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现代伤口敷料:水凝胶敷料。

Modern Wound Dressings: Hydrogel Dressings.

作者信息

Brumberg Valentin, Astrelina Tatiana, Malivanova Tatiana, Samoilov Alexander

机构信息

Burnasyan Federal Medical Biophysical Center of the Federal Medical Biological Agency, 123098 Moscow, Russia.

出版信息

Biomedicines. 2021 Sep 16;9(9):1235. doi: 10.3390/biomedicines9091235.

Abstract

Chronic wounds do not progress through the wound healing process in a timely manner and are considered a burden for healthcare system; they are also the most common reason for decrease in patient quality of life. Traditional wound dressings e.g., bandages and gauzes, although highly absorbent and effective for dry to mild, exudating wounds, require regular application, which therefore can cause pain upon dressing change. In addition, they have poor adhesional properties and cannot provide enough drainage for the wound. In this regard, the normalization of the healing process in chronic wounds is an extremely urgent task of public health and requires the creation and implementation of affordable dressings for patients with chronic wounds. Modern wound dressings (WDs) are aimed to solve these issues. At the same time, hydrogels, unlike other types of modern WDs (foam, films, hydrocolloids), have positive degradation properties that makes them the perfect choice in applications where a targeted delivery of bioactive substances to the wound is required. This mini review is focused on different types of traditional and modern WDs with an emphasis on hydrogels. Advantages and disadvantages of traditional and modern WDs as well as their applicability to different chronic wounds are elucidated. Furthermore, an effectiveness comparison between hydrogel WDs and the some of the frequently used biotechnologies in the field of regenerative medicine (adipose-derived mesenchymal stem cells (ADMSCs), mesenchymal stem cells, conditioned media, platelet-rich plasma (PRP)) is provided.

摘要

慢性伤口无法及时经历伤口愈合过程,被视为医疗系统的负担;它们也是患者生活质量下降的最常见原因。传统伤口敷料,如绷带和纱布,虽然具有高吸水性,对干性至轻度渗出性伤口有效,但需要定期更换,因此换药时会引起疼痛。此外,它们的粘附性差,无法为伤口提供足够的引流。在这方面,使慢性伤口愈合过程正常化是公共卫生的一项极其紧迫的任务,需要为慢性伤口患者研发并应用经济实惠的敷料。现代伤口敷料旨在解决这些问题。同时,与其他类型的现代伤口敷料(泡沫、薄膜、水胶体)不同,水凝胶具有良好的降解特性,这使其成为需要将生物活性物质靶向递送至伤口的应用中的理想选择。本综述聚焦于不同类型的传统和现代伤口敷料,重点是水凝胶。阐述了传统和现代伤口敷料各自的优缺点以及它们对不同慢性伤口的适用性。此外,还比较了水凝胶伤口敷料与再生医学领域一些常用生物技术(脂肪间充质干细胞(ADMSC)、间充质干细胞、条件培养基、富血小板血浆(PRP))的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f02/8472341/2eb8871b9590/biomedicines-09-01235-g001.jpg

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