Skórkowska-Telichowska Katarzyna, Mierziak-Darecka Justyna, Wrobel-Kwiatkowska Magdalena, Gebarowski Tomasz, Szopa Jan, Zuk Magdalena
Department of Endocrinology and Department of Dermatology, IV Clinical Military Hospital, Wroclaw, Poland.
Faculty of Biotechnology, Wroclaw University, Wroclaw, Poland.
Postepy Dermatol Alergol. 2021 Oct;38(5):827-841. doi: 10.5114/ada.2021.110116. Epub 2021 Nov 5.
Chronic ulcers are the main cause of morbidity and mortality, and the incidence of chronic wounds is expected to increase given that people live longer and that there are civil diseases.
Much attention in the treatment of wounds concerns a dressing that involves wound cleansing, bacterial balance, exudate management and local tissue in a wound environment. These important elements of the evaluation led to the development of an interactive dressing based entirely on flax raw materials.
The complete dressing for wound coverage was prepared from plant (flax) row products: seedcakes, oil, fiber. The content of bioactive compounds (qualitatively and quantitatively) was tested using chromatographic techniques, and their biological activity during tests on fibroblast cell cultures (NHDF). As a final step the clinical trial were performed.
The dressings, which help control the microenvironment, combining with exudate using hydrophilic fibre, controlling the flow of exudate from the wound to the dressing were generated. They stimulate the activity in the healing cascade and accelerate the healing process by combining lignocellulose fibre with higher amounts of phenolic compounds, sterols, cannabidiol and unsaturated fatty acids simultaneously with the 3-hydroxybutyrate polymer. All constituents of linen dressing are natural, originate from two types of the engineered flax plant. Pre-clinical data reveal a reasonable reduction in wound size in patients with chronic leg ulcers treated with a linen dressing.
For the first time, a successful application of the innovative interactive linen dressing in the treatment of chronic wounds was noted.
慢性溃疡是发病和死亡的主要原因,鉴于人们寿命延长以及存在慢性病,慢性伤口的发病率预计将会上升。
伤口治疗中备受关注的是一种敷料,它涉及伤口清洁、细菌平衡、渗出液管理以及伤口环境中的局部组织。这些评估的重要因素促使研发出一种完全基于亚麻原材料的交互式敷料。
用于伤口覆盖的完整敷料由植物(亚麻)衍生产物制备而成:籽饼、油、纤维。使用色谱技术检测生物活性化合物的含量(定性和定量),并在成纤维细胞培养(NHDF)试验中检测其生物活性。最后进行了临床试验。
制备出了有助于控制微环境的敷料,其通过亲水性纤维与渗出液结合,控制渗出液从伤口流向敷料。它们通过将木质纤维素纤维与大量酚类化合物、甾醇、大麻二酚和不饱和脂肪酸同时与3 - 羟基丁酸聚合物结合,刺激愈合级联反应中的活性并加速愈合过程。亚麻敷料的所有成分均为天然成分,源自两种经过基因改造的亚麻植物。临床前数据显示,使用亚麻敷料治疗的慢性腿部溃疡患者的伤口大小有合理减小。
首次注意到创新型交互式亚麻敷料在慢性伤口治疗中的成功应用。