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提升手术护理水平:利用奇亚籽黏液和聚乙烯吡咯烷酮开发与棉纱布生物相容的高吸水性替代品。

Enhancing Surgical Care: Development of Biocompatible, Superabsorbent Alternatives to Cotton Gauze Using Chia Mucilage and Poly(vinylpyrrolidone).

作者信息

Weege Kainan Akio, Ulson de Souza Antônio Augusto, Bierhalz Andrea Cristiane Krause, Feuser Paulo, Serafini Immich Ana Paula

机构信息

Graduate Program in Textile Engineering, Department of Textile Engineering, Federal University of Santa Catarina, Blumenau, SC 88040-900, Brazil.

Graduate Program in Chemical Engineering, Department of Chemical Engineering and Food Engineering, Federal University of Santa Catarina, Florianópolis, SC 88040-900, Brazil.

出版信息

ACS Omega. 2024 Oct 28;9(45):45591-45599. doi: 10.1021/acsomega.4c08073. eCollection 2024 Nov 12.

Abstract

Cotton gauze bandages have traditionally played a pivotal role in wound care and surgical procedures, absorbing fluids, including blood, and protecting against infection. However, their limited liquid absorption capacity raises concern about potential post-surgery complications if inadvertently retained. In response, resorbable and biocompatible polymers have emerged as a promising alternative to enhance surgical outcomes and mitigate inflammation. This study aims to develop a biocompatible, highly absorbent, and preferably resorbable substitute for cotton gauze, utilizing natural polysaccharides from chia seeds' mucilage alongside the synthetic polymer poly(vinylpyrrolidone) (PVP). Incorporating tranexamic acid, an antifibrinolytic agent, into the PVP solution enhances its efficacy in controlling blood flow. The polymer solution is then processed into nonwoven materials via solution blow spinning. UV-C radiation cross-linking is employed to bolster the nonwovens' performance and durability during liquid absorption and swelling. Results demonstrate that nonwoven samples comprising PVP and chia mucilage, cross-linked for 60 min with UV-C radiation, exhibit exceptional swelling capacity, absorbing approximately 3291% of their dry weight in saline solution. Microfiber analysis indicates alterations in fiber characteristics due to cross-linking duration. Cell viability tests affirm the biocompatibility of the produced materials. With their remarkable fluid absorption properties and potential for resorption, PVP/chia mucilage compositions supplemented with tranexamic acid offer a promising avenue for effectively managing surgical bleeding without adverse effects. Furthermore, these materials can safely remain within the surgical site, eventually undergoing natural resorption by the body owing to their resorbable nature.

摘要

传统上,棉纱布绷带在伤口护理和外科手术中发挥着关键作用,可吸收包括血液在内的液体,并预防感染。然而,其有限的液体吸收能力引发了人们对手术中若意外留存可能导致术后并发症的担忧。作为回应,可吸收且生物相容性良好的聚合物已成为一种有前景的替代品,有望改善手术效果并减轻炎症。本研究旨在利用奇亚籽黏液中的天然多糖以及合成聚合物聚乙烯吡咯烷酮(PVP),开发一种生物相容性好、高吸水性且最好可吸收的棉纱布替代品。将抗纤维蛋白溶解剂氨甲环酸加入PVP溶液中,可提高其控制血流的功效。然后通过溶液吹纺将聚合物溶液加工成非织造材料。采用紫外线C辐射交联以增强非织造材料在液体吸收和膨胀过程中的性能及耐用性。结果表明,用紫外线C辐射交联60分钟的含PVP和奇亚黏液的非织造样品表现出卓越的膨胀能力,在盐溶液中可吸收约为其干重3291%的液体。微纤维分析表明交联持续时间会改变纤维特性。细胞活力测试证实了所制备材料的生物相容性。氨甲环酸补充的PVP/奇亚黏液组合物具有出色的液体吸收性能及可吸收潜力,为有效控制手术出血且无不良影响提供了一条有前景的途径。此外,由于这些材料具有可吸收的特性,它们可以安全地留在手术部位,最终被身体自然吸收。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1f6/11561635/3e22ef33f9ee/ao4c08073_0001.jpg

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