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血液接触类医用高分子材料自适应表面构建及研究进展 被引量:2
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作者 石强 关兴华 +3 位作者 马志方 侯建文 项泽鸿 殷敬华 《高分子材料科学与工程》 EI CAS CSCD 北大核心 2021年第1期230-237,共8页
血液接触类医用高分子材料及器械引发的凝血、溶血等问题是造成治疗失效、医疗事故和治疗成本增加的首要原因。为降低生物材料引发的血栓等副作用及提高医疗器械的长期使用安全性,人们发展了选择性、响应性和响应-反馈性等多种类型的自... 血液接触类医用高分子材料及器械引发的凝血、溶血等问题是造成治疗失效、医疗事故和治疗成本增加的首要原因。为降低生物材料引发的血栓等副作用及提高医疗器械的长期使用安全性,人们发展了选择性、响应性和响应-反馈性等多种类型的自适应表面。调控范围从蛋白质与材料表面接触的起始反应逐步深入到凝血及溶血、炎症和细胞反应的多级复杂途径,并与多种抗凝血、抗溶血技术联合,极大提升了医疗器械表面的血液相容性和服役期限。文中简要阐述了生物材料诱发血液的凝血和溶血机理,评述了自适应表面在血液接触类材料中的应用现状及研究进展,并介绍了本课题组近年在该领域从事的部分研究工作。 展开更多
关键词 医用高分子材料和器械 血液接触表面 血液相容性 自适应
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Correlations of Materials Surface Properties with Biological Responses
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作者 Robert E. Baier 《Journal of Surface Engineered Materials and Advanced Technology》 2015年第1期42-51,共10页
More than 50 years have passed since it was first recognized that the surface properties, and predominantly the surface energies of materials controlled their interactions with all biological phases via their spontane... More than 50 years have passed since it was first recognized that the surface properties, and predominantly the surface energies of materials controlled their interactions with all biological phases via their spontaneous acquisition of proteinaceous “conditioning films” of differing degrees of denaturation but usually of the same substances within any given system. This led to the understanding that useful engineering control of such interactions could thus be manifested through adjustments to those surface properties, giving significant control and utility to the biomaterials developer without requiring detailed discovery of the biological specifications of the components involved. Thus, effective selection of adhesive versus abhesive (non-stick, non-retention) outcomes for such useful appliances as dental implants versus substitute blood vessels, or water-resistant bonded structures versus clean, nontoxic ship bottoms is now facilitated with little biological background required. A historical overview is presented, followed by a brief survey of the forces involved and most useful analyses applied. Utility for blood-contacting materials is described in contrast to utility for bone- and tissue-contacting materials, demonstrating practical uses in controlling cell-surface interactions and preventing biofouling. New research directions being explored are noted, urging applications of this prior knowledge to replace the use of toxicants. 展开更多
关键词 surface PROPERTY BIOLOGICAL Response ADHESIVE blood-contacting MATERIALS
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OBSERVATION AND ANALYSIS OF BLOOD CONTACTING SURFACE OF LEFT VENTRICULAR ASSIST DEVICE WITH SCANNING ELECTRON MICROSCOPY
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作者 王惠荪 金永安 秦家楠 《Medical Bulletin of Shanghai Jiaotong University》 CAS 1989年第Z1期72-78,共7页
Thrombus formation in the artificial heart blood pump is a complex problem. The most important factor of thrombosis in the blood pump is the quality of blood contacting surface which is related to hemocompatibility of... Thrombus formation in the artificial heart blood pump is a complex problem. The most important factor of thrombosis in the blood pump is the quality of blood contacting surface which is related to hemocompatibility of materials and micromorphololgy or roughness of the surface. So it is necessary to understand the morphology of the surface inside of blood pump in order to develop and improve a good quality blood pump. The authors observed and analysed the inner surface of blood pumps (both preimplanted and postimplanted) with scanning electron microscopy (SEM) providing a means for evaluating the blood pumps and for developing good quality of blood pumps. It was observed that there were four kinds of surface defects on the inner surface of the blood pumps: air bubble domes, open bubble craters, contaminated dust and gel particles. Microcrakes had also been found on the diaphragm of the postimplanted pump. But in the newly improved blood pump that had been imlanted for 16 days, there were few defects on the blood contacting surface, and only a little fibrinous layer observed. It could be considered that the current design and modifications are reasonable. Since some problems associated with the surface defects and thrombosis still existed, further improvement in fabrication process and quality control procedures with SEM are under way. 展开更多
关键词 LEFT VENTRICULAR assist device scanning electron microscopy POLYURETHANE blood contacting surface surface defects THROMBOSIS
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涂层改性策略在血液接触材料研究中的应用与展望
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作者 任星蓉 余涛 王云兵 《表面技术》 EI CAS CSCD 北大核心 2024年第23期46-60,共15页
从生物学角度出发,分析探讨了导致血液接触材料失效的凝血与炎症机制,着重介绍了生物惰性涂层、生物活性涂层和仿生内皮化涂层的研究策略,并探讨了其临床应用前景。研究表明,生物惰性涂层可以通过抑制蛋白吸附和减少免疫排斥反应来延长... 从生物学角度出发,分析探讨了导致血液接触材料失效的凝血与炎症机制,着重介绍了生物惰性涂层、生物活性涂层和仿生内皮化涂层的研究策略,并探讨了其临床应用前景。研究表明,生物惰性涂层可以通过抑制蛋白吸附和减少免疫排斥反应来延长材料的使用寿命;生物活性涂层则通过引入抗凝、抗炎及促内皮化等活性分子提升血液相容性;仿生内皮化涂层能够模仿天然内皮细胞及细胞微环境功能,促进材料表面内皮化并减少血栓形成。尽管这些涂层策略已取得显著进展,但涂层的稳定性及功能持久性仍存在挑战。未来的研究需进一步优化涂层设计方案,以实现多功能涂层在临床中的应用,特别是在心血管疾病治疗领域。 展开更多
关键词 血液接触材料 表面改性涂层 凝血 炎症 仿生内皮化 血液相容性
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