CN113209314A - Preparation method of color developing oral capsule for detecting laryngopharyngeal reflux disease - Google Patents
Preparation method of color developing oral capsule for detecting laryngopharyngeal reflux disease Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/001—Preparation for luminescence or biological staining
- A61K49/006—Biological staining of tissues in vivo, e.g. methylene blue or toluidine blue O administered in the buccal area to detect epithelial cancer cells, dyes used for delineating tissues during surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/001—Preparation for luminescence or biological staining
- A61K49/0063—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres
- A61K49/0069—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form
- A61K49/0089—Particulate, powder, adsorbate, bead, sphere
- A61K49/0091—Microparticle, microcapsule, microbubble, microsphere, microbead, i.e. having a size or diameter higher or equal to 1 micrometer
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
- G01N21/75—Systems in which material is subjected to a chemical reaction, the progress or the result of the reaction being investigated
- G01N21/77—Systems in which material is subjected to a chemical reaction, the progress or the result of the reaction being investigated by observing the effect on a chemical indicator
- G01N21/78—Systems in which material is subjected to a chemical reaction, the progress or the result of the reaction being investigated by observing the effect on a chemical indicator producing a change of colour
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Abstract
The application discloses a preparation method of a color developing oral capsule for detecting laryngopharynx reflux disease, which comprises the following steps: coating the non-degradable polymer material on the outer side of the color developing agent to form color developing particles; and filling the color developing particles into a hollow capsule body to obtain the color developing oral capsule. The chromogenic oral capsule prepared by the application is low in cost and suitable for being generally used clinically, and a patient can judge whether laryngopharynx regurgitation exists or not by observing the color change of sputum spitted out by cough, so that the chromogenic oral capsule can truly become an objective, accurate, simple, convenient, cheap and safe laryngopharynx regurgitation detection mode, and has great economic value and social significance.
Description
Technical Field
The invention relates to the field of medicines and medical instruments, in particular to a preparation method of a color developing oral capsule for detecting laryngopharynx reflux diseases.
Background
Laryngopharyngeal reflux disease is a series of syndromes caused by the reflux of gastric contents to laryngeal cavities, trachea, lung, pharyngeal cavity, nasal cavity, oral cavity, middle ear and other parts, and various syndromes occur due to the erosion of gastric juice on mucous membranes of upper and lower airways. Such as chronic pharyngitis, rhinitis, otitis media, laryngitis, tracheitis, asthma, throat tumors, etc. The morbidity is very high, and the initial estimation of the morbidity of the population is 5-10%.
At present, the clinical diagnosis of laryngopharyngeal reflux is mainly based on subjective speculation of symptom sign scores and experimental acid-resistant treatment, and accurate diagnosis is difficult. The objective detection method mainly comprises 24-hour esophagus pH value detection, saliva pepsin detection and the like. The gastric juice contains high-concentration hydrochloric acid and specific pepsin, the gastric juice flows back to the laryngopharynx part through the esophagus, so that the pH value of the esophagus and the laryngopharynx part is reduced, the pepsin in the saliva mainly comes from the gastric juice, and whether the gastric juice flows back can be judged by detecting the pH value of the esophagus and the content of the pepsin. The detection of the PH value of the esophagus is a current clinical standard detection mode, but the cost is high, one PH value detector is nearly 100 thousands, only 1 person can be detected in one day, the method is to insert a detection catheter into the laryngeal part of the pharynx and the esophagus from the nasal cavity to detect the PH value, the pain of a patient is great, and laryngopharyngeal regurgitation is often expressed as sometimes or not, the regurgitation does not happen when the patient is detected, and the inspection is not performed in turn when the regurgitation exists, so the positive rate is low, and the clinical practicability is influenced; 3000-element saliva pepsin is used for 1 person, the specificity and the sensitivity are not high at present, and no reflux condition exists during detection, so that the detection is rarely developed clinically.
Therefore, finding an objective, accurate, simple, cheap and safe laryngopharyngeal reflux detection method is a problem which needs to be solved urgently in clinic.
Disclosure of Invention
The invention provides a preparation method of a color developing oral capsule for detecting laryngopharynx reflux disease aiming at the problems.
The technical scheme adopted by the invention is as follows:
a preparation method of a color developing oral capsule for detecting laryngopharynx reflux disease comprises the following steps:
coating the transparent non-degradable polymer material on the outer side of the color developing agent to form color developing particles;
and filling the color developing particles into a hollow capsule body to obtain the color developing oral capsule.
The key node based on the production of laryngopharynx regurgitation series disease is that gastric juice has flowed back to positions such as laryngopharynx, trachea from the stomach, the theory of operation of the color development oral capsule of this application: can conveniently swallow through the capsule body, and avoid the color development granule to pollute laryngopharynx portion, after the oral capsule of color development got into the stomach, the capsule body dissolved, released the color development microballon, the color development microballon disperses into gastric juice, if there is the laryngopharynx palirrhea, the color development agent in the gastric juice probably dyes mucous membrane, phlegm saliva secretion at laryngopharynx position, and whether the patient observes the color change of the phlegm of coughing and spitting out and can judge that there is the laryngopharynx to flow backwards. The transparent layer is a non-degradable high polymer material, can safely coat the color developing agent, and the color developing microspheres are not degraded and absorbed, so that the color developing result is accurate and objective, safe and free from toxic and side effects.
By adopting an oral administration mode, whether laryngopharynx regurgitation exists can be judged by observing the color of the sputum spitted by cough, and the method is simple and convenient and is painless; the developing microsphere capsule can be taken for several days and several weeks, so that missed diagnosis is reduced; the developing microspheres are not degraded and absorbed, the developing result is accurate and objective, and the developing microspheres are safe and have no toxic or side effect; the preparation cost is low, and the preparation method is suitable for clinical common use. The method can really become an objective, accurate, simple, convenient, cheap and safe method for detecting laryngopharyngeal reflux, and has great economic value and social significance.
In practical use, the application method comprises the following steps: the patient suspected of laryngopharynx regurgitation takes the chromogenic microsphere capsule by himself/herself, 1-2 granules are taken each time, 1-4 times a day, sputum chromogenic is stopped to take the medicine, and the medicine is determined to be laryngopharynx regurgitation positive; the oral administration for 7-14 days has no color development and no medicine stopping, and is determined as negative laryngopharyngeal reflux.
In one embodiment of the present invention, the color-developing particles are in the micron or nanometer size and are prepared by microencapsulation. The color developing particles are in micro-scale or nano-scale, so that the color developing particles do not influence the color development and cause complications of gastrointestinal stimulation and gastrointestinal absorption.
In one embodiment of the present invention, the color-developing particles are prepared by a phase separation method, a physical mechanical method or an interfacial polymerization method.
In one embodiment of the present invention, the non-degradable polymer material is polyamide, silicone rubber, polyvinyl acid resin or polyvinyl alcohol.
The capsule body of the application can be any capsule body which can be dissolved in the stomach. In one embodiment of the present invention, the capsule body is a gelatin capsule body.
In one embodiment of the present invention, the color developer is a natural dye or a synthetic dye.
In one embodiment of the present invention, the color-developing agent is methylene blue.
In one embodiment of the present invention, the color-developing particles are prepared by interfacial polymerization, and the preparation process includes:
(1) preparing a water phase: adding polyvinyl alcohol (protective colloid) and OP-10 (emulsifier) into distilled water to form a mixed solution of 3.0 mass percent of polyvinyl alcohol and 1.5 mass percent of OP-10, uniformly stirring by using a magnetic stirrer, and adjusting the pH value to 12-13 by using 25 percent of NaOH solution to obtain the water phase.
(2) Preparing an organic phase: dissolving methylene blue (core material) and paraphthaloyl chloride (wall material) in tetrachloroethylene to form a mixed solution with the molar ratio of the core to the wall being 1:5, and uniformly dispersing the mixed solution by using ultrasonic with the power of 800W to prepare an organic phase.
(3) Emulsification: the organic phase was added to the aqueous phase (volume ratio 15:85) with high speed stirring and emulsified for 20min with stirring.
(4) Encapsulation: adding an ethylene diamine aqueous solution into a constant-pressure dropping funnel at a reaction temperature of 25 ℃ within 5min at a constant speed, wherein the molar ratio of the ethylene diamine to the terephthaloyl chloride is 2:1, reacting for 15min, and finally filtering and washing to obtain the polyamide-coated methylene blue color developing particles (the average particle size is 7.1 mu m).
The polyamide is a high polymer containing amide groups in a main chain repeating unit of a macromolecule, is a transparent high polymer material with high strength, stability to acid and alkali, no absorption, no degradation and no toxic or side effect, and is a main component for manufacturing surgical operation sutures. The textile industry is often used to make microcapsule materials for coating dyes, improving the level-dyeing property and the color fixation property of the dyes. The polyamide is used as a capsule material to wrap the color developing agent to form color developing particles, and has the advantages of excellent color development, good sealing property, no degradation, no absorption and no toxic or side effect.
Methylene blue is dark blue, and the sputum can turn blue with a very small amount of methylene blue, the contrast is bright, and no blue substance is generated in laryngopharynx, trachea and lung; other colors may affect the observation results due to bleeding (red), exudation (yellow, orange), necrotic suppuration (green, black), etc.; methylene blue is used as a biological staining agent and is clinically used for identifying benign and malignant lesions of nasal pharynx and larynx, gastrointestinal tract and tracheal mucosa; the traditional Chinese medicine composition is clinically used as an antidote for treating methemoglobinemia and cyanide poisoning, and is also used for treating thromboangiitis obliterans, neurodermatitis, lithangiuria (oral administration) and the like. However, oral pure methylene blue has obvious stimulation to gastrointestinal tracts, is commonly suffered from side effects of nausea, vomiting, diarrhea and the like, and can induce or aggravate laryngopharyngeal reflux; and after being absorbed by the stomach and intestine, the methylene blue possibly secretes polluted sputum from mucous membranes such as laryngopharynx and the like, so that the judgment of results is influenced. Methylene blue is a safer drug, but a few also cause headache, blood pressure decrease, arrhythmia, and even disturbance of consciousness. Urine is blue, and urination prick pain is a common symptom. Therefore, oral administration of methylene blue as a color developing agent for laryngopharynx regurgitation still needs to be subjected to sealing and isolating treatment, and the methylene blue (the color developing agent) is wrapped by a transparent layer made of a non-degradable polymer material to form methylene blue microspheres (color developing particles), so that the oral administration of methylene blue has the advantages of excellent color development, good sealing property, no degradation, no absorption and no toxic or side effect.
The invention has the beneficial effects that: the chromogenic oral capsule prepared by the application is low in cost and suitable for being generally used clinically, and a patient can judge whether laryngopharynx regurgitation exists or not by observing the color change of sputum spitted out by cough, so that the chromogenic oral capsule can truly become an objective, accurate, simple, convenient, cheap and safe laryngopharynx regurgitation detection mode, and has great economic value and social significance.
Description of the drawings:
FIG. 1 is a schematic representation of a chromogenic oral capsule made by the process of the present application;
FIG. 2 is a cross-sectional view of a chromogenic oral capsule made by the method of the present application.
The figures are numbered:
1. a capsule body; 2. a color developing particle; 3. a color-developing agent; 4. non-degradable high molecular material.
The specific implementation mode is as follows:
the present invention will be described in detail below with reference to the accompanying drawings.
As shown in fig. 1 and 2, a method for preparing a chromogenic oral capsule for detecting laryngopharyngeal reflux disease comprises the following steps:
coating the transparent non-degradable polymer material 4 on the outer side of the color developing agent 3 to form color developing particles 2;
and filling the color developing particles 2 into the hollow capsule body 1 to obtain the color developing oral capsule.
The key node based on the production of laryngopharynx regurgitation series disease is that gastric juice has flowed back to positions such as laryngopharynx, trachea from the stomach, the theory of operation of the color development oral capsule of this application: can conveniently swallow through the capsule body, and avoid the color development granule to pollute laryngopharynx portion, after the oral capsule of color development got into the stomach, the capsule body dissolved, released the color development microballon, the color development microballon disperses into gastric juice, if there is the laryngopharynx palirrhea, the color development agent in the gastric juice probably dyes mucous membrane, phlegm saliva secretion at laryngopharynx position, and whether the patient observes the color change of the phlegm of coughing and spitting out and can judge that there is the laryngopharynx to flow backwards. The transparent layer is a non-degradable high polymer material, can safely coat the color developing agent, and the color developing microspheres are not degraded and absorbed, so that the color developing result is accurate and objective, safe and free from toxic and side effects.
By adopting an oral administration mode, whether laryngopharynx regurgitation exists can be judged by observing the color of the sputum spitted by cough, and the method is simple and convenient and is painless; the developing microsphere capsule can be taken for several days and several weeks, so that missed diagnosis is reduced; the developing microspheres are not degraded and absorbed, the developing result is accurate and objective, and the developing microspheres are safe and have no toxic or side effect; the preparation cost is low, and the preparation method is suitable for clinical common use. The method can really become an objective, accurate, simple, convenient, cheap and safe method for detecting laryngopharyngeal reflux, and has great economic value and social significance.
In practical use, the application method comprises the following steps: the patient suspected of laryngopharynx regurgitation takes the chromogenic microsphere capsule by himself/herself, 1-2 granules are taken each time, 1-4 times a day, sputum chromogenic is stopped to take the medicine, and the medicine is determined to be laryngopharynx regurgitation positive; the oral administration for 7-14 days has no color development and no medicine stopping, and is determined as negative laryngopharyngeal reflux.
In practical application, the color-developing particles 2 are micron-sized or nano-sized and are prepared by microencapsulation technology. The color developing particles are in micro-scale or nano-scale, so that the color developing particles do not influence the color development and cause complications of gastrointestinal stimulation and gastrointestinal absorption.
In practice, the microencapsulation technique can be carried out by various conventional methods such as a phase separation method, a physical mechanical method, and an interfacial polymerization method.
In this embodiment, the non-degradable polymer material 4 is polyamide, silicone rubber, polyvinyl acid resin or polyvinyl alcohol.
The capsule body of the application can be any capsule body which can be dissolved in the stomach. In one embodiment of the present invention, the capsule body is a gelatin capsule body.
In actual use, the color developing agent can be natural dye or synthetic dye. In this embodiment, the color-developing agent is methylene blue.
In one embodiment of the present invention, the color-developing particles are prepared by interfacial polymerization, and the preparation process includes:
(1) preparing a water phase: adding polyvinyl alcohol (protective colloid) and OP-10 (emulsifier) into distilled water to form a mixed solution of 3.0 mass percent of polyvinyl alcohol and 1.5 mass percent of OP-10, uniformly stirring by using a magnetic stirrer, and adjusting the pH value to 12-13 by using 25 percent of NaOH solution to obtain the water phase.
(2) Preparing an organic phase: dissolving methylene blue (core material) and paraphthaloyl chloride (wall material) in tetrachloroethylene to form a mixed solution with the molar ratio of the core to the wall being 1:5, and uniformly dispersing the mixed solution by using ultrasonic with the power of 800W to prepare an organic phase.
(3) Emulsification: the organic phase was added to the aqueous phase (volume ratio 15:85) with high speed stirring and emulsified for 20min with stirring.
(4) Encapsulation: adding an ethylene diamine aqueous solution into a constant-pressure dropping funnel at a reaction temperature of 25 ℃ within 5min at a constant speed, wherein the molar ratio of the ethylene diamine to the terephthaloyl chloride is 2:1, reacting for 15min, and finally filtering and washing to obtain the polyamide-coated methylene blue color developing particles (the average particle size is 7.1 mu m).
The polyamide is a high polymer containing amide groups in a main chain repeating unit of a macromolecule, is a transparent high polymer material with high strength, stability to acid and alkali, no absorption, no degradation and no toxic or side effect, and is a main component for manufacturing surgical operation sutures. The textile industry is often used to make microcapsule materials for coating dyes, improving the level-dyeing property and the color fixation property of the dyes. The polyamide is used as a capsule material to wrap the color developing agent to form color developing particles, and has the advantages of excellent color development, good sealing property, no degradation, no absorption and no toxic or side effect.
Methylene blue is dark blue, and the sputum can turn blue with a very small amount of methylene blue, the contrast is bright, and no blue substance is generated in laryngopharynx, trachea and lung; other colors may affect the observation results due to bleeding (red), exudation (yellow, orange), necrotic suppuration (green, black), etc.; methylene blue is used as a biological staining agent and is clinically used for identifying benign and malignant lesions of nasal pharynx and larynx, gastrointestinal tract and tracheal mucosa; the traditional Chinese medicine composition is clinically used as an antidote for treating methemoglobinemia and cyanide poisoning, and is also used for treating thromboangiitis obliterans, neurodermatitis, lithangiuria (oral administration) and the like. However, oral pure methylene blue has obvious stimulation to gastrointestinal tracts, is commonly suffered from side effects of nausea, vomiting, diarrhea and the like, and can induce or aggravate laryngopharyngeal reflux; and after being absorbed by the stomach and intestine, the methylene blue possibly secretes polluted sputum from mucous membranes such as laryngopharynx and the like, so that the judgment of results is influenced. Methylene blue is a safer drug, but a few also cause headache, blood pressure decrease, arrhythmia, and even disturbance of consciousness. Urine is blue, and urination prick pain is a common symptom. Therefore, oral administration of methylene blue as a color developing agent for laryngopharynx regurgitation still needs to be subjected to sealing and isolating treatment, and the methylene blue (the color developing agent) is wrapped by a transparent layer made of a non-degradable polymer material to form methylene blue microspheres (color developing particles), so that the oral administration of methylene blue has the advantages of excellent color development, good sealing property, no degradation, no absorption and no toxic or side effect.
The above description is only for the preferred embodiment of the present invention and is not intended to limit the scope of the present invention, and all equivalent structural changes made by using the contents of the present specification and the drawings can be directly or indirectly applied to other related technical fields and are included in the scope of the present invention.
Claims (8)
1. A preparation method of a color developing oral capsule for detecting laryngopharynx reflux disease is characterized by comprising the following steps:
coating the transparent non-degradable high polymer material on the outer side of the color developing agent by a microencapsulation technology to form color developing particles;
and filling the color developing particles into a hollow capsule body to obtain the color developing oral capsule.
2. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease according to claim 1, wherein the chromogenic particles are in the micro-scale or nano-scale.
3. The method for preparing a chromogenic oral capsule for detecting laryngopharyngeal reflux disease according to claim 2, wherein the chromogenic particles are prepared by a phase separation method, a physical mechanical method or an interfacial polymerization method.
4. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease according to claim 1, wherein the non-degradable polymer material is polyamide, silicone rubber, polyvinyl acid resin or polyvinyl alcohol.
5. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease according to claim 1, wherein the capsule body is a gelatin capsule body.
6. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease as claimed in claim 1, wherein the chromogenic agent is a natural dye or a synthetic dye.
7. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease as claimed in claim 6, wherein the chromogenic agent is methylene blue.
8. The method for preparing the chromogenic oral capsule for detecting laryngopharyngeal reflux disease according to claim 7, wherein the chromogenic particles are prepared by interfacial polymerization, and the preparation process comprises:
(1) preparing a water phase: adding polyvinyl alcohol and OP-10 into distilled water to form a mixed solution of the polyvinyl alcohol with the mass fraction of 3.0% and the OP-10 with the mass fraction of 1.5%, uniformly stirring, and adjusting the pH value to 12-13 by using a 25% NaOH solution to prepare a water phase;
(2) preparing an organic phase: dissolving methylene blue and terephthaloyl chloride in tetrachloroethylene, wherein the molar ratio of the methylene blue to the terephthaloyl chloride is 1:5, and uniformly dispersing all the components by ultrasonic treatment to obtain an organic phase;
(3) emulsification: adding the organic phase into the water phase, wherein the volume ratio of the organic phase to the water phase is 15:85, and stirring and emulsifying for 20 min;
(4) encapsulation: and (2) adding an ethylene diamine aqueous solution into a constant-pressure dropping funnel at a reaction temperature of 25 ℃ within 5min at a constant speed, wherein the molar ratio of ethylene diamine to terephthaloyl chloride is 2:1, reacting for 15min, and finally filtering and washing to obtain the polyamide-coated methylene blue color developing particles.
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