AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 ...AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 at Center for Digestive Endoscopy, Tianjin Medical University General Hospital were randomly divided into either a study group(n = 39) or a control group(n = 50). The study group was given topical hemocoagulase spray intraoperatively, while the control group was given traditional 8% norepinephrine spray. Hemostatic efficacy was compared between the two groups. Bleeding site, wound cleanliness and perforation were recorded, and the rates of perforation and late bleeding were compared.RESULTS: Successful hemostasis was achieved in 39(100%) patients of the study group and in 47(94.0%) patients of the control group, and there was no significant difference in the rate of successful hemostasis between the two groups. Compared with the control group, after topical hemocoagulase spray in the study group, the surgical field was clearer, the bleeding site was more easily identified, and the wound was cleaner. There was no significant difference in the rate of perforation between the study and control groups(16.7% vs 35.0%, P = 0.477), but the rates oflate bleeding(0% vs 15.8%, P = 0.048) and overall complications(P = 0.032) were significantly lower in the study group.CONCLUSION: Topical hemocoagulase spray has a definite hemostatic effect for oozing bleeding in digestive endoscopy, and this method is convenient, safe, and reliable. It is expected to become a new method for endoscopic hemostasis.展开更多
This study aims to develop collagen-based hemostatic materials. The sheet-shaped collagen sponge was manufactured by freeze-vacuum drying the aqueous solution of collagen (Col) and heat-denatured collagen (Col’) at a...This study aims to develop collagen-based hemostatic materials. The sheet-shaped collagen sponge was manufactured by freeze-vacuum drying the aqueous solution of collagen (Col) and heat-denatured collagen (Col’) at a composition ratio of 2/1. The both sides or one side of sponge was treated with ultraviolet (UV) irradiation for 15 minutes to introduce intermolecular crosslinks between collagen molecules. The elution behavior of collagen sponge was investigated by immersing the sponge in water for a predetermined time and then by measuring the weight change. The double-sided UV-irradiated sponge showed very slow elution properties. On the other hand, the single-sided UV-irradiated sponge showed initially fast elution and subsequent very slow elution properties. Such initially fast elution of collagen molecules from the surface without UV-irradiation allows an adhesion of collagen sponge to the wound surface and results in hemostatic effect. In addition, the water absorption and retention properties of sponge were investigated by placing the hydrated sponge on a mesh for a predetermined time and then by measuring the weight change. The double-sided UV-irradiated sponge absorbed 81 times more water than own weight and showed a value of 45 times even after 7 days. The single-sided UV-irradiated sponge absorbed 80 times more water than own weight and showed a value of 39 times even after 7 days. The sponge with high water absorption and retention properties allows a wound healing effect because such sponge can absorb large amounts of blood plasma and exudates containing various cell growth factors. The double-sided UV-irradiated sponge is a good candidate for the wound dressing. On the other hand, the single-sided UV-irradiated sponge is a good candidate for the hemostatic material.展开更多
In the present study,we aimed to observe the effects of ethanol extract of Oxalis corniculata L.on bleeding time(BT)and coagulation time(CT)and determine its acute toxicity in mice.Firstly,the ethanol extract of O.cor...In the present study,we aimed to observe the effects of ethanol extract of Oxalis corniculata L.on bleeding time(BT)and coagulation time(CT)and determine its acute toxicity in mice.Firstly,the ethanol extract of O.corniculata was administered to 40 mice,which were randomly divided into the normal control group,Yunnan Baiyao control group,low-dose group,and high-dose group.The low-dose(0.6 g/kg)and high-dose(1.2 g/kg)groups received ethanol extract of O.corniculata by gavage,and the BT and CT of the mice were measured by the slide method and tail clipping method,respectively.Secondly,the median lethal dose method was used with 50 mice to observe the physiological state,poisoning reaction,and death of the mice after intragastric administration.Finally,on the 14th day of the experiment,a necropsy was performed to observe any abnormality of the organs.In conclusion,in the coagulation and hemostasis tests,there were no statistical differences between the groups(P>0.05),while there was a significant dose-response relationship,and the BT and CT were significantly shorter than those of the negative control group,which were comparable to the Yunnan Baiyao control group.Moreover,in the acute toxicity test,the median lethal dose of ethanol extract of O.corniculata was 6.0291 g/kg,with a 95%confidence interval of 5.3065–6.7829 mg/kg.展开更多
文摘AIM: To evaluate the hemostatic effect of topical hemocoagulase spray in digestive endoscopy.METHODS: Eighty-nine patients who developed oozing bleeding during endoscopic treatment from September 2014 to October 2014 at Center for Digestive Endoscopy, Tianjin Medical University General Hospital were randomly divided into either a study group(n = 39) or a control group(n = 50). The study group was given topical hemocoagulase spray intraoperatively, while the control group was given traditional 8% norepinephrine spray. Hemostatic efficacy was compared between the two groups. Bleeding site, wound cleanliness and perforation were recorded, and the rates of perforation and late bleeding were compared.RESULTS: Successful hemostasis was achieved in 39(100%) patients of the study group and in 47(94.0%) patients of the control group, and there was no significant difference in the rate of successful hemostasis between the two groups. Compared with the control group, after topical hemocoagulase spray in the study group, the surgical field was clearer, the bleeding site was more easily identified, and the wound was cleaner. There was no significant difference in the rate of perforation between the study and control groups(16.7% vs 35.0%, P = 0.477), but the rates oflate bleeding(0% vs 15.8%, P = 0.048) and overall complications(P = 0.032) were significantly lower in the study group.CONCLUSION: Topical hemocoagulase spray has a definite hemostatic effect for oozing bleeding in digestive endoscopy, and this method is convenient, safe, and reliable. It is expected to become a new method for endoscopic hemostasis.
文摘This study aims to develop collagen-based hemostatic materials. The sheet-shaped collagen sponge was manufactured by freeze-vacuum drying the aqueous solution of collagen (Col) and heat-denatured collagen (Col’) at a composition ratio of 2/1. The both sides or one side of sponge was treated with ultraviolet (UV) irradiation for 15 minutes to introduce intermolecular crosslinks between collagen molecules. The elution behavior of collagen sponge was investigated by immersing the sponge in water for a predetermined time and then by measuring the weight change. The double-sided UV-irradiated sponge showed very slow elution properties. On the other hand, the single-sided UV-irradiated sponge showed initially fast elution and subsequent very slow elution properties. Such initially fast elution of collagen molecules from the surface without UV-irradiation allows an adhesion of collagen sponge to the wound surface and results in hemostatic effect. In addition, the water absorption and retention properties of sponge were investigated by placing the hydrated sponge on a mesh for a predetermined time and then by measuring the weight change. The double-sided UV-irradiated sponge absorbed 81 times more water than own weight and showed a value of 45 times even after 7 days. The single-sided UV-irradiated sponge absorbed 80 times more water than own weight and showed a value of 39 times even after 7 days. The sponge with high water absorption and retention properties allows a wound healing effect because such sponge can absorb large amounts of blood plasma and exudates containing various cell growth factors. The double-sided UV-irradiated sponge is a good candidate for the wound dressing. On the other hand, the single-sided UV-irradiated sponge is a good candidate for the hemostatic material.
基金Yunnan Province Education Department Scientific Research Fund Project(Grant No.2022J1683)。
文摘In the present study,we aimed to observe the effects of ethanol extract of Oxalis corniculata L.on bleeding time(BT)and coagulation time(CT)and determine its acute toxicity in mice.Firstly,the ethanol extract of O.corniculata was administered to 40 mice,which were randomly divided into the normal control group,Yunnan Baiyao control group,low-dose group,and high-dose group.The low-dose(0.6 g/kg)and high-dose(1.2 g/kg)groups received ethanol extract of O.corniculata by gavage,and the BT and CT of the mice were measured by the slide method and tail clipping method,respectively.Secondly,the median lethal dose method was used with 50 mice to observe the physiological state,poisoning reaction,and death of the mice after intragastric administration.Finally,on the 14th day of the experiment,a necropsy was performed to observe any abnormality of the organs.In conclusion,in the coagulation and hemostasis tests,there were no statistical differences between the groups(P>0.05),while there was a significant dose-response relationship,and the BT and CT were significantly shorter than those of the negative control group,which were comparable to the Yunnan Baiyao control group.Moreover,in the acute toxicity test,the median lethal dose of ethanol extract of O.corniculata was 6.0291 g/kg,with a 95%confidence interval of 5.3065–6.7829 mg/kg.
