Szunerits Sabine, Boukherroub Rabah, Kleber Christoph, Knoll Wolfgang, Yunda Jhonny, Rumipamba José, Torres Guido, Melinte Sorin
Univ. Lille, CNRS, Univ. Polytechnique Hauts-de-France, UMR 8520-IEMN, F-59000 Lille, France.
Laboratory for Life Sciences and Technology (LiST), Faculty of Medicine and Dentistry, Danube Private University, 3500 Krems, Austria.
APL Bioeng. 2025 Feb 4;9(1):010901. doi: 10.1063/5.0220516. eCollection 2025 Mar.
Slowly healing wounds significantly affect the life quality of patients in different ways, due to constant pain, unpleasant odor, reduced mobility up to social isolation, and personal frustration. While remote wound management has become more widely accepted since the COVID-19 pandemic, delayed treatment remains frequent and results in several wound healing related complications. As inappropriate management of notably diabetic foot ulcers is linked to a high risk of amputation, effective management of wounds in a patient-centered manner remains important to be implemented. The integration of diagnostic devices into wound bandages is under way, owing to advancements in materials science and nanofabrication strategies as well as innovation in communication technologies together with machine learning and data-driven assessment tools. Leveraging advanced analytical approaches around local pH, temperature, pressure, and wound biomarker sensing is expected to facilitate adequate wound treatment. The state-of-the-art of time-resolved monitoring of the wound status by quantifying key physiological parameters as well as wound biomarkers' concentration is presented herewith. A special focus will be given to smart bandages with on-demand delivery capabilities for improved wound management.
愈合缓慢的伤口会以不同方式显著影响患者的生活质量,原因包括持续疼痛、气味难闻、行动不便甚至社交隔离以及个人挫折感。自新冠疫情以来,远程伤口管理已得到更广泛的接受,但治疗延迟仍然频繁发生,并导致多种与伤口愈合相关的并发症。由于糖尿病足溃疡的不当管理与截肢的高风险相关,以患者为中心的有效伤口管理仍然很重要,需要加以实施。由于材料科学和纳米制造策略的进步,以及通信技术与机器学习和数据驱动评估工具的创新,诊断设备与伤口绷带的整合正在进行中。利用围绕局部pH值、温度、压力和伤口生物标志物传感的先进分析方法,有望促进伤口的充分治疗。本文介绍了通过量化关键生理参数以及伤口生物标志物浓度对伤口状态进行时间分辨监测的最新技术。将特别关注具有按需递送能力的智能绷带,以改善伤口管理。