WO2020186804A1 - Gastrointestinal ultrasonographic developer and preparation method therefor - Google Patents

Gastrointestinal ultrasonographic developer and preparation method therefor Download PDF

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WO2020186804A1
WO2020186804A1 PCT/CN2019/120080 CN2019120080W WO2020186804A1 WO 2020186804 A1 WO2020186804 A1 WO 2020186804A1 CN 2019120080 W CN2019120080 W CN 2019120080W WO 2020186804 A1 WO2020186804 A1 WO 2020186804A1
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agent
gastrointestinal
contrast
ultrasound examination
parts
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PCT/CN2019/120080
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French (fr)
Chinese (zh)
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张海军
袁坤山
鲁手涛
王如蒙
刘黎明
曹文瑞
尹玉霞
周超
段翠海
刘光
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山东百多安医疗器械股份有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/22Echographic preparations; Ultrasound imaging preparations ; Optoacoustic imaging preparations

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  • the invention belongs to the field of medical ultrasonic inspection, and relates to a gastrointestinal ultrasonic inspection aid and a preparation method thereof.
  • the gastrointestinal tract occupies 3/4 of the abdominal cavity volume and constitutes the vast majority of the digestive tract. It is the organ with the highest incidence of the digestive system and one of the organs with a higher clinical incidence.
  • Gastrointestinal examination methods include: upper gastrointestinal barium meal, gastroscope, stomach CT, MRI, etc.
  • Upper gastrointestinal barium meal is simple, less painful, and easy for patients to accept, but barium meal examination is radioactive, and the examination results are affected by the barium coating, filling effect and the examiner's experience.
  • barium sulfate is relatively safe, for a small number of patients, adverse reactions and complications such as allergies, barium poisoning, barium leakage, barium sulfate fecal stone incarceration, aggravation of constipation, and even death may occur, limiting its clinical application.
  • adverse reactions and complications such as allergies, barium poisoning, barium leakage, barium sulfate fecal stone incarceration, aggravation of constipation, and even death may occur, limiting its clinical application.
  • the gastroscope can visualize the shape, color, location, size, and depth of the gastric mucosa, and check the disease under direct vision to determine the nature of the disease.
  • the gastroscope can only show the structure of the cavity and cannot observe the layer of the stomach wall and gastric motility. .
  • CT/MRI examination has high spatial resolution and clear display of anatomical structure. It is currently a common imaging method for gastric cancer staging; however, CT/MRI examination is not easy to find small lesions in the gastrointestinal cavity, and is of little value in the diagnosis of other gastrointestinal diseases. Not as a regular inspection method.
  • Ultrasound inspection has quickly opened the historical chapter of ultrasonic technology since the discovery of piezoelectric effect and inverse piezoelectric effect in physics in the early 20th century. Because of its noninvasiveness, painlessness, low price, good tolerance, and non-radioactivity, it has become a common and important inspection method in the substantial organs of the digestive system.
  • the current clinical application of gastrointestinal ultrasound examination mainly includes three methods: transabdominal gastrointestinal ultrasound examination, gastrointestinal filling ultrasound examination and endoscopic ultrasound.
  • Trans-abdominal gastrointestinal ultrasound examination is only for preliminary screening; endoscopy, which combines the advantages of endoscopy and ultrasound, makes up for their shortcomings, and further improves the diagnostic level of endoscopy and ultrasound.
  • the gastrointestinal filling ultrasound method uses a contrast agent (oral) to fill the gastrointestinal cavity and eliminate the gastrointestinal cavity.
  • the interference of gas, content, etc. on ultrasound improves the internal environment of gastrointestinal ultrasound imaging, thereby achieving a method for clearer display of gastrointestinal wall structure and its pathological changes.
  • This technology is the development trend of ultrasound examination of gastrointestinal diseases and can be popularized. Contrast agents are mainly in the form of non-echoic water and powder with echo. At present, the main application is the powder with echo.
  • the imaging agents on the Chinese market are mainly prepared by grinding, mixing, and blending local existing Chinese medicines or food materials, such as the development aids prepared by the Chinese medicine formulas described in CN102441180B, CN103611173B, etc., which have certain health care and therapeutic effects.
  • the display aid described in CN1721000A is prepared by grinding, mixing, and blending food materials.
  • the ultrasonic image display effect is better. Before use, it needs to be directly brewed with 90-100°C boiling water, quickly stirred to form a uniform paste solution, and wait to be cooled. After reaching the appropriate temperature (generally controlled at 30-50 degrees), instruct the patient to take an ultrasound examination after drinking or taking it.
  • the development aid described in patent CN105079829A utilizes a solid contrast to enhance the development aid effect.
  • This patent uses osmotic pressure contrast agent and specific particle size particles with strong physical and biochemical inertia to make the distribution area of the visualization aid in the gastrointestinal area more obvious and homogeneous and high-echoic area, which has a stronger visualization aid effect.
  • the oligofructose, sodium hyaluronate and bioactive glass in this patent can all play a good health care effect.
  • this patent can be used at room temperature, avoiding the cumbersome steps of high temperature dissolution.
  • the visualization aid described in this patent can more effectively display the structure of the gastrointestinal body wall layer during gastrointestinal ultrasound examination, with good filling contrast, enhancing the delineation of the edges of surrounding organs, and effectively reducing and eliminating false detection areas.
  • Shadow and interference fully show the background and surrounding normal structures and lesions (inflammation, ulcers, tumors, stones, etc.) size and scope, and has a certain health care effect.
  • the purpose of the present invention is to provide a gastrointestinal ultrasound examination aid with a stronger effect and health-care function, which uses an osmotic pressure contrast agent and a solid contrast material with a specific particle size with strong physical and biochemical inertness.
  • the distribution area of the visualization aid is a more obvious homogeneous and high-echo area, which has a stronger visualization effect; the biologically active substances contained in the raw materials can promote the healing of small wound diseases, regulate the balance of the intestinal flora, and have a beneficial effect on the gastrointestinal tract. Certain health effects.
  • a gastrointestinal ultrasound examination aid which is made of the following components by weight: 0.1-3.0 parts of swelling substance, 5-15 parts of osmotic pressure contrast agent, 0.2-2.0 parts of solid contrast material, 0.005- 0.1 parts defoamer, 0.01-0.05 parts flavoring agent, 79.85-94.685 parts purified water.
  • the swelling material, osmotic pressure contrast agent, solid contrast material, defoamer, corrective agent and purified water total 100 parts by weight, wherein the mass percentage of each component is: 0.1-3.0% of the swelling material, The osmotic pressure contrast agent is 5-15%, the solid contrast material is 0.2-2.0%, the antifoaming agent is 0.005-0.1%, the flavoring agent is 0.01-0.05%, and the purified water makes up 100%.
  • the swelling substance is a mixture of hyaluronic acid-based substances and other swelling substances, and the other swelling substances are one or more of water-soluble cellulose, gum arabic, xanthan gum and polyvinylpyrrolidone, wherein the hyaluronic acid Acidic substances account for 5%-15% (mass fraction) of all swelling substances.
  • the swelling substance can increase the viscosity of the visualization aid, thereby prolonging the residence time.
  • the hyaluronic acid substance can not only extend the residence time, but also promote the repair of the injured part.
  • Hyaluronic acid can also form a protective film. Harmful substances outside the organization form a shielding effect.
  • the hyaluronic acid substance is one or two of hyaluronic acid and sodium hyaluronate, and its molecular weight is 500-1800000 Da.
  • the water-soluble cellulose is one or more of sodium carboxymethyl cellulose, hydroxypropyl cellulose and hydroxypropyl methyl cellulose.
  • the osmotic contrast agent is a mixture of at least one of xylitol and mannitol and fructooligosaccharides.
  • the quality of oligofructose accounts for 2.5%-7.5% of the total mass of the osmotic contrast agent.
  • the osmotic pressure contrast agent can increase the osmotic pressure of the visualization aid, not only can extend the residence time, but also increase the visualization aid effect.
  • the oligofructose can also promote the proliferation of bifidobacteria; prevent heat and get angry; Improve human metabolism, improve intestinal function, improve immunity and disease resistance; promote the body's absorption of minerals; prevent constipation and dental caries; oligofructose reduces the production of toxic metabolites in the intestine, and accelerates the metabolism of toxic substances Excreted from the body, reduce the damage of toxic metabolites to the skin, make the skin beautiful, and play the role of detoxification and beauty.
  • the solid contrast is a mixture of at least one of calcium carbonate powder and silica powder and bioactive glass powder.
  • the mass of the bioactive glass micropowder accounts for 0.5%-1.5% of the total mass of the solid contrast.
  • the particle size of the solid contrast material is between 1 ⁇ m and 100 ⁇ m.
  • the solid contrast can enhance the substantive echo of the visualization aid, thereby increasing the visualization aid effect.
  • the bioactive glass in the body can degrade the growth factor to stimulate the growth of growth factors, repair damaged cells and tissues, and have anti-inflammatory and anti-inflammatory effects. And so on.
  • the defoaming agent is at least one of a silicone defoaming agent such as dimethyl siloxane and a polyether defoaming agent such as polyoxypropylene oxide glycerol ether.
  • the defoaming agent can reduce surface tension, Inhibit the production of foam or eliminate the foam that has been generated, and avoid the interference of bubbles on the help effect.
  • the silicone-based defoaming agent may be dimethylsiloxane or the like, and the polyether-based defoaming agent may be polyoxypropylene oxide ethylene glyceryl ether or the like.
  • the corrective agent is at least one of strawberry flavor, lemon flavor and apple flavor.
  • the corrective agent can improve or shield the bitterness of the developing aid, present a fruity and refreshing smell, and make the drinker resistant to the developing aid.
  • the receptivity is enhanced so that the development aid can play a better role.
  • the preparation method of the gastrointestinal ultrasound examination aid which includes the following steps: slowly adding the swelling substance, the osmotic pressure contrast agent, the solid contrast material, the antifoaming agent, and the correcting agent to the purified water with rapid mechanical stirring.
  • slowly adding the swelling substance, the osmotic pressure contrast agent, the solid contrast material, the antifoaming agent, and the correcting agent to the purified water with rapid mechanical stirring.
  • the components are thoroughly mixed and stirred in purified water for 12 hours, they are allowed to stand for 24 hours.
  • the resulting mixture is then divided into 100ml brown polyester bottles, which is the aid of gastrointestinal ultrasound examination.
  • the above preparation method further includes the step of irradiating and sterilizing the mixture dispensed into the brown polyester bottle under 15K-25K electron beam.
  • the swelling substance in the visualization aid can effectively increase the viscosity of the visualization aid and prolong its residence time in the gastrointestinal cavity, and the antifoaming agent can effectively eliminate the interference of gas in the cavity.
  • Osmotic contrast agent and solid contrast material can make the gastrointestinal tract show a uniformly distributed interface area with strong echo. It can understand the peristalsis and emptying function of the gastrointestinal tract. At the same time, it can clear the interference of mucus, effectively reduce and eliminate the examination
  • the artifacts and interference in the region can clearly show the hierarchical structure, thickness and pathological changes of the gastrointestinal tract, and make the diagnosis and differential diagnosis of gastrointestinal mucosal lesions, submucosal and extra-intestinal lesions, and play a stronger effect.
  • the hyaluronic acid in the visualization aid can not only increase the residence time, but also promote the migration of cells to the wound tissue.
  • the bioactive glass in the solid contrast can speed up cell metabolism and stimulate the secretion of wound healing factors. Both of these substances can Promote the healing of small wound diseases such as gastrointestinal ulcers; Fructooligosaccharide in the osmotic pressure contrast agent can significantly improve the proportion of microbial populations in the intestine, reduce and inhibit the production of spoilage in the intestine, inhibit the growth of harmful bacteria, and regulate the bacteria in the intestine Group balance. Therefore, the gastrointestinal ultrasound examination aid of the present invention has a certain health-care effect on the gastrointestinal tract and has a good application prospect in medical ultrasound examination.
  • Figure 1 is a flow chart of the preparation process of the aids for gastrointestinal ultrasound examination.
  • Figure 2 shows a sample of the aids for gastrointestinal ultrasound examination.
  • the corrective agent is strawberry flavor 0.01g
  • the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.005g
  • the osmotic pressure contrast agent is xylitol 4.75g
  • the solid contrast material has a particle size of 50 ⁇ m. 0.198 g of calcium carbonate powder, 0.002 g of bioactive glass powder with a particle size of 50 ⁇ m, and swelling substances of 1.35 g of sodium carboxymethyl cellulose, 1.35 g of hydroxypropyl cellulose and 0.30 g of sodium hyaluronate.
  • the difference is that the flavoring agent is 0.025g strawberry flavor, the antifoaming agent is 0.05g polyoxypropylene oxide ethylene glycerol, and the osmotic pressure contrast agent is wood.
  • Sugar alcohol 7.125g, oligofructose 0.375g, solid contrast is 30 ⁇ m calcium carbonate powder 0.99g, 70 ⁇ m particle size bioactive glass powder 0.01g, swelling material is hydroxypropyl methylcellulose 0.09g, hyaluronic acid Sodium acid 0.01g.
  • the difference is that the flavoring agent is 0.05g of strawberry essence, the antifoaming agent is 0.1g of polyoxypropylene oxide ethylene glycerol, and the osmotic pressure contrast agent is wood.
  • Sugar alcohol 14.25g, oligofructose 0.75g, solid contrast is 1.98g calcium carbonate powder with a particle size of 1 ⁇ m, bioactive glass powder with a particle size of 30 ⁇ m 0.02g, swelling material is gum arabic 1.35g, sodium hyaluronate 0.15g .
  • the gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the correcting agent is lemon essence 0.01g, the antifoaming agent is dimethylsiloxane 0.005g, and the osmotic pressure contrast agent is mannitol. 4.75g, 0.25g of oligofructose, solid contrast is 0.198g of silica powder with a particle size of 100 ⁇ m, 0.002g of bioactive glass powder with a particle size of 70 ⁇ m, the swelling substance is 0.09g of sodium carboxymethylcellulose, xanthan gum 1.41g and sodium hyaluronate 0.15g; the sterilization dose of electron beam irradiation is 20K.
  • the gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the flavoring agent is lemon flavor 0.025g, the antifoaming agent is dimethylsiloxane 0.05g, and the osmotic pressure contrast agent is mannitol. 7.125g, oligofructose 0.375g, solid contrast is 0.99g particle size 80 ⁇ m silica powder, 90 ⁇ m particle size bioactive glass powder 0.01g, swelling material is polyvinylpyrrolidone 2.70g, sodium hyaluronate 0.30g; electronic The beam irradiation sterilization dose is 20K.
  • the gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the flavoring agent is 0.05g lemon essence, the antifoaming agent is 0.1g dimethylsiloxane, and the osmotic pressure contrast agent is mannitol. 14.25g, 0.75g oligofructose, solid contrast is 1.98g of silica micropowder with particle size of 10 ⁇ m, 0.02g of bioactive glass powder with particle size of 20 ⁇ m, swelling material is acacia 0.68g, polyvinylpyrrolidone 0.67 and hyaluronic acid Sodium 0.15g; the sterilization dose of electron beam irradiation is 20K.
  • the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 40 ⁇ m calcium carbonate powder 0.495g, particle size 60 ⁇ m silica powder 0.495g and The bioactive glass powder with a particle size of 1 ⁇ m is 0.01g, the swelling material is 0.04g of xanthan gum, 0.05g of polyvinylpyrrolidone and 0.01g of sodium hyaluronate; the sterilization dose of electron beam irradiation is 25K.
  • the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 30 ⁇ m calcium carbonate powder 0.495g, 70 ⁇ m silicon dioxide powder 0.495g and The bioactive glass powder with a particle size of 90 ⁇ m is 0.01g, the swelling material is 0.04g of sodium carboxymethylcellulose, 0.05g of acacia and 0.01g of sodium hyaluronate; the sterilization dose of electron beam irradiation is 25K.
  • the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 10 ⁇ m calcium carbonate powder 0.495g, particle size 50 ⁇ m silica powder 0.495g and The bioactive glass powder with a particle size of 80 ⁇ m is 0.01g, the swelling material is hydroxypropylcellulose 0.01g, hydroxypropylmethylcellulose 1.35 xanthan gum 1.25 and sodium hyaluronate 0.30g; electron beam irradiation sterilization dose is 25K .
  • the difference is that: the flavoring agent is strawberry flavor 0.025g, the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.025g, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 7.125g, oligofructose 0.375g, the solid contrast is 0.99g of silica powder with a particle size of 50 ⁇ m and 0.01g of bioactive glass powder with a particle size of 50 ⁇ m, no added Swelling substance; the sterilization dose of electron beam irradiation is 20K.
  • the difference is that: the flavoring agent is lemon flavor 0.025g, the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.025g, dimethylsiloxane 0.025g, without adding osmotic pressure contrast agent, solid contrast is 0.99g of calcium carbonate powder with particle size of 50 ⁇ m, 0.01g of bioactive glass powder with particle size of 50 ⁇ m, swelling material is polyvinylpyrrolidone 1.35, sodium hyaluronate 0.15; electronic The beam irradiation sterilization dose is 20K.
  • the difference is that: the flavoring agent is 0.025g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is mannitol 7.125g, oligofructose 0.375g, no solid contrast is added, and the swelling material is gum arabic 1.35 and sodium hyaluronate 0.15.
  • the sterilization dose of electron beam irradiation is 20K.
  • Cytotoxicity test According to the method specified in GB/T 16886.5-2003, it is rated according to the United States Pharmacopoeia.
  • Oral mucosal irritation test According to the method specified in GB/T 16886.10-2005.
  • Sensitization test According to the maximum dose sensitization test method specified in GB/T 16886.10-2005.
  • Acute systemic toxicity test According to the method specified in GB/T 16886.11-2011, the dose is 50ml/kg orally administered once orally.
  • Osmotic pressure Take samples to determine the method in accordance with the general rule 0632 of the Pharmacopoeia of the People’s Republic of China (2015 edition).
  • the osmotic pressure of the sample is directly related to its residence time in the gastrointestinal cavity. The greater the osmotic pressure, the longer the residence time and the longer the filling effect.
  • Comparative Example 1 decreased the fastest, indicating that the swelling material played a key role in extending the residence time.
  • the filling degree of Comparative Examples 1-3 is much lower than that of Examples 1-9, indicating that the swelling material, the osmotic pressure contrast agent and the solid contrast material are the key factors to improve the filling degree.
  • the swelling material, osmotic pressure contrast agent and solid contrast material are used together to effectively increase the residence time of the visualization aid in the gastrointestinal cavity, and at the same time, remove the interference of gas and mucus in the cavity and eliminate artifacts.
  • the product does not require a complicated heating process and can be drunk directly, eliminating the complicated preparation process of grain gastrointestinal tract aids and providing patients with more convenient services.
  • the sodium hyaluronate contained in the product can promote cell migration to wound tissues, and bioactive glass can accelerate cell metabolism and stimulate the secretion of wound healing factors. Both of these substances can promote the healing of gastrointestinal ulcers and other minor wound diseases; oligomerization Fructose can promote the proliferation of bifidobacteria; prevent heat and get angry; increase human metabolism, improve intestinal function, improve immunity and disease resistance; promote the absorption of minerals by the human body; prevent constipation and dental caries; oligofructose Reduce the generation of toxic metabolites in the intestine, and accelerate the excretion of toxic metabolites from the body, reduce the damage of toxic metabolites to the skin, make the skin beautiful, and play the role of detoxification and beauty. Therefore, the gastrointestinal ultrasound examination aid described in this patent has a certain health effect on the gastrointestinal tract.

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Abstract

Disclosed are a gastrointestinal ultrasonographic developer and a preparation method therefor. The developer is prepared from the following components in parts by weight: 0.1-3.0 parts of a swelling material, 5-15 parts of an osmotic pressure contrast agent, 0.2-2.0 parts of a solid contrast agent, 0.005-0.1 parts of a defoamer, 0.01-0.05 parts of a flavoring agent and 79.85-94.685 parts of purified water.

Description

一种胃肠道超声检查助显剂及其制备方法Gastrointestinal ultrasound inspection aid and preparation method thereof 技术领域Technical field
本发明属于医学超声检查领域,涉及一种胃肠道超声检查助显剂及其制备方法。The invention belongs to the field of medical ultrasonic inspection, and relates to a gastrointestinal ultrasonic inspection aid and a preparation method thereof.
背景技术Background technique
胃肠道占据腹腔容积的3/4,构成消化管的绝大部分,是消化系统发病率最高的脏器,也是临床上发病率较高的脏器之一。为明确病变部位、性质等,常借助不同的检查方法辅助诊断。胃肠道检查方法包括:上消化道钡餐、胃镜、胃CT、MRI等。上消化道钡餐简便、痛苦小、患者易于接受,但钡餐检查具有放射性,检查结果受钡剂涂布、充盈效果及检査者经验的影响。尽管硫酸钡剂相对安全,但对于少数患者可能发生过敏、钡剂中毒、钡剂漏出及硫酸钡粪石嵌顿、加重便秘等不良反应及并发症,甚至造成死亡,限制其临床应用。尤其是老年、便秘,孕妇及钡剂过敏、急性上消化道出血等患者,X线钡餐检查不作为常规辅助诊断方法。胃镜能直观胃黏膜的形态、颜色、病变的部位、大小、深度,直视下取病检明确病变性质,但胃镜仅对腔内结构有较好的显示,不能观察胃壁的层次及胃蠕动等。由于胃镜为介入性检查,多数人有不适感,如不能耐受胃镜的老年病、合并严重心肺疾病患者、上消化道穿孔的急性期的患者、急性重症咽喉疾病患者、腐蚀性食管损伤的急性期患者及精神失常不能配合者等,从主观及客观上均限制了胃镜的应用。CT/MRI检查空间分辨率高,解剖结构显示清晰,目前是胃癌分期常用影像学检测方法;但CT/MRI检查不易发现胃肠腔内小病变,对于胃肠道的其它疾病诊断价值不大,不作为常规的检查方法。The gastrointestinal tract occupies 3/4 of the abdominal cavity volume and constitutes the vast majority of the digestive tract. It is the organ with the highest incidence of the digestive system and one of the organs with a higher clinical incidence. In order to clarify the location and nature of the lesion, different inspection methods are often used to assist the diagnosis. Gastrointestinal examination methods include: upper gastrointestinal barium meal, gastroscope, stomach CT, MRI, etc. Upper gastrointestinal barium meal is simple, less painful, and easy for patients to accept, but barium meal examination is radioactive, and the examination results are affected by the barium coating, filling effect and the examiner's experience. Although barium sulfate is relatively safe, for a small number of patients, adverse reactions and complications such as allergies, barium poisoning, barium leakage, barium sulfate fecal stone incarceration, aggravation of constipation, and even death may occur, limiting its clinical application. Especially for the elderly, constipation, pregnant women and patients with barium allergy, acute upper gastrointestinal bleeding, X-ray barium meal examination is not a routine auxiliary diagnosis method. The gastroscope can visualize the shape, color, location, size, and depth of the gastric mucosa, and check the disease under direct vision to determine the nature of the disease. However, the gastroscope can only show the structure of the cavity and cannot observe the layer of the stomach wall and gastric motility. . Since gastroscopy is an interventional examination, most people feel uncomfortable, such as senile diseases that cannot tolerate gastroscopy, patients with severe cardiopulmonary disease, patients with acute upper gastrointestinal perforation, patients with acute severe throat disease, acute corrosive esophageal injury Stage patients and those with mental disorders who cannot cooperate, subjectively and objectively limit the application of gastroscopy. CT/MRI examination has high spatial resolution and clear display of anatomical structure. It is currently a common imaging method for gastric cancer staging; however, CT/MRI examination is not easy to find small lesions in the gastrointestinal cavity, and is of little value in the diagnosis of other gastrointestinal diseases. Not as a regular inspection method.
超声检查自20世纪初,物理学上发现了压电效应与反压电效应之后,便迅速揭开了超声技术的历史篇章。因为其无创、无痛苦、价格低、耐受性好,无放射性而成为消化系统实质脏器中常见的、重要的检査方法。Ultrasound inspection has quickly opened the historical chapter of ultrasonic technology since the discovery of piezoelectric effect and inverse piezoelectric effect in physics in the early 20th century. Because of its noninvasiveness, painlessness, low price, good tolerance, and non-radioactivity, it has become a common and important inspection method in the substantial organs of the digestive system.
目前临床应用的胃肠超声检查主要包括经腹壁胃肠超声检查、胃肠充盈超声检查和超声内镜三种方法。经腹壁胃肠超声检查仅作初步筛查;内窥镜检查法,它结合了内镜和超声的优点,弥补了各自的不足,进一步提高了内镜和超声的诊断水平。但因其价格昂贵,操作复杂,有一定创伤,仅限于一些大医院开展,远不能普及;胃肠充盈超声检查法是通过一种造影剂(口服)充盈胃肠腔,消除了胃肠腔内气体、内容物等对超声波的干扰,改善了胃肠超声成像的内环境,从而达到使胃肠壁结构及其病变更加清晰显示的一种方法。这项技术是超声检查胃肠疾病的发展趋势,可普及开展。造影剂主要有无回声水剂型和有回声粉剂型,目前应用主要以有回声粉剂型为主。The current clinical application of gastrointestinal ultrasound examination mainly includes three methods: transabdominal gastrointestinal ultrasound examination, gastrointestinal filling ultrasound examination and endoscopic ultrasound. Trans-abdominal gastrointestinal ultrasound examination is only for preliminary screening; endoscopy, which combines the advantages of endoscopy and ultrasound, makes up for their shortcomings, and further improves the diagnostic level of endoscopy and ultrasound. However, due to its high price, complicated operation and certain trauma, it is limited to some large hospitals and is far from popular. The gastrointestinal filling ultrasound method uses a contrast agent (oral) to fill the gastrointestinal cavity and eliminate the gastrointestinal cavity. The interference of gas, content, etc. on ultrasound improves the internal environment of gastrointestinal ultrasound imaging, thereby achieving a method for clearer display of gastrointestinal wall structure and its pathological changes. This technology is the development trend of ultrasound examination of gastrointestinal diseases and can be popularized. Contrast agents are mainly in the form of non-echoic water and powder with echo. At present, the main application is the powder with echo.
目前,中国市场上的显影剂主要是采用地方现有的中药或食材通过研磨、混合、调配而成,如CN102441180B、CN103611173B等所述的中药配方制备的助显剂,具有一定的保健治疗作用。CN1721000A所述的助显剂是食材通过研磨、混合、调配而成,超声影像显示效果较好,其使用之前需要用90~100℃开水直接冲泡,迅速搅拌呈均匀的糊状溶液,待冷却至适宜温度后(一般控制在30-50度),嘱病人饮服后或边服边行超声检查。专利CN105079829A所述的助显剂利用固体对比物,起到增强助显的效果。本专利利用渗透压对比剂和物理生化惰性强的特定粒度微粒使助显剂在胃肠中的分布区呈更明显的均质高回声区,起到更强助显效果。而且本专利中的低聚果糖、透明质酸钠和生物活性玻璃均能起到良好的保健作用,另外,本专利在常温下便可使用,避免了高温冲溶的繁琐步骤。At present, the imaging agents on the Chinese market are mainly prepared by grinding, mixing, and blending local existing Chinese medicines or food materials, such as the development aids prepared by the Chinese medicine formulas described in CN102441180B, CN103611173B, etc., which have certain health care and therapeutic effects. The display aid described in CN1721000A is prepared by grinding, mixing, and blending food materials. The ultrasonic image display effect is better. Before use, it needs to be directly brewed with 90-100°C boiling water, quickly stirred to form a uniform paste solution, and wait to be cooled. After reaching the appropriate temperature (generally controlled at 30-50 degrees), instruct the patient to take an ultrasound examination after drinking or taking it. The development aid described in patent CN105079829A utilizes a solid contrast to enhance the development aid effect. This patent uses osmotic pressure contrast agent and specific particle size particles with strong physical and biochemical inertia to make the distribution area of the visualization aid in the gastrointestinal area more obvious and homogeneous and high-echoic area, which has a stronger visualization aid effect. Moreover, the oligofructose, sodium hyaluronate and bioactive glass in this patent can all play a good health care effect. In addition, this patent can be used at room temperature, avoiding the cumbersome steps of high temperature dissolution.
由R.Badea等人撰写的“Contrast ultrasonography of the digestive tract lumen.Review of the literature and personal experience”可知:国外一般用水、高分子的水溶液和混合造影剂的水溶液来增强造影效果。这三种方法中水的效果最差,其次是高分子的水溶液,最后是混合造影剂的水溶液。但即使是混合造影剂的水溶液也无法达到本专利所述助显剂的造影效果,因为本专利利用渗透压对比剂和物理生化惰性强的特定粒度微粒使助显剂分布区呈更明显的均质高回声区,起到更强助显效果。并且与国外三种造影溶液相比,本专利中的低聚果糖、透明质酸钠和生物活性玻璃均能起到良好的保健作用。The "Contrast ultrasonography of the digestive tract lumen. Review of the literature and personal experience" written by R. Badea et al. shows that foreign countries generally use water, polymer aqueous solutions and aqueous solutions of mixed contrast agents to enhance the contrast effect. Of the three methods, water has the worst effect, followed by aqueous polymer solutions, and finally an aqueous solution mixed with contrast agents. However, even an aqueous solution mixed with a contrast agent cannot achieve the contrast effect of the visualization aid described in this patent, because this patent uses an osmotic pressure contrast agent and a specific particle size particle with strong physical and biochemical inertness to make the distribution area of the visualization aid more uniform. The high-quality echo zone has a stronger effect. And compared with three foreign contrast solutions, the oligofructose, sodium hyaluronate and bioactive glass in this patent can all play a good health care effect.
因此,本专利所述助显剂在胃肠道超声检查时能更有效显示胃肠道本体壁层结构,充盈对比良好,增强周围脏器边缘的勾画,并能有效减少和消除检查区域的伪影和干扰,充分显示本底及周围正常结构和病变(炎症、溃疡、肿瘤、结石等)大小程度和范围,并且具有一定保健作用。Therefore, the visualization aid described in this patent can more effectively display the structure of the gastrointestinal body wall layer during gastrointestinal ultrasound examination, with good filling contrast, enhancing the delineation of the edges of surrounding organs, and effectively reducing and eliminating false detection areas. Shadow and interference, fully show the background and surrounding normal structures and lesions (inflammation, ulcers, tumors, stones, etc.) size and scope, and has a certain health care effect.
发明内容Summary of the invention
针对上述现有技术,本发明的目的在于提供一种更强助显效果和保健功能的胃肠道超声检查助显剂,利用渗透压对比剂和物理生化惰性强的特定粒度的固体对比物使助显剂分布区呈更明显的均质高回声区,起到更强助显效果;原材料中含有的生物活性物质可促进微小创口疾病的愈合,调节肠道内菌群平衡,对胃肠道具有一定的保健作用。In view of the above-mentioned prior art, the purpose of the present invention is to provide a gastrointestinal ultrasound examination aid with a stronger effect and health-care function, which uses an osmotic pressure contrast agent and a solid contrast material with a specific particle size with strong physical and biochemical inertness. The distribution area of the visualization aid is a more obvious homogeneous and high-echo area, which has a stronger visualization effect; the biologically active substances contained in the raw materials can promote the healing of small wound diseases, regulate the balance of the intestinal flora, and have a beneficial effect on the gastrointestinal tract. Certain health effects.
为实现上述目的,本发明采用如下技术方案:In order to achieve the above objectives, the present invention adopts the following technical solutions:
一种胃肠道超声检查助显剂,由下列重量份的组分制成:0.1-3.0份的溶胀物质,5-15份的渗透压对比剂,0.2-2.0份的固体对比物,0.005-0.1份的消泡剂,0.01-0.05份的矫味剂,79.85-94.685份的纯化水。A gastrointestinal ultrasound examination aid, which is made of the following components by weight: 0.1-3.0 parts of swelling substance, 5-15 parts of osmotic pressure contrast agent, 0.2-2.0 parts of solid contrast material, 0.005- 0.1 parts defoamer, 0.01-0.05 parts flavoring agent, 79.85-94.685 parts purified water.
进一步的,所述溶胀物质、渗透压对比剂、固体对比物、消泡剂、矫味剂和纯化水总 共为100重量份,其中各组分质量百分含量为:溶胀物质0.1-3.0%,渗透压对比剂5-15%,固体对比物0.2-2.0%,消泡剂0.005-0.1%,矫味剂0.01-0.05%,纯化水补足100%。Further, the swelling material, osmotic pressure contrast agent, solid contrast material, defoamer, corrective agent and purified water total 100 parts by weight, wherein the mass percentage of each component is: 0.1-3.0% of the swelling material, The osmotic pressure contrast agent is 5-15%, the solid contrast material is 0.2-2.0%, the antifoaming agent is 0.005-0.1%, the flavoring agent is 0.01-0.05%, and the purified water makes up 100%.
进一步的,所述溶胀物质为透明质酸类物质和其他溶胀物的混合物,其他溶胀物为水溶性纤维素、阿拉伯胶、黄原胶和聚乙烯吡咯烷酮中的一种或多种,其中透明质酸类物质为占全部溶胀物质的5%-15%(质量分数)。溶胀物质可增加助显剂的粘度,从而起到延长滞留时间的作用,其中的透明质酸类物质不但可以延长滞留时间,还可以促进受伤部位组织修复,透明质酸还可形成保护膜,对组织外的有害物质形成屏蔽作用。Further, the swelling substance is a mixture of hyaluronic acid-based substances and other swelling substances, and the other swelling substances are one or more of water-soluble cellulose, gum arabic, xanthan gum and polyvinylpyrrolidone, wherein the hyaluronic acid Acidic substances account for 5%-15% (mass fraction) of all swelling substances. The swelling substance can increase the viscosity of the visualization aid, thereby prolonging the residence time. The hyaluronic acid substance can not only extend the residence time, but also promote the repair of the injured part. Hyaluronic acid can also form a protective film. Harmful substances outside the organization form a shielding effect.
优选的,透明质酸类物质为透明质酸和透明质酸钠中的一种或两种,其分子量为500-1800000Da。优选的,所述水溶性纤维素为羧甲基纤维素钠、羟丙基纤维素和羟丙甲基纤维素中的一种或多种。Preferably, the hyaluronic acid substance is one or two of hyaluronic acid and sodium hyaluronate, and its molecular weight is 500-1800000 Da. Preferably, the water-soluble cellulose is one or more of sodium carboxymethyl cellulose, hydroxypropyl cellulose and hydroxypropyl methyl cellulose.
进一步的,所述渗透压对比剂为木糖醇和甘露醇中的至少一种和低聚果糖的混合物。低聚果糖质量占渗透压对比剂总质量的2.5%-7.5%。渗透压对比剂可以增加助显剂的渗透压,不但可以延长滞留时间,而且可以增加助显效果,其中的低聚果糖除上述作用外,还可促进双歧杆菌增殖;防止热气和上火;提高人体新陈代谢水平,改善肠道的功能,提高免疫力和抗病力;促进人体对矿物质的吸收;防止便秘和龋齿;低聚果糖在肠道内减少毒性代谢产物的生成,同时加快将毒性代谢物排出体外,减少毒性代谢物对皮肤的损伤,使皮肤亮丽,起到排毒养颜的作用。Further, the osmotic contrast agent is a mixture of at least one of xylitol and mannitol and fructooligosaccharides. The quality of oligofructose accounts for 2.5%-7.5% of the total mass of the osmotic contrast agent. The osmotic pressure contrast agent can increase the osmotic pressure of the visualization aid, not only can extend the residence time, but also increase the visualization aid effect. In addition to the above effects, the oligofructose can also promote the proliferation of bifidobacteria; prevent heat and get angry; Improve human metabolism, improve intestinal function, improve immunity and disease resistance; promote the body's absorption of minerals; prevent constipation and dental caries; oligofructose reduces the production of toxic metabolites in the intestine, and accelerates the metabolism of toxic substances Excreted from the body, reduce the damage of toxic metabolites to the skin, make the skin beautiful, and play the role of detoxification and beauty.
进一步的,所述固体对比物为碳酸钙微粉和二氧化硅微粉中的至少一种和生物活性玻璃微粉的混合物。生物活性玻璃微粉质量占固体对比物总质量的0.5%-1.5%。固体对比物质的粒径在1μm-100μm之间。固体对比物可以增强助显剂的实质回声,从而起到增加助显效果的作用,其中的生物活性玻璃在体内降解可刺激生长因子的生长,进而修复受损细胞和组织,并且还有消炎杀菌等作用。Further, the solid contrast is a mixture of at least one of calcium carbonate powder and silica powder and bioactive glass powder. The mass of the bioactive glass micropowder accounts for 0.5%-1.5% of the total mass of the solid contrast. The particle size of the solid contrast material is between 1 μm and 100 μm. The solid contrast can enhance the substantive echo of the visualization aid, thereby increasing the visualization aid effect. The bioactive glass in the body can degrade the growth factor to stimulate the growth of growth factors, repair damaged cells and tissues, and have anti-inflammatory and anti-inflammatory effects. And so on.
进一步的,所述消泡剂为有机硅类消泡剂如二甲基硅氧烷和聚醚类消泡剂如聚氧丙氧化乙烯甘油醚的至少一种,消泡剂可以降低表面张力,抑制泡沫产生或消除已产生泡沫,避免气泡对助显效果的干扰。所述有机硅类消泡剂可以为二甲基硅氧烷等,所述聚醚类消泡剂可以为聚氧丙氧化乙烯甘油醚等。Further, the defoaming agent is at least one of a silicone defoaming agent such as dimethyl siloxane and a polyether defoaming agent such as polyoxypropylene oxide glycerol ether. The defoaming agent can reduce surface tension, Inhibit the production of foam or eliminate the foam that has been generated, and avoid the interference of bubbles on the help effect. The silicone-based defoaming agent may be dimethylsiloxane or the like, and the polyether-based defoaming agent may be polyoxypropylene oxide ethylene glyceryl ether or the like.
进一步的,所述矫味剂为草莓香精、柠檬香精和苹果香精的至少一种,矫味剂可以改善或屏蔽助显剂苦味,呈现果香和清凉气息,使饮用者对助显剂的耐受性增强,以便于助显剂能够更好地发挥作用。Further, the corrective agent is at least one of strawberry flavor, lemon flavor and apple flavor. The corrective agent can improve or shield the bitterness of the developing aid, present a fruity and refreshing smell, and make the drinker resistant to the developing aid. The receptivity is enhanced so that the development aid can play a better role.
所述的胃肠道超声检查助显剂的制备方法,其包括以下步骤:将溶胀物质、渗透压对 比剂、固体对比物、消泡剂、矫味剂缓慢加入到快速机械搅拌的纯化水中,以免原料凝结成块,待各组分在纯化水中充分混匀、搅拌12h后,静置24h,所得混合物后分装到100ml棕色聚酯瓶中,即为胃肠道超声检查助显剂。The preparation method of the gastrointestinal ultrasound examination aid, which includes the following steps: slowly adding the swelling substance, the osmotic pressure contrast agent, the solid contrast material, the antifoaming agent, and the correcting agent to the purified water with rapid mechanical stirring. In order to prevent the raw materials from agglomerating into lumps, after the components are thoroughly mixed and stirred in purified water for 12 hours, they are allowed to stand for 24 hours. The resulting mixture is then divided into 100ml brown polyester bottles, which is the aid of gastrointestinal ultrasound examination.
进一步的,上述制备方法中,还包括将分装到棕色聚酯瓶中的混合物在电子束15K-25K下辐照灭菌的步骤。Further, in the above preparation method, it further includes the step of irradiating and sterilizing the mixture dispensed into the brown polyester bottle under 15K-25K electron beam.
本发明有益效果是:The beneficial effects of the present invention are:
助显剂中的溶胀物质能够有效增加助显剂的粘度,延长其在胃肠腔内的滞留时间,消泡剂能够有效清除腔内气体干扰。渗透压对比剂和固体对比物能使胃肠道显示一种均匀分布的较强回声的界面区,可了解胃肠道的蠕动和排空功能,同时可清除黏液的干扰,有效减少和消除检查区域的伪影和干扰,使胃肠道层次结构、厚度及其病变清晰显示,对胃肠道黏膜病变、黏膜下及肠道外病变进行诊断和鉴别诊断,起到更强助显效果。The swelling substance in the visualization aid can effectively increase the viscosity of the visualization aid and prolong its residence time in the gastrointestinal cavity, and the antifoaming agent can effectively eliminate the interference of gas in the cavity. Osmotic contrast agent and solid contrast material can make the gastrointestinal tract show a uniformly distributed interface area with strong echo. It can understand the peristalsis and emptying function of the gastrointestinal tract. At the same time, it can clear the interference of mucus, effectively reduce and eliminate the examination The artifacts and interference in the region can clearly show the hierarchical structure, thickness and pathological changes of the gastrointestinal tract, and make the diagnosis and differential diagnosis of gastrointestinal mucosal lesions, submucosal and extra-intestinal lesions, and play a stronger effect.
助显剂中的透明质酸类物质不但可以增加滞留时间,还可以促进细胞迁移至创伤组织,固体对比物中的生物活性玻璃可加快细胞新陈代谢,刺激分泌创伤愈合因子,这两种物质都可以促进胃肠溃疡等微小创口疾病的愈合;渗透压对比剂中的低聚果糖能明显改善肠道内微生物种群比例,可减少和抑制肠内腐败物质的产生,抑制有害细菌的生长,调节肠道内菌群平衡。故而本发明所述胃肠道超声检查助显剂对胃肠有一定的保健作用,在医学超声检查中具有良好的应用前景。The hyaluronic acid in the visualization aid can not only increase the residence time, but also promote the migration of cells to the wound tissue. The bioactive glass in the solid contrast can speed up cell metabolism and stimulate the secretion of wound healing factors. Both of these substances can Promote the healing of small wound diseases such as gastrointestinal ulcers; Fructooligosaccharide in the osmotic pressure contrast agent can significantly improve the proportion of microbial populations in the intestine, reduce and inhibit the production of spoilage in the intestine, inhibit the growth of harmful bacteria, and regulate the bacteria in the intestine Group balance. Therefore, the gastrointestinal ultrasound examination aid of the present invention has a certain health-care effect on the gastrointestinal tract and has a good application prospect in medical ultrasound examination.
附图说明Description of the drawings
图1为胃肠道超声检查助显剂的制备工艺流程图。Figure 1 is a flow chart of the preparation process of the aids for gastrointestinal ultrasound examination.
图2为胃肠道超声检查助显剂样品。Figure 2 shows a sample of the aids for gastrointestinal ultrasound examination.
具体实施方式detailed description
结合实施例对本发明作进一步的说明,应该说明的是,下述说明仅是为了解释本发明,并不对其内容进行限定。The present invention will be further described in conjunction with the embodiments. It should be noted that the following description is only for explaining the present invention and does not limit its content.
实施例1Example 1
按顺序依次将矫味剂、消泡剂、渗透压对比剂、固体对比物和溶胀物质缓慢加入到快速机械搅拌的纯化水中,加入过程中避免原料凝结成块,待各原料在纯化水中充分混匀,将样品定容至100ml,然后继续用强力机械搅拌器搅拌12h,待搅拌完成后静置24h,最后分装到100ml棕色聚酯瓶中,装箱,进行15K电子束辐照灭菌,即得胃肠道超声检查助显剂。其中所述矫味剂为草莓香精0.01g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.005g,渗透压对比剂为木糖醇4.75g、低聚果糖0.25g,固体对比物为粒径50μm的碳酸钙微粉0.198g、粒径50μm的生物 活性玻璃微粉0.002g,溶胀物质为羧甲基纤维素钠1.35g、羟丙基纤维素1.35g和透明质酸钠0.30g。Slowly add flavoring agent, defoaming agent, osmotic pressure contrast agent, solid contrast material and swelling substance to the purified water with rapid mechanical stirring in order, avoiding the raw materials from agglomeration during the adding process, and wait until the raw materials are fully mixed in the purified water Evenly, dilute the sample to 100ml, then continue to stir with a powerful mechanical stirrer for 12h, and let it stand for 24h after the stirring is completed, and finally divide it into 100ml brown polyester bottles, box them, and perform 15K electron beam irradiation sterilization. Obtain the aid of gastrointestinal ultrasound examination. The corrective agent is strawberry flavor 0.01g, the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.005g, the osmotic pressure contrast agent is xylitol 4.75g, oligofructose 0.25g, and the solid contrast material has a particle size of 50μm. 0.198 g of calcium carbonate powder, 0.002 g of bioactive glass powder with a particle size of 50 μm, and swelling substances of 1.35 g of sodium carboxymethyl cellulose, 1.35 g of hydroxypropyl cellulose and 0.30 g of sodium hyaluronate.
实施例2Example 2
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为草莓香精0.025g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.05g,渗透压对比剂为木糖醇7.125g、低聚果糖0.375g,固体对比物为粒径30μm的碳酸钙微粉0.99g、粒径70μm的生物活性玻璃微粉0.01g,溶胀物质为羟丙甲基纤维素0.09g、透明质酸钠0.01g。According to the method of Example 1, the difference is that the flavoring agent is 0.025g strawberry flavor, the antifoaming agent is 0.05g polyoxypropylene oxide ethylene glycerol, and the osmotic pressure contrast agent is wood. Sugar alcohol 7.125g, oligofructose 0.375g, solid contrast is 30μm calcium carbonate powder 0.99g, 70μm particle size bioactive glass powder 0.01g, swelling material is hydroxypropyl methylcellulose 0.09g, hyaluronic acid Sodium acid 0.01g.
实施例3Example 3
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为草莓香精0.05g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.1g,渗透压对比剂为木糖醇14.25g、低聚果糖0.75g,固体对比物为粒径1μm的碳酸钙微粉1.98g、粒径30μm的生物活性玻璃微粉0.02g,溶胀物质为阿拉伯胶1.35g、透明质酸钠0.15g。According to the method of Example 1, the difference is that the flavoring agent is 0.05g of strawberry essence, the antifoaming agent is 0.1g of polyoxypropylene oxide ethylene glycerol, and the osmotic pressure contrast agent is wood. Sugar alcohol 14.25g, oligofructose 0.75g, solid contrast is 1.98g calcium carbonate powder with a particle size of 1μm, bioactive glass powder with a particle size of 30μm 0.02g, swelling material is gum arabic 1.35g, sodium hyaluronate 0.15g .
实施例4Example 4
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为柠檬香精0.01g,消泡剂为二甲基硅氧烷0.005g,渗透压对比剂为甘露醇4.75g、低聚果糖0.25g,固体对比物为粒径100μm的二氧化硅微粉0.198g、粒径70μm的生物活性玻璃微粉0.002g,溶胀物质为羧甲基纤维素钠0.09g、黄原胶1.41g和透明质酸钠0.15g;电子束辐照灭菌剂量为20K。The gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the correcting agent is lemon essence 0.01g, the antifoaming agent is dimethylsiloxane 0.005g, and the osmotic pressure contrast agent is mannitol. 4.75g, 0.25g of oligofructose, solid contrast is 0.198g of silica powder with a particle size of 100μm, 0.002g of bioactive glass powder with a particle size of 70μm, the swelling substance is 0.09g of sodium carboxymethylcellulose, xanthan gum 1.41g and sodium hyaluronate 0.15g; the sterilization dose of electron beam irradiation is 20K.
实施例5Example 5
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为柠檬香精0.025g,消泡剂为二甲基硅氧烷0.05g,渗透压对比剂为甘露醇7.125g、低聚果糖0.375g,固体对比物为粒径80μm二氧化硅微粉0.99g、粒径90μm生物活性玻璃微粉0.01g,溶胀物质为聚乙烯吡咯烷酮2.70g、透明质酸钠0.30g;电子束辐照灭菌剂量为20K。The gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the flavoring agent is lemon flavor 0.025g, the antifoaming agent is dimethylsiloxane 0.05g, and the osmotic pressure contrast agent is mannitol. 7.125g, oligofructose 0.375g, solid contrast is 0.99g particle size 80μm silica powder, 90μm particle size bioactive glass powder 0.01g, swelling material is polyvinylpyrrolidone 2.70g, sodium hyaluronate 0.30g; electronic The beam irradiation sterilization dose is 20K.
实施例6Example 6
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为柠檬香精0.05g,消泡剂为二甲基硅氧烷0.1g,渗透压对比剂为甘露醇14.25g、低聚果糖0.75g,固体对比物为粒径10μm的二氧化硅微粉1.98g、粒径20μm的生物活性玻璃微粉0.02g,溶胀物质为阿拉伯胶0.68g、聚乙烯吡咯烷酮0.67和透明质酸钠0.15g;电子束辐照灭菌剂量为20K。The gastrointestinal ultrasound examination aid was prepared according to the method of Example 1. The difference is that the flavoring agent is 0.05g lemon essence, the antifoaming agent is 0.1g dimethylsiloxane, and the osmotic pressure contrast agent is mannitol. 14.25g, 0.75g oligofructose, solid contrast is 1.98g of silica micropowder with particle size of 10μm, 0.02g of bioactive glass powder with particle size of 20μm, swelling material is acacia 0.68g, polyvinylpyrrolidone 0.67 and hyaluronic acid Sodium 0.15g; the sterilization dose of electron beam irradiation is 20K.
实施例7Example 7
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为苹果香精0.01g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,渗透压对比剂为木糖醇3.55g、 甘露醇3.55g,低聚果糖0.375g,固体对比物为粒径40μm的碳酸钙微粉0.495g、粒径60μm的二氧化硅微粉0.495g和粒径1μm的生物活性玻璃微粉0.01g,溶胀物质为黄原胶0.04g、聚乙烯吡咯烷酮0.05和透明质酸钠0.01g;电子束辐照灭菌剂量为25K。According to the method of Example 1, the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 40μm calcium carbonate powder 0.495g, particle size 60μm silica powder 0.495g and The bioactive glass powder with a particle size of 1μm is 0.01g, the swelling material is 0.04g of xanthan gum, 0.05g of polyvinylpyrrolidone and 0.01g of sodium hyaluronate; the sterilization dose of electron beam irradiation is 25K.
实施例8Example 8
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为苹果香精0.01g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,渗透压对比剂为木糖醇3.55g、甘露醇3.55g,低聚果糖0.375g,固体对比物为粒径30μm的碳酸钙微粉0.495g、粒径70μm的二氧化硅微粉0.495g和粒径90μm的生物活性玻璃微粉0.01g,溶胀物质为羧甲基纤维素钠0.04g、阿拉伯胶0.05和透明质酸钠0.01g;电子束辐照灭菌剂量为25K。According to the method of Example 1, the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 30μm calcium carbonate powder 0.495g, 70μm silicon dioxide powder 0.495g and The bioactive glass powder with a particle size of 90μm is 0.01g, the swelling material is 0.04g of sodium carboxymethylcellulose, 0.05g of acacia and 0.01g of sodium hyaluronate; the sterilization dose of electron beam irradiation is 25K.
实施例9Example 9
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为苹果香精0.01g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,渗透压对比剂为木糖醇3.55g、甘露醇3.55g,低聚果糖0.375g,固体对比物为粒径10μm的碳酸钙微粉0.495g、粒径50μm的二氧化硅微粉0.495g和粒径80μm的生物活性玻璃微粉0.01g,溶胀物质为羟丙基纤维素0.01g、羟丙甲基纤维素1.35黄原胶1.25和透明质酸钠0.30g;电子束辐照灭菌剂量为25K。According to the method of Example 1, the difference is that: the flavoring agent is 0.01g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 3.55g, mannitol 3.55g, oligofructose 0.375g, solid contrast is 10μm calcium carbonate powder 0.495g, particle size 50μm silica powder 0.495g and The bioactive glass powder with a particle size of 80μm is 0.01g, the swelling material is hydroxypropylcellulose 0.01g, hydroxypropylmethylcellulose 1.35 xanthan gum 1.25 and sodium hyaluronate 0.30g; electron beam irradiation sterilization dose is 25K .
比较例1Comparative example 1
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为草莓香精0.025g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,渗透压对比剂为木糖醇7.125g、低聚果糖0.375g,固体对比物为粒径粒径50μm的二氧化硅微粉0.99g和粒径50μm的生物活性玻璃微粉0.01g,未添加溶胀物质;电子束辐照灭菌剂量为20K。According to the method of Example 1, the difference is that: the flavoring agent is strawberry flavor 0.025g, the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.025g, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is xylitol 7.125g, oligofructose 0.375g, the solid contrast is 0.99g of silica powder with a particle size of 50μm and 0.01g of bioactive glass powder with a particle size of 50μm, no added Swelling substance; the sterilization dose of electron beam irradiation is 20K.
比较例2Comparative example 2
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为柠檬香精0.025g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,未添加渗透压对比剂,固体对比物为粒径50μm的碳酸钙微粉0.99g、粒径50μm的生物活性玻璃微粉0.01g,溶胀物质为聚乙烯吡咯烷酮1.35、透明质酸钠0.15;电子束辐照灭菌剂量为20K。According to the method of Example 1, the difference is that: the flavoring agent is lemon flavor 0.025g, the antifoaming agent is polyoxypropylene oxide ethylene glyceryl ether 0.025g, dimethylsiloxane 0.025g, without adding osmotic pressure contrast agent, solid contrast is 0.99g of calcium carbonate powder with particle size of 50μm, 0.01g of bioactive glass powder with particle size of 50μm, swelling material is polyvinylpyrrolidone 1.35, sodium hyaluronate 0.15; electronic The beam irradiation sterilization dose is 20K.
比较例3Comparative example 3
按照实施例1的方法制备胃肠道超声检查助显剂不同的是:所述矫味剂为苹果香精0.025g,消泡剂为聚氧丙烯氧化乙烯甘油醚0.025g、二甲基硅氧烷0.025g,渗透压对比剂为甘露醇7.125g、低聚果糖0.375g,未添加固体对比物,溶胀物质为阿拉伯胶1.35、透明质酸钠0.15。电子束辐照灭菌剂量为20K。According to the method of Example 1, the difference is that: the flavoring agent is 0.025g of apple flavor, the defoaming agent is 0.025g of polyoxypropylene oxide ethylene glyceryl ether, dimethylsiloxane 0.025g, the osmotic pressure contrast agent is mannitol 7.125g, oligofructose 0.375g, no solid contrast is added, and the swelling material is gum arabic 1.35 and sodium hyaluronate 0.15. The sterilization dose of electron beam irradiation is 20K.
对实施例1-9制备的胃肠道超声检查助显剂的生物性能参数进行了以下检测:The biological performance parameters of the gastrointestinal ultrasound examination aids prepared in Examples 1-9 were tested as follows:
1.细胞毒性试验:按照GB/T 16886.5-2003中规定方法进行,按美国药典进行评级。1. Cytotoxicity test: According to the method specified in GB/T 16886.5-2003, it is rated according to the United States Pharmacopoeia.
2.口腔粘膜刺激试验:按照GB/T 16886.10-2005中规定方法进行。2. Oral mucosal irritation test: According to the method specified in GB/T 16886.10-2005.
3.致敏试验:按照GB/T 16886.10-2005中规定的最大剂量致敏试验方法进行。3. Sensitization test: According to the maximum dose sensitization test method specified in GB/T 16886.10-2005.
4.急性全身毒性试验:按照GB/T 16886.11-2011中规定方法进行,按50ml/kg剂量口服灌胃给药1次。4. Acute systemic toxicity test: According to the method specified in GB/T 16886.11-2011, the dose is 50ml/kg orally administered once orally.
具体结果如表1所示。The specific results are shown in Table 1.
表1胃肠道超声检查助显剂的生物性能结果Table 1 Results of biological performance of aids for gastrointestinal ultrasound examination
Figure PCTCN2019120080-appb-000001
Figure PCTCN2019120080-appb-000001
由表1可知:实施例1-9的产品细胞毒性均不大于2级、均无口腔粘膜刺激、均无致敏性和无急性全身毒性。It can be seen from Table 1: that the cytotoxicity of the products of Examples 1-9 is not greater than Grade 2, none of the oral mucosa irritation, none of the sensitization and no acute systemic toxicity.
对实施例1-9和比较例1-3制备的胃肠道超声检查助显剂的充盈度进行了检测,具体方法如下:The fullness of the gastrointestinal ultrasound examination aids prepared in Examples 1-9 and Comparative Examples 1-3 was tested. The specific methods are as follows:
渗透压:取样品按照《中华人民共和国药典》(2015年版四部)通则0632的方法测定。样品的渗透压与其在胃肠腔体内的滞留时间直接相关,渗透压越大,滞留时间越长,充盈效果越持久。Osmotic pressure: Take samples to determine the method in accordance with the general rule 0632 of the Pharmacopoeia of the People’s Republic of China (2015 edition). The osmotic pressure of the sample is directly related to its residence time in the gastrointestinal cavity. The greater the osmotic pressure, the longer the residence time and the longer the filling effect.
充盈度:准备500ml样品,实验动物采用比格犬,影像检查前1h采用灌胃的方式给药200ml,上机检查前30min采用灌肠的方式给药150ml,临上机前采用灌胃的方式继续给药150ml。采用超声检查方式,观察小肠至结肠段充盈情况、在肠腔内的连续性等。Filling degree: prepare 500ml sample, experimental animal is Beagle, 200ml is given by gavage 1h before imaging examination, 150ml is given by enema 30min before the machine check, and continue by gavage before the machine Administer 150ml. Ultrasonic examination was used to observe the filling of the small intestine to the colon and the continuity in the intestinal cavity.
具体结果详见下表2。The specific results are shown in Table 2 below.
表2充盈效果试验结果Table 2 Results of filling effect test
Figure PCTCN2019120080-appb-000002
Figure PCTCN2019120080-appb-000002
由表2可知,与比较例1-3相比,实施例1-9提供的胃肠道超声检查助显剂的充盈度较好,并且随着时间的延长充盈度下降缓慢、渗透压较高,说明实施例1-9提供的胃肠道超声检查助显剂的助显效果较好,并且持续性较强。It can be seen from Table 2 that compared with Comparative Examples 1-3, the gastrointestinal ultrasound examination aids provided in Examples 1-9 have better filling degree, and the filling degree decreases slowly with time, and the osmotic pressure is higher. , It shows that the gastrointestinal ultrasound examination aids provided in Examples 1-9 have better manifestation aids and strong persistence.
其次,比较例1充盈度下降最快,说明溶胀物对滞留时间的延长起到关键作用。而比较例1-3比实施例1-9的充盈度低很多,说明溶胀物、渗透压对比剂和固体对比物是提高充盈度的关键因素。Secondly, the filling degree of Comparative Example 1 decreased the fastest, indicating that the swelling material played a key role in extending the residence time. The filling degree of Comparative Examples 1-3 is much lower than that of Examples 1-9, indicating that the swelling material, the osmotic pressure contrast agent and the solid contrast material are the key factors to improve the filling degree.
综上所述,本发明提出的一种胃肠道超声检查助显剂及其制备方法的有益效果是:In summary, the beneficial effects of a gastrointestinal ultrasound examination aid and its preparation method proposed by the present invention are:
1.溶胀物、渗透压对比剂和固体对比物共同使用,有效增加助显剂在胃肠腔内的滞留时间,同时,清除腔内气体、粘液干扰,消除伪影。1. The swelling material, osmotic pressure contrast agent and solid contrast material are used together to effectively increase the residence time of the visualization aid in the gastrointestinal cavity, and at the same time, remove the interference of gas and mucus in the cavity and eliminate artifacts.
2.产品不需要复杂的加热过程,可以直接饮用,免去了谷物胃肠道助显剂复杂的配制过程,为患者提供更便捷的服务。2. The product does not require a complicated heating process and can be drunk directly, eliminating the complicated preparation process of grain gastrointestinal tract aids and providing patients with more convenient services.
3.产品含有的透明质酸钠可以促进细胞迁移至创伤组织,生物活性玻璃可加快细胞新陈代谢,刺激分泌创伤愈合因子,这两种物质都可以促进胃肠溃疡等微小创口疾病的愈合;低聚果糖能可促进双歧杆菌增殖;防止热气和上火;提高人体新陈代谢水平,改善肠道的功能,提高免疫力和抗病力;促进人体对矿物质的吸收;防止便秘和龋齿;低聚果糖在肠道内减少毒性代谢产物的生成,同时加快将毒性代谢物排出体外,减少毒性代谢物对皮肤的损伤, 使皮肤亮丽,起到排毒养颜的作用。故而本专利所述胃肠道超声检查助显剂对胃肠起到一定的保健作用。3. The sodium hyaluronate contained in the product can promote cell migration to wound tissues, and bioactive glass can accelerate cell metabolism and stimulate the secretion of wound healing factors. Both of these substances can promote the healing of gastrointestinal ulcers and other minor wound diseases; oligomerization Fructose can promote the proliferation of bifidobacteria; prevent heat and get angry; increase human metabolism, improve intestinal function, improve immunity and disease resistance; promote the absorption of minerals by the human body; prevent constipation and dental caries; oligofructose Reduce the generation of toxic metabolites in the intestine, and accelerate the excretion of toxic metabolites from the body, reduce the damage of toxic metabolites to the skin, make the skin beautiful, and play the role of detoxification and beauty. Therefore, the gastrointestinal ultrasound examination aid described in this patent has a certain health effect on the gastrointestinal tract.
以上所述的实施例是本发明一部分实施例,而不是全部的实施例。本发明的实施例的详细描述并非旨在限制要求保护的本发明的范围,二是仅仅表示本发明的选定实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The embodiments described above are part of the embodiments of the present invention, but not all of the embodiments. The detailed description of the embodiments of the present invention is not intended to limit the scope of the claimed invention, and secondly, it merely represents selected embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the protection scope of the present invention.

Claims (8)

  1. 一种胃肠道超声检查助显剂,其特征在于,由下列重量份的组分制成:0.1-3.0份的溶胀物质,5-15份的渗透压对比剂,0.2-2.0份的固体对比物,0.005-0.1份的消泡剂,0.01-0.05份的矫味剂,79.85-94.685份的纯化水;所述溶胀物质为透明质酸类物质和其他溶胀物的混合物,其他溶胀物为水溶性纤维素、阿拉伯胶、黄原胶和聚乙烯吡咯烷酮中的一种或多种,其中透明质酸类物质占全部溶胀物质的5wt%-15wt%;所述渗透压对比剂为木糖醇和甘露醇中的至少一种和低聚果糖的混合物,其中低聚果糖占渗透压对比剂总质量的2.5%-7.5%;所述固体对比物为碳酸钙微粉和二氧化硅微粉中的至少一种和生物活性玻璃微粉的混合物,其中微粉生物活性玻璃占固体对比物总质量的0.5%-1.5%,固体对比物的粒径在1μm-100μm之间。A gastrointestinal ultrasound examination aid, which is characterized in that it is made of the following components by weight: 0.1-3.0 parts of swelling substance, 5-15 parts of osmotic pressure contrast agent, 0.2-2.0 parts of solid contrast , 0.005-0.1 parts of defoamer, 0.01-0.05 parts of flavoring agent, 79.85-94.685 parts of purified water; the swelling substance is a mixture of hyaluronic acid substances and other swelling substances, and other swelling substances are water-soluble One or more of cellulose, gum arabic, xanthan gum and polyvinylpyrrolidone, wherein hyaluronic acid substances account for 5wt%-15wt% of all swelling substances; the osmotic contrast agent is xylitol and mannose A mixture of at least one of alcohol and oligofructose, wherein oligofructose accounts for 2.5%-7.5% of the total mass of the osmotic contrast agent; the solid contrast is at least one of calcium carbonate powder and silica powder A mixture of micropowder with bioactive glass, wherein the micropowder bioactive glass accounts for 0.5%-1.5% of the total mass of the solid contrast, and the particle size of the solid contrast is between 1 μm and 100 μm.
  2. 根据权利要求1所述的胃肠道超声检查助显剂,其特征在于:其中透明质酸类物质为透明质酸和透明质酸钠中的一种或两种,其分子量为500-1800000Da。The gastrointestinal ultrasound examination aid according to claim 1, wherein the hyaluronic acid substance is one or two of hyaluronic acid and sodium hyaluronate, and its molecular weight is 500-1800000 Da.
  3. 根据权利要求1所述的胃肠道超声检查助显剂,其特征在于:所述水溶性纤维素为羧甲基纤维素钠、羟丙基纤维素和羟丙甲基纤维素中的一种或多种。The gastrointestinal ultrasound examination aid of claim 1, wherein the water-soluble cellulose is one of sodium carboxymethyl cellulose, hydroxypropyl cellulose and hydroxypropyl methyl cellulose Or multiple.
  4. 根据权利要求1所述的胃肠道超声检查助显剂,其特征在于:所述消泡剂为有机硅类消泡剂和聚醚类消泡剂中的至少一种。The gastrointestinal ultrasound examination aid of claim 1, wherein the antifoaming agent is at least one of a silicone antifoaming agent and a polyether antifoaming agent.
  5. 根据权利要求3所述的胃肠道超声检查助显剂,其特征在于:所述有机硅类消泡剂为二甲基硅氧烷,所述聚醚类消泡剂为聚氧丙氧化乙烯甘油醚。The gastrointestinal ultrasound examination aid of claim 3, wherein the silicone antifoaming agent is dimethylsiloxane, and the polyether antifoaming agent is polyoxypropylene oxide. Glyceryl ether.
  6. 根据权利要求1所述的胃肠道超声检查助显剂,其特征在于:所述矫味剂为草莓香精、柠檬香精和苹果香精中的一种或多种。The gastrointestinal ultrasound examination aid according to claim 1, wherein the correcting agent is one or more of strawberry flavor, lemon flavor and apple flavor.
  7. 一种权利要求1-6中任一项所述的胃肠道超声检查助显剂的制备方法,其特征在于,包括以下步骤:将溶胀物质、渗透压对比剂、固体对比物、消泡剂、矫味剂缓慢加入到快速机械搅拌的纯化水中,以免原料凝结成块,待各组分在纯化水中充分混匀、搅拌12h后,静置24h,所得混合物分装到棕色聚酯瓶中,即为胃肠道超声检查助显剂。A preparation method of a gastrointestinal ultrasound examination aid according to any one of claims 1 to 6, characterized in that it comprises the following steps: combining the swelling substance, the osmotic pressure contrast agent, the solid contrast material, and the antifoaming agent , The flavoring agent is slowly added to the purified water with rapid mechanical stirring to prevent the raw materials from coagulating into lumps. After the components are thoroughly mixed in the purified water and stirred for 12 hours, they are allowed to stand for 24 hours. The resulting mixture is divided into brown polyester bottles. It is the aid of gastrointestinal ultrasound examination.
  8. 根据权利要求7所述的制备方法,其特征在于:还包括将分装到棕色聚酯瓶中的混合物在电子束15K-25K下辐照灭菌的步骤。The preparation method according to claim 7, characterized in that it further comprises the step of irradiating and sterilizing the mixture dispensed into the brown polyester bottle under electron beam 15K-25K.
PCT/CN2019/120080 2019-03-19 2019-11-22 Gastrointestinal ultrasonographic developer and preparation method therefor WO2020186804A1 (en)

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