Study on hemostasis of Bletillastriata hemostatic sponge
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摘要: 目的 探讨白及止血海绵的止血作用。 方法 制备大鼠断尾出血模型,采用家兔建立肝脏、脾脏创伤出血模型以及Beagle犬肝脏、腹主动脉创伤出血模型,分别用空白对照、吸收性明胶海绵和白及止血海绵进行止血,通过观察止血时间、出血量、组织病理学变化等指标,评价白及止血海绵的止血效果和体内吸收情况。 结果 大鼠断尾止血实验中,白及止血海绵组在夹闭1 min后可以有效止血。与空白对照组比较,白及止血海绵对大鼠断尾出血模型有显著的止血作用(P<0.01)。在家兔肝脏、脾脏创伤止血实验中,与吸收性明胶海绵组比较,白及止血海绵能明显缩短家兔肝脏、脾脏创伤出血时间(P<0.05),并明显减少脾脏出血量(P<0.05)和肝脏出血量(P<0.01)。与吸收性明胶海绵组比较,白及止血海绵组Beagle犬肝脏和腹主动脉创伤出血量明显减少(P<0.05),对Beagle犬肝脏和腹主动脉创伤出血有显著止血作用。体内降解实验中观察到白及止血海绵可在体内降解吸收。组织病理学观察显示,经白及止血海绵止血后的肝脏、脾脏创面组织周围未见明显病理改变。 结论 白及止血海绵具有较好的止血作用,止血效果明显优于吸收性明胶海绵,是一种较好的可吸收性止血材料。Abstract: Objective To investigate the hemostatic effect of Bletillastriata hemostatic sponge. Methods Tail hemorrhage model in rats was preparation. Another model was established in liver and spleen hemorrhagic model of rabbits, Beagle dog's abdominal aorta and liver were made. Hemostasis was performed with medical gauze, gelatin sponge and Bletillastriata hemostatic sponge. The hemostatic effects were evaluated by total blood loss, hemostatic time and histological observation. Observation of Bletillastriata hemostatic sponge change was completed to determine their degradation in the bodies. Results Rats tail hemorrhage was clamped, after 1 min, Bletillastriata hemostatic sponge could effectively stop the bleeding.The Bletillastriata hemostatic sponge has good hemostatic effect of rats tail hemorrhage model compared to blank group(P<0.01). Compare with the gelatin sponge group, the Bletillastriata hemostatic sponge could significantly shorten the liver and spleen bleeding time(P<0.05), decrease the volume of the spleen bleeding(P<0.05) and the liver bleeding(P<0.01), in hemorrhagic model of rabbits. Compared with the gelatin sponge group, Bletillastriata hemostatic sponge could more effectively stop the bleeding in the abdominal aorta and liver model of Beagle dogs (P<0.05). The Bletillastriata hemostatic sponge could be degraded in vivo. Histologic study revealed the Bletillastriata hemostatic sponge was no significant pathological change around the liver and spleen. Conclusion The Bletillastriata hemostatic sponge has good hemostatic effect. The hemostatic effect of Bletillastriata hemostatic sponge is better than gelatin sponge, which could be a good topical hemostatic material.
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Key words:
- Bletillastriata /
- hemostasis /
- gelatin sponge /
- wound
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[1] 王 建,葛宝丰,刘兴炎,等.战伤止血方法及材料研究进展[J].人民军医,2008,51(1):5-6. [2] 丁美丽,杜 智.可吸收止血材料的研究现状及临床应用[J].北京生物医学工程,2008,27(2):208-211. [3] 王 蕾,李武平,孙惠英,等.战伤急救止血技术新进展[J].解放军护理杂志,2007,24(12):45-46. [4] 陶阿丽,金耀东,刘金旗,等.中药白及化学成分、药理作用及临床应用研究进展[J].江苏农业科学,2013,41(11):6-9. [5] 王大太,郭树忠,张旭东,等.纤维蛋白胶干粉对兔肝创面的止血效果及应用剂量[J].中国康复理论与实践,2006,12(4):307-308. [6] 梁佩红,叶春婷,李斯明,等.复合I型胶原海绵创伤止血的动物实验研究[J].创伤外科杂志,2002,4(5):274-275. [7] 毕宏达,李学拥,王 玉,等.沸石对猪致命性血管损伤模型的止血作用[J].西北国防医学杂志,2006,27(3):164-166. [8] 朱元元,邱 彦,鲁 毅,等.血余炭止血包止血效果的实验研究[J].药学实践杂志,2011,29(6):431-434. [9] 董 莉,董永喜,刘星星,等.白及多糖对大鼠血小板聚集、凝血功能及TXB2、6-keto-PGF1α表达的影响[J].贵阳医学院学报,2014,39(4):459-462. [10] 林福林,杨昌云,杨薇薇,等.中药白及的现代研究概况[J].中国医院药学杂志,2013,3(7):571-573. [11] Michinori K,Noriko S,Miho Y,et al.Application studies of Rhizoma Bletillae(rhizomes of Bletilla striata)on atopicder-mastitis[J].Nat Med,2003,57(2):55-60. [12] 陈 玉,张晓芳,朱剑东.中药白及对变链菌产酸和黏附影响的实验研究[J].牙体牙髓牙周病学杂志,2008,18(7):390-392. [13] 施伟民,高 飞,沈亮亮,等.中药白及和地榆对角质形成细胞游走的不同影响[J].同济大学学报(医学版),2004,25(4):275-277. [14] 仇树林,王 晓,李 兵,等.白芨胶载重组人表皮生长因子对创面表皮细胞DNA含量及周期的影响[J].中国组织工程研究与临床康复,2007,11(1):63-66.
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