Department of Orthopedic Surgery Mackay Memorial Hospital, Taipei, Taiwan.
Department of Biology and Anatomy, National Defense Medical Center, Taipei, Taiwan.
J Wound Care. 2024 Feb 1;33(Sup2):S10-S23. doi: 10.12968/jowc.2024.33.Sup2.S10.
Keeping a wound moist can allow effective and rapid healing, and it can control the formation of scabs, thereby allowing cell proliferation and epithelial formation. When regularly changing a dressing, thermosensitive hydrogel as a moist dressing does not cause a secondary wound from adhesion. The main aim of this study was to evaluate the effect of a new sprayable thermosensitive hydrogel on wound healing.
The hydrophobic N-acetyl group of chitin was removed by microwave reaction with lye until the degree of acetylation was 60%, followed by reaction with propylene oxide to obtain hydroxypropyl chitin (HPCH) with a degree of substitution of 40%. After mixing HPCH with fish scale collagen (FSC), a thermosensitive hydrogel with a gel temperature of 26.5°C was obtained. extracts (ABE), which have been found to accelerate wound repair and improve healing, were added. HPCH/FSC is not toxic to the mouse L929 cell line and forms a hydrogel at body surface temperature. It can be easily sprayed on a wound. The HPCH/FSC has a three-dimensional network porous structure with a swelling ratio of 10.95:1 and a water vapour transmission rate of 2386.03±228.87g/m/day; it can facilitate the penetration of water and air, and promote absorption of wound exudate. Wound repair was performed on five Sprague-Dawley rats. Each rat had three wounds, which were treated with medical gauze, HPCH/FSC and HPCH/FSC/ABE, respectively.
The wounds in the HPCH/FSC/ABE group recovered the fastest in vivo, the mature wound site was smoother, the re-epithelialisation was even and thicker, and the angiogenesis developed rapidly to the mature stage.
In this study, HPCH/FSC/ABE thermosensitive hydrogel was shown to effectively accelerate wound healing and was convenient for practical application.
保持伤口湿润可以实现有效且快速的愈合,并控制结痂的形成,从而促进细胞增殖和上皮形成。使用热敏水凝胶作为湿性敷料进行定期更换时,不会因粘连而造成二次创伤。本研究的主要目的是评估新型喷雾式热敏水凝胶在伤口愈合方面的效果。
通过微波碱反应去除甲壳素的疏水性 N-乙酰基,直至乙酰化程度达到 60%,然后与环氧丙烷反应得到取代度为 40%的羟丙基甲壳素(HPCH)。将 HPCH 与鱼鳞胶原蛋白(FSC)混合后,得到凝胶温度为 26.5°C 的热敏水凝胶。添加已被发现可加速伤口修复并改善愈合的 提取物(ABE)。HPCH/FSC 对小鼠 L929 细胞系没有毒性,在体温下形成水凝胶,可以轻松喷涂在伤口上。HPCH/FSC 具有三维网络多孔结构,溶胀比为 10.95:1,水蒸气透过率为 2386.03±228.87g/m/day;它可以促进水和空气的渗透,促进伤口渗出物的吸收。在 5 只 Sprague-Dawley 大鼠上进行伤口修复。每只大鼠有 3 个伤口,分别用医用纱布、HPCH/FSC 和 HPCH/FSC/ABE 进行处理。
体内 HPCH/FSC/ABE 组的伤口恢复最快,成熟伤口部位更平滑,上皮化更均匀、更厚,血管生成迅速发展至成熟阶段。
在这项研究中,HPCH/FSC/ABE 热敏水凝胶被证明可以有效加速伤口愈合,并且便于实际应用。