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医学和牙科应用的明胶基止血剂概述:一篇叙述性文献综述

Gelatin-based hemostatic agents for medical and dental application at a glance: A narrative literature review.

作者信息

Irfan Nining Irfanita, Mohd Zubir Amir Zulhakim, Suwandi Asrul, Haris Muhammad Salahuddin, Jaswir Irwandi, Lestari Widya

机构信息

International Institute for Halal Research and Training (INHART), International Islamic University Malaysia (IIUM), Jalan Gombak, 53100 Selangor, Malaysia.

Klinik Pergigian Melaka Tengah, Jalan Tun Sri Lanang, Pengkalan Ramai, 75100 Melaka, Malaysia.

出版信息

Saudi Dent J. 2022 Dec;34(8):699-707. doi: 10.1016/j.sdentj.2022.11.007. Epub 2022 Nov 15.

Abstract

Uncontrolled bleeding is linked to higher treatment costs, risk of post-surgical infection and increased disease and death. Hemostatic agents are used to treat excessive bleeding. A good hemostatic agent controls bleeding effectively, reduces the need for blood transfusion, removes the need for systemic drugs to control bleeding, results in shorter surgery time, and reduces the cost and length of hospital stay of the patient. Gelatin-based hemostatic agents have been widely used in medical and dental procedures, owing to their biodegradability and biocompatibility, as well as availability and low cost of raw materials. In this narrative literature review, we discuss the background and different types of gelatin-based hemostatic agents in medical and dental procedures, the comparison of gelatin-based and non-gelatin-based hemostatic agents, and the usage and development of enhanced or novel gelatin-based hemostatic agents. Gelatin-based hemostatic agents are effective and important part of bleeding control, as evidenced by its wide application in medicine and dentistry. The development of novel combination gelatin-based hemostatic agents has much potential for effective control of excessive bleeding.

摘要

出血失控与更高的治疗成本、术后感染风险以及疾病和死亡率增加有关。止血剂用于治疗大出血。一种良好的止血剂能有效控制出血,减少输血需求,消除使用全身性药物控制出血的必要性,缩短手术时间,并降低患者的住院费用和住院时长。基于明胶的止血剂因其生物可降解性、生物相容性以及原材料的可得性和低成本,已在医疗和牙科手术中广泛使用。在这篇叙述性文献综述中,我们讨论了基于明胶的止血剂在医疗和牙科手术中的背景及不同类型、基于明胶和非基于明胶的止血剂的比较,以及增强型或新型基于明胶的止血剂的使用和发展。基于明胶的止血剂是出血控制的有效且重要组成部分,其在医学和牙科中的广泛应用证明了这一点。新型复合基于明胶的止血剂的开发在有效控制大出血方面具有很大潜力。

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