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[氧化纤维素的止血作用]

[Hemostatic effects of oxidized cellulose].

作者信息

Kollár P, Suchý P, Muselík J, Bajerová M, Havelka P, Sopuch T

机构信息

Veterinární a farmaceutická univerzita Brno, Farmaceutická fakulta, Ustav humánní farmakologie a toxikologie.

出版信息

Ceska Slov Farm. 2008 Jan;57(1):11-6.

Abstract

Oxidized cellulose ranks among nontoxic and biocompatible biopolymers. Oxidized regenerated cellulose (ORC) is manufactured from regenerated cellulose derived from wood pulp containing about 50% of cellulose. To obtain purified cellulose, it is necessary to decompose it in a chemical way and subsequently put it together to make "regenerated" cellulose. Thanks to its good hemostatic effects, high biosolubility and biodegradability, antioxidant and wound-healing properties, oxidized cellulose represents a suitable means for the therapy of bleeding conditions in various fields of medicine. In addition, the confirmed bactericidal effects of oxidized cellulose towards a wide spectrum of aerobic and anaerobic pathogens increase the therapeutic potential of this agent for use in clinical practice. At present there is a renewed interest in its wider use in clinical practice and in an improvement of the knowledge of its mechanisms of effects, which are tested in vitro, on animal models as well as in clinical studies. The present paper attempts to summarize the hitherto knowledge of hemostatic properties of oxidized cellulose and also to characterize other possible biological effects.

摘要

氧化纤维素属于无毒且生物相容的生物聚合物。氧化再生纤维素(ORC)由含有约50%纤维素的木浆衍生的再生纤维素制成。为了获得纯化的纤维素,有必要以化学方式对其进行分解,随后将其重新组合以制成“再生”纤维素。由于其良好的止血效果、高生物溶解性和生物降解性、抗氧化和伤口愈合特性,氧化纤维素是治疗医学各个领域出血状况的合适手段。此外,氧化纤维素对多种需氧和厌氧病原体的杀菌作用已得到证实,这增加了该药物在临床实践中的治疗潜力。目前,人们对其在临床实践中的更广泛应用以及对其作用机制的认识的提高重新产生了兴趣,这些作用机制已在体外、动物模型以及临床研究中进行了测试。本文试图总结迄今为止关于氧化纤维素止血特性的知识,并描述其他可能的生物学效应。

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