Sathyaraj Weslen Vedakumari, Prabakaran Lokesh, Bhoopathy Jayavardhini, Dharmalingam Sankari, Karthikeyan Ramadoss, Atchudan Raji
Faculty of Allied Health Sciences, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam 603103, Tamil Nadu, India .
Department of Biotechnology, College of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India.
Polymers (Basel). 2023 Feb 27;15(5):1205. doi: 10.3390/polym15051205.
Diabetic wounds are one of the serious, non-healing, chronic health issues faced by individuals suffering from diabetic mellitus. The distinct phases of wound healing are either prolonged or obstructed, resulting in the improper healing of diabetic wounds. These injuries require persistent wound care and appropriate treatment to prevent deleterious effects such as lower limb amputation. Although there are several treatment strategies, diabetic wounds continue to be a major threat for healthcare professionals and patients. The different types of diabetic wound dressings that are currently used differ in their properties of absorbing wound exudates and may also cause maceration to surrounding tissues. Current research is focused on developing novel wound dressings incorporated with biological agents that aid in a faster rate of wound closure. An ideal wound dressing material must absorb wound exudates, aid in the appropriate exchange of gas, and protect from microbial infections. It must support the synthesis of biochemical mediators such as cytokines, and growth factors that are crucial for faster healing of wounds. This review highlights the recent advances in polymeric biomaterial-based wound dressings, novel therapeutic regimes, and their efficacy in treating diabetic wounds. The role of polymeric wound dressings loaded with bioactive compounds, and their in vitro and in vivo performance in diabetic wound treatment are also reviewed.
糖尿病伤口是糖尿病患者面临的严重、不愈合的慢性健康问题之一。伤口愈合的不同阶段要么延长,要么受阻,导致糖尿病伤口愈合不当。这些损伤需要持续的伤口护理和适当的治疗,以防止诸如下肢截肢等有害影响。尽管有几种治疗策略,但糖尿病伤口仍然是医护人员和患者面临的重大威胁。目前使用的不同类型的糖尿病伤口敷料在吸收伤口渗出液的特性方面存在差异,并且还可能导致周围组织浸渍。当前的研究集中在开发含有生物制剂的新型伤口敷料,以帮助更快地闭合伤口。理想的伤口敷料材料必须吸收伤口渗出液,有助于适当的气体交换,并防止微生物感染。它必须支持细胞因子和生长因子等生化介质的合成,这些介质对于伤口更快愈合至关重要。本综述重点介绍了基于聚合物生物材料的伤口敷料、新型治疗方案及其在治疗糖尿病伤口方面的疗效的最新进展。还综述了负载生物活性化合物的聚合物伤口敷料的作用及其在糖尿病伤口治疗中的体外和体内性能。