CN108853563B - Preparation method of absorbable suture line - Google Patents

Preparation method of absorbable suture line Download PDF

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CN108853563B
CN108853563B CN201810669285.6A CN201810669285A CN108853563B CN 108853563 B CN108853563 B CN 108853563B CN 201810669285 A CN201810669285 A CN 201810669285A CN 108853563 B CN108853563 B CN 108853563B
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mixing
stirring
mass ratio
taking
suture
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CN108853563A (en
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雷红军
庄文琴
刘红妹
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Hainan Biomaike Medical Technology Co.,Ltd.
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HAINAN JIANKE PHARMACEUTICAL CO Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/10At least partially resorbable materials containing macromolecular materials
    • A61L17/12Homopolymers or copolymers of glycolic acid or lactic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/005Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters containing a biologically active substance, e.g. a medicament or a biocide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/10At least partially resorbable materials containing macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/10At least partially resorbable materials containing macromolecular materials
    • A61L17/105Polyesters not covered by A61L17/12
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/20Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
    • A61L2300/204Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials with nitrogen-containing functional groups, e.g. aminoxides, nitriles, guanidines
    • A61L2300/206Biguanides, e.g. chlorohexidine
    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/20Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
    • A61L2300/204Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials with nitrogen-containing functional groups, e.g. aminoxides, nitriles, guanidines
    • A61L2300/208Quaternary ammonium compounds
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/20Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
    • A61L2300/216Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials with other specific functional groups, e.g. aldehydes, ketones, phenols, quaternary phosphonium groups
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/404Biocides, antimicrobial agents, antiseptic agents
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
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    • A61L2300/406Antibiotics
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/41Anti-inflammatory agents, e.g. NSAIDs
    • AHUMAN NECESSITIES
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
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    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/60Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
    • A61L2300/602Type of release, e.g. controlled, sustained, slow
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    • A61L2400/00Materials characterised by their function or physical properties
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Abstract

The invention discloses a preparation method of an absorbable suture, and belongs to the field of medicines. The invention improves the adhesion and the repair with cell tissues and promotes the tissue regeneration and repair by adding the cross-linking agent and simultaneously introducing the collagen and the chitosan, the activation of the cell tissues is beneficial to improving the local cell bioactivity of the suture part, and the absorption and the degradation of the absorbable suture line are promoted, thereby improving the healing effect. The invention solves the problems that the existing chemical synthesis thread is slow in absorption, is easy to cause hurting to the incised neogenetic tissue and is poor in compatibility with the organism.

Description

Preparation method of absorbable suture line
Technical Field
The invention belongs to the field of medicines, and particularly relates to a preparation method of an absorbable suture.
Background
The suture is one of the most basic and important materials in surgical operations, and is mainly used for hemostasis by suturing various tissues, residual cavity occlusion and tissue apposition. The medical suture belongs to one of biodegradable materials, is used for wound healing, tissue ligation and tissue fixation, and has important effect on the initial healing of the wound. Generally, the suture can be divided into two categories, namely absorbable suture and non-absorbable suture, wherein the non-absorbable suture is not degraded in vivo, and if the non-absorbable suture is not taken out, the non-absorbable suture is left in tissues as a body foreign body, so that the tissue infection is easily caused; the absorbable suture line is degraded in body tissues under the action of acid, alkali or enzyme, the degradation speed depends on the temperature and the pH value of the tissues and the liquid environment around the suture line, and the degraded products are converted into metabolites and excrement of a human body and are non-toxic and harmless. The main advantages of absorbable sutures compared to non-absorbable sutures are: non-antigenic (only slight tissue reaction on absorption); no pyrogenicity; the wound is completely healed; the stitches do not need to be removed, thereby relieving the pain of the patient and reducing the chance of inducing infection. Thus, absorbable sutures are a trend in surgical suture development. Most of the absorbable suture lines commonly used at present are catgut lines and high-molecular chemical synthetic lines, and the chemical synthetic lines are slow to absorb in actual use, so that the speed of wound recovery is not accelerated, the new tissues at the incision are easily injured, and a small amount of scars are formed. Therefore, there is a great market prospect in producing a suture that solves the above problems.
Disclosure of Invention
The technical problems to be solved by the invention are as follows: aiming at the problems that the existing chemical synthetic suture is slow in absorption, easily causes hurting injury to incised neogenetic tissues and is poor in compatibility with organisms, the preparation method of the absorbable suture is provided.
In order to solve the technical problems, the invention adopts the following technical scheme:
the preparation method of the absorbable suture line comprises the following steps:
(1) taking L-lysine hydrochloride according to a mass ratio of 7-12: adding 1, 4-butanediol into the mixture 2-4, stirring and mixing, adding camphorsulfonic acid and toluene, stirring and mixing to obtain a stirring mixture, and taking the stirring mixture according to a mass ratio of 1-5: 3-7, adding isopropanol, stirring and mixing, and distilling under reduced pressure to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to the mass ratio of 2-5: 3-8: 10-15, adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 30-40 min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 1-3: 7-10, adding triethylamine to obtain a mixed solution, and taking the stirring mixture A according to the mass ratio of 10-20: 2-5, adding the mixed solution, stirring and mixing to obtain a mixture;
(3) taking the mixture according to the mass ratio of 80-90: 10-20: 1-3, adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing to obtain a matrix, soaking the matrix in acetone for 2-3 hours, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried substance for later use;
(4) taking poly-L-lactic acid according to a mass ratio of 2-5: 1-3: 10-13, adding PHBV and 1, 4-dioxane, stirring and mixing at 25-30 ℃, adding polyvinylpyrrolidone with the mass being 20-30% of that of polylactic acid, carrying out melt spinning to obtain a suture matrix, and mixing the suture matrix with the components in a mass ratio of 1: 3-5, soaking the suture thread substrate in 60% ethanol by mass, stirring and mixing, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 1-3: 9-12, adding isopropanol, stirring and mixing to obtain a soaking solution, and taking the soaked suture line matrix according to a mass ratio of 1: 5-8, adding the obtained mixture into the soaking solution for soaking, taking out the soaked substance, washing the soaked substance with sterile water, and drying to obtain a dry suture base material;
(5) taking a dry suture base material according to a mass ratio of 2-5: 8-15, adding 1% glutaraldehyde water solution by mass, standing at 25-35 ℃, taking out the soaked suture base material, drying, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 2-5: 10-15, adding deionized water, mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 2-5: 1-3: 8-12, adding acetic acid, stirring and mixing to obtain a mixed solution a, and taking the washed objects according to the mass ratio of 10-30: 8-13: and 10-15 adding the mixed solution and the mixed solution a, standing at 2-4 ℃, filtering, taking out the spun yarn, rinsing with water, and drying to obtain the absorbable suture.
In the step (1), the addition amounts of the camphorsulfonic acid and the toluene are respectively 3-6% and 10-20% of the mass of the L-lysine hydrochloride.
The stirring conditions for stirring the mixture in the step (1) are as follows: heating to 115-125 ℃, stirring and mixing for 1-2 h.
The conditions for generating the reduced pressure distillate in the step (1) are as follows: stirring and mixing at 65-70 ℃ for 40-50 min, then preserving heat at-20 to-15 ℃ for 10-15 h, and distilling under reduced pressure to obtain the product.
The compound antibacterial agent in the step (2): benzalkonium chloride, erythromycin and chlorhexidine according to a mass ratio of 3-5: 1-3: 3-7, and mixing to obtain the product.
The stirring conditions of the substrate in the step (3) are as follows: stirring and mixing for 30-50 min at 70-80 ℃.
The melt spinning conditions in the step (5) are as follows: and (3) heating to 90-110 ℃ in a melt spinning machine for melt spinning.
Compared with other methods, the method has the beneficial technical effects that:
(1) the invention takes L-lysine hydrochloric acid and 1, 4-butanediol as raw materials to carry out polymerization reaction to form alcohol ester type monomers, then polyethylene glycol diacrylate is added, bactericidal and anti-inflammatory drugs such as benzalkonium chloride and erythromycin are loaded, the whole system forms hydrogel under the cross-linking action of ammonium persulfate and tetramethylethylenediamine free radical system, the hydrogel is loaded on the surface of a suturable line substrate, the hydrogel swells to a balance system under the action of water in blood during suturing to form a three-dimensional space network structure, can help to absorb overflowed blood to achieve the hemostatic effect, is covalently bonded with peptide ligand of a cell membrane receptor, thereby stimulating the adhesion and growth of cells in an antibacterial gel matrix and simultaneously slowly releasing the loaded antibacterial drugs, after suturing, the hydrogel can diminish inflammation and sterilize cell tissues at the local part of a wound and prevent infection, under the degradation action of human trypsin, the nano hydrogel is formed, and the human body is not damaged;
(2) the invention uses poly L-lactic acid, PHBV (copolymer of 3-hydroxybutyrate and 3-hydroxyvalerate), polyvinylpyrrolidone as base material, the poly L-lactic acid has suitable mechanical strength, good fiber flexibility, elasticity, will not cause the hurting injury to the new tissue of the incision, its knotting nature, holding the knotting and meets the requirements of clinical operation, meanwhile, the intermediate product decomposed in human body is L-lactic acid which is the normal metabolite of human body, it belongs to the endogenous active substance of human body, non-toxic, no teratogenesis possibility, but its hydrophilicity is weaker, it is not favorable for the cell to enter the pore space, adhere to and grow, the invention adds polyallylamine, the active amine group and the ester group in the added suture line matrix molecular chain carry on the aminolysis reaction, introduce hydroxy group in the aminolysis process, has improved the hydrophilic performance, at the same time, the basic performance of amine group neutralizes the carboxy group in the acid intermediate product so as to reduce the local inflammation caused by carboxy group around the implant material, the histocompatibility is improved, the heat stability in the spinning process is improved by adding PHBV (copolymer of 3-hydroxybutyrate and 3-hydroxyvalerate), an absorbable suture with better mechanical property is formed, meanwhile, the introduction of polyvinylpyrrolidone strengthens the hydrophilicity and biocompatibility of the suture, the advantage complementation is formed on a polylactic acid matrix, and the degradation rate of the absorbable suture is accelerated;
(3) the invention improves the adhesion and the repair with cell tissues and promotes the tissue regeneration and repair by adding the cross-linking agent and simultaneously introducing the collagen and the chitosan, the activation of the cell tissues is beneficial to improving the local cell bioactivity of the suture part, and the absorption and the degradation of the absorbable suture line are promoted, thereby improving the healing effect.
Detailed Description
A preparation method of absorbable suture comprises the following steps:
compound antibacterial agent: benzalkonium chloride, erythromycin and chlorhexidine according to a mass ratio of 3-5: 1-3: 3-7, and mixing to obtain the product.
Taking L-lysine hydrochloride according to a mass ratio of 7-12: 2-4, adding 1, 4-butanediol, stirring and mixing for 20-30 min, adding camphorsulfonic acid accounting for 3-6% of the mass of L-lysine hydrochloride and toluene accounting for 10-20% of the mass of L-lysine hydrochloride, heating to 115-125 ℃, stirring and mixing for 1-2 h to obtain a stirring mixture, and taking the stirring mixture according to the mass ratio of 1-5: 3-7, adding isopropanol, stirring and mixing at 65-70 ℃ for 40-50 min, then preserving heat at-20 to-15 ℃ for 10-15 h, and carrying out reduced pressure distillation to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to the mass ratio of 2-5: 3-8: 10-15, adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 30-40 min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 1-3: 7-10, adding triethylamine to obtain a mixed solution, and taking the stirring mixture A according to the mass ratio of 10-20: 2-5, adding the mixed solution, and stirring and mixing for 40-60 min to obtain a mixture;
(3) taking the mixture according to the mass ratio of 80-90: 10-20: 1-3, adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing at 70-80 ℃ for 30-50 min to obtain a matrix, soaking the matrix in acetone for 2-3 h, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried product for later use;
(4) taking poly-L-lactic acid according to a mass ratio of 2-5: 1-3: 10-13, adding PHBV and 1, 4-dioxane, stirring and mixing at 25-30 ℃ for 20-30 min, adding polyvinylpyrrolidone with the mass being 20-30% of polylactic acid, heating to 90-110 ℃ in a melt spinning machine for melt spinning to obtain a suture matrix, and taking the suture matrix according to the mass ratio of 1: 3-5, soaking the suture thread substrate in 60% ethanol by mass, stirring and mixing for 2-3 h, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 1-3: 9-12, adding isopropanol, stirring and mixing for 30-40 min to obtain a soaking solution, and taking the soaked suture line matrix according to the mass ratio of 1: 5-8, adding the mixture into the soaking solution, soaking for 3-5 hours at the temperature of 30-40 ℃, taking out the soaked substance, washing the soaked substance with sterile water, and drying to obtain a dry suture base material;
(5) taking a dry suture base material according to a mass ratio of 2-5: 8-15, adding a glutaraldehyde aqueous solution with the mass fraction of 1%, standing at 25-35 ℃ for 3-4 h, taking out the soaked suture base material, drying, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 2-5: 10-15, adding deionized water, mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 2-5: 1-3: adding acetic acid into the mixture 8-12, stirring and mixing for 30-40 min to obtain a mixed solution a, and taking the washed objects according to a mass ratio of 10-30: 8-13: 10-15, adding the mixed solution and the mixed solution a, standing at 2-4 ℃ for 18-24 h, filtering, taking out the spinning, rinsing with water, and drying to obtain the absorbable suture.
A preparation method of absorbable suture comprises the following steps:
compound antibacterial agent: benzalkonium chloride, erythromycin and chlorhexidine according to the mass ratio of 3: 1: 3, mixing to obtain the product.
Taking L-lysine hydrochloride according to a mass ratio of 7: 2, adding 1, 4-butanediol, stirring and mixing for 20min, adding camphorsulfonic acid accounting for 3% of the mass of the L-lysine hydrochloride and toluene accounting for 10% of the mass of the L-lysine hydrochloride, heating to 115 ℃, stirring and mixing for 1h to obtain a stirring mixture, taking the stirring mixture according to the mass ratio of 1: 3 adding isopropanol, stirring and mixing at 65 ℃ for 40min, preserving the temperature at-20 ℃ for 10h, and distilling under reduced pressure to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to the mass ratio of 2: 3: 10, adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 30min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 1: 7 adding triethylamine to obtain a mixed solution, and taking the stirring mixture A according to a mass ratio of 10: 2, adding the mixed solution, and stirring and mixing for 40min to obtain a mixture;
(3) taking the mixture according to the mass ratio of 80: 10: 1, adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing for 30min at 70 ℃ to obtain a matrix, soaking the matrix in acetone for 2h, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried substance for later use;
(4) taking poly L-lactic acid according to the mass ratio of 2: 1: 10 adding PHBV and 1, 4-dioxane, stirring and mixing for 20min at 25 ℃, adding polyvinylpyrrolidone with the mass of 20 percent of polylactic acid, heating to 90 ℃ in a melt spinning machine for melt spinning to obtain a suture matrix, taking the suture matrix according to the mass ratio of 1: 3, soaking the suture thread substrate in 60% ethanol by mass, stirring and mixing for 2 hours, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 1: 9, adding isopropanol, stirring and mixing for 30min to obtain a soaking solution, and taking the soaked suture line matrix according to the mass ratio of 1: 5, adding the mixture into the soaking solution, soaking for 3 hours at the temperature of 30 ℃, taking out the soaked substance, washing the soaked substance by using sterile water, and drying to obtain a dry suture line base material;
(5) taking the dry suture base material according to the mass ratio of 2: 8, adding 1% glutaraldehyde aqueous solution by mass, standing at 25 ℃ for 3 hours, taking out the soaked suture base material, drying the suture base material, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 2: 10, adding deionized water, mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 2: 1: 8, adding acetic acid, stirring and mixing for 30min to obtain a mixed solution a, and taking washings according to a mass ratio of 10: 8: 10 adding the mixed solution and the mixed solution a, standing at 2 ℃ for 18h, filtering, taking out the spinning, rinsing with water, and drying to obtain the absorbable suture.
A preparation method of absorbable suture comprises the following steps:
compound antibacterial agent: benzalkonium chloride, erythromycin and chlorhexidine according to the mass ratio of 5: 3: 7, mixing to obtain the product.
Taking L-lysine hydrochloride according to a mass ratio of 12: 4, adding 1, 4-butanediol, stirring and mixing for 30min, adding camphorsulfonic acid accounting for 6% of the mass of the L-lysine hydrochloride and toluene accounting for 20% of the mass of the L-lysine hydrochloric acid, heating to 125 ℃, stirring and mixing for 2h to obtain a stirring mixture, and taking the stirring mixture according to the mass ratio of 5: 7 adding isopropanol, stirring and mixing at 70 ℃ for 50min, preserving heat at-15 ℃ for 15h, and distilling under reduced pressure to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to the mass ratio of 5: 8: 15, adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 40min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 3: 10, adding triethylamine to obtain a mixed solution, and taking the stirring mixture A according to a mass ratio of 20: 5 adding the mixed solution, stirring and mixing for 60min to obtain a mixture;
(3) taking the mixture according to a mass ratio of 90: 20: 3 adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing at 80 ℃ for 50min to obtain a matrix, soaking the matrix in acetone for 3h, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried substance for later use;
(4) taking poly-L-lactic acid according to the mass ratio of 5: 3: 13 adding PHBV and 1, 4-dioxane, stirring and mixing for 30min at 30 ℃, adding polyvinylpyrrolidone with the mass of 30 percent of polylactic acid, heating to 110 ℃ in a melt spinning machine for melt spinning to obtain a suture matrix, taking the suture matrix according to the mass ratio of 1: 5, soaking the suture thread substrate in 60% ethanol by mass for 3 hours under stirring, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 3: 12 adding isopropanol, stirring and mixing for 40min to obtain a soaking solution, and taking the soaked suture line matrix according to the mass ratio of 1: 8, adding the mixture into the soaking solution, soaking for 5 hours at 40 ℃, taking out the soaked substance, washing the soaked substance by using sterile water, and drying to obtain a dry suture line base material;
(5) taking the dry suture base material according to the mass ratio of 5: 15, adding 1% glutaraldehyde aqueous solution by mass, standing at 35 ℃ for 4 hours, taking out the soaked suture base material, drying the suture base material, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 5: 15 adding deionized water and mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 5: 3: 12, adding acetic acid, stirring and mixing for 40min to obtain a mixed solution a, and taking washings according to the mass ratio of 30: 13: 15 adding the mixed solution and the mixed solution a, standing for 24h at 4 ℃, filtering, taking out the spinning, rinsing with water, and drying to obtain the absorbable suture.
A preparation method of absorbable suture comprises the following steps:
compound antibacterial agent: benzalkonium chloride, erythromycin and chlorhexidine according to a mass ratio of 4: 2: 5, mixing to obtain the final product.
Taking L-lysine hydrochloride according to a mass ratio of 9: 3, adding 1, 4-butanediol, stirring and mixing for 25min, adding camphorsulfonic acid accounting for 4% of the mass of the L-lysine hydrochloride and toluene accounting for 15% of the mass of the L-lysine hydrochloride, heating to 120 ℃, stirring and mixing for 1h to obtain a stirring mixture, and taking the stirring mixture according to the mass ratio of 3: 5 adding isopropanol, stirring and mixing at 67 ℃ for 45min, preserving heat at-10 ℃ for 13h, and distilling under reduced pressure to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to a mass ratio of 4: 5: 13 adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 35min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 2: adding triethylamine into the mixture 8 to obtain a mixed solution, and taking the stirred mixture A according to a mass ratio of 15: 3 adding the mixed solution, stirring and mixing for 50min to obtain a mixture;
(3) taking the mixture according to a mass ratio of 85: 15: 2 adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing at 75 ℃ for 40min to obtain a matrix, soaking the matrix in acetone for 2h, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried substance for later use;
(4) taking poly-L-lactic acid according to the mass ratio of 3: 2: 12 adding PHBV and 1, 4-dioxane, stirring and mixing for 25min at 27 ℃, adding polyvinylpyrrolidone with the mass of 25 percent of polylactic acid, heating to 100 ℃ in a melt spinning machine for melt spinning to obtain a suture matrix, taking the suture matrix according to the mass ratio of 1: 4, soaking the suture thread substrate in 60% ethanol by mass, stirring and mixing for 2 hours, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 2: 10, adding isopropanol, stirring and mixing for 35min to obtain a soaking solution, and taking the soaked suture line matrix according to the mass ratio of 1: 6, adding the mixture into the soaking solution, soaking for 4 hours at 35 ℃, taking out the soaked substance, washing the soaked substance by using sterile water, and drying to obtain a dry suture line base material;
(5) taking a dry suture base material according to the mass ratio of 3: 12, adding 1% glutaraldehyde aqueous solution by mass, standing at 30 ℃ for 3 hours, taking out the soaked suture base material, drying the suture base material, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 3: 13 adding deionized water and mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 3: 2: 10, adding acetic acid, stirring and mixing for 35min to obtain a mixed solution a, and taking washings according to the mass ratio of 20: 11: 13 adding the mixed solution and the mixed solution a, standing at 3 ℃ for 21h, filtering, taking out the spinning, rinsing with water, and drying to obtain the absorbable suture.
Comparative example: absorbable suture manufactured by a company of Guangzhou city.
Selecting the crowd: 200 patients needing operations are screened in three hospitals, wherein the patients are 15-65 years old, 100 male patients and 100 female patients, all patients voluntarily carry out the test, and follow-up visits are carried out according to the test schedule.
Experimental groups used an absorbable suture obtained by the present invention; the control group used the comparative suture, and the effect of the surgical suture use was observed and recorded for the patients. The test results are shown in Table 1.
Table 1:
test items Example 1 Example 2 Example 3 Comparative example
Time to wound healing (Tian) 13 12 13 15~17
Number of allergic reaction cases 0 0 0 1~3
Suture absorption after 30 days Is completely absorbed Is completely absorbed Is completely absorbed Is partially absorbed
Scar condition Is basically free of Is basically free of Is basically free of With obvious scar
In conclusion, the absorbable suture line has short wound healing time, can be completely absorbed within 30 days, avoids secondary stitch removal, has an obvious use effect superior to that of a comparative example, and can be widely used.

Claims (4)

1. A preparation method of absorbable suture is characterized by comprising the following steps:
(1) taking L-lysine hydrochloride according to a mass ratio of 7-12: 2-4, adding 1, 4-butanediol, stirring and mixing for 20-30 min, adding camphorsulfonic acid accounting for 3-6% of the mass of L-lysine hydrochloride and toluene accounting for 10-20% of the mass of L-lysine hydrochloride, heating to 115-125 ℃, stirring and mixing for 1-2 h to obtain a stirring mixture, and taking the stirring mixture according to the mass ratio of 1-5: 3-7, adding isopropanol, stirring and mixing at 65-70 ℃ for 40-50 min, then preserving heat at-20 to-15 ℃ for 10-15 h, and carrying out reduced pressure distillation to obtain a reduced pressure distillate;
(2) taking the reduced pressure distillate according to the mass ratio of 2-5: 3-8: 10-15, adding polyethylene glycol diacrylate and N, N-dimethylacetamide, stirring and mixing for 30-40 min to obtain a stirred mixture A, and mixing the composite antibacterial agent according to a mass ratio of 1-3: 7-10, adding triethylamine to obtain a mixed solution, and taking the stirring mixture A according to the mass ratio of 10-20: 2-5, adding the mixed solution, stirring and mixing to obtain a mixture;
(3) taking the mixture according to the mass ratio of 80-90: 10-20: 1-3, adding ammonium persulfate and tetramethylethylenediamine, stirring and mixing to obtain a matrix, soaking the matrix in acetone for 2-3 hours, taking out the matrix, washing with sterile water, and freeze-drying to obtain a freeze-dried substance for later use;
(4) taking poly-L-lactic acid according to a mass ratio of 2-5: 1-3: 10-13, adding PHBV and 1, 4-dioxane, stirring and mixing at 25-30 ℃, adding polyvinylpyrrolidone with the mass being 20-30% of that of polylactic acid, carrying out melt spinning to obtain a suture matrix, and mixing the suture matrix with the components in a mass ratio of 1: 3-5, soaking the suture thread substrate in 60% ethanol by mass, stirring and mixing, taking out the soaked suture thread substrate, and taking polyallylamine according to the mass ratio of 1-3: 9-12, adding isopropanol, stirring and mixing to obtain a soaking solution, and taking the soaked suture line matrix according to a mass ratio of 1: 5-8, adding the obtained mixture into the soaking solution for soaking, taking out the soaked substance, washing the soaked substance with sterile water, and drying to obtain a dry suture base material;
(5) taking a dry suture base material according to a mass ratio of 2-5: 8-15, adding 1% glutaraldehyde water solution by mass, standing at 25-35 ℃, taking out the soaked suture base material, drying, washing with deionized water to obtain a washed object, and taking the freeze-dried object for later use in the step (3) according to the mass ratio of 2-5: 10-15, adding deionized water, mixing to obtain a mixed solution, and mixing collagen and chitosan according to a mass ratio of 2-5: 1-3: 8-12, adding acetic acid, stirring and mixing to obtain a mixed solution a, and taking the washed objects according to the mass ratio of 10-30: 8-13: and 10-15 adding the mixed solution and the mixed solution a, standing at 2-4 ℃, filtering, taking out the spun yarn, rinsing with water, and drying to obtain the absorbable suture.
2. The method for preparing absorbable suture of claim 1, wherein the step (2) is carried out by compounding antibacterial agents: benzalkonium chloride, erythromycin and chlorhexidine according to a mass ratio of 3-5: 1-3: 3-7, and mixing to obtain the product.
3. The method for preparing absorbable suture of claim 1, wherein the stirring conditions of the matrix material in step (3) are as follows: stirring and mixing for 30-50 min at 70-80 ℃.
4. The method for preparing absorbable suture of claim 1, wherein the melt spinning conditions in step (4) are as follows: and (3) heating to 90-110 ℃ in a melt spinning machine for melt spinning.
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