在静脉注射治疗期间影响微纳米塑料释放的因素:直接接触血液
Haoming Xu1, Penghui Li2, Yujian Lai3
1State Key Laboratory of Advanced Environmental Technology, Institute of Urban Environment, Chinese Academy of Sciences, Xiamen 361021, China; Key Laboratory of Environmental Chemistry and Toxicology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China; School of Environment, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou 310024, China.
微纳米塑料 (MNP) 在输液治疗期间从医疗输液产品 (MIP) 中释放出来. 诸如输液溶液,体积,速率和储存等因素显著影响MNP释放,造成健康风险.
科学领域:
- 环境科学 环境科学
- 材料科学 材料科学 材料科学
- 医疗器械 医疗器械
背景情况:
- 静脉治疗可以将微纳米塑料 (MNP) 引入血液.
- 了解影响医疗输液产品 (MIP) MNP释放的因素对于患者安全至关重要.
研究的目的:
- 系统地评估影响MNP在静脉注射治疗期间从MIP释放的关键因素.
- 评估不同输液溶液,体积,速率和储存时间对MNP释放的影响.
主要方法:
- 模拟的静脉注射治疗条件被用来测试MNP从MIP释放.
- 分析的重点是有机输液溶液对蒸水的影响.
- 量化了不同输注量,输注速率和MIP储存时间的影响.
主要成果:
- 有机输液溶液与蒸水相比,增加了MNP释放的6.47倍.
- 输液量增加 (500mL至2000mL) 导致MNP质量增加2.02倍.
- 较低的输注速率和长期存储 (>6个月) 显著增加了MNP的释放,特别是来自聚乙烯 (PVC) 组件.
结论:
- 使用蒸水和小量的标准MIP质量评估是不够的.
- 临床实践涉及更大的体积,有机溶液,较低的输液速率和长时间的储存增加了MNP暴露.
- 建议替换基于PVC的MIP,以减轻与MNP释放相关的健康风险.
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