒。入心、肝经。具有活血通经、散瘀止痛的功效,用于治疗经闭、痛经、恶露不行、胸痹心痛、瘀滞腹痛、胸胁刺痛、跌打损伤、疮疡肿痛等。现代药理研究证明,红花煎剂小剂量能使蟾蜍离体心脏及兔在体心脏轻度兴奋,使心跳有力,振幅加大;大剂量则对心脏有抑制作用,使心率减慢,心肌收缩力减弱,心搏出量减少;红花能够直接或部分对抗a-肾上腺素能受体的作用而使血管扩张,并有较弱的直接收缩血管作用;红花黄色素具有非常显著地抑制ADP诱导的家兔血小板聚集作用,并对ADP已聚集的血小板也有非常明显的解聚作用;红花有明显的镇痛作用;红花具有显著的抗炎作用,红花黄色素对甲醛性足肿胀有明显抑制作用、对组胺引起的大鼠皮肤毛细血管的通透量增加有明显的抑制作用、对大鼠棉球肉芽肿形成有显著抑制作用;红花具有明显的免疫活性,红花多糖能促进淋已细胞转化,增加脾细胞对羊红细胞空斑形成的细胞数,对抗强的松龙的免疫抑制作用等。1, Flos Carthami: pungent, warm, nontoxic. Go into the heart, Liver Channel. It has the effects of promoting blood circulation to stimulate menstruation, dissipating blood stasis and relieving pain. It is used to treat amenorrhea, dysmenorrhea, lochia, chest pain and heartache, stagnant abdominal pain, chest and hypochondrium pain, bruises, sore swelling and pain, etc. Modern pharmacological studies have proved that a small dose of safflower decoction can slightly excite the isolated toad heart and the in vivo heart of a rabbit, making the heart beat powerful and increase the amplitude; large doses have an inhibitory effect on the heart, slowing down the heart rate and contracting the myocardium. Weakened force and reduced cardiac output; safflower can directly or partially antagonize the effect of a-adrenergic receptors to dilate blood vessels, and has a weaker direct vasoconstrictive effect; safflower yellow has a very significant inhibitory effect on ADP Induced platelet aggregation in rabbits, and also has a very obvious depolymerization effect on platelets that have been aggregated by ADP; safflower has obvious analgesic effect; It has obvious inhibitory effect on the increase of rat skin capillary permeability caused by histamine, and has obvious inhibitory effect on the formation of cotton ball granuloma in rats; safflower has obvious immune activity, safflower polysaccharide It can promote the transformation of lymphocytes, increase the number of spleen cells forming plaques on sheep red blood cells, and resist the immunosuppressive effect of prednisolone.

2、延胡索:辛、苦、温、无毒。归肝、胃、心、肺、脾经。具有活血散瘀、理气止痛的功效。主要用于治疗心腹腰膝诸痛、月经不调、症瘕、崩中、产后血晕、恶露不尽、跌打损伤等症。现代药理实验研究证明,延胡索具有很好的止痛效果,能够用于止痛;用延胡索加工提取制成0.2%延胡索碱注射液可用于局部麻醉;延胡索粉有镇痛作用,其效价为阿片的1/10,能够作用持续2小时;延胡索醇提物有显着扩张离体兔心和在体猫心的冠延胡索状血管、降低冠脉阻力与增加血流量的作用。2. Corydalis Corydalis: pungent, bitter, warm, nontoxic. Return liver, stomach, heart, lung, spleen channel. It has the effects of promoting blood circulation and removing blood stasis, regulating qi and relieving pain. It is mainly used for the treatment of confidants' waist and knee pain, irregular menstruation, lump in the abdomen, metrorrhagia, postpartum hemorrhage, lochia, bruises and other diseases. Modern pharmacological experimental studies have proved that Corydalis has a good analgesic effect and can be used for pain relief; processed and extracted with Corydalis to make 0.2% corydaline injection, which can be used for local anesthesia; Corydalis powder has analgesic effect, and its potency is 1% of that of opium. /10, the effect can last for 2 hours; Corydalis alcohol extract can significantly expand the coronal cordal vessels of isolated rabbit heart and cat heart in vivo, reduce coronary resistance and increase blood flow.

3、赤芍:味苦,性微寒。归肝经。具有清热凉血、散瘀止痛的功能。生赤芍以清热凉血力胜。多用于温病热入血分的身热出血,目赤肿痛,痈肿疮毒。现代药理实验研究证明,赤芍提取物在体外对肾上腺素、二磷酸腺苷(ADP)、烙铁头蛇毒(TMVA)和花生四烯酸(AA)诱导的血小板聚集均有显著抑制作用,并使血小板粘附与血小板第三因子活性降低,血小板内cAMP含量升高;赤芍能够降血脂和抗动脉硬化;赤芍能够抗血栓形成;赤芍能够抗肿瘤;赤芍具有很好的止痛效果。3. Radix Paeoniae Rubra: Bitter in the mouth, slightly cold in nature. Return liver channel. It has the functions of clearing away heat and cooling blood, dissipating blood stasis and relieving pain. Raw Radix Paeoniae Rubra has the power to clear away heat and cool blood. It is mostly used for body heat bleeding, red eyes, swelling and pain, carbuncle and sore due to febrile disease and heat entering the blood system. Modern pharmacological experimental studies have proved that the extract of Radix Paeoniae Rubra has significant inhibitory effects on platelet aggregation induced by adrenaline, adenosine diphosphate (ADP), iron head snake venom (TMVA) and arachidonic acid (AA) in vitro. Platelet adhesion and platelet factor 3 activity are reduced, and cAMP content in platelets is increased; Radix Paeoniae Rubra can lower blood fat and resist arteriosclerosis; Radix Radix Radix Radix Paeoniae Rubra can resist thrombosis; Radix Radix Radix Radix Paeoniae Rubra can resist tumor;

对比现有技术,本发明的有益效果为:Compared with prior art, the beneficial effects of the present invention are:

本发明提供的用于治疗慢性疼痛的透皮贴片,选择红花、延胡索、赤芍与盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物配合使用,其中,红花活血通经、散瘀止痛,延胡索活血散瘀、理气止痛,赤芍清热凉血、散瘀止痛,三者配伍,能够有效镇痛,且延胡索的镇痛作用持续时间长,与其他药物一起作用,能够明显减轻患者疼痛的时间;延胡索亦具有一定的麻醉作用,能够与盐酸利多卡因共同作用从而提高疼痛部位的痛阈值,起到镇痛、止痛的效果;红花、延胡索、赤芍均具有消炎的作用,与二丙酸倍他米松及倍他米松磷酸钠混合物共同作用,对各种炎性病变引起的缓慢疼痛均有疗效;且本发明提供的透皮贴片在患者住院期间和出院后均可自行使用,安全有效、使用方便。In the transdermal patch for treating chronic pain provided by the present invention, safflower, corydalis, red peony root, lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture are used together, wherein red Hua Huoxue stimulates the menstrual flow, dissipates blood stasis and relieves pain, Corydalis Husuo promotes blood circulation and dissipates blood stasis, regulates qi and relieves pain, Chi Shao clears heat and cools blood, dissipates blood stasis and relieves pain, the combination of the three can effectively relieve pain, and the analgesic effect of Corydalis Corydalis lasts for a long time. Corydalis also has a certain anesthetic effect, which can work together with lidocaine hydrochloride to increase the pain threshold of the pain site, and has an analgesic and analgesic effect; safflower, Corydalis, red peony Both have anti-inflammatory effects, and work together with betamethasone dipropionate and betamethasone sodium phosphate mixture to have curative effects on the slow pain caused by various inflammatory lesions; and the transdermal patch provided by the invention can be used during hospitalization It can be used by itself after being discharged from the hospital, and it is safe, effective and convenient to use.

具体实施方式Detailed ways

为了使本领域技术人员更好地理解本发明的技术方案能予以实施,下面结合具体实施例对本发明作进一步说明,但所举实施例不作为对本发明的限定。In order to enable those skilled in the art to better understand that the technical solutions of the present invention can be implemented, the present invention will be further described below in conjunction with specific examples, but the given examples are not intended to limit the present invention.

下面各实施例及对比例中盐酸利多卡因注射液中盐酸利多卡因的质量浓度为0.1g/5mL,且盐酸利多卡因注射液、二丙酸倍他米松与倍他米松磷酸钠来自于医院处方,并在医院内购买。The mass concentration of lidocaine hydrochloride in lidocaine hydrochloride injection in the following each embodiment and comparative example is 0.1g/5mL, and lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate come from Prescribed by the hospital and purchased in the hospital.

实施例1Example 1

一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:红花10份、延胡索20份、赤芍5份、盐酸利多卡因注射液3份、二丙酸倍他米松与倍他米松磷酸钠混合物1份、复合促渗剂1份;A compound transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 10 parts of safflower, 20 parts of Corydalis Corydalis, 5 parts of Radix Paeoniae Rubra, 3 parts of Lidocaine Hydrochloride Injection, 1 part of mixture of betamethasone dipropionate and betamethasone sodium phosphate, 1 part of compound penetration enhancer;

其中,二丙酸倍他米松与倍他米松磷酸钠的质量比为3:2;Wherein, the mass ratio of betamethasone dipropionate to betamethasone sodium phosphate is 3:2;

复合促渗剂由丙二醇、亚油酸按质量比为1:1组成;The composite penetration enhancer is composed of propylene glycol and linoleic acid in a mass ratio of 1:1;

一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:A preparation method for a composite transdermal patch for treating chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取红花10份、延胡索20份、赤芍5份、盐酸利多卡因注射液3份、二丙酸倍他米松及倍他米松磷酸钠混合物1份、复合促渗剂1份;Step 1. Weigh 10 parts of safflower, 20 parts of Corydalis Corydalis, 5 parts of Radix Paeoniae Rubra, 3 parts of lidocaine hydrochloride injection, 1 part of betamethasone dipropionate and betamethasone sodium phosphate mixture in parts by weight, compound 1 part of penetration enhancer;

步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过200目筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, passing through a 200-mesh sieve, and mixing uniformly to obtain a solid powder mixture;

步骤3、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物、复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入60%丙烯酸酯共聚物乳液,搅拌均匀,脱气,得到药物混合物;Step 3, mix the lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture, composite penetration enhancer and step 2 obtained in step 1, and then press its Add 60% acrylate copolymer emulsion by total weight, stir evenly, and degas to obtain a drug mixture;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖聚氯乙烯膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on the anti-adhesive paper, cover the polyvinyl chloride film after drying, cut, seal and pack to obtain the composite transdermal patch.

实施例2Example 2

一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:红花20份、延胡索35份、赤芍8份、盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂3份;A composite transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 20 parts of safflower, 35 parts of Corydalis Corydalis, 8 parts of Radix Paeoniae Rubra, 5 parts of Lidocaine Hydrochloride Injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture, 3 parts of compound penetration enhancer;

其中,二丙酸倍他米松与倍他米松磷酸钠的重量份数比为5:2。Wherein, the ratio by weight of betamethasone dipropionate to betamethasone sodium phosphate is 5:2.

复合促渗剂由乙醇、柠檬烯及吐温-80按质量比为1:2:4组成;The composite penetration enhancer is composed of ethanol, limonene and Tween-80 in a mass ratio of 1:2:4;

一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:A preparation method for a composite transdermal patch for treating chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取红花20份、延胡索35份、赤芍8份、盐酸利多卡因注射液5份、二丙酸倍他米松及倍他米松磷酸钠混合物3份、复合促渗剂3份;Step 1. Weigh 20 parts of safflower, 35 parts of Corydalis Corydalis, 8 parts of Radix Paeoniae Rubra, 5 parts of lidocaine hydrochloride injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture in parts by weight, compound 3 parts of penetration enhancer;

步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过200目筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, passing through a 200-mesh sieve, and mixing uniformly to obtain a solid powder mixture;

步骤3、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物、复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入80%丙烯酸酯共聚物乳液,搅拌均匀,脱气,得到药物混合物;Step 3, mix the lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture, composite penetration enhancer and step 2 obtained in step 1, and then press its Add 80% acrylate copolymer emulsion by total weight, stir evenly, and degas to obtain a drug mixture;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖乙烯-乙酸乙烯共聚物膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with ethylene-vinyl acetate copolymer film after drying, cut, seal and package to obtain a composite transdermal patch.

实施例3Example 3

一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:红花15份、延胡索28份、赤芍6份、盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;A composite transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 15 parts of safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra, 5 parts of Lidocaine Hydrochloride Injection, 3 parts of mixture of betamethasone dipropionate and betamethasone sodium phosphate, 1 part of compound penetration enhancer;

其中,二丙酸倍他米松与倍他米松磷酸钠的重量份数比为4:2。Wherein, the ratio by weight of betamethasone dipropionate to betamethasone sodium phosphate is 4:2.

复合促渗剂由乙醇、薄荷醇及樟脑按质量比为3:3:4组成;The compound penetration enhancer is composed of ethanol, menthol and camphor in a mass ratio of 3:3:4;

一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:A preparation method for a composite transdermal patch for treating chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取红花15份、延胡索28份、赤芍6份、盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;Step 1. Weigh 15 parts of safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra, 5 parts of Lidocaine Hydrochloride Injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture in parts by weight, compound 1 part of penetration enhancer;

步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过200目筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, passing through a 200-mesh sieve, and mixing uniformly to obtain a solid powder mixture;

步骤3、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物、复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入70%丙烯酸酯共聚物乳液,搅拌均匀,脱气,得到药物混合物;Step 3, mix the lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture, composite penetration enhancer and step 2 obtained in step 1, and then press its Add 70% acrylate copolymer emulsion by total weight, stir evenly, and degas to obtain a drug mixture;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖聚乙烯膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with a polyethylene film after drying, cut, seal and package to obtain a composite transdermal patch.

对比例1Comparative Example 1

一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;A composite transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 5 parts of lidocaine hydrochloride injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture 1 part, 1 part of compound penetration enhancer;

其中,二丙酸倍他米松与倍他米松磷酸钠的重量份数比为4:2;Wherein, the ratio of parts by weight of betamethasone dipropionate to betamethasone sodium phosphate is 4:2;

复合促渗剂由乙醇、薄荷醇及樟脑按质量比为3:3:4组成;The compound penetration enhancer is composed of ethanol, menthol and camphor in a mass ratio of 3:3:4;

一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:A preparation method for a composite transdermal patch for treating chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;Step 1. Weigh 5 parts of lidocaine hydrochloride injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture, and 1 part of composite penetration enhancer in parts by weight;

步骤2、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物及复合促渗剂混合均匀,再按其总重量计加入70%丙烯酸酯共聚物乳液,搅拌均匀,脱气,得到药物混合物;Step 2. Mix the lidocaine hydrochloride injection, betamethasone dipropionate, betamethasone sodium phosphate mixture and composite penetration enhancer weighed in step 1, and then add 70% acrylate copolymerization agent according to its total weight. The product emulsion was stirred evenly and degassed to obtain a drug mixture;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖聚乙烯膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with a polyethylene film after drying, cut, seal and package to obtain a composite transdermal patch.

对比例2Comparative Example 2

一种用于治疗慢性疼痛的复合透皮贴片,其按重量份数计由以下组分制成:红花15份、延胡索28份、赤芍6份、复合促渗剂1份;A compound transdermal patch for treating chronic pain, which is made of the following components in parts by weight: 15 parts of safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra, and 1 part of compound penetration enhancer;

其中,复合促渗剂由乙醇、薄荷醇及樟脑按质量比为3:3:4组成;Among them, the composite penetration enhancer is composed of ethanol, menthol and camphor in a mass ratio of 3:3:4;

一种用于治疗慢性疼痛的复合透皮贴片的制备方法,具体按照以下步骤进行操作:A preparation method for a composite transdermal patch for treating chronic pain, specifically according to the following steps:

步骤1、按重量份数计称取红花15份、延胡索28份、赤芍6份、复合促渗剂1份;Step 1. Weigh 15 parts of Safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra, and 1 part of compound penetration enhancer in parts by weight;

步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过200目筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, passing through a 200-mesh sieve, and mixing uniformly to obtain a solid powder mixture;

步骤3、将步骤1中称取的复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入70%丙烯酸酯共聚物乳液,搅拌均匀,脱气,得到药物混合物;Step 3. Mix the compound penetration enhancer weighed in step 1 and the solid powder mixture obtained in step 2 evenly, then add 70% acrylate copolymer emulsion according to its total weight, stir evenly, and degas to obtain a drug mixture ;

步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖聚乙烯膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with a polyethylene film after drying, cut, seal and package to obtain a composite transdermal patch.

下面对各实施例及对比例制备得到的用于治疗慢性疼痛的复合透皮贴片的效果进行评价。The effect of the composite transdermal patch for treating chronic pain prepared in each embodiment and comparative example is evaluated below.

一、急性毒性1. Acute Toxicity

1、主要试剂1. Main reagents

10%水合氯醛(青岛宇龙海藻有限公司);10% chloral hydrate (Qingdao Yulong Seaweed Co., Ltd.);

8%硫化钠(青岛宇龙海藻有限公司)。8% sodium sulfide (Qingdao Yulong Seaweed Co., Ltd.).

2、实验动物2. Experimental animals

大鼠120只,雌雄各半,均由上海斯莱克实验动物有限公司提供,体重180-220g。置于室温23士2℃,相对湿度50士10%,设定为每日12小时照明的饲养室内,代谢笼单只饲养,于饲养笼中的食盒内自由摄取市售鼠粮和水。120 rats, half male and half male, all provided by Shanghai Slack Experimental Animal Co., Ltd., weighing 180-220 g. Placed in a breeding room with a room temperature of 23 ± 2°C and a relative humidity of 50 ± 10%, which was set to be illuminated for 12 hours a day, the metabolic cage was raised alone, and the commercially available mouse food and water were freely ingested in the food box in the breeding cage.

3、方法3. Method

将120只大鼠,按随机数字表法分成完整实施例1组、完整实施例2组、完整实施例3组、完整对比例1组、完整对比例2组、完整空白组及破损实施例1组、破损实施例2组、破损实施例3组、破损对比例1组、破损对比例2组、破损空白组,每组10只。120 rats were divided into complete example 1 group, complete example 2 group, complete example 3 group, complete comparative example 1 group, complete comparative example 2 group, complete blank group and damaged example 1 according to random number table method Group, damaged example group 2, damaged example group 3, damaged comparative example group 1, damaged comparative example group 2, damaged blank group, 10 rats in each group.

给药方法:Administration method:

a.脱毛于给药前24h进行脱毛。向大鼠腹腔注射10%水合氯醛麻醉(0.3ml/100g)。用宠物剃毛器沿脊柱两侧将大鼠背部的毛剔除(面积为30cm2,约为体表面积的10%),再用8%硫化钠脱毛,以完全脱去残留毛为标准。尽量避免药物过量而损伤表皮;a. Hair removal Hair removal was carried out 24 hours before administration. Rats were anesthetized by intraperitoneal injection of 10% chloral hydrate (0.3ml/100g). The hair on the back of the rat was removed along both sides of the spine with a pet shaver (the area is 30 cm 2 , about 10% of the body surface area), and then 8% sodium sulfide was used to remove the hair, and the residual hair was completely removed as the standard. Try to avoid damage to the epidermis due to drug overdose;

b.制备破损皮肤脱毛24h后制备破损皮肤。用粗钝的刀片轻刮背部脱毛后的皮肤,以皮下渗血而不造成表皮破损为度。在大鼠背部脱毛处外敷涂各组制备的贴片。外敷后,代谢笼分笼饲养。敷药24h后,去除药物贴片,连续观察14天,包括动物体重变化、饮食、外观、行为、分泌物、排泄物、死亡情况及中毒反应(中毒反应的症状、严重程度、起始时间、持续时间、是否可逆等)。对濒死及死亡动物及称完体重的大鼠及时进行解剖,观察各器官体积、颜色、质地等变化。b. Preparation of damaged skin The damaged skin was prepared after 24 hours of depilation. Use a blunt blade to lightly scrape the depilated skin on the back, so as to ooze blood under the skin without causing damage to the epidermis. The patch prepared by each group was applied externally on the depilated part of the back of the rats. After external application, the metabolic cages were kept separately. After applying medicine 24h, remove drug patch, observe continuously for 14 days, including animal body weight change, diet, appearance, behavior, secretion, excrement, death situation and poisoning reaction (symptom of poisoning reaction, severity, starting time, duration, reversibility, etc.). Dying and dead animals and rats that had been weighed were dissected in time, and the changes in the volume, color, and texture of each organ were observed.

4、统计学方法4. Statistical methods

运用SPSS17.0进行统计分析。实验数据均值采用表示。Statistical analysis was performed using SPSS17.0. The mean value of the experimental data is express.

5、结果5. Results

5.1死亡大鼠5.1 Dead rats

一次给予受试药后,在整个观察期间,所有动物正常生长,毛色、行为活动、饮水、饮食及大小便均正常,口、鼻、耳等处无异常分泌物,未见死亡大鼠,观察结束后,对各组大鼠进行解剖,取大鼠大脑、肺、胃、肠、肾、肝脏等重要器官行组织病理学检查,结果显示破损皮肤对比例2组大鼠肾脏可见局灶性肾小球肾小管凝固性坏死,肾小球肾小管未见明显特殊,入球小动脉未见玻璃样变硬化,其他各组未见异常。所有组小脑大脑未见特殊,肺未见特殊,肝未见特殊,肠未见明显特殊。After one administration of the test drug, during the entire observation period, all animals grew normally, coat color, behavioral activities, drinking water, diet, and defecation were normal, and there were no abnormal secretions in the mouth, nose, ears, etc., and no dead rats were observed. After the end, the rats in each group were dissected, and important organs such as the brain, lung, stomach, intestine, kidney, and liver of the rats were taken for histopathological examination. Coagulation necrosis of glomerular tubules, no obvious special glomerular tubules, no hyaline sclerosis of afferent arterioles, and no abnormalities were found in other groups. In all groups, there was no abnormality in cerebellum, brain, lung, liver, and intestine.

5.2大鼠体重的增长变化与空白对照组的比较,结果见表1与表2。5.2 Comparison of the weight growth of the rats with the blank control group, the results are shown in Table 1 and Table 2.

表1完整皮肤急性毒性实验中大鼠体重的变化(n=8,g)Changes in rat body weight in the complete skin acute toxicity test of table 1 ( n=8, g)

表2破损皮肤急性毒性实验中大鼠体重的变化(n=8,g)Changes in rat body weight in table 2 damaged skin acute toxicity test ( n=8, g)

其中,*表示与对比例2相比较,P<0.05;△表示与空白组相比较,P<0.05。Among them, * indicates that compared with Comparative Example 2, P<0.05; △ indicates that compared with the blank group, P<0.05.

由表1及表2可知,在完整皮肤的小鼠中,实施例1组、实施例2组、实施例3组与对比例1组、对比例2组相比在用药后各时间点的体重增加无显著差异(P>0.05),上述5个组的大鼠各时间点的体重增加相比于空白组亦无显著差异(P>0.05)。在破损皮肤的小鼠中,从用药后第7天开始,实施例1组、实施例2组、实施例3组大鼠的体重增加逐渐大于对比例2组,并在第10天开始出现显著性差异(P<0.05),实施例1组、实施例2组、实施例3组及对比例1组大鼠的体重增加相比于空白组未显示显著性差异(P>0.05),对比例2组相比于空白组具有显著性差异(P<0.05),表明对比例2组制备的透皮贴片对破损皮肤的大鼠可能存在急性毒性,其他组对大鼠不存在急性毒性。As can be seen from Table 1 and Table 2, in the mice with intact skin, the body weight of each time point after the administration is compared with the Example 1 group, the Example 2 group, and the Example 3 group compared with the Comparative example 1 group and the Comparative example 2 group. There was no significant difference in the increase (P>0.05), and there was no significant difference in the weight gain of rats in the above five groups at each time point compared with the blank group (P>0.05). In the mice with damaged skin, from the 7th day after the medication, the body weight gain of the rats in the Example 1 group, the Example 2 group, and the Example 3 group was gradually greater than that of the Comparative Example 2 group, and began to appear significantly on the 10th day. Difference (P<0.05), the body weight gain of embodiment 1 group, embodiment 2 group, embodiment 3 group and comparative example 1 group is compared with blank group and does not show significant difference (P>0.05), comparative example Compared with the blank group, there was a significant difference between the two groups (P<0.05), indicating that the transdermal patch prepared in the comparative example 2 group may have acute toxicity to rats with damaged skin, while other groups have no acute toxicity on rats.

二、皮肤刺激性2. Skin irritation

1、方法1. Method

取豚鼠100只,按随机数字表法分成组,将豚鼠分为完整实施例1组、完整实施例2组、完整实施例3组、完整对比例1组、完整对比例2组及破损实施例1组、破损实施例2组、破损实施例3组、破损对比例1组、破损对比例2组,每组10只。Get 100 guinea pigs, divide them into groups according to the random number table method, divide the guinea pigs into complete embodiment 1 group, complete embodiment 2 group, complete embodiment 3 group, complete comparative example 1 group, complete comparative example 2 groups and damaged embodiment 1 group, 2 groups of damaged examples, 3 groups of damaged examples, 1 group of damaged comparative examples, 2 groups of damaged comparative examples, 10 rats in each group.

采用同体自身左右对比法,在左侧去毛区涂受试药物,右侧作为空白对照组分为完整皮肤和破损皮肤,于给药前24小时将豚鼠脊柱两侧去毛,约占体表面积的10%。Using the left and right comparison method of the same body, the test drug was applied to the left hair removal area, and the right side was used as a blank control group, which was divided into intact skin and damaged skin. The hair on both sides of the guinea pig spine was removed 24 hours before administration, accounting for about the body surface area. 10% of.

破损皮肤的制作:采用粗钝的刀片将去毛消毒皮肤划破,以渗血为度,左右两侧皮肤的破损程度应基本一致。在左侧去毛区外敷各组制备得到的贴片,代谢笼分笼饲养。涂药4小时后,用温水去除残留受试物。此后,1、24、48、72小时观察皮肤反应。按照表3进行评分、记录并按表4评价受试药物的皮肤刺激性。Production of damaged skin: Use a blunt blade to cut the depilated and disinfected skin to the degree of bleeding. The degree of damage to the skin on the left and right sides should be basically the same. The patches prepared by each group were applied externally on the left depilated area, and the metabolic cages were kept in separate cages. After 4 hours of application, the residual test substance was removed with warm water. Thereafter, the skin reaction was observed at 1, 24, 48, and 72 hours. Score and record according to Table 3 and evaluate the skin irritation of the test drug according to Table 4.

表3皮肤刺激性反应评分标准Table 3 Scoring Criteria for Skin Irritation

表4皮肤刺激性强度评分标准Table 4 Scoring criteria for skin irritation intensity

平均分值average score 评价Evaluation 0~0.490~0.49 无刺激性non-irritating 0.5~2.990.5~2.99 轻度刺激性mild irritant 3.0~5.993.0~5.99 中度刺激性Moderate irritation 6.0~8.06.0~8.0 强刺激性strong irritant

2、统计学方法2. Statistical methods

运用SPSS17.0进行统计分析。实验数据均值采用表示。Statistical analysis was performed using SPSS17.0. The mean value of the experimental data is express.

3、结果3. Results

各组皮肤刺激性实验结果如表5及表6。The skin irritation test results of each group are shown in Table 5 and Table 6.

表5完整皮肤组豚鼠刺激反应评分Table 5 Irritation score of guinea pigs in complete skin group

表6破损皮肤组豚鼠刺激反应评分Table 6 Irritation score of guinea pigs in damaged skin group

在一定的剂量下,完整皮肤组均显示实施例各组在1小时与72小时之间对皮肤均无刺激作用,对比例1组及对比例2组在24h时出现轻度刺激作用,48h后刺激逐渐消失;破损皮肤组显示各实施例组在24h时出现极轻微、可计为无刺激的刺激作用,且在48h后逐渐消失;对比例1组在24小时出现轻度皮肤刺激反应,在48h后逐渐消失;对比例2组在24小时出现轻度皮肤刺激反应,且在48小时及72小时一直持续存在。Under a certain dose, the intact skin groups all showed that each group of the embodiment had no stimulating effect on the skin between 1 hour and 72 hours, and the comparative example 1 group and the comparative example 2 group had a slight stimulating effect at 24 hours, and after 48 hours Stimulation disappears gradually; Damaged skin group shows that each embodiment group occurs extremely slight in 24h, can be counted as non-irritating stimulation, and disappears gradually after 48h; Comparative example 1 group occurs mild skin irritation in 24 hours, in 24 hours It gradually disappeared after 48 hours; mild skin irritation occurred in the control group 2 at 24 hours, and persisted at 48 hours and 72 hours.

三、止痛效果评价3. Evaluation of analgesic effect

1、仪器与试药1. Instruments and reagents

BW-HB803智能热板仪(上海软隆科技发展有限公司);氯化钠;BW-HB803 intelligent hot plate instrument (Shanghai Ruanlong Technology Development Co., Ltd.); sodium chloride;

健康昆明小鼠,体重18-22g,广州赛柏诺生物科技有限公司。Healthy Kunming mice, weighing 18-22g, were purchased from Guangzhou Saibainuo Biotechnology Co., Ltd.

2、给药方法2. Administration method

对60只雌性小鼠进行痛域测定,对痛觉过分敏感或迟钝及喜跳窜小鼠应弃去。将合格的小鼠随机分为实施例1组、实施例2组、实施例3组、空白对照组、对比例1组、对比例2组六组。The pain domain was measured on 60 female mice, and the mice with hypersensitivity or insensitivity to pain and happy jumping should be discarded. Qualified mice were randomly divided into six groups: Example 1 Group, Example 2 Group, Example 3 Group, Blank Control Group, Comparative Example 1 Group, and Comparative Example 2 Group.

空白对照组给予与本申请相同大小的空白贴片;动物每日给药面积:2×2cm2The blank control group was given a blank patch of the same size as the application; the daily administration area of the animals: 2×2cm 2 .

3、实验方法3. Experimental method

取健康雌性小鼠,各组小鼠在其腹部剌毛后,用8%硫化钠脱毛,面积为2×2cm2Healthy female mice were taken, and the abdomen of the mice in each group was plucked, and then depilated with 8% sodium sulfide, with an area of 2×2 cm 2 .

采用热刺激法thermal stimulation

保持室温为15-20℃,调节恒温自控热板仪,使温度调节至55±0.5℃,每次取雌性小鼠一只,放置热板仪上,记录从放入至舔后足所需时间(s),测定该鼠的痛阈值,5分钟后重新测试,如果两次痛觉反应均发生在5-30秒内,则为合格。对痛觉过分敏感或迟钝及喜跳窜小鼠,应弃去。将合格鼠两次正常痛觉反应时间的均数算做给药前的平均痛觉反应时间(即痛阈值)。将挑选合格的小鼠进行随机分组,分别予以相应药物贴片。每组连续给药3天,每天2次,第四天每组给药后5min、10min和20min分别测定痛阈值,如小鼠在60秒内不出现痛觉反应,则按60秒计。按照不同时间测定的各组痛阈值平均值计算痛阈值提高的百分率。Keep the room temperature at 15-20°C, adjust the constant temperature self-control hot plate apparatus to adjust the temperature to 55±0.5°C, take one female mouse each time, place it on the hot plate apparatus, and record the time required from putting it in to licking the hind paw (s), measure the pain threshold of the mouse, re-test after 5 minutes, if the two pain responses all occur within 5-30 seconds, then it is qualified. Mice that are overly sensitive or insensitive to pain and those that like to jump and flee should be discarded. The mean of two normal pain response times of qualified mice was calculated as the average pain response time (ie pain threshold) before administration. Qualified mice will be selected for random grouping, and corresponding drug patches will be given respectively. Each group was administered continuously for 3 days, twice a day. On the fourth day, the pain threshold was measured at 5 minutes, 10 minutes and 20 minutes after the administration of each group. If the mice did not experience pain within 60 seconds, it was counted as 60 seconds. The percentage increase of pain threshold was calculated according to the mean value of pain threshold measured at different times in each group.

计算方法calculation method

4、统计学处理方法4. Statistical processing methods

数据采用表示,给药前后比较采用配对t检验,组间比较采用组间t检验。data adoption The paired t-test was used for comparison before and after administration, and the between-group t-test was used for comparison between groups.

5、结果5. Results

结果见表7。The results are shown in Table 7.

表7实施例1制备的外用止痛膏剂对小鼠的止痛作用(n=10)The analgesic effect ( n=10)

其中,*表示与空白组相比较,P<0.05;△表示与对比例1、2组相比较,P<0.05。Among them, * means P<0.05 compared with blank group; △ means P<0.05 compared with control group 1 and 2.

由表7可知,实施例各组的痛阈值提高百分率均超过了70%,说明本发明制备出的透皮贴片具有较好的止痛效果。与对比例各组相比,实施例各组给药20min后痛阈值有显著提高(P<0.05);与空白组相比较,实施例各组给药20min后痛阈值显著提高(P<0.05)。It can be seen from Table 7 that the percentage increase of the pain threshold of each group in the examples exceeds 70%, indicating that the transdermal patch prepared by the present invention has a better analgesic effect. Compared with each group of the comparative example, the pain threshold of each group of the embodiment was significantly improved after 20 minutes of administration (P<0.05); compared with the blank group, the pain threshold of each group of the embodiment of the administration was significantly improved after 20 minutes of administration (P<0.05) .

需要说明的是,本发明权利要求书中涉及数值范围时,应理解为每个数值范围的两个端点以及两个端点之间任何一个数值均可选用,由于采用的步骤方法与实施例1~3相同,为了防止赘述,本发明描述了优选的实施例,但本领域内的技术人员一旦得知了基本创造性概念,则可对这些实施例作出另外的变更和修改。所以,所附权利要求意欲解释为包括优选实施例以及落入本发明范围的所有变更和修改。It should be noted that when a numerical range is involved in the claims of the present invention, it should be understood that the two endpoints of each numerical range and any value between the two endpoints can be selected. 3 Similarly, to avoid redundancy, the present invention describes preferred embodiments, but those skilled in the art can make additional changes and modifications to these embodiments once the basic inventive concepts are known. Therefore, it is intended that the appended claims be construed to cover the preferred embodiment as well as all changes and modifications which fall within the scope of the invention.

显然,本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.

Claims (10)

1.一种用于治疗慢性疼痛的复合透皮贴片,其特征在于,其按重量份数计由以下组分制成:红花10~20份、延胡索20~35份、赤芍5~8份、盐酸利多卡因注射液3~5份、二丙酸倍他米松与倍他米松磷酸钠混合物1~3份、复合促渗剂1~3份;1. A composite transdermal patch for the treatment of chronic pain, characterized in that it is made of the following components in parts by weight: 10-20 parts of Safflower, 20-35 parts of Corydalis Corydalis, 5-35 parts of Radix Paeoniae Rubra 8 parts, 3-5 parts of lidocaine hydrochloride injection, 1-3 parts of mixture of betamethasone dipropionate and betamethasone sodium phosphate, 1-3 parts of compound penetration enhancer; 其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为3-5:2。Wherein, the mass ratio of betamethasone dipropionate to betamethasone sodium phosphate is 3-5:2. 2.根据权利要求1所述的用于治疗慢性疼痛的复合透皮贴片,其特征在于,其按重量份数计由以下组分制成:红花15份、延胡索28份、赤芍6份、盐酸利多卡因注射液5份、二丙酸倍他米松与倍他米松磷酸钠混合物3份、复合促渗剂1份;2. The composite transdermal patch for treating chronic pain according to claim 1, characterized in that it is made of the following components in parts by weight: 15 parts of safflower, 28 parts of Corydalis Corydalis, 6 parts of Radix Paeoniae Rubra 5 parts of lidocaine hydrochloride injection, 3 parts of betamethasone dipropionate and betamethasone sodium phosphate mixture, 1 part of compound penetration enhancer; 其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为4:2。Wherein, the mass ratio of said betamethasone dipropionate to betamethasone sodium phosphate is 4:2. 3.根据权利要求1或2所述的用于治疗慢性疼痛的复合透皮贴片,其特征在于,所述盐酸利多卡因注射液中盐酸利多卡因的浓度为0.1g/5mL。3. The compound transdermal patch for treating chronic pain according to claim 1 or 2, characterized in that the concentration of lidocaine hydrochloride in the lidocaine hydrochloride injection is 0.1g/5mL. 4.根据权利要求1或2所述的用于治疗慢性疼痛的复合透皮贴片,其特征在于,所述复合促渗剂选自乙醇、丙二醇、脂肪酸酯、二甲基亚砜及其同类物、油酸、亚油酸、月桂醇、氮酮及其同系物、十二烷基硫酸钠、吐温-80、尿素、水杨酸、吡咯烷酮类、薄荷醇、樟脑、柠檬烯、桉树脑中的一种或多种。4. the compound transdermal patch for the treatment of chronic pain according to claim 1 or 2, is characterized in that, described compound penetration enhancer is selected from ethanol, propylene glycol, fatty acid ester, dimethyl sulfoxide and its Congeners, oleic acid, linoleic acid, lauryl alcohol, azone and its homologues, sodium lauryl sulfate, Tween-80, urea, salicylic acid, pyrrolidones, menthol, camphor, limonene, eucalyptol one or more of. 5.根据权利要求4所述的用于治疗慢性疼痛的复合透皮贴片,其特征在于,所述复合促渗剂由乙醇、薄荷醇及樟脑按质量比为3:3:4组成。5. The composite transdermal patch for treating chronic pain according to claim 4, wherein the composite penetration enhancer is composed of ethanol, menthol and camphor in a mass ratio of 3:3:4. 6.根据权利要求1所述的用于治疗慢性疼痛的复合透皮贴片的制备方法,其特征在于,具体按照以下步骤进行操作:6. the preparation method of the composite transdermal patch for the treatment of chronic pain according to claim 1, is characterized in that, specifically operates according to the following steps: 步骤1、按重量份数计称取红花10~20份、延胡索20~35份、赤芍5~8份、盐酸利多卡因注射液3~5份、二丙酸倍他米松及倍他米松磷酸钠混合物1~3份、复合促渗剂1~3份;Step 1. Weigh 10-20 parts of safflower, 20-35 parts of Corydalis Corydalis, 5-8 parts of Radix Paeoniae Rubra, 3-5 parts of lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone dipropionate in parts by weight. 1-3 parts of metasone sodium phosphate mixture, 1-3 parts of compound penetration enhancer; 其中,所述二丙酸倍他米松与倍他米松磷酸钠的质量比为3-5:2;Wherein, the mass ratio of said betamethasone dipropionate to betamethasone sodium phosphate is 3-5:2; 步骤2、将步骤1中称取的红花、延胡索、赤芍粉碎,过筛,混合均匀,得到固体粉末混合物;Step 2, pulverizing the safflower, corydalis, and red peony root weighed in step 1, sieving, and mixing uniformly to obtain a solid powder mixture; 步骤3、将步骤1中称取的盐酸利多卡因注射液、二丙酸倍他米松及倍他米松磷酸钠混合物、复合促渗剂及步骤2中得到的固体粉末混合物混合均匀,再按其总重量计加入60~80%粘合剂,搅拌均匀,脱气,得到药物混合物;Step 3, mix the lidocaine hydrochloride injection, betamethasone dipropionate and betamethasone sodium phosphate mixture, composite penetration enhancer and step 2 obtained in step 1, and then press its Add 60-80% of the binder by total weight, stir evenly, and degas to obtain the drug mixture; 步骤4、将步骤3中得到的药物混合物涂抹于防粘纸上,干燥后覆盖控释膜,切割,密封包装即得复合透皮贴片。Step 4. Apply the drug mixture obtained in Step 3 on a release paper, cover with a release-controlling film after drying, cut, seal and package to obtain a composite transdermal patch. 7.根据权利要求6所述的用于治疗慢性疼痛的复合透皮贴片的制备方法,其特征在于,步骤2中所述过筛为过200目筛。7. The preparation method of the composite transdermal patch for treating chronic pain according to claim 6, characterized in that the sieving in step 2 is 200-mesh sieve. 8.根据权利要求6所述的用于治疗慢性疼痛的复合透皮贴片的制备方法,其特征在于,所述粘合剂为丙烯酸酯共聚物乳液。8. The preparation method of the composite transdermal patch for treating chronic pain according to claim 6, characterized in that, the adhesive is an acrylate copolymer emulsion. 9.根据权利要求6所述的用于治疗慢性疼痛的复合透皮贴片的制备方法,其特征在于,所述控释膜选自乙烯-乙酸乙烯共聚物膜、聚氯乙烯膜、聚乙烯膜或微孔聚丙烯膜中的一种。9. the preparation method of the compound transdermal patch that is used for the treatment of chronic pain according to claim 6, it is characterized in that, described controlled-release film is selected from ethylene-vinyl acetate copolymer film, polyvinyl chloride film, polyethylene One of membrane or microporous polypropylene membrane. 10.根据权利要求9所述的用于治疗慢性疼痛的复合透皮贴片的制备方法,其特征在于,所述控释膜为聚乙烯膜。10. The method for preparing the composite transdermal patch for treating chronic pain according to claim 9, characterized in that the release-controlling film is a polyethylene film.
CN201910496407.0A 2019-06-10 2019-06-10 A kind of compound percutaneous plaster and preparation method thereof for treating chronic ache Pending CN110075169A (en)

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Publication number Priority date Publication date Assignee Title
CN111067919A (en) * 2019-12-23 2020-04-28 李益谦 Spray analgesic

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CN109758514A (en) * 2019-03-22 2019-05-17 潘普选 A kind of Chinese medicine composition and preparation method thereof for analgesic

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109758514A (en) * 2019-03-22 2019-05-17 潘普选 A kind of Chinese medicine composition and preparation method thereof for analgesic

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111067919A (en) * 2019-12-23 2020-04-28 李益谦 Spray analgesic

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