
浏览全部资源
扫码关注微信
重庆医科大学附属第一医院骨科
纸质出版日期:2017,
扫 描 看 全 文
蒋恩东, 倪卫东. n-HA/PA66抗生素缓释系统在兔股骨缺损模型中药物释放规律的初步研究[J]. 重庆医科大学学报, 2017,42(9):1143-1149.
Jiang Endong, Ni Weidong. Preliminary study on drug release of n-HA/PA66 antibiotic release system in the rabbit model of femoral defect[J]. Journal of Chongqing Medical University, 2017,42(9):1143-1149.
蒋恩东, 倪卫东. n-HA/PA66抗生素缓释系统在兔股骨缺损模型中药物释放规律的初步研究[J]. 重庆医科大学学报, 2017,42(9):1143-1149. DOI: 10.13406/j.cnki.cyxb.001383.
Jiang Endong, Ni Weidong. Preliminary study on drug release of n-HA/PA66 antibiotic release system in the rabbit model of femoral defect[J]. Journal of Chongqing Medical University, 2017,42(9):1143-1149. DOI: 10.13406/j.cnki.cyxb.001383.
目的:研究分别载万古霉素、头孢曲松的纳米羟基磷灰石/聚酰胺66(nano-hydroxyapatite/polyamide 66
n-HA/PA66)抗生素缓释系统在兔股骨缺损模型中的药物释放规律
从而探讨其抗感染效能。方法:将192只新西兰大白兔股骨缺损模型随机分为2个大组(头孢曲松组和万古霉素组)
每组96只。每个大组分4个亚组
每组24只
每个亚组有8个时间节点
各时间节点3只。按万古霉素与n-HA/PA66分别为5%、4%、3%和2%的质量比制备An、Bn、Cn、Dn 4种不同含药量的载万古霉素nHA/PA66薄片;头孢曲松组同上述方法制备为A
*
n、B
*
n、C
*
n、D
*
n薄片。将2大组的4种薄片分别对应植入动物模型。于术后第1、3、5、7、10、14、21、28天8个时间点从每个亚组中随机选取3只大白兔
麻醉处死后采取骨缺损部位松质骨及骨干皮质骨
将其骨标本粉碎处理后进行抑菌实验
测量抑菌环直径
用标准曲线计算出各标本抗生素药物浓度。结果:万古霉素与对应抑菌环直径的对数呈相关关系
相关系数r=0.998
P=0.000。头孢曲松与对应抑菌环直径的对数呈相关关系
相关系数r=0.997
P=0.001。从结果可见载药缓释系统中2种抗生素释放缓慢
随着载体缓释系统中抗生素质量比的增加
抗生素释放的浓度越高(5%载体缓释系统
>
4%载体缓释系统
>
3%载体缓释系统
>
2%载体缓释系统)
均P
<
0.05
差异有统计学意义。4种不同质量比的载体缓释系统均在第1天释放的抗生素含量最多
达到总体浓度的50%以上
以后逐渐下降。5%、4%、3%万古霉素在体内释放持久
直到第28天均有万古霉素存在
且骨折局部的万古霉素浓度均大于最小抑菌浓度(minimum inhibitory concentration
MIC)
有较好的抑菌作用。而2%的万古霉素在第10天后其局部浓度低于MIC。5%、4%、3%、2%头孢曲松在体内释放持久
直到第28天均有万古霉素存在
2%的头孢曲松在第28天刚好略高于MIC
骨折局部骨质长入正常。结论:通过本方法制备的载3%万古霉素的n-HA/PA66、载2%头孢曲松的n-HA/PA66缓释系统能有效预防和治疗骨折感染
为临床治疗提供理论参考。
Objective:To investigate the suitable dose of drug delivery system that contained vancomycin
ceftriaxone nano-hydroxyapatite/polyamide 66(n-HA/PA66)for repair the rabbits femoral defects model. Methods:Totally 192 New Zealand white rabbits were randomly divided into two femoral defects model groups(ceftriaxone and vancomycin). Each group had 96 rabbits and was divided into4 subgroups
each subgroup had 8 time nodes and each time node had 3 rabbits. Vancomycin ratio n-HA/PA66 was 5%
4%
3%
2% respectively
preparing in four different concentrations of vancomycin n-HA/PA66 sheet:An
Bn
Cn
Dn sheet;ceftriaxone was prepared as described above with the sheet A
*
n
B
*
n
C
*
n and D
*
n flakes. The eight sheets were implanted in the two animal models I
Ⅱ
Ⅲ
Ⅳ subgroup. Postoperative 1 d
3 d
5 d
7 d
10 d
14 d
21 d
28 d 8 time points were randomly selected for general observation and radiography. Defects part of the backbone of cancellous bone and cortical bone specimens were took and crushed;zone diameters were measured with a standard curve to calculate the concentration of each specimen antibiotics. Results:The results showed that the speed of release of two antibiotics from the drug delivery system was slow
the more high antibiotic content(5% carrier delivery system
>
4% carrier delivery system
>
3% carrier delivery system
>
2% carrier delivery system)
the higher the concentration of the antibiotic release. The content of antibiotic in different four vector delivery systems was increased on the first day
reaching more than 50% of the total concentration and then gradually declined. In vivo
release of vancomycin lasted 5%
4%
3% until the 28 days
and the presence of vancomycin in defects concentrations were greater than the MIC
and local concentrations of 2% vancomycin was below the MIC on 10 d. In vivo
5%
4%
3%
2% ceftriaxone release lasted until the 28 days and had the presence of vancomycin. Meanwhile
2% ceftriaxone on the 28 d just reached MIC
which has normal bone growth in partial defects and no fibrous capsule
and the fibrous capsule were seen in the other of different concentrations. Conclusion:Nano-hydroxyapatite/polyamide 66(n-HA/PA66)contained 3% vancomycin and n-HA/PA66 contained 2% ceftriaxone sustained release system can effectively prevent and treat the defects of infection
providing a theoretical reference for clinical treatment.
缓释系统股骨缺损万古霉素头孢曲松
release systemfemoral defectvancomycinceftriaxone
0
浏览量
113
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621