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海藻酸钠/聚(γ-谷氨酸)微球用于快速止血的安全性和有效性分析。

Analysis of Safety and Effectiveness of Sodium Alginate/Poly(γ-glutamic acid) Microspheres for Rapid Hemostasis.

机构信息

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, 639 Zhizaoju Road, Shanghai 200011, People's Republic of China.

Department of Thoracic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, People's Republic of China.

出版信息

ACS Appl Bio Mater. 2021 Aug 16;4(8):6539-6548. doi: 10.1021/acsabm.1c00671. Epub 2021 Jul 30.

Abstract

Most preventable deaths after trauma are related to hemorrhage and occur early after injury. Timely hemostatic treatment is essential to minimize blood loss and improve survival. Among the various treatment methods, the most economical and effective is to use a hemostatic agent. A powdered hemostatic agent can be used for wounds of any shape or depth with high compactness and excellent accumulation effect. Herein, we chose the natural, hydrophilic polymer poly(γ-glutamic acid) (γ-PGA) to form composite hemostatic microspheres with sodium alginate (SA), which show good biocompatibility, water absorptivity, and viscosity. The morphology and structure of the hemostatic microspheres were determined using Fourier transform infrared spectroscopy and scanning electron microscopy. The overall safety, hemolysis, pyrogenic, and intradermal irritation tests were examined. The relationship between hemostatic pressure and hemostatic time during microsphere use was also measured. The hemostatic effect was analyzed with a liver, spleen, and femoral artery bleeding model. The composite microspheres were well tolerated in vivo and exhibited better hemostatic effects in animal experiments than a microporous polysaccharide powder compound. Research results showed that SA/γ-PGA microspheres are materials with good hemostatic effect, high safety, and great potential in clinical applications.

摘要

大多数创伤后可预防的死亡与出血有关,并且发生在受伤后早期。及时进行止血治疗对于最大限度地减少失血和提高生存率至关重要。在各种治疗方法中,最经济有效的方法是使用止血剂。粉末状止血剂可用于任何形状和深度的伤口,具有高紧实度和出色的堆积效果。在这里,我们选择天然亲水性聚合物聚(γ-谷氨酸)(γ-PGA)与海藻酸钠(SA)形成复合止血微球,表现出良好的生物相容性、吸水性和粘度。使用傅里叶变换红外光谱和扫描电子显微镜确定止血微球的形态和结构。对止血微球的整体安全性、溶血、热原和皮内刺激试验进行了检查。还测量了使用微球期间止血压力和止血时间之间的关系。使用肝、脾和股动脉出血模型分析了止血效果。复合微球在体内具有良好的耐受性,在动物实验中表现出比微孔多糖粉末复合物更好的止血效果。研究结果表明,SA/γ-PGA 微球是一种具有良好止血效果、高安全性的材料,在临床应用中具有很大的潜力。

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