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慢性创面中的 pH 值因素及 pH 响应性多糖基水凝胶敷贴

pH factors in chronic wound and pH-responsive polysaccharide-based hydrogel dressings.

机构信息

Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi 835215, India.

Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi 835215, India.

出版信息

Int J Biol Macromol. 2024 Nov;279(Pt 1):135118. doi: 10.1016/j.ijbiomac.2024.135118. Epub 2024 Aug 28.

Abstract

Chronic wounds present a significant healthcare challenge marked by complexities such as persistent bleeding, inhibited cell proliferation, dysregulated inflammation, vulnerability to infection, and compromised tissue remodeling. Conventional wound dressings often prove inadequate in addressing the intricate requirements of chronic wound healing, leading to slow healing and heightened susceptibility to infections in patients with prolonged medical conditions. Bacterial biofilms in chronic wounds pose an additional challenge due to drug resistance. Advanced wound dressings have emerged as promising tools in expediting the healing process. Among these, pH-responsive polysaccharide-based hydrogels exhibit immense prospect by adapting their functions to dynamic wound conditions. Despite their potential, the current literature lacks a thorough review of these wound dressings. This review bridges this gap by meticulously examining factors related to chronic wounds, current strategies for healing, and the mechanisms and potential applications of pH-responsive hydrogel wound dressings as an emerging therapeutic solution. Special focus is given to their remarkable antibacterial properties and significant self-healing abilities. It further explores the pH-monitoring functions of these dressings, elucidating the associated pH indicators. This synthesis of knowledge aims to guide future research and development in the field of pH-responsive wound dressings, providing valuable insights into their potential applications in wound care.

摘要

慢性伤口是一个重大的医疗保健挑战,其特点是复杂性,如持续出血、细胞增殖抑制、炎症失调、易感染和组织重塑受损。传统的伤口敷料在满足慢性伤口愈合的复杂需求方面往往显得不足,导致患有长期疾病的患者愈合缓慢,感染风险增加。慢性伤口中的细菌生物膜由于耐药性而构成了另一个挑战。先进的伤口敷料已成为加速愈合过程的有前途的工具。其中,pH 响应性多糖基水凝胶通过适应其功能以适应动态伤口条件,显示出巨大的前景。尽管有潜力,但目前的文献缺乏对这些伤口敷料的全面审查。本综述通过仔细检查与慢性伤口相关的因素、当前的愈合策略以及 pH 响应水凝胶伤口敷料作为新兴治疗解决方案的机制和潜在应用,弥补了这一空白。特别关注其显著的抗菌性能和重要的自修复能力。它进一步探讨了这些敷料的 pH 监测功能,阐明了相关的 pH 指示剂。这种知识的综合旨在指导 pH 响应性伤口敷料领域的未来研究和发展,为其在伤口护理中的潜在应用提供有价值的见解。

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