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可生物降解的胶原海绵,用壳聚糖/焦磷酸钙纳米花增强,用于快速止血。

Biodegradable collagen sponge reinforced with chitosan/calcium pyrophosphate nanoflowers for rapid hemostasis.

机构信息

MIITKey Laboratory of Critical Materials Technology for New Energy Conversion and Storage, State Key Laboratory of Urban Water Resource and Environment, School of Chemistry and Chemical Engineering, Harbin Institute of Technology, Harbin, Heilongjiang 150010, China.

MIITKey Laboratory of Critical Materials Technology for New Energy Conversion and Storage, State Key Laboratory of Urban Water Resource and Environment, School of Chemistry and Chemical Engineering, Harbin Institute of Technology, Harbin, Heilongjiang 150010, China; State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, Donghua University, Shanghai 201620, China.

出版信息

Carbohydr Polym. 2017 Aug 15;170:271-280. doi: 10.1016/j.carbpol.2017.04.080. Epub 2017 Apr 29.

Abstract

Efficient and biodegradable hemostatic materials become increasingly important in civilian and military clinical. However, traditional hemostatic materials are difficult to achieve expected effects especially in parenchymal organs with rich vascularity. In facing these challenges, we designed a biodegradable collagen sponge reinforced with chitosan/calcium pyrophosphate nanoflowers (CPNFs-Col sponge) for rapid hemostasis. With specific performances, such as rapid water absorption ability, the positive surface rich in amino groups and high specific surface area (952.5mg), the obtained CNPFs-Col sponge with optimized composition could activate the intrinsic pathway of coagulation cascade, induce haemocytes and platelets adherence, promote the blood clotting and achieve hemorrhage control in vitro and in vivo. In addition, the CNPFs-Col sponge can be completely biodegraded in 3 weeks, which is suitable for post-operative treatment and peritoneal adhesion prevention. It can be concluded that the CPNFs-Col sponge would become a promising candidate for clinical hemostatic applications.

摘要

高效且可生物降解的止血材料在民用和军用临床中变得越来越重要。然而,传统的止血材料很难达到预期的效果,特别是在富含血管的实质器官中。面对这些挑战,我们设计了一种用壳聚糖/焦磷酸钙纳米花增强的可生物降解胶原海绵(CPNFs-Col 海绵),以实现快速止血。该海绵具有快速吸水能力、富含氨基的正表面和高比表面积(952.5mg)等特性,优化组成的 CPNFs-Col 海绵可以激活凝血级联的内在途径,诱导血细胞和血小板黏附,促进血液凝固,实现体外和体内的出血控制。此外,CPNFs-Col 海绵可以在 3 周内完全降解,适合术后治疗和预防腹膜粘连。可以得出结论,CPNFs-Col 海绵将成为一种有前途的临床止血应用候选材料。

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