改善用于气管内导管的增塑聚氯乙烯的疏水性
Improving the Hydrophobicity of Plasticized Polyvinyl Chloride for Use in an Endotracheal Tube.
作者信息
Marcut Lavinia, Mohan Aurel George, Corneschi Iuliana, Grosu Elena, Paltanea Gheorghe, Avram Ionela, Badaluta Alexandra Valentina, Vasilievici Gabriel, Nicolae Cristian-Andi, Ditu Lia Mara
机构信息
Faculty of Medicine and Pharmacy, University of Oradea, 10 P-ta 1 December Street, RO-410073 Oradea, Romania.
Intensive Care Unit, Clinical Emergency Hospital Oradea, 65 Gheorghe Doja Street, RO-410169 Oradea, Romania.
出版信息
Materials (Basel). 2023 Nov 8;16(22):7089. doi: 10.3390/ma16227089.
An endotracheal tube (ETT) is a greatly appreciated medical device at the global level with widespread application in the treatment of respiratory diseases, such as bronchitis and asthma, and in general anesthesia, to provide narcotic gases. Since an important quantitative request for cuffed ETTs was recorded during the COVID-19 pandemic, concerns about infection have risen. The plasticized polyvinyl chloride (PVC) material used to manufacture ETTs favors the attachment of microorganisms from the human biological environment and the migration of plasticizer from the polymer that feeds the microorganisms and promotes the growth of biofilms. This leads to developing infections, which means additional suffering, discomfort for patients, and increased hospital costs. In this work, we propose to modify the surfaces of some samples taken from commercial ETTs in order to develop their hydrophobic character using surface fluorination by a plasma treatment in SF6 discharge and magnetron sputtering physical evaporation from the PTFE target. Samples with surfaces thus modified were subsequently tested using XPS, ATR-FTIR, CA, SEM + EDAX, profilometry, density, Shore A hardness, TGA-DSC, and biological antimicrobial and biocompatibility properties. The obtained results demonstrate a successful increase in the hydrophobic character of the plasticized PVC samples and biocompatibility properties.
气管内导管(ETT)是一种在全球范围内备受推崇的医疗器械,广泛应用于治疗呼吸系统疾病,如支气管炎和哮喘,以及在全身麻醉中输送麻醉气体。由于在新冠疫情期间对带套囊ETT的需求量很大,人们对感染的担忧也随之增加。用于制造ETT的增塑聚氯乙烯(PVC)材料有利于附着来自人类生物环境中的微生物,并且增塑剂会从聚合物中迁移出来,为微生物提供养分并促进生物膜的生长。这会导致感染的发生,意味着患者会遭受更多痛苦、不适,同时医院成本也会增加。在这项工作中,我们提议对从商用ETT上取下的一些样品表面进行改性,通过在SF6放电中进行等离子体处理以及从聚四氟乙烯靶材进行磁控溅射物理蒸发来进行表面氟化,从而提高其疏水性能。随后,使用X射线光电子能谱(XPS)、衰减全反射傅里叶变换红外光谱(ATR-FTIR)、接触角(CA)、扫描电子显微镜+能谱分析(SEM+EDAX)、轮廓仪、密度、邵氏A硬度、热重-差示扫描量热联用(TGA-DSC)以及生物抗菌和生物相容性特性对经过上述表面改性的样品进行测试。所获得的结果表明,增塑PVC样品的疏水性能和生物相容性特性成功得到了提高。
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