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研究生: 吳奇凌
Wu, Chi-Ling
論文名稱: 抗菌型鈣基骨泥之微結構及性質研究(II)
Investigation of microstructure and properties of antibacterial calcium-based bone cement (II)
指導教授: 陳瑾惠
Chern Lin, Jiin-Huey
朱建平
Ju, Chien-Ping
學位類別: 碩士
Master
系所名稱: 工學院 - 材料科學及工程學系
Department of Materials Science and Engineering
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 86
中文關鍵詞: 鈣基骨泥抗菌
外文關鍵詞: Calcium based cement, antibacterial
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  • 為了降低骨科手術後之感染風險,本研究針對具有良好生物相容性及骨傳導性之鈣基骨泥,添加A鹽作為抗菌因子,以N水溶液作為硬化劑,探討不同D的添加量、不同H之粒徑、硬化劑濃度及液粉比,對工作時間、硬化時間及崩解性之影響,確認以上性質無虞後,以最佳參數進行物化性質、機械性質測試,期望能得到具有良好之崩解性、注射性之抗菌型骨缺陷修復材料,達到降低手術感染風險與骨損傷修復之雙重目標。
    實驗結果顯示添加D能夠降低抗菌型鈣基骨泥之崩解性;降低液粉比能夠縮短抗菌型鈣基骨泥之工作時間及硬化時間;改變硬化劑濃度對抗菌型鈣基骨泥之工作時間及硬化時間沒有顯著影響;抗菌型鈣基骨泥在人工體液浸泡一天內能夠於骨泥周圍提供鹼性環境。

    SUMMARY
    Calcium-based bone cement are widely used in dental and orthopedic application due to its superior biocompatibility, osteoconductivity, ability to be injected into bone defects. To decrease the risks of infection in clinical surgery, CMRT Lab developed antibacterial calcium-based bone cement with addition of A salt, using N solution as setting solution. The objective of this study was to investigate in vitro properties with different composition of antibacterial calcium-based bone cement, the concentration of setting solution, liquid to powder ratio and particle size. The in vitro properties including property of dispersion, working/setting time, mechanical strength, pH value. The higher D addition and higher liquid to powder ratio caused better performance in dispersion. The smaller size of H powder caused shorter working time and setting time. The pH value increased with immersion time in the first day. As to the dissolve of A salt, the antibacterial calcium-based bone cement present basic environment as immersion in simulated body liquid, it could prevent bacterial adhesion on first day.
    Key words: Calcium based cement, antibacterial

    摘要 I 誌謝 V 總目錄 VI 圖目錄 IX 表目錄 X 第一章、 總序論 1 1-1 前言 1 1-2 生醫材料的定義 1 1-3 生醫材料的分類 2 1-3-1 依材料化學組成分類 2 1-3-2 依材料活性分類 7 1-4 生醫陶瓷之分類 9 1-4-1 生物惰性陶瓷(Bioinert ceramics) 9 1-4-2 生物活性陶瓷(Bioactive ceramics) 9 1-4-3 可吸收性生醫陶瓷(Resorbable bioceramics) 9 1-5 人體骨骼之簡介 12 1-5-1 骨骼結構 12 1-5-2 骨骼創傷的癒合過程 13 1-6 骨水泥簡介 15 1-6-1 骨水泥的定義 15 1-6-2 骨取代物的來源及種類 15 1-6-3 骨取代物性質要求 16 1-7 骨科植入材的感染風險 18 1-8 抗菌劑及抗菌原理 18 1-9 生物膜(Biofilm) 20 第二章、 文獻回顧及理論基礎 22 2-1 磷酸鈣骨水泥簡介 22 2-1-1 磷酸鈣骨取代物的分類及發展 22 2-1-2 磷酸鈣鹽類的性質及反應機制 26 2-1-4 雙相磷酸鈣骨水泥(CPC) 27 2-2 硫酸鈣簡介 32 2-2-1 硫酸鈣骨取代物的發展 32 2-2-2 硫酸鈣鹽類的性質及反應機制 33 2-2-3 硫酸鈣骨水泥的優缺點 36 2-3 植入醫材抗菌研究 38 2-4 研究動機及目的 42 第三章、 實驗原理及方法 43 3-1 實驗材料及相關藥品 43 3-1-1 抗菌型鈣基骨泥之陶瓷基底材料 43 3-1-2 添加劑 43 3-1-3 硬化劑 43 3-1-4 TSB液態細菌培養基(Tryptic Soy Broth medium) 43 3-1-5 TSB固態細菌培養基(Tryptic Soy Broth Agar plate) 43 3-1-6 模擬人工體液 44 3-2 實驗試片製備及分析方法 44 3-2-1 抗菌型鈣基骨泥原始粉末 44 3-2-2 崩解性測試 45 3-2-3 工作及硬化時間測試 45 3-2-4 不施壓試片製作方法與抗壓強度測試 46 3-2-5 pH值量測 49 3-2-6 XRD (X-Ray diffraction)相組成分析 50 第四章、 實驗結果與討論 51 試片成分及代號說明 51 第一部分 52 崩解性測試 54 第二部分 60 工作時間及硬化時間測試 60 第三部分 62 崩解性測試 62 工作時間及硬化時間測試 65 浸泡於人工體液之抗壓強度測試 67 浸泡在人工體液中之pH值變化 67 第五章、 總結論 70 參考文獻 71 附錄 81

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