Background technology
Adhesion is the anomalous structure that connective fiber band and adjacent tissue or organ combine and formed.Adhesion formation has universality, it is reported 50% ~ 100% abdominal cavity and operation on pelvis can cause in various degree adhesion.The clinical severe complication that adhesion causes comprises intestinal obstruction, infertility, chronic pelvic pain etc., adds the difficulty of again performing the operation and the potentiality that complication occurs further.Therefore prevent tissue adhesion from being the problem that surgical field is paid much attention to.The physical barrier effect of clinical general employing adherence preventing material prevents the generation of bonding symptom.
Current existing adherence preventing material has following several: modification of chitosan, hyaluronic acid, shuttle methylcellulose.
Modification of chitosan is more common adherence preventing material, originally has excellent biological barrier performance and histocompatibility, is applied to and organizes wound surface, prevent postoperative tissue adhesion.Chitosan, owing to having biocompatibility and organizing the features such as degradability, can be used as desirable Post operation anti-blocking agent after making film theoretically.But it is not high enough that the chitin glue used clinically at present exists purity, and poor to a lot of preventing adhesiving effect, degradation speed is difficult to artificial adjustment, the degraded of chitin is also subject to the impact of Lysozyme Levels height in human body, and assimilation effect is unpredictable.Therefore application surface is narrow.Past, in the research of prevention of postoperative adhesion, is only limitted to abdominal operation Film with Preventing Adhesion intestinal obstruction.More because create ophthalmology untoward reaction, there is Mass disturbance, just promptly halted by SFDA.
Hyaluronic acid ultimate principle is the biological agent based on hyaluronic acid biocompatibility, physics (rheology) characteristic and the uniqueness good with crosslinked hyaluronan molecule.But natural hyaluronic acid is due to shorter in implant site retention time, and its Film with Preventing Adhesion effect can not reach desirable effect.Crosslinked hyaluronic acid has good biocompatibility, and longer in in-house retention time.Since then, crosslinked hyaluronic acid is as prevention and the effective preparation reducing tissue adhesion, and its application causes to be paid attention to widely.But because hyaluronic acid is expensive, cause patient's cost of seeking medical advice high, and hyaluronic acid many genus animal sources, there is Immunogenicity in vivo, and hyaluronic acid is complicated in the process of Isolation and purification, keep high-purity difficulty very large, and have heavy-metal residual, can cause implanting rear human body poisoning.
Shuttle methylcellulose is the one of cellulose ether, and usually used is its sodium salt.It has good biocompatibility, can degradablely absorb in vivo, and degradation product is without toxicity, side effect, to peritoneum nonirritant, can reduce Postoperative Adhesion of Abdominal Cavity Surgery incidence rate and alleviate adhesion.But shuttle methylcellulose absorbs degraded fast (4 days), far fewer than the time of wound healing, usually need to add plasticizer modification and can be applied to clinical, but it is controlled not realize degradation speed.
Summary of the invention
The present invention seeks to the deficiency overcoming above-mentioned prior art, provide a kind of operation wound position that can stick to voluntarily to form physical barriers, prevent the formation of adhesion and the preparation method of medical absorbable anti-adhesion film of degrading voluntarily in wound healing process, absorbing.
A technical scheme of the present invention is:
A kind of Antiadhesive film, sticks with paste liquid by carboxymethyl starch and gelatinized corn starch liquid mixes.
Another technical scheme of the present invention is:
A preparation method for Antiadhesive film, comprises following steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with water by carboxymethyl starch, furnishing starch milk, adds glycerol, under 160 DEG C of conditions, and gelatinizing;
(2) preparation of gelatinized corn starch liquid: by starch dissolution in distilled water, puts into the water-bath of 80 DEG C; Add cross-linking agent wherein, stir;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid, stir, this solution is poured in mould, puts into baking oven dry, prepared film is placed in vacuum bag for subsequent use.
Preferably, the cross-linking agent used in step 2 is: one or more in acrylic aldehyde, formaldehyde, sodium trimetaphosphate, polyvinyl alcohol.
Preferably, the middle gelatinized corn starch liquid of step (3) and carboxymethyl starch stick with paste the ratio of liquid is 2:1 ~ 1:3.
Preferably, in step (1), the ratio of carboxymethyl starch and water is 1g:20ml ~ 1g:40ml.
Preferably, in step (3), oven temperature is 50 DEG C.
Another technical scheme of the present invention is:
Antiadhesive film of the present invention is preventing the application in wound adhesion, promotion wound healing.
Tool of the present invention has the following advantages: Antiadhesive film clinical effectiveness of the present invention is excellent, safety is good, biodegradable, and preparation method is simple, low for equipment requirements, with low cost, can apply and large-scale industrial production.
Detailed description of the invention
Below by embodiment, the present invention is described in further detail, but scope is not limited to described content.
Embodiment 1
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:20mL), furnishing starch milk, gets starch milk 50g, adds glycerol 5g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 80 DEG C; Add the aqueous solution (concentration is 20g/L) of 2ml polyvinyl alcohol wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 2
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:20mL), furnishing starch milk, gets starch milk 50g, adds glycerol 5g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 80 DEG C; Add the aqueous solution (concentration is 15g/L) of 3ml acrylic aldehyde wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 3
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:20mL), furnishing starch milk, gets starch milk 50g, adds glycerol 5g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 80 DEG C; Add 2ml formaldehyde wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 4
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:20mL), furnishing starch milk, gets starch milk 50g, adds glycerol 5g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 80 DEG C; Add the aqueous solution (concentration is 17g/L) of 3ml sodium trimetaphosphate wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 5
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:40mL), furnishing starch milk, gets starch milk 50g, adds glycerol 4g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 40min of 85 DEG C; Add the aqueous solution (concentration is 20g/L) of 2ml polyvinyl alcohol wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 2:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 6
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:40mL), furnishing starch milk, gets starch milk 50g, adds glycerol 2g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 50min of 83 DEG C; Add the aqueous solution (concentration is 15g/L) of 3ml acrylic aldehyde wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:2), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 7
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:40mL), furnishing starch milk, gets starch milk 50g, adds glycerol 3g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 82 DEG C; Add 2ml formaldehyde wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:1), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
Embodiment 8
Prepare Antiadhesive film, comprise the steps:
(1) carboxymethyl starch sticks with paste the preparation of liquid: mixed with a certain amount of water by carboxymethyl starch (ratio of starch and water is 1g:40mL), furnishing starch milk, gets starch milk 50g, adds glycerol 2g wherein, under 160 DEG C of conditions, gelatinizing 50min;
(2) preparation of gelatinized corn starch liquid: by 5g starch dissolution in the distilled water of 50mL, puts into the water-bath 30min of 80 DEG C; Add the aqueous solution (concentration is 17g/L) of 3ml sodium trimetaphosphate wherein, stir 30min;
(3) preparation of Antiadhesive film: the gelatinized corn starch liquid that step (2) is obtained is added carboxymethyl starch obtained in step (1) and stick with paste in liquid (both ratios are 1:3), stir, add distilled water more wherein to Glass rod hardly hanging wire, leave standstill this solution to disappearance of bubbling.This solution the tape casting is poured in glass dish (mould), puts into the dry 48h of baking oven of 50 DEG C.Prepared film is placed in vacuum bag for subsequent use.
The Antiadhesive film test effect of embodiment 9 the application
The Antiadhesive film obtained with embodiment 1-8 carries out zoopery:
Get rabbit 26, general anesthesia, cut rabbit abdominal part open along center line, take out cornua uteri, destroy the serous coat at cornua uteri position, produce hemorrhage, form wound surface.Packet transaction, Antiadhesive film application 16 is only as experimental group (Antiadhesive film that each embodiment prepares is for 2 rabbits),, as positive controls, 5 as blank group, then suturing them for " the hundred luxuriant and rich with fragrance rice " of 5 employing Beijing Bailikang Biochem Co., Ltd..To draw materials after 15 days observation.Find that the rabbit intraperitoneal of experimental group does not all produce adhesion, Antiadhesive film degraded obviously, acceptance rate is 100%, positive controls two wound delayed healings, but do not have influence on final result, and blank group intraperitoneal produces serious extensive adhesion, cornua uteri not only produces the adhesion with self, and adhesive band scope is wide and adhesion intensity is high.