用于治疗局部烧伤的智能聚合物伤口敷料:猪模型的初步临床前研究

IF 1 Q4 CRITICAL CARE MEDICINE
Dmitry Beylin, Josef Haik, Erik Biros, Rachel Kornhaber, Michelle Cleary, Moti Harats, Daniel Cohn, Yair Sapir, Ori Weisberg
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引用次数: 0

摘要

有几种所谓的 "智能 "敷料可用于烧伤创面,以促进伤口更快愈合,这种技术最近取得了长足的进步。然而,为部分创面烧伤选择合适的敷料需要考虑几个关键因素,包括渗出物管理、顺应性、抗菌特性、应用和移除的简便性、患者舒适度和成本效益。这项初步可行性研究使用猪模型来测试 INTELIGELS 产品(智能绷带)治疗部分厚度烧伤的效果。模拟部分厚度烧伤的人造伤口在两项研究中进行了评估,分别使用和不使用抗菌添加剂,伤口被随机分配到使用 Smart Bandage 治疗的实验组和使用简单生理盐水纱布敷料或使用和不使用银添加剂的 Aquacel® 产品治疗的两个对照组。此外,还对所有敷料减少伤口面积的能力进行了评估,并使用打孔活组织切片进行组织学分析量化。这项研究表明,Smart Bandage 和 Aquacel® 敷料的愈合性能相当,优于简单的生理盐水纱布敷料。与简单的纱布敷料相比,使用 Smart Bandage/Aquacel® 敷料后,伤口区域的再生能力更强,表皮和真皮的炎症更少,真皮重塑更好,肉芽组织更成熟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Smart Polymeric Wound Dressing for Treating Partial-Thickness Burns: A Preliminary Preclinical Study on the Porcine Model.

Several so-called "smart" dressings are available for burn injuries to promote faster wound healing, and this technology has recently reported substantial advancements. However, the selection of an appropriate dressing for partial-thickness burns requires consideration of several crucial elements, including exudate management, conformability, antimicrobial properties, ease of application and removal, patient comfort, and cost-effectiveness. This preliminary feasibility study uses a porcine model to test the INTELIGELS product (Smart Bandage) for partial-thickness burns treatment. Artificially made wounds, mimicking partial-thickness burns, were assessed in two studies with and without antimicrobial additives, where wounds were randomly assigned to the experimental group treated with Smart Bandage and two control groups treated with a simple saline gauze dressing or Aquacel® products with and without silver additives. In addition, all dressings were evaluated for their ability to reduce wound size, quantified by histological analysis using punch biopsies. This study demonstrates comparable healing properties of Smart Bandage and Aquacel® dressings that are superior to the simple saline gauze dressing. The superiority is demonstrated by better regeneration, less inflammation of the epidermis and dermis, and better dermis remodeling with more granulation tissue maturation within the wound area when Smart Bandage/Aquacel® dressings are applied as compared with the simple gauze dressing.

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