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具有可控镇痛药物释放功能的新型生物可吸收混合结构对伤口愈合应用的结构-性能影响

Structure-property effects of novel bioresorbable hybrid structures with controlled release of analgesic drugs for wound healing applications.

作者信息

Shemesh Maoz, Zilberman Meital

机构信息

Department of Biomedical Engineering, Faculty of Engineering, Tel-Aviv University, Tel-Aviv 69978, Israel.

Department of Biomedical Engineering, Faculty of Engineering, Tel-Aviv University, Tel-Aviv 69978, Israel.

出版信息

Acta Biomater. 2014 Mar;10(3):1380-91. doi: 10.1016/j.actbio.2013.11.025. Epub 2013 Dec 6.

DOI:10.1016/j.actbio.2013.11.025
PMID:24316366
Abstract

Over the last decades, wound dressings have developed from the traditional gauze dressing to tissue-engineered scaffolds. A wound dressing should ideally maintain a moist environment at the wound surface, allow gas exchange, act as a barrier to micro-organisms and remove excess exudates. In order to provide these characteristics, we developed and studied bioresorbable hybrid structures which combine a synthetic porous drug-loaded top layer with a spongy collagen sublayer. The top layer, prepared using the freeze-drying of inverted emulsions technique, was loaded with the analgesic drugs ibuprofen or bupivacaine, for controlled release to the wound site. Our investigation focused on the effects of the emulsion's parameters on the microstructure and on the resulting drug-release profile, as well as on the physical and mechanical properties. The structure of the semi-occlusive top layer enables control over vapor transmission, in addition to strongly affecting the drug release profile. Release of the analgesic drugs lasted from several days to more than 100 days. Higher organic:aqueous phase ratios and polymer contents reduced the burst release of both drugs and prolonged their release due to a lower porosity. The addition of reinforcing fibers to this layer improved the mechanical properties. Good binding of the two components, PDLGA and collagen, was achieved due to our special method of preparation, which enables a third interfacial layer in which both materials are mixed to create an "interphase". These new PDLGA/collagen structures demonstrated a promising potential for use in various wound healing applications.

摘要

在过去几十年中,伤口敷料已从传统的纱布敷料发展到组织工程支架。理想的伤口敷料应在伤口表面保持湿润环境,允许气体交换,充当微生物屏障并去除多余的渗出物。为了具备这些特性,我们研发并研究了可生物降解的混合结构,该结构将合成的多孔载药顶层与海绵状胶原底层相结合。使用倒置乳液冷冻干燥技术制备的顶层负载了止痛药物布洛芬或布比卡因,以便向伤口部位进行控释。我们的研究重点在于乳液参数对微观结构、由此产生的药物释放曲线以及物理和机械性能的影响。半封闭顶层的结构除了强烈影响药物释放曲线外,还能控制蒸汽传输。止痛药物的释放持续数天至100多天。较高的有机相:水相比和聚合物含量减少了两种药物的突释,并由于孔隙率降低而延长了它们的释放时间。向该层添加增强纤维改善了机械性能。由于我们特殊的制备方法,实现了聚(D,L-丙交酯-乙交酯)(PDLGA)和胶原这两种成分的良好结合,该方法能形成一个第三界面层,两种材料在其中混合形成一个“中间相”。这些新型的PDLGA/胶原结构在各种伤口愈合应用中显示出了有前景的潜力。

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