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聚合物水凝胶作为伤口敷料的最新进展。

Recent advances on polymeric hydrogels as wound dressings.

作者信息

Pan Zheng, Ye Huijun, Wu Decheng

机构信息

Department of Biomedical Engineering, Southern University of Science and Technology, No. 1088 Xueyuan Avenue, Nanshan District, 518055 Shenzhen, Guangdong Province, China.

出版信息

APL Bioeng. 2021 Feb 16;5(1):011504. doi: 10.1063/5.0038364. eCollection 2021 Mar.

Abstract

Severe hemorrhage is a leading cause of high mortality in critical situations like disaster, accidents, and warfare. The resulting wounds could induce severe physical and psychological trauma to patients and also bring an immense socio-economic burden. Hence, rapid hemostasis and wound healing techniques have become critical initiatives for life-saving treatment. Although traditional methods relying on bandages and gauzes are effective in controlling hemorrhage, they suffer from several limitations: nonbiodegradability, being susceptible to infection, being unsuitable for the irregular wound, secondary tissue damage, and being almost ineffective for wound healing. Owing to the merits of high porosity, good biocompatibility, tunable physicochemical properties, and being beneficial for wound healing, hydrogels with excellent performance have drawn intensive attention and numerous novel effective hydrogel dressings have been widely developed. In this Review, after introducing some commonly used strategies for the synthesis of hydrogels, the most recent progress on polymer-based hydrogels as wound dressings is discussed. Particularly, their hemostasis, antibacterial, and biodegradation properties are introduced. Finally, challenges and future perspectives about the development of hydrogels for wound dressings are outlined.

摘要

严重出血是灾难、事故和战争等危急情况下高死亡率的主要原因。由此造成的伤口会给患者带来严重的身体和心理创伤,也会带来巨大的社会经济负担。因此,快速止血和伤口愈合技术已成为挽救生命治疗的关键举措。尽管依靠绷带和纱布的传统方法在控制出血方面有效,但它们存在一些局限性:不可生物降解、易受感染、不适用于不规则伤口、会造成二次组织损伤,且对伤口愈合几乎无效。由于具有高孔隙率、良好的生物相容性、可调节的物理化学性质以及有利于伤口愈合等优点,性能优异的水凝胶引起了广泛关注,众多新型有效的水凝胶敷料也得到了广泛开发。在本综述中,在介绍了一些常用的水凝胶合成策略后,讨论了基于聚合物的水凝胶作为伤口敷料的最新进展。特别介绍了它们的止血、抗菌和生物降解性能。最后,概述了水凝胶伤口敷料开发面临的挑战和未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5248/7889296/76f3a9b81977/ABPID9-000005-011504_1-g001.jpg

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