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CN1579559A - Dressing material containing medicine chitoholosida and its preparation method - Google Patents

Dressing material containing medicine chitoholosida and its preparation method Download PDF

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CN1579559A
CN1579559A CN 200410010849 CN200410010849A CN1579559A CN 1579559 A CN1579559 A CN 1579559A CN 200410010849 CN200410010849 CN 200410010849 CN 200410010849 A CN200410010849 A CN 200410010849A CN 1579559 A CN1579559 A CN 1579559A
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chitosan
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hydrogel
polyvinyl alcohol
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CN1320931C (en
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景遐斌
于海军
陈学思
杨立新
徐效义
张培标
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Changzhou Institute Of Energy Storage Materials & Devices
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Changchun Institute of Applied Chemistry of CAS
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Abstract

采用60Coγ-射线或高能电子束射线辐射交联制备含药和壳聚糖的聚乙烯醇水凝胶敷料。该种水凝胶敷料固体成分由合成和天然固体聚合物构成,另外添加适量的保湿剂、增塑剂、药物等,溶剂为二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液。该种水凝胶敷料可以缓慢释放药物和具有生物抗菌活性的天然多糖壳聚糖,具有主动的抗菌能力,同时具有含水量高、保水性好、力学强度适中、透光、透气性好的特点,能满足湿法治疗各种创伤的要求,既可作为轻度皮肤创伤或慢性皮肤疾病的永久性敷料,也可用于严重皮肤组织创伤或烧伤创口的即时关闭。The polyvinyl alcohol hydrogel dressing containing medicine and chitosan was prepared by cross-linking with 60 Co γ-rays or high-energy electron beams. The solid component of the hydrogel dressing is composed of synthetic and natural solid polymers, and an appropriate amount of moisturizing agent, plasticizer, medicine, etc. are added, and the solvent is twice distilled water, physiological saline or phosphate neutral buffer solution. This kind of hydrogel dressing can slowly release drugs and natural polysaccharide chitosan with biological antibacterial activity, has active antibacterial ability, and has the characteristics of high water content, good water retention, moderate mechanical strength, light transmission and good air permeability , can meet the requirements of wet treatment of various wounds, not only as a permanent dressing for mild skin wounds or chronic skin diseases, but also for immediate closure of severe skin tissue wounds or burn wounds.

Description

含药物、壳聚糖的聚乙烯醇水凝胶敷料及其制备方法Polyvinyl alcohol hydrogel dressing containing medicine and chitosan and preparation method thereof

技术领域technical field

本发明涉及含药物、壳聚糖的聚乙烯醇水凝胶敷料及其制备方法。The invention relates to a polyvinyl alcohol hydrogel dressing containing medicine and chitosan and a preparation method thereof.

背景技术Background technique

以往,刀伤、烧伤等的创伤面都采用干燥的治疗方法,20世纪60年代初提出了湿式疗法。使创口润湿可以减轻疼痛,加速创口痊愈。例如,在治疗烧伤时,如果水疱不破,伤口愈合的就快,这说明保持从伤口渗出的液体也是促进伤口治愈的一个因素。传统医学对干烧伤、创伤、烫伤和褥疮等各种皮肤损伤,为了保护创面,减少感染,加速伤口愈合,一般应用无菌纱布或浸有抗菌溶液的纱布处理伤口,然而,纱布易与伤口粘连,形成结痂,换药时常常破坏新生的上皮和肉芽组织,病人疼痛难忍,最重要的是无菌纱布或浸有抗菌溶液的纱布无法在吸收创口分泌物的同时防止水分和电解质的流失。此外,对于较大面积的皮肤伤口,尚需应用自体、同种或异种皮肤移植。自体和同种皮肤移植来源有限,异体皮肤如猪皮等移植可引起强烈的排斥反应,必须去除异体皮肤中的致敏物质,只留下胶原纤维,或应用自体上皮细胞体外培养膜,需要十分复杂的工艺技术,代价昂贵。In the past, dry treatment methods were used for wounds such as knife wounds and burns, but wet treatment was proposed in the early 1960s. Moisturizing the wound can reduce pain and speed up wound healing. In treating burns, for example, wounds heal faster if blisters don't rupture, suggesting that maintaining fluid seepage from wounds is also a factor in promoting wound healing. Traditional medicine treats various skin injuries such as dry burns, wounds, scalds and bedsores. In order to protect the wound surface, reduce infection and accelerate wound healing, sterile gauze or gauze soaked in antibacterial solution is generally used to treat the wound. However, gauze is easy to adhere to the wound , form scabs, new epithelial and granulation tissue are often destroyed when changing dressings, the patient suffers from unbearable pain, the most important thing is that sterile gauze or gauze soaked in antibacterial solution cannot prevent the loss of water and electrolytes while absorbing wound secretions . In addition, for larger skin wounds, autologous, allogeneic or xenogeneic skin grafts still need to be applied. The sources of autologous and homologous skin transplantation are limited. Transplantation of allogeneic skin such as pig skin can cause strong rejection. The allergens in the allogeneic skin must be removed, leaving only collagen fibers, or the use of autologous epithelial cell culture membrane in vitro requires a lot of effort. Complicated process technology is expensive.

合成的水溶性高分子如聚乙烯醇、聚乙烯基吡咯烷酮、聚丙烯酸、部分中和聚丙烯酸、聚环氧乙烷、聚丙烯酰胺等具有来源广泛,价格便宜的优点。在各国的文献中,已有这类材料被广泛用作组织填充材料、软骨材料、药物包膜和药物载体的报道和实例,证明这类高分子材料具有很好的生物惰性和生物相容性。将不同的水溶性高分子溶于水中,制成水溶液,利用其在60Coγ-射线或高能电子束射线辐照下可以交联成凝胶的特性,选择适当的辐照剂量,把一定浓度的高分子溶液辐照交联成水凝胶。作为创口敷料使用,这类水凝胶有以下优点:主要成分是水,热容量大,使人感觉凉爽;吸收伤口分泌物而不发生粘连;透光性好,易于医生观察伤口的愈合情况;对水和氧有良好的通透性而不允许细菌通过,可以防止外部环境导致的感染;具有空间网络结构,可将所需要的药物包埋在其中,药物缓慢持续的释放到病变区,达到治愈伤口和其他皮肤病的目的;最重要的是经过大量的研究证明,由上述材料制成的水凝胶敷料具有良好的生物相容性,不会造成排异反应或导致伤口的感染。Synthetic water-soluble polymers such as polyvinyl alcohol, polyvinylpyrrolidone, polyacrylic acid, partially neutralized polyacrylic acid, polyethylene oxide, polyacrylamide, etc. have the advantages of wide sources and low prices. In the literature of various countries, there have been reports and examples of such materials being widely used as tissue filling materials, cartilage materials, drug coatings and drug carriers, which prove that this type of polymer material has good biological inertia and biocompatibility . Different water-soluble polymers are dissolved in water to make an aqueous solution, which can be cross-linked into a gel under the irradiation of 60 Co γ-rays or high-energy electron beams, and an appropriate irradiation dose is selected to put a certain concentration of The polymer solution is irradiated and cross-linked into a hydrogel. Used as a wound dressing, this type of hydrogel has the following advantages: the main component is water, with a large heat capacity, making people feel cool; absorbing wound secretions without adhesion; good light transmission, easy for doctors to observe the healing of the wound; Water and oxygen have good permeability and do not allow bacteria to pass through, which can prevent infection caused by the external environment; with a space network structure, the required drugs can be embedded in it, and the drugs are slowly and continuously released to the lesion to achieve a cure The purpose of wounds and other skin diseases; the most important thing is that a large number of studies have proved that the hydrogel dressing made of the above materials has good biocompatibility and will not cause rejection or infection of the wound.

在已有关于水凝胶敷料的专利文献中,中国专利CN 1225370介绍了一种医用高分子水凝胶膜的辐射接枝方法。该种水凝胶膜以聚氧化乙烯、聚乙烯醇、水为原料,经铸膜、冷热循环处理,辐射加工等工艺步骤制成水凝胶膜。此种水凝胶膜虽具备了吸收并保持创口渗出物的能力,但水凝胶中不含有功能明确的保湿成分,导致其保水能力有限,水凝胶中也没有可以局部使用的抗菌药物,不具备药物的缓释功能,增加了创口发生感染的危险性,也增大了医护人员频繁换药的工作量。In the existing patent literature about hydrogel dressings, Chinese patent CN 1225370 introduces a radiation grafting method for medical polymer hydrogel membranes. The hydrogel film uses polyethylene oxide, polyvinyl alcohol, and water as raw materials, and is made into a hydrogel film through technological steps such as film casting, cold and heat cycle treatment, and radiation processing. Although this kind of hydrogel film has the ability to absorb and maintain wound exudate, the hydrogel does not contain moisturizing ingredients with specific functions, resulting in limited water retention capacity, and there is no antibacterial drug that can be used locally in the hydrogel , does not have the sustained release function of the drug, which increases the risk of infection in the wound and increases the workload of medical staff to change the dressing frequently.

中国专利CN 1121876公开了一种水凝胶复合型创伤敷料及其辐射合成方法,这种敷料由辐射交联合成的高吸水性水凝胶与透气透湿的聚合物膜复合而成。该种水凝胶膜具有透湿、透气性能,但同CN 1225370一样,凝胶中没有可以抑制或杀灭细菌药物成分,不具备主动的抗菌能力,很容易造成创口感染。Chinese patent CN 1121876 discloses a hydrogel composite wound dressing and its radiation synthesis method. This dressing is composed of a highly water-absorbent hydrogel synthesized by radiation cross-linking and a breathable and moisture-permeable polymer film. This kind of hydrogel film has moisture permeability and air permeability, but the same as CN 1225370, there is no pharmaceutical composition that can inhibit or kill bacteria in the gel, does not possess active antibacterial ability, and is easy to cause wound infection.

CN 2383500提供了一种水凝胶复合型创伤敷料,该实用新型专利只是为CN 1121876中公开的水凝胶膜的使用提供了便利,并没有在功能上有所改进。CN 2383500 provides a hydrogel composite wound dressing. This utility model patent only provides convenience for the use of the hydrogel film disclosed in CN 1121876, and does not improve the function.

发明内容Contents of the invention

本发明的目的是提供一种含药物和壳聚糖的医用水凝胶敷料,其以良好的抗菌性,适当的生物活性,优越的吸水性、保水性、透气性、柔韧性,和低成本,使之能最大程度的满足现代医学对敷料的要求;The purpose of the present invention is to provide a medical hydrogel dressing containing medicine and chitosan, which has good antibacterial properties, appropriate biological activity, superior water absorption, water retention, air permeability, flexibility, and low cost , so that it can meet the requirements of modern medicine for dressings to the greatest extent;

本发明的另一目的在于提供一种含药物和壳聚糖的医用水凝胶敷料的制备方法;用该方法制备的水凝胶敷料可以提高水凝胶力学强度,达到敷料临床使用的要求;Another object of the present invention is to provide a method for preparing a medical hydrogel dressing containing medicine and chitosan; the hydrogel dressing prepared by the method can improve the mechanical strength of the hydrogel and meet the requirements for clinical use of the dressing;

本发明的第三个目的在于提供一种含药物和壳聚糖的医用水凝胶敷料的应用;用该方法制备的水凝胶敷料用于治疗浅度烧伤、刀伤、褥疮、皮肤癌创伤,也可用作治疗大面积严重烧伤进行皮肤移植前创口封闭的暂时性敷料。The third object of the present invention is to provide a kind of application of the medical hydrogel dressing containing medicine and chitosan; The hydrogel dressing prepared with this method is used for the treatment of superficial burn, knife wound, bed sore, skin cancer wound , It can also be used as a temporary dressing for wound closure before skin transplantation in the treatment of large and severe burns.

聚乙烯醇水凝胶具有良好的生物相容性,同时以其为原料制备的水凝胶具有较强的力学强度,缺点是缺乏韧性。Polyvinyl alcohol hydrogel has good biocompatibility, and the hydrogel prepared from it has strong mechanical strength, but the disadvantage is lack of toughness.

聚乙烯基吡咯烷酮具有优良的水溶性,成膜性,生物相容性,成膜后具有良好的粘附性和柔韧性,但所成凝胶强度不理想。Polyvinylpyrrolidone has excellent water solubility, film-forming property, and biocompatibility, and has good adhesion and flexibility after film formation, but the strength of the formed gel is not ideal.

聚环氧乙烷辐射交联制得的水凝胶吸水性,保水能力适中,且具有柔软性好耐药品性好,毒性特别低,适合作生物材料。但聚环氧乙烷凝胶易吸水溶胀,溶胀后造成凝胶强度的大幅下降,不利于临床使用和操作。The hydrogel prepared by radiation cross-linking of polyethylene oxide has water absorption, moderate water retention capacity, good flexibility, good drug resistance, low toxicity, and is suitable for biological materials. However, polyethylene oxide gel is easy to absorb water and swell, and the gel strength will drop significantly after swelling, which is not conducive to clinical use and operation.

聚丙烯酸在辐射条件下易于交联,所成凝胶有良好的粘附性和力学强度,聚丙烯酸、丙烯酸-丙烯酰胺共聚物水凝胶有良好的吸水性,吸水后又有很强的保持能力。Polyacrylic acid is easy to cross-link under radiation conditions, and the resulting gel has good adhesion and mechanical strength. Polyacrylic acid and acrylic acid-acrylamide copolymer hydrogel have good water absorption, and have strong retention after absorbing water. ability.

天然水溶性高分子如琼脂、k-型卡拉胶、甲壳素、壳聚糖、明胶等具有独特的生物相容性和生物活性,可作为水凝胶敷料的有效成分。辐射法制备医用水凝胶敷料时,在水溶性天然高分子溶液中加入一定比例的天然聚合物,可以提高水凝胶的生物相容性;同时,天然高分子在射线作用下降解后可以填充在凝胶网络空隙中,起到提高凝胶强度的作用。Natural water-soluble polymers such as agar, k-carrageenan, chitin, chitosan, gelatin, etc. have unique biocompatibility and bioactivity, and can be used as effective components of hydrogel dressings. When preparing medical hydrogel dressings by radiation method, adding a certain proportion of natural polymers to the water-soluble natural polymer solution can improve the biocompatibility of the hydrogel; at the same time, the natural polymers can be filled after being degraded by radiation. In the voids of the gel network, it plays a role in improving the gel strength.

甲壳素是由N-乙酰基-2-氨基-2-脱氧-D-葡萄糖以β-1,4糖苷键形式连接而成的多糖,壳聚糖是甲壳素的脱乙酰基的产物。甲壳素或壳聚糖尤其是小分子量壳聚糖具有显著的抑菌作用,对于一般人体表皮存在的皮肤细菌如表皮葡萄球菌、造成烧伤病人感染的绿脓杆菌、金黄色葡萄球菌和酿脓链球菌等均有明显的抑制效果。同时,壳聚糖可以促进上皮细胞的再生,加快创口愈合的速度,提高创口愈合质量。大分子量壳聚糖可以生物降解,产生低聚糖,寡糖,甚至单糖,进而发挥其加速细胞增殖和加强组织重塑的功能。有意义的是:大分子量壳聚糖具有成膜强度好,小分子量壳聚糖具有生物活性高,保水性好的特点,把大分子量壳聚糖和小分子量壳聚糖合用可以充分发挥各自的优点,制备性能优良的医用敷料。Chitin is a polysaccharide linked by N-acetyl-2-amino-2-deoxy-D-glucose in the form of β-1,4 glycosidic bonds, and chitosan is the product of deacetylation of chitin. Chitin or chitosan, especially low-molecular-weight chitosan, has a significant antibacterial effect on skin bacteria such as Staphylococcus epidermidis, Pseudomonas aeruginosa, Staphylococcus aureus and Streptococcus pyogenes that exist in the general human epidermis. Bacteria, etc. have obvious inhibitory effect. At the same time, chitosan can promote the regeneration of epithelial cells, accelerate the speed of wound healing, and improve the quality of wound healing. Large molecular weight chitosan can be biodegraded to produce oligosaccharides, oligosaccharides, and even monosaccharides, thereby exerting its functions of accelerating cell proliferation and strengthening tissue remodeling. It is meaningful that large molecular weight chitosan has good film-forming strength, and small molecular weight chitosan has high biological activity and good water retention. Combining large molecular weight chitosan and small molecular weight chitosan can give full play to their respective advantages. Advantages, the preparation of medical dressings with excellent performance.

在制备水凝胶时加入一定量的增塑剂和保湿剂,可以很好的改善或提高医用水凝胶敷料的柔韧性,保水性。Adding a certain amount of plasticizer and humectant when preparing the hydrogel can improve or enhance the flexibility and water retention of the medical hydrogel dressing.

在医用水凝胶敷料中添加针对不同皮肤创伤类型的药物,如抗菌药、消毒药、消炎药、镇痛药、止血、凝血药、水溶性抗癌药等,可使水凝胶敷料具有治疗作用。水凝胶中的含药量可以很大,凝胶表面的药物消耗后,凝胶内部的药物可以通过迁移和扩散不断的进行补充,从而实现药物的持续、缓慢释放,减轻了医护人员频繁换药的负担,也降低了因换药不及时导致创口细菌感染的危险性。Adding drugs for different types of skin wounds in medical hydrogel dressings, such as antibacterial drugs, disinfectants, anti-inflammatory drugs, analgesics, hemostasis, coagulation drugs, water-soluble anticancer drugs, etc., can make hydrogel dressings have therapeutic properties. effect. The drug content in the hydrogel can be very large. After the drug on the surface of the gel is consumed, the drug inside the gel can be continuously replenished through migration and diffusion, so as to realize the continuous and slow release of the drug and reduce the frequent replacement of medical staff. It also reduces the burden of medication and reduces the risk of wound bacterial infection due to untimely dressing changes.

本发明选择将聚乙烯醇分别和聚乙烯基吡咯烷酮、聚环氧乙烷、聚丙烯酸或丙烯酸-丙烯酰胺共聚物复合制成聚合物互穿网络水凝胶,可以结合聚乙烯醇水凝胶成膜的高强度,聚乙烯吡咯烷酮和聚环氧乙烷水凝胶成膜的柔韧性,粘附性;聚丙烯酸或丙烯酸-丙烯酰胺共聚物水凝胶的强吸水性和保水性,从而制备出具有不同特点,符合不同要求的医用创口包敷用水凝胶。In the present invention, polyvinyl alcohol is respectively compounded with polyvinylpyrrolidone, polyethylene oxide, polyacrylic acid or acrylic acid-acrylamide copolymer to form polymer interpenetrating network hydrogel, which can be combined with polyvinyl alcohol hydrogel to form The high strength of the film, the flexibility and adhesion of polyvinylpyrrolidone and polyethylene oxide hydrogel film-forming; the strong water absorption and water retention of polyacrylic acid or acrylic acid-acrylamide copolymer hydrogel, thus preparing Medical wound dressing hydrogels with different characteristics and meeting different requirements.

本发明提供的水凝胶敷料由质量分数为10-30%的固体聚合物,质量分数为1-10%的增塑剂、质量分数为1-10%保湿剂、药物和剩余量的溶剂组成。The hydrogel dressing provided by the invention is composed of a solid polymer with a mass fraction of 10-30%, a plasticizer with a mass fraction of 1-10%, a humectant with a mass fraction of 1-10%, medicine and a solvent in the remainder .

固体聚合物为聚乙烯醇、聚乙烯基吡咯烷酮、聚丙烯酸、丙烯酸-丙烯酰胺共聚物、聚环氧乙烷、壳聚糖、明胶、卡拉胶或琼脂。The solid polymer is polyvinyl alcohol, polyvinylpyrrolidone, polyacrylic acid, acrylic acid-acrylamide copolymer, polyethylene oxide, chitosan, gelatin, carrageenan or agar.

聚乙烯醇聚合度为1500-3000,醇解度为98-100%。The degree of polymerization of polyvinyl alcohol is 1500-3000, and the degree of alcoholysis is 98-100%.

聚乙烯基吡咯烷酮重均分子量为3.0×105-1.5×106g mol-1The weight average molecular weight of polyvinylpyrrolidone is 3.0×10 5 -1.5×10 6 g mol -1 .

丙烯酸-丙烯酰胺共聚物中丙烯酸与丙烯酰胺单体质量比为3∶7。The mass ratio of acrylic acid to acrylamide monomers in the acrylic acid-acrylamide copolymer is 3:7.

聚环氧乙烷粘均分子量为1.5×105-2.0×106g mol-1The viscosity-average molecular weight of polyethylene oxide is 1.5×10 5 -2.0×10 6 g mol -1 .

壳聚糖分子量1000-1.5×106g mol-1,壳聚糖脱乙酰度80-98%。The molecular weight of chitosan is 1000-1.5×10 6 g mol -1 , and the deacetylation degree of chitosan is 80-98%.

本发明所述的增塑剂选自甘油、乙二醇、丙二醇或/和聚乙二醇,增塑剂质量百分含量可为1-10%,其中聚乙二醇分子量为100-1000g mol-1The plasticizer of the present invention is selected from glycerin, ethylene glycol, propylene glycol or/and polyethylene glycol, and the mass percentage of the plasticizer can be 1-10%, wherein the molecular weight of polyethylene glycol is 100-1000g mol -1 .

本发明所用的保湿剂为甘油、乙二醇或丙二醇或/和聚乙二醇分子量为100-1000g mol-1,山梨醇、小分子量水溶性壳聚糖或透明质酸。The moisturizing agent used in the present invention is glycerin, ethylene glycol or propylene glycol or/and polyethylene glycol with a molecular weight of 100-1000 g mol -1 , sorbitol, small molecular weight water-soluble chitosan or hyaluronic acid.

在凝胶中添加的药物均为可以局部使用的水溶性药物,抗细菌药物可以是多粘菌素B,制真霉素或氨苄青霉素B,环丙沙星;除抗菌药物外,还可以根据要治疗的不同的创伤类型,选择性加入不同的药物:The drugs added in the gel are all water-soluble drugs that can be used locally, and the antibacterial drugs can be polymyxin B, nystatin or ampicillin B, ciprofloxacin; Different types of trauma to be treated, with optional addition of different drugs:

消毒防腐药:洗必泰或洁而灭;Disinfection and antiseptic drugs: chlorhexidine or Jieermii;

凝血药:酚磺乙胺或氨甲环酸;Blood clotting drugs: phensulfame or tranexamic acid;

麻醉药:三氯叔丁醇;Anesthetics: Chlorobutanol;

水溶性抗癌药:阿霉素。Water-soluble anticancer drug: doxorubicin.

在凝胶的固体组成中,用聚乙烯醇和包括聚乙烯基吡咯烷酮、聚环氧乙烷、聚丙烯酸或丙烯酸-丙烯酰胺共聚物等几种聚合物中之任意一种组合,再结合壳聚糖、明胶、卡拉胶或琼脂中的一种或数种构成医用水凝胶敷料的固体成分。具体的组合如下,各组分含量为质量百分含量:In the solid composition of the gel, a combination of polyvinyl alcohol and any of several polymers including polyvinylpyrrolidone, polyethylene oxide, polyacrylic acid or acrylic acid-acrylamide copolymer, combined with chitosan One or more of gelatin, carrageenan or agar form the solid components of the medical hydrogel dressing. Concrete combination is as follows, and each component content is mass percent composition:

(1)聚乙烯醇5-20%/聚乙烯基吡咯烷酮2-15%/壳聚糖0.5~5%;(1) Polyvinyl alcohol 5-20%/ polyvinylpyrrolidone 2-15%/ chitosan 0.5-5%;

(2)聚乙烯醇5-20%/聚乙烯基吡咯烷酮2-15%/琼脂0.1-3%/壳聚糖0.5-5%;(2) Polyvinyl alcohol 5-20%/ polyvinylpyrrolidone 2-15%/ agar 0.1-3%/ chitosan 0.5-5%;

(3)聚乙烯醇5-20%/聚乙烯基吡咯烷酮2-15%/卡拉胶0.1-5%/壳聚糖0.5-5%;(3) Polyvinyl alcohol 5-20%/ polyvinylpyrrolidone 2-15%/ carrageenan 0.1-5%/ chitosan 0.5-5%;

(4)聚乙烯醇5-20%/聚环氧乙烷2-15%/壳聚糖0.5-10%;(4) Polyvinyl alcohol 5-20%/ polyethylene oxide 2-15%/ chitosan 0.5-10%;

(5)聚乙烯醇5-20%/聚环氧乙烷2-15%/卡拉胶0.1-10%/壳聚糖0.5-10%;(5) Polyvinyl alcohol 5-20%/ polyethylene oxide 2-15%/ carrageenan 0.1-10%/ chitosan 0.5-10%;

(6)聚乙烯醇5-20%/丙烯酸-丙烯酰胺共聚物2-15%/壳聚糖0.5-10%;(6) Polyvinyl alcohol 5-20%/acrylic acid-acrylamide copolymer 2-15%/chitosan 0.5-10%;

(7)聚乙烯醇5-20%/丙烯酸-丙烯酰胺共聚物2-15%/聚乙烯基吡咯烷酮1-10%/壳聚糖0.5-10%;(7) Polyvinyl alcohol 5-20%/acrylic acid-acrylamide copolymer 2-15%/polyvinylpyrrolidone 1-10%/chitosan 0.5-10%;

(8)聚乙烯醇5-20%/聚丙烯酸2-15%/壳聚糖0.5-10%;(8) Polyvinyl alcohol 5-20%/ polyacrylic acid 2-15%/ chitosan 0.5-10%;

(9)聚乙烯醇5-20%/聚环氧乙烷2-15%/明胶1-10%/壳聚糖0.5-10%;(9) Polyvinyl alcohol 5-20%/ polyethylene oxide 2-15%/ gelatin 1-10%/ chitosan 0.5-10%;

(10)聚乙烯醇5-20%/聚乙烯基吡咯烷酮2-15%/明胶1-10%/壳聚糖0.5-10%。(10) Polyvinyl alcohol 5-20%/ polyvinylpyrrolidone 2-15%/ gelatin 1-10%/ chitosan 0.5-10%.

本发明所述含药物和壳聚糖的医用水凝胶敷料通过以下方法制成:The medical hydrogel dressing containing medicine and chitosan of the present invention is made by following method:

(1)将聚乙烯醇溶解在二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,制成溶液A;将其余的聚乙烯基吡咯烷酮、聚丙烯酸、丙烯酸-丙烯酰胺共聚物或聚环氧乙烷中一种或多种溶解在二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,制成溶液B;合并溶液A和溶液B,混合均匀,并添加1-10%的增塑剂、1-10%的保湿剂,加热搅拌,使之完全溶解成均一溶液;(1) Dissolve polyvinyl alcohol in double distilled water, normal saline or phosphate neutral buffer solution to make solution A; One or more of ethane is dissolved in double distilled water, normal saline or phosphate neutral buffer solution to make solution B; combine solution A and solution B, mix well, and add 1-10% plasticizer 1-10% humectant, heat and stir to make it completely dissolve into a uniform solution;

(2)将上述溶液室温静置8-14小时或抽真空;(2) Leave the above solution at room temperature for 8-14 hours or vacuumize;

(3)将溶液倒入聚乙烯塑料袋中,压成厚约1-5mm的膜片;(3) Pour the solution into a polyethylene plastic bag and press it into a film with a thickness of about 1-5mm;

(4)对膜片进行冷冻-熔融循环处理,冷冻温度为-30--20℃,冷冻时间8-30小时,熔融温度为20-30℃,冷冻、熔融时间为8-30小时,冷冻-熔融循环次数为1-7次;(4) Perform freezing-melting cycle treatment on the diaphragm, the freezing temperature is -30--20°C, the freezing time is 8-30 hours, the melting temperature is 20-30°C, the freezing and melting time is 8-30 hours, and the freezing- The number of melting cycles is 1-7 times;

(5)将冷冻-熔融循环处理的水凝胶膜片利用60Coγ-射线或高能电子束室温下辐照交联,辐照剂量为10-80kGy;(5) irradiating and cross-linking the hydrogel membrane processed by freezing-melting cycles at room temperature with 60 Co gamma-rays or high-energy electron beams, and the irradiation dose is 10-80 kGy;

(6)自然通风干燥,室温真空干燥或冷冻干燥,将辐照过的水凝胶膜片部分脱水,辐射消毒,消毒后的部分干燥水凝胶膜在无菌条件下浸入到含有质量百分含量为0.1-2.0%的水溶性药物和质量百分含量为10.0%的分子量小于6000g mol-1的水溶性壳聚糖的二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,待水凝胶溶胀达平衡后取出,无菌条件下封装,0-4℃低温保存。(6) natural ventilated drying, room temperature vacuum drying or freeze-drying, the hydrogel membrane part dehydration that has been irradiated, radiation sterilization, the part dry hydrogel membrane after the sterilization is immersed in containing mass percent under aseptic condition 0.1-2.0% water-soluble drug and 10.0% water-soluble chitosan with a molecular weight of less than 6000g mol -1 in double distilled water, normal saline or phosphate neutral buffer solution, wait for water coagulation Take out the glue after it swells to equilibrium, package it under aseptic conditions, and store it at a low temperature of 0-4°C.

步骤(4)和(5)可以调换顺序进行,即厚约1-5mm的水凝胶膜片利用60Coγ-射线或高能电子束室温下辐照交联,辐照剂量为10-80kGy;对辐照过的膜片进行冷冻-熔融循环处理,冷冻温度为-30--20℃,冷冻时间8-30小时,熔融温度为20-30℃,冷冻、熔融时间为8-30小时,冷冻-熔融循环次数为1-7次;Steps (4) and (5) can be carried out in reverse order, that is, the hydrogel membrane with a thickness of about 1-5 mm is irradiated and cross-linked at room temperature by 60 Co gamma-rays or high-energy electron beams, and the irradiation dose is 10-80 kGy; The irradiated membrane is subjected to freezing-melting cycle treatment, the freezing temperature is -30--20°C, the freezing time is 8-30 hours, the melting temperature is 20-30°C, the freezing and melting time is 8-30 hours, and the freezing- The number of melting cycles is 1-7 times;

由以上材料和方法制得的含药物和壳聚糖的医用水凝胶敷料可用于浅度烧伤,刀伤,褥疮、皮肤癌等各种皮肤创伤的治疗,也可用作大面积严重烧伤在进行皮肤移植前的创口封闭的暂时性敷料。The medical hydrogel dressing containing medicine and chitosan prepared by the above materials and methods can be used for the treatment of various skin wounds such as shallow burns, knife wounds, bedsores, skin cancers, etc., and can also be used as a treatment for large area severe burns Temporary dressing for wound closure prior to skin grafting.

具体实施方式Detailed ways

下面通过实施例进一步说明本发明,但本发明并不仅限于此。The present invention is further illustrated below by way of examples, but the present invention is not limited thereto.

以下各实施例中水凝胶的性能测试方法,简述如下:The performance testing method of hydrogel in following each embodiment, briefly describes as follows:

(1)力学性能:由instron 1121万能拉力机测得,拉伸速度10mm/min,样条长20.0mm,宽4.0mm;(1) Mechanical properties: measured by instron 1121 universal tensile machine, the tensile speed is 10mm/min, the length of the spline is 20.0mm, and the width is 4.0mm;

(2)平衡吸水率:水凝胶冷冻干燥后20℃下吸收二次蒸馏水能力:平衡吸水率%=(吸水平衡后凝胶重-吸水前凝胶干重)/吸水前凝胶干重×100%;(2) Equilibrium water absorption: the ability of the hydrogel to absorb double distilled water at 20°C after freeze-drying: equilibrium water absorption % = (gel weight after water absorption balance - gel dry weight before water absorption) / gel dry weight before water absorption × 100%;

(3)凝胶分数:水凝胶冷冻干燥后,以二次蒸馏水为溶剂,索氏提取器抽提30h;(3) Gel fraction: After the hydrogel is freeze-dried, use twice-distilled water as a solvent and extract with a Soxhlet extractor for 30 hours;

凝胶分数=(抽提前凝胶干重-抽提后凝胶干重)/抽提前凝胶干重×100%。Gel fraction=(dry weight of gel before extraction-dry weight of gel after extraction)/dry weight of gel before extraction×100%.

(4)所列百分数均为质量百分浓度,壳聚糖粘均分子量用Mη,脱乙酰度用DD表示。(4) The listed percentages are mass percent concentrations, the viscosity-average molecular weight of chitosan is represented by Mn, and the degree of deacetylation is represented by DD.

实施例1Example 1

1).取二次蒸馏水90.0g,聚乙烯醇20.0g制成溶液A,其中聚乙烯醇聚合度为1500,醇解度为98%;1). Take 90.0 g of double distilled water and 20.0 g of polyvinyl alcohol to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 1500, and the degree of alcoholysis is 98%;

2).取二次蒸馏水50.0g,聚乙烯基吡咯烷酮8.0g,使聚乙烯基吡咯烷酮完全溶解成均一溶液B,聚乙烯基吡咯烷酮重均分子量8.0×105g mol-12). Take 50.0 g of twice distilled water and 8.0 g of polyvinylpyrrolidone to completely dissolve the polyvinylpyrrolidone into a homogeneous solution B. The weight average molecular weight of polyvinylpyrrolidone is 8.0×10 5 g mol −1 ;

3).溶液A和溶液B混合后,加入卡拉胶4.0g和甘油10.0g、聚乙二醇400 10.0g、壳聚糖、二次蒸馏水乙酸混合溶液,恒温搅拌2h,得到溶液3,其中壳聚糖分子量为1.0×106g mol-1,DD=80.0%,乙酸浓度为3.5%,溶液3中固体聚合物含量18%;3). After mixing solution A and solution B, add 4.0 g of carrageenan, 10.0 g of glycerin, 10.0 g of polyethylene glycol 400, chitosan, double-distilled water and acetic acid mixed solution, and stir at constant temperature for 2 hours to obtain solution 3. The polysaccharide molecular weight is 1.0×10 6 g mol -1 , DD=80.0%, the concentration of acetic acid is 3.5%, and the solid polymer content in solution 3 is 18%;

4).把溶液3室温下静置8小时后将溶液倒入聚乙烯塑料袋中,密封,压膜厚至1毫米,循环冷冻机冷冻-熔融循环处理7次,60Coγ-射线室温下辐照交联,剂量10kGy;4). Put the solution 3 at room temperature for 8 hours, then pour the solution into a polyethylene plastic bag, seal it, press the film to a thickness of 1 mm, and cycle the freezing-melting process for 7 times in a circulating freezer, and irradiate it with 60 Co gamma-rays at room temperature. According to cross-linking, the dose is 10kGy;

5).辐照交联的水凝胶膜冷冻脱水90%后,辐射消毒,无菌条件下浸入到30℃的壳聚糖和乳酸环丙沙星浓度分别为10.0%和0.2%的生理盐水溶液中,水凝胶溶胀达平衡后取出,无菌条件下封装,0℃低温保存,壳聚糖分子量Mη=3000g mol-1,DD≥95%。5). After 90% freeze-dehydration of the irradiated cross-linked hydrogel film, sterilize it by radiation, and immerse it in physiological salt with the concentration of 10.0% and 0.2% chitosan and ciprofloxacin lactate at 30°C under sterile conditions In the aqueous solution, the hydrogel is swelled and taken out after reaching equilibrium, packaged under aseptic conditions, and stored at a low temperature of 0°C. The chitosan molecular weight M η =3000g mol -1 , DD ≥ 95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例2Example 2

1).取生理盐水90.0g,聚乙烯醇20.0g制成溶液A,其中聚乙烯醇聚合度3000,醇解度98%;1). Take 90.0g of normal saline and 20.0g of polyvinyl alcohol to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 3000, and the degree of alcoholysis is 98%;

2).取生理盐水50.0g,聚乙烯基吡咯烷酮10.0g制成溶液B,其中聚乙烯基吡咯烷酮重均分子量1.3×106g mol-12). Take 50.0 g of normal saline and 10.0 g of polyvinylpyrrolidone to prepare solution B, wherein the weight average molecular weight of polyvinylpyrrolidone is 1.3×10 6 g mol −1 ;

3).溶液A和溶液B混合后,加入40.0g甘油、壳聚糖、生理盐水,乙酸混合溶液得到溶液3,其中壳聚糖10.0g,壳聚糖分子量5.0×105gmol-1,DD=98.0%,甘油20.0g,溶液3固体聚合物含量20%;3). After mixing solution A and solution B, add 40.0g glycerin, chitosan, normal saline, and acetic acid mixed solution to obtain solution 3, in which 10.0g chitosan, chitosan molecular weight 5.0×10 5 gmol -1 , DD =98.0%, glycerin 20.0g, solution 3 solid polymer content 20%;

4).压膜过程同实施例1,压膜厚至5毫米,循环冷冻机冷冻-熔融循环处理1次,60Coγ-射线室温辐照交联,剂量80kGy;4). The lamination process is the same as that in Example 1, the lamination thickness is up to 5 mm, the cycle freezer freeze-melt cycle treatment is performed once, 60 Co gamma-rays are irradiated at room temperature for cross-linking, and the dose is 80 kGy;

5).处理过程同实施例1,但是将自然通风条件下干燥度为30%的凝胶30℃下浸入到壳聚糖和洗必泰浓度分别为10.0%和0.5%的生理盐水溶液中,4℃低温保存,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the gel with a dryness of 30% under natural ventilation conditions is immersed in a physiological saline solution of 10.0% and 0.5% respectively in chitosan and chlorhexidine concentrations at 30°C, Store at low temperature at 4°C, chitosan M η =3000g mol -1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例3Example 3

1).称取聚乙烯醇20.0g,溶于90.0g二次蒸馏水制成溶液A,其中聚乙烯醇聚合度2500,醇解度100%;1). Weigh 20.0 g of polyvinyl alcohol and dissolve it in 90.0 g of double-distilled water to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2500, and the degree of alcoholysis is 100%;

2).取聚环氧乙烷10.0g溶于50.0g二次蒸馏水中,制成溶液B,其中聚环氧乙烷Mη=6.3×105g mol-12). Dissolve 10.0 g of polyethylene oxide in 50.0 g of double-distilled water to prepare solution B, wherein polyethylene oxide Mη=6.3×10 5 g mol −1 ;

3).溶液A和溶液B混合后,加入卡拉胶4.0g和40.0g甘油、聚乙二醇200、二次水混合溶液,搅拌2h,得到溶液3,其中有甘油4.0g,聚乙二醇100 10.0g,溶液3中固体聚合物含量17%;3). After mixing solution A and solution B, add 4.0 g of carrageenan, 40.0 g of glycerin, polyethylene glycol 200, and secondary water, and stir for 2 hours to obtain solution 3, which contains 4.0 g of glycerin, polyethylene glycol 100 10.0g, solid polymer content 17% in solution 3;

4).压膜过程同实施例1,压膜厚至3毫米,循环冷冻机冷冻-熔融循环处理3次,60Coγ-射线辐照交联,剂量为30kGy;4). The lamination process is the same as in Example 1, the lamination thickness is up to 3mm, the cycle freezer freeze-melt cycle treatment is performed 3 times, and the 60 Co gamma-ray irradiation crosslinks with a dose of 30kGy;

5).处理过程同实施例1,但是将室温真空干燥的凝胶20℃下浸入到壳聚糖和多粘菌素B浓度分别为10.0%和0.1%的生理盐水溶液中,2℃低温保存,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the gel dried in vacuum at room temperature is immersed in a physiological saline solution with a concentration of 10.0% and 0.1% of chitosan and polymyxin B at 20°C, and stored at a low temperature of 2°C , chitosan M η =3000g mol -1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例4Example 4

1).称取聚乙烯醇20.0g溶于90.0g二次蒸馏水中制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Weigh 20.0 g of polyvinyl alcohol and dissolve it in 90.0 g of twice-distilled water to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2000, and the degree of alcoholysis is 98.5%;

2).取聚乙烯基吡咯烷酮10.0g,加入二次水50.0克制成溶液B,聚乙烯基吡咯烷酮重均分子量为1.2×106g mol-12). Take 10.0 g of polyvinylpyrrolidone and add 50.0 g of secondary water to make solution B. The weight average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol −1 ;

3).溶液A和溶液B混合后加入10.0%(w)壳聚糖乙酸水溶液35.0g,加入30.0%(w)的明胶水溶液15.0g,另加甘油5.0g,山梨醇4.0g后,80℃搅拌2h,得到溶液3,溶液3中固体聚合物含量20%,壳聚糖Mη=5.0*105g mol-1,DD=95%,;3). After mixing solution A and solution B, add 10.0% (w) chitosan acetic acid aqueous solution 35.0g, add 30.0% (w) gelatin aqueous solution 15.0g, add glycerin 5.0g, sorbitol 4.0g, 80 ℃ Stir for 2 hours to obtain solution 3, the solid polymer content in solution 3 is 20%, chitosan M η =5.0*10 5 g mol -1 , DD = 95%,;

4).压膜过程同实施例1,压膜厚至3毫米,循环冷冻机冷冻-熔融循环处理3次,60Coγ-射线辐照交联,剂量为30kGy;4). The lamination process is the same as in Example 1, the lamination thickness is up to 3mm, the cycle freezer freeze-melt cycle treatment is performed 3 times, and the 60 Co gamma-ray irradiation crosslinks with a dose of 30kGy;

5).处理过程同实施例1,但是将冷冻干燥的凝胶20℃下浸入到壳聚糖和三氯叔丁醇浓度分别为10.0%和0.5%的中性磷酸盐缓冲溶液中,壳聚糖Mη=1000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the freeze-dried gel is immersed in a neutral phosphate buffer solution with a concentration of 10.0% and 0.5% of chitosan and chlorobutanol at 20°C, and the chitosan Sugar M η =1000 g mol -1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例5Example 5

1).取磷酸盐中性缓冲溶液80.0g,聚乙烯醇20.0g制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Take 80.0 g of phosphate neutral buffer solution and 20.0 g of polyvinyl alcohol to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2000, and the degree of alcoholysis is 98.5%;

2).取聚乙烯基吡咯烷酮10.0g,加入磷酸盐中性缓冲溶液50.0g制成溶液B,其中聚乙烯基吡咯烷酮重均分子量1.2×106g mol-12). Take 10.0 g of polyvinylpyrrolidone and add 50.0 g of phosphate neutral buffer solution to make solution B, wherein the weight average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol −1 ;

3).溶液A和溶液B混合后加入10.0%壳聚糖分子量乙酸水溶液35.0g,甘油6.0g,聚乙二醇800 4.0g,密封后,80℃搅拌2h,制成溶液3,溶液3中固体聚合物含量为17%,其中壳聚糖分子量5.6×104g mol-1,DD≥95%;3). After mixing solution A and solution B, add 10.0% chitosan molecular weight acetic acid aqueous solution 35.0g, glycerin 6.0g, polyethylene glycol 800 4.0g, after sealing, stir at 80°C for 2h to make solution 3, in solution 3 The solid polymer content is 17%, and the molecular weight of chitosan is 5.6×10 4 g mol -1 , DD≥95%;

4).压膜过程同实施例一,压膜厚至3毫米,循环冷冻机冷冻-熔融循环处理3次,60Coγ-射线辐照交联,剂量30kGy;4). The lamination process is the same as in Example 1, the lamination thickness is up to 3 mm, the freeze-thaw cycle is processed 3 times in a circulating refrigerator, and 60 Co γ-rays are irradiated for cross-linking, with a dose of 30 kGy;

5).处理过程同实施例1,但是将冷冻干燥的凝胶20℃下浸入到壳聚糖和阿霉素浓度分别为10.0%和0.1%的生理盐水溶液中,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the freeze-dried gel is immersed in the physiological saline solution with chitosan and doxorubicin concentrations of 10.0% and 0.1% respectively at 20°C, and the chitosan M η =3000g mol −1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例6Example 6

1).取聚乙烯醇10.0g溶于90.0g二次蒸馏水中制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Dissolve 10.0 g of polyvinyl alcohol in 90.0 g of twice-distilled water to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2000, and the degree of alcoholysis is 98.5%;

2).取丙烯酸-丙烯酰胺(质量比=3∶7)共聚物水溶液50.0g(含聚合物固体10.0g,加入二次蒸馏水30.0g,使聚合物完全溶解,制成溶液B。2). Take 50.0 g of acrylic acid-acrylamide (mass ratio = 3:7) copolymer aqueous solution (containing 10.0 g of polymer solids, add 30.0 g of double distilled water to completely dissolve the polymer, and make solution B.

3).溶液A和溶液B混合后,加入10.0g甘油,固体聚合物总含量10%;3). After solution A and solution B are mixed, add 10.0 g of glycerin, and the total solid polymer content is 10%;

4).压膜过程同实施例1,压膜厚至3毫米,循环冷冻机冷冻-熔融循环处理3次,60Coγ-射线室温辐照交联,剂量30kGy;4). The lamination process is the same as in Example 1, the lamination thickness is up to 3 mm, the cycle freezer freeze-melt cycle is processed 3 times, 60 Co gamma-rays are irradiated and cross-linked at room temperature, and the dose is 30 kGy;

5).处理过程同实施例1,但是将冷冻干燥的凝胶40℃下浸入到壳聚糖和氨甲环酸浓度分别为10.0%和2.0%的二次蒸馏水溶液中,其中壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the freeze-dried gel is immersed in the double-distilled aqueous solution whose concentrations of chitosan and tranexamic acid are respectively 10.0% and 2.0% at 40°C, wherein chitosan M η = 3000 g mol -1 , DD ≥ 95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例7Example 7

1).取聚乙烯醇12.0g溶于60.0g二次蒸馏水中,其中聚乙烯醇聚合度为2000,醇解度为98.5%;1). Take 12.0 g of polyvinyl alcohol and dissolve it in 60.0 g of double distilled water, wherein the degree of polymerization of polyvinyl alcohol is 2000, and the degree of alcoholysis is 98.5%;

2).取丙烯酸-丙烯酰胺质量比=3∶7共聚物水溶液50.0g,含聚合物固体9.0g,加入二次蒸馏水30.0g,使聚合物完全溶解;2). Take 50.0 g of acrylic acid-acrylamide mass ratio = 3:7 copolymer aqueous solution, containing 9.0 g of polymer solids, and add 30.0 g of double distilled water to completely dissolve the polymer;

3).取聚乙烯基吡咯烷酮8.0g,加入二次蒸馏水30.0克使聚合物完全溶解,聚乙烯基吡咯烷酮重均分子量为1.2×106g mol-13). Take 8.0 g of polyvinylpyrrolidone, add 30.0 g of double-distilled water to completely dissolve the polymer, and the weight-average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol −1 ;

4).第1、2、3步制得的溶液混合后,加入10.0%壳聚糖乙酸水溶液35.0g,丙二醇4.0g、聚乙二醇200 3.0g,密封,80℃搅拌2h,得到溶液4,固体聚合物含量为18%,其中壳聚糖分子量为5.0×105g mol-1,DD≥95%;4). After mixing the solutions prepared in steps 1, 2, and 3, add 35.0 g of 10.0% chitosan acetic acid aqueous solution, 4.0 g of propylene glycol, and 3.0 g of polyethylene glycol 200, seal it, stir at 80 ° C for 2 hours, and obtain solution 4 , the solid polymer content is 18%, the molecular weight of chitosan is 5.0×10 5 g mol -1 , DD≥95%;

5).压膜过程同实施例1,冷冻-熔融一次后,60Coγ-射线室温辐照交联,剂量40kGy;5). The laminating process is the same as that in Example 1, after freezing and melting once, 60 Co gamma-rays are irradiated at room temperature for cross-linking, and the dose is 40 kGy;

6).处理过程同实施例1,但是将冷冻干燥凝胶40℃下浸入到壳聚糖和酚磺乙胺浓度分别为10.0%和0.5%的二次蒸馏水溶液中,壳聚糖Mη=3000g mol-1,DD≥95%。6). The treatment process is the same as in Example 1, but the freeze-dried gel is immersed in the double-distilled aqueous solution of 10.0% and 0.5% of the concentration of chitosan and phensulfacetate at 40° C., and the chitosan M η = 3000g mol -1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例8Example 8

1).取二次蒸馏水90.0g,聚乙烯醇20.0g,使聚乙烯醇完全溶解,制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Take 90.0 g of twice distilled water and 20.0 g of polyvinyl alcohol to completely dissolve the polyvinyl alcohol to prepare solution A, wherein the polyvinyl alcohol has a degree of polymerization of 2000 and a degree of alcoholysis of 98.5%;

2).取二次蒸馏水50.0g,搅拌下加入聚乙烯基吡咯烷酮8.0g,使聚乙烯基吡咯烷酮完全溶解成均一溶液,制成溶液B;聚乙烯基吡咯烷酮重均分子量1.2×106g mol-12). Take 50.0 g of twice-distilled water, add 8.0 g of polyvinylpyrrolidone under stirring, and completely dissolve the polyvinylpyrrolidone into a uniform solution to prepare solution B; the weight-average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol - 1 ;

3).溶液A和溶液B混合,加入甘油6.0g、聚乙二醇200 4.0g、壳聚糖乙酸水溶液混合溶液,恒温搅拌2h,得到溶液3,其中壳聚糖Mη=5.0×105g mol-1,DD≥95%,溶液3中固体聚合物含量为16%;3). Mix solution A and solution B, add 6.0 g of glycerin, 4.0 g of polyethylene glycol 200, and a mixed solution of chitosan acetic acid aqueous solution, stir at constant temperature for 2 hours, and obtain solution 3, wherein chitosan M η =5.0×10 5 g mol -1 , DD≥95%, the solid polymer content in solution 3 is 16%;

4).溶液3室温下静置12小时,将溶液倒如聚乙烯塑料袋中,密封,压膜厚至3mm。循环冷冻机进行冷冻-熔融循环处理3次,高能电子束射线室温下辐照交联,剂量30kGy;4). Solution 3 was left to stand at room temperature for 12 hours, poured into a polyethylene plastic bag, sealed, and pressed to a thickness of 3 mm. Freezing-melting cycle treatment is performed 3 times in a circulating freezer, and high-energy electron beams are irradiated and cross-linked at room temperature, with a dose of 30kGy;

5).处理过程同实施例1,但是将水凝胶膜浸入到35℃壳聚糖和洁而灭浓度分别为10.0%和0.5%的生理盐水溶液中,4℃低温保存,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the hydrogel film is immersed in 35°C chitosan and 10.0% and 0.5% physiological saline solution respectively, and stored at a low temperature of 4°C. Chitosan M η = 3000 g mol -1 , DD ≥ 95%.

实施例9Example 9

1).取二次蒸馏水90.0g,聚乙烯醇20.0g,使聚乙烯醇完全溶解,制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Take 90.0 g of twice distilled water and 20.0 g of polyvinyl alcohol to completely dissolve the polyvinyl alcohol to prepare solution A, wherein the polyvinyl alcohol has a degree of polymerization of 2000 and a degree of alcoholysis of 98.5%;

2).取二次蒸馏水50.0g,搅拌下加入聚乙烯基吡咯烷酮8.0g,使聚乙烯基吡咯烷酮完全溶解成均一溶液,制成溶液B;聚乙烯基吡咯烷酮重均分子量1.2×106g mol-12). Take 50.0 g of twice-distilled water, add 8.0 g of polyvinylpyrrolidone under stirring, and completely dissolve the polyvinylpyrrolidone into a uniform solution to prepare solution B; the weight-average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol - 1 ;

3).溶液A和溶液B混合,加入甘油6.0g、聚乙二醇200 4.0g、壳聚糖乙酸水溶液混合溶液,恒温搅拌2h,得到溶液3,固体聚合物总含量为16%,其中壳聚糖Mη=5.0×105g mol-1,DD≥95%;3). Mix solution A and solution B, add 6.0 g of glycerin, 4.0 g of polyethylene glycol 200, and a mixed solution of chitosan acetic acid aqueous solution, and stir at a constant temperature for 2 hours to obtain solution 3. The total solid polymer content is 16%, and the shell Glycan M η =5.0×10 5 g mol -1 , DD≥95%;

4).溶液3室温下静置12小时,将溶液倒如聚乙烯塑料袋中,密封,压膜厚至3mm;高能电子束射线室温下辐照交联,剂量80kGy,循环冷冻机进行冷冻-熔融循环处理1次;4). Solution 3 was allowed to stand at room temperature for 12 hours, pour the solution into a polyethylene plastic bag, seal it, and press the film to a thickness of 3mm; irradiate and cross-link with high-energy electron beam rays at room temperature, with a dose of 80kGy, and freeze in a circulating freezer- Melting cycle treatment once;

5).处理过程同实施例1,但是将水凝胶膜40℃下浸入到壳聚糖和洁而灭浓度分别为10.0%和0.5%的生理盐水溶液中,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as that in Example 1, but the hydrogel film is immersed in the physiological saline solution with chitosan and chlorhydrin concentrations of 10.0% and 0.5% respectively at 40°C, and the chitosan M η =3000g mol -1 , DD≥95%.

实施例10Example 10

1).称取聚乙烯醇20.0g,溶于90.0g二次蒸馏水制成溶液A,其中聚乙烯醇聚合度2500,醇解度100%;1). Weigh 20.0 g of polyvinyl alcohol and dissolve it in 90.0 g of double-distilled water to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2500, and the degree of alcoholysis is 100%;

2).取聚环氧乙烷10.0g溶于50.0g二次蒸馏水中,制成溶液B,其中聚环氧乙烷Mη=6.3×105g mol-12). Dissolve 10.0 g of polyethylene oxide in 50.0 g of double-distilled water to prepare solution B, wherein polyethylene oxide Mη=6.3×10 5 g mol −1 ;

3).溶液A和溶液B混合后,加入卡拉胶4.0g和40.0g甘油、聚乙二醇200、二次水混合溶液,搅拌2h,得到溶液3,其中有甘油4.0g,聚乙二醇100 10.0g,溶液3中固体聚合物含量17%;3). After mixing solution A and solution B, add 4.0 g of carrageenan, 40.0 g of glycerin, polyethylene glycol 200, and secondary water, and stir for 2 hours to obtain solution 3, which contains 4.0 g of glycerin, polyethylene glycol 100 10.0g, solid polymer content 17% in solution 3;

4).压膜过程同实施例1,压膜厚至3毫米,60Coγ-射线辐照交联,剂量为10kGy,循环冷冻机冷冻-熔融循环处理7次;4). The lamination process is the same as in Example 1, the lamination thickness is up to 3 mm, 60 Co gamma-ray irradiation crosslinking, the dosage is 10 kGy, and the freezing-melting cycle treatment is 7 times in a circulating freezer;

5).处理过程同实施例1,但是将室温真空干燥的凝胶20℃下浸入到壳聚糖和多粘菌素B浓度分别为10.0%和0.1%的生理盐水溶液中,壳聚糖Mη=3000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the gel dried in vacuum at room temperature is immersed in a physiological saline solution with a concentration of 10.0% and 0.1% of chitosan and polymyxin B at 20° C., and chitosan M η = 3000 g mol -1 , DD ≥ 95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

实施例11Example 11

1).称取聚乙烯醇20.0g溶于90.0g二次蒸馏水中制成溶液A,其中聚乙烯醇聚合度2000,醇解度98.5%;1). Weigh 20.0 g of polyvinyl alcohol and dissolve it in 90.0 g of double-distilled water to make solution A, wherein the degree of polymerization of polyvinyl alcohol is 2000, and the degree of alcoholysis is 98.5%;

2).取聚乙烯基吡咯烷酮10.0g,加入二次水50.0克制成溶液B,聚乙烯基吡咯烷酮重均分子量为1.2×106g mol-12). Take 10.0 g of polyvinylpyrrolidone and add 50.0 g of secondary water to make solution B. The weight average molecular weight of polyvinylpyrrolidone is 1.2×10 6 g mol −1 ;

3).溶液A和溶液B混合后加入10.0%(w)壳聚糖乙酸水溶液35.0g,加入30.0%(w)的明胶水溶液15.0g,另加甘油5.0g,山梨醇4.0g后,80℃搅拌2h,制得溶液3,壳聚糖Mη=5.0*105g mol-1,DD=95%,溶液3中固体聚合物含量20%;3). After mixing solution A and solution B, add 10.0% (w) chitosan acetic acid aqueous solution 35.0g, add 30.0% (w) gelatin aqueous solution 15.0g, add glycerin 5.0g, sorbitol 4.0g, 80 ℃ Stir for 2 hours to prepare solution 3, chitosan M η =5.0*10 5 g mol -1 , DD = 95%, and the solid polymer content in solution 3 is 20%;

4).压膜过程同实施例1,压膜厚至3毫米,60Coγ-射线辐照交联,剂量为30kGy,循环冷冻机冷冻-熔融循环处理3次,4). The lamination process is the same as in Example 1, the lamination thickness is up to 3 mm, 60 Co gamma-ray irradiation crosslinking, the dosage is 30 kGy, and the freezing-melting cycle treatment of circulating freezer is 3 times,

5).处理过程同实施例1,但是将冷冻干燥的凝胶20℃下浸入到壳聚糖和三氯叔丁醇浓度分别为10.0%和0.5%的中性磷酸盐缓冲溶液中,壳聚糖Mη=1000g mol-1,DD≥95%。5). The treatment process is the same as in Example 1, but the freeze-dried gel is immersed in a neutral phosphate buffer solution with a concentration of 10.0% and 0.5% of chitosan and chlorobutanol at 20°C, and the chitosan Sugar M η =1000 g mol -1 , DD≥95%.

水凝胶性能见附表1。The properties of the hydrogel are shown in Table 1.

附表1为各实施例中制备的含药物和壳聚糖的医用水凝胶敷料的性能 实施例   凝胶分数(%)    拉伸强度(MPa)   断裂伸长率(%)   拉伸负荷(N) 平衡吸水率(%)     1     70.3     0.568     190     4.48     330     2     60.7     0.619     248     3.32     315     3     72.5     0.599     267     4.47     300     4     59.2     0.452     260     2.61     227     5     58.3     0.669     160     3.32     265     6     50.2     0.712     250     3.53     532     7     90.3     0.650     300     3.62     282     8     75.0     0.560     350     3.41     300     9     82.5     0.620     150     3.10     250     10     45.2     0.470     300     2.70     340     11     58.2     0.420     270     2.30     350 Attached table 1 is the performance of the medical hydrogel dressing containing medicine and chitosan prepared in each embodiment Example Gel fraction (%) Tensile strength (MPa) Elongation at break (%) Tensile load (N) Equilibrium Water Absorption (%) 1 70.3 0.568 190 4.48 330 2 60.7 0.619 248 3.32 315 3 72.5 0.599 267 4.47 300 4 59.2 0.452 260 2.61 227 5 58.3 0.669 160 3.32 265 6 50.2 0.712 250 3.53 532 7 90.3 0.650 300 3.62 282 8 75.0 0.560 350 3.41 300 9 82.5 0.620 150 3.10 250 10 45.2 0.470 300 2.70 340 11 58.2 0.420 270 2.30 350

Claims (3)

1.一种含药物和壳聚糖的聚乙烯醇水凝胶敷料,由质量分数为10-20%的固体聚合物、质量分数为1-10%的增塑剂、质量分数为1-10%的保湿剂、质量分数为0.1-2%的药物和剩余量的溶剂组成;1. A polyvinyl alcohol hydrogel dressing containing medicine and chitosan, comprising a solid polymer of 10-20% by mass fraction, a plasticizer of 1-10% by mass fraction, and a mass fraction of 1-10% % of moisturizing agent, mass fraction of 0.1-2% of the drug and the remaining solvent composition; 所述固体聚合物为聚乙烯醇和壳聚糖以及下列的一种或数种:聚乙烯基吡咯烷酮、聚丙烯酸、丙烯酸-丙烯酰胺共聚物、聚环氧乙烷、明胶、卡拉胶或琼脂;其中聚乙烯醇聚合度为1500-3000,醇解度为98-100%;丙烯酸-丙烯酰胺共聚物中丙烯酸与丙烯酰胺质量比为3∶7;壳聚糖分子量为1000-1.0×106g mol-1,壳聚糖脱乙酰度为80-98%;The solid polymer is polyvinyl alcohol and chitosan and one or more of the following: polyvinylpyrrolidone, polyacrylic acid, acrylic acid-acrylamide copolymer, polyethylene oxide, gelatin, carrageenan or agar; wherein The degree of polymerization of polyvinyl alcohol is 1500-3000, and the degree of alcoholysis is 98-100%; the mass ratio of acrylic acid to acrylamide in the acrylic acid-acrylamide copolymer is 3:7; the molecular weight of chitosan is 1000-1.0×10 6 g mol -1 , the deacetylation degree of chitosan is 80-98%; 所述增塑剂为甘油、乙二醇、丙二醇或聚乙二醇;聚乙二醇分子量为100-1000g mol-1The plasticizer is glycerin, ethylene glycol, propylene glycol or polyethylene glycol; the molecular weight of polyethylene glycol is 100-1000g mol −1 ; 所述保湿剂为以下试剂的一种或数种:壳聚糖、甘油、乙二醇、丙二醇、聚乙二醇或山梨醇;聚乙二醇分子量为100-1000g mol-1The moisturizing agent is one or several of the following reagents: chitosan, glycerin, ethylene glycol, propylene glycol, polyethylene glycol or sorbitol; the molecular weight of polyethylene glycol is 100-1000g mol −1 ; 所述药物为可以局部使用的水溶性药物,有以下的一种或数种:抗菌药物多粘菌素B或环丙沙星;消毒防腐药洗必泰或洁而灭;凝血药酚磺乙胺或氨甲环酸;麻醉药三氯叔丁醇;水溶性抗癌药阿霉素;The drug is a water-soluble drug that can be used locally, and there are one or more of the following: antibacterial drug polymyxin B or ciprofloxacin; amine or tranexamic acid; anesthetic chlorobutanol; water-soluble anticancer drug doxorubicin; 所述溶剂为二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液。The solvent is double distilled water, physiological saline or phosphate neutral buffer solution. 2.一种制备权利要求1所述含药物和壳聚糖的聚乙烯醇水凝胶敷料的方法,其制备步骤为:2. a method for preparing the polyvinyl alcohol hydrogel dressing containing medicine and chitosan described in claim 1, its preparation step is: a)将聚乙烯醇溶解在二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,制成溶液A;a) dissolving polyvinyl alcohol in double distilled water, normal saline or phosphate neutral buffer solution to make solution A; b)将其余的聚乙烯基吡咯烷酮、聚丙烯酸、丙烯酸-丙烯酰胺共聚物或聚环氧乙烷中一种或多种溶解在二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,制成溶液B;b) Dissolving one or more of the remaining polyvinylpyrrolidone, polyacrylic acid, acrylic acid-acrylamide copolymer or polyethylene oxide in double distilled water, normal saline or phosphate neutral buffer solution to prepare Solution B; c)合并溶液A和溶液B,混合均匀,加入壳聚糖、明胶、卡拉胶,琼脂中的一种或多种,并加入增塑剂,保湿剂制成水凝胶溶液;c) Combine solution A and solution B, mix well, add chitosan, gelatin, carrageenan, one or more of agar, and add plasticizer, humectant to make hydrogel solution; d)水凝胶溶液室温静置后,加热至流动状态,制成厚度为1-5mm的水凝胶膜,循环冷冻-熔融处理1~7次;室温下60Coγ-射线或高能电子束射线辐照交联,剂量10-80kGy;d) After the hydrogel solution is allowed to stand at room temperature, it is heated to a fluid state to form a hydrogel film with a thickness of 1-5mm, which is subjected to cyclic freezing-melting treatment for 1-7 times; 60 Co gamma-rays or high-energy electron beam rays Irradiation cross-linking, dose 10-80kGy; e)辐照交联的水凝胶膜自然通风干燥,室温真空干燥或冷冻干燥,脱水的程度为30-100%,脱水的水凝胶膜辐射消毒,消毒的部分干燥水凝胶膜在无菌条件下浸入到含壳聚糖和药物的二次蒸馏水、生理盐水或磷酸盐中性缓冲溶液中,水凝胶溶胀达平衡后取出,密封,0-4℃低温保存。e) The radiation-crosslinked hydrogel film is naturally ventilated and dried, vacuum-dried or freeze-dried at room temperature, the degree of dehydration is 30-100%, the dehydrated hydrogel film is sterilized by radiation, and the sterilized partially dried hydrogel film is Immerse in double distilled water containing chitosan and drugs, physiological saline or phosphate neutral buffer solution under bacteria conditions, take out the hydrogel after it swells to equilibrium, seal it, and store it at a low temperature of 0-4°C. 3.如权利要求2所述的制备含药物和壳聚糖的聚乙烯醇水凝胶敷料的方法中的步骤d)所述循环冷冻-熔融处理后室温下辐照交联,也可以是室温下60Coγ-射线或高能电子束射线辐照交联,剂量10-80kGy;循环冷冻-熔融处理1~7次。3. step d) in the method for preparing the polyvinyl alcohol hydrogel dressing containing medicine and chitosan as claimed in claim 2) irradiation cross-linking at room temperature after the described cycle freeze-melt treatment, also can be room temperature Under 60 Co gamma-rays or high-energy electron beam radiation cross-linking, the dose is 10-80kGy; cycle freezing-melting treatment 1-7 times.
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