Institute of Medical Imaging, Hengyang Medical School, University of South China, Hengyang, China.
The Seventh Affiliated Hospital, Hunan Veterans Administration Hospital, Hengyang Medical School, University of South China, Changsha, China.
Drug Deliv. 2024 Dec;31(1):2300945. doi: 10.1080/10717544.2023.2300945. Epub 2024 Feb 16.
Burn injuries are prevalent and life-threatening forms that contribute significantly to mortality rates due to associated wound infections. The management of burn wounds presents substantial challenges. Hydrogel exhibits tremendous potential as an ideal alternative to traditional wound dressings such as gauze. This is primarily attributed to its three-dimensional (3D) crosslinked polymer network, which possesses a high water content, fostering a moist environment that supports effective burn wound healing. Additionally, hydrogel facilitates the penetration of loaded therapeutic agents throughout the wound surface, combating burn wound pathogens through the hydration effect and thereby enhancing the healing process. However, the presence of eschar formation on burn wounds obstructs the passive diffusion of therapeutics, impairing the efficacy of hydrogel as a wound dressing, particularly in cases of severe burns involving deeper tissue damage. This review focuses on exploring the potential of hydrogel as a carrier for transdermal drug delivery in burn wound treatment. Furthermore, strategies aimed at enhancing the transdermal delivery of therapeutic agents from hydrogel to optimize burn wound healing are also discussed.
烧伤是一种常见且危及生命的伤害形式,由于其相关的伤口感染,会导致很高的死亡率。烧伤创面的处理存在很大的挑战。水凝胶作为传统创面敷料(如纱布)的理想替代品具有巨大的潜力。这主要归因于其三维(3D)交联聚合物网络,具有高含水量,营造出有利于有效烧伤创面愈合的湿润环境。此外,水凝胶有利于负载治疗剂穿透整个创面,通过水合作用对抗烧伤创面病原体,从而促进愈合过程。然而,烧伤创面的焦痂形成会阻碍治疗剂的被动扩散,降低水凝胶作为创面敷料的功效,尤其是在涉及更深组织损伤的严重烧伤情况下。本综述重点探讨了水凝胶作为经皮药物传递载体在烧伤创面治疗中的潜力。此外,还讨论了旨在增强治疗剂从水凝胶向皮肤的经皮传递以优化烧伤创面愈合的策略。