Lu Hao, Yuan Long, Yu Xunzhou, Wu Chengzhou, He Danfeng, Deng Jun
Department of Dermatology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021 China.
Department of Breast Surgery, Southwest Hospital, Third Military Medical University (Army Medial University), Chongqing, 400038 China.
Burns Trauma. 2018 Dec 29;6:35. doi: 10.1186/s41038-018-0138-8. eCollection 2018.
Wound management is a major global challenge and a big financial burden to the healthcare system due to the rapid growth of chronic diseases including the diabetes, obesity, and aging population. Modern solutions to wound management include hydrogels that dissolve on demand, and the development of such hydrogels is of keen research interest. The formation and subsequent on-demand dissolution of hydrogels is of keen interest to scientists and clinicians. These hydrogels have excellent properties such as tissue adhesion, swelling, and water absorption. In addition, these hydrogels have a distinctive capacity to form in situ and dissolve on-demand via physical or chemical reactions. Some of these hydrogels have been successfully used as a dressing to reduce bleeding in hepatic and aortal models, and the hydrogels remove easily afterwards. However, there is an extremely wide array of different ways to synthesize these hydrogels. Therefore, we summarize here the recent advances of hydrogels that dissolve on demand, covering both chemical cross-linking cases and physical cross-linking cases. We believe that continuous exploration of dissolution strategies will uncover new mechanisms of dissolution and extend the range of applications for hydrogel dressings.
伤口管理是一项重大的全球挑战,由于包括糖尿病、肥胖症和老龄化人口在内的慢性病迅速增加,给医疗系统带来了巨大的经济负担。伤口管理的现代解决方案包括按需溶解的水凝胶,此类水凝胶的研发备受科研关注。水凝胶的形成及其随后的按需溶解是科学家和临床医生极为感兴趣的课题。这些水凝胶具有诸如组织粘附、肿胀和吸水等优异特性。此外,这些水凝胶具有独特的通过物理或化学反应原位形成并按需溶解的能力。其中一些水凝胶已成功用作敷料,以减少肝脏和主动脉模型中的出血,并且之后水凝胶易于去除。然而,合成这些水凝胶的方法种类极其繁多。因此,我们在此总结按需溶解水凝胶的最新进展,涵盖化学交联和物理交联的情况。我们相信,对溶解策略的持续探索将揭示新的溶解机制,并扩展水凝胶敷料的应用范围。