切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2023, Vol. 18 ›› Issue (05) : 413 -418. doi: 10.3877/cma.j.issn.1673-9450.2023.05.009

论著

pH依赖的成膜性液体敷料对大鼠创面愈合的影响
朱凯思, 金剑, 杨玉坤()   
  1. 200433 上海,海军军医大学第一附属医院麻醉科
    200438 上海,复旦大学高分子科学系;200444 上海迪派生物科技有限公司
  • 收稿日期:2023-06-27 出版日期:2023-10-01
  • 通信作者: 杨玉坤
  • 基金资助:
    上海市环上大科技园专项政策项目(2021-HSD-8-1-004); 上海市2023年度科技创新行动计划启明星项目(23QB1401000); 上海市促进高质量发展专项资金项目(SY2022008)

Effect of pH dependent film-forming liquid dressing on wound healing in rats

Kaisi Zhu, Jian Jin, Yukun Yang()   

  1. Department of Anesthesiology, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
    Department of Polymer Science, Fudan University, Shanghai 200438, China; Shanghai Dipai Biotechnology Co., Ltd, Shanghai 200444, China
  • Received:2023-06-27 Published:2023-10-01
  • Corresponding author: Yukun Yang
引用本文:

朱凯思, 金剑, 杨玉坤. pH依赖的成膜性液体敷料对大鼠创面愈合的影响[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 413-418.

Kaisi Zhu, Jian Jin, Yukun Yang. Effect of pH dependent film-forming liquid dressing on wound healing in rats[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 413-418.

目的

对临床现有液体敷料赋予pH依赖性,通过动物实验验证其有效性。

方法

检测正常皮肤、清洁创面、感染创面pH,作为pH依赖性成膜的理论依据。在现有商品化液体敷料基础上,通过添加不同浓度卡波姆制成pH依赖性成膜的新型液体敷料,体外不同pH条件下检测成模性。根据创面pH选择能在创面成膜但在正常皮肤不能成膜的卡波姆浓度,制成pH依赖的成膜性液体敷料。检测该液体敷料的生物相容性(细胞毒性、致敏性、皮内刺激)及物理屏障作用(保湿性、阻菌性)。SD大鼠全层皮肤缺损创面模型在体检测其有效性。

结果

正常皮肤pH(5.90±0.25)显著小于清洁创面(6.54±0.36)和感染创面(7.54±0.35),差异有统计学意义(t=-3.32,P=0.011;t=8.61,P<0.001),清洁创面pH显著小于感染创面(t=-4.44,P=0.002)。配置pH分别为6、7、8的琼脂板,涂抹液体敷料,观察到pH为7和8时能完整成膜,但当pH为6时无法形成片状薄膜。成膜性液体敷料细胞毒性为1级,不具有潜在细胞毒性,无致敏性,皮内埋植无刺激性。调节液体敷料pH为6、7、8,当pH为6时,不具有保湿性和阻菌性;当pH为7和8时,保湿率分别为(4.76±2.04)%和(7.58±1.62)%,阻菌率分别为(33.17±5.59)%和(45.36±7.57)%。动物实验显示,相较于不具有成膜性的液体敷料,造模后第10天创面愈合率增高[(69.02±3.39)% vs (75.34±3.64)%,t=2.84,P=0.022],创面愈合时间缩短[(23.60±0.89)d vs (20.40±2.61)d,t=2.60,P=0.032]。

结论

通过调节卡波姆浓度可形成pH依赖的成膜性液体敷料,在创面上成膜,但不影响正常皮肤,促进创面愈合,改善使用舒适性。

Objective

To modify the existing liquid dressing with pH dependence, verify its effectiveness through animal experiments.

Methods

Measured the pH of normal skin, clean wounds, and infected wounds as the theoretical basis for pH dependent film formation. On the basis of existing commercialized liquid dressings, a new type of pH dependent film-forming liquid dressing was prepared by adding different concentrations of carbopol. The moldability was tested in vitro under different pH conditions. Based on the pH of the wound, a carbopol concentration that could form a film on the wound but couldn′t form a film on normal skin was selected to prepare a pH dependent film-forming liquid dressing. Detectd the biocompatibility (cytotoxicity, sensitization, intradermal stimulation) and physical barrier effect (moisturizing properties, antibacterial properties) of the liquid dressing. The effectiveness of the liquid dressing in vivo was detected though the full thickness skin defect wound model in SD rats.

Results

The pH of normal skin was 5.90±0.25, which was significantly lower than 6.54±0.36 of clean wounds and 7.54±0.35 of infected wounds (t=-3.32, P=0.011; t=8.61, P<0.001). The pH of clean wounds was also significantly lower than that of infected wounds (t=-4.44, P=0.002). Configured agar plates with pH values of 6, 7, and 8, applied liquid dressings. Complete film formation could be achieved at pH values of 7 and 8, but sheet-like film couldn′t be formed at pH values of 6. The cytotoxicity of the liquid dressings was level 1, with no potential cytotoxicity. No sensitization and irritation during intradermal implantation was found in the liquid dressings. Adjusted the pH of the liquid dressing to 6, 7, and 8. When the pH was 6, it didn′t have moisturizing and antibacterial properties. When the pH was 7 and 8, the moisture retaining rate was (4.76±2.04)% and (7.58±1.62)%, respectively, and the antibacterial rate was (33.17±5.59)% and (45.36±7.57)%, respectively. Animal experiments showed that compared to liquid dressings without film forming properties, the wound healing rate on the 10th day after modeling significantly increased[(69.02±3.39)% vs (75.34±3.64)%, t=2.84, P=0.022], and the wound healing time significantly reducted [(23.60±0.89)d vs (20.40±2.61)d, t=2.60, P=0.032] .

Conclusion

By adjusting the concentration of carbopol, pH dependent film-forming liquid dressings can be made, which form a film on the wound surface without affecting normal skin, promote wound healing, and improve comfort level.

表1 细胞毒性评分及细胞存活率(n=5)
表2 皮内刺激评分(n=5)
表3 致敏性评分(n=5)
图1 创面愈合大体观察
[1]
Jin J, Chen ZL, Xiang Y, et al. Development of a PHMB hydrogel-modified wound scaffold dressing with antibacterial activity[J]. Wound Repair and Regeneration, 2020, 28(4): 480-492.
[2]
Hu XY, Wang XX, Hong XD, et al. Modification and utility of a rat burn wound model [J]. Wound Repair and Regeneration, 2020, 28(6): 797-811.
[3]
于少硕,金剑,何飞,等. 环状RNA在皮肤相关疾病及创面愈合中的研究进展[J]. 中华损伤与修复杂志(电子版), 2020, 15(4): 312-315.
[4]
Jin J, Tang T, Zhou H, et al. Synergistic effects of quercetin-modified silicone gel sheet in scar treatment[J]. Journal of Burn Care & Research, 2022, 43(2): 445-452.
[5]
唐正东,李祥. 优复止液体敷料治疗跖疣62例临床疗效观察[J]. 中国中西医结合皮肤性病学杂志2022, 21(5): 428-430.
[6]
曹望北,高长有. 多功能水凝胶敷料治疗糖尿病致慢性创面的研究进展[J]. 中华烧伤杂志2021, 37(11): 1090-1098.
[7]
刘娟,刘沂,梁雪蕾,等. 融合蛋白技术促液体敷料透皮吸收对皮秒激光治疗后皮肤屏障修复的研究[J]. 临床和实验医学杂志2021, 20(14): 1501-1504.
[8]
王利娇,何小兰,孟湘琴,等. VSD引流术结合重组人碱性成纤维细胞生长因子及液体敷料对糖尿病足溃疡的临床疗效及疼痛影响观察[J]. 数理医药学杂志2022, 35(2): 266-269.
[9]
杨选鑫,惠琦,曹高忠,等. rh-aFGF卡波姆940凝胶对1型糖尿病大鼠皮肤创伤的修复作用[J]. 中国药理学通报2018, 34(4): 557-562.
[10]
张昆,熊磊,程欣,等. 苍艾油传递体凝胶的制备及其体外释药研究[J]. 中国医院药学杂志2021, 41(14): 1385-1389.
[11]
Jin J, Peng Y, Chen ZL, et al. Epidemiological retrospective analysis in major burn patients: single centre medical records from 2009 to 2019[J]. Updates in Surgery, 2022, 74(4): 1453-1459.
[12]
李文甜,涂计,高飞,等. 凝胶敷料用于骨外露创面的修复:创新与发展[J]. 中国组织工程研究2017, 21(10): 1617-1622.
[13]
Chen ZL, Peng Y, Wu GS, et al. Characterization of bacterial community structure dynamics in a rat burn wound model using 16S rRNA gene sequencing[J]. Journal of Burn Care & Research, 2022, 43(5): 1086-1094.
[14]
由少华. 解读GB/T 16886《医疗器械生物学评价》系列标准[J]. 中国医疗器械信息2005, 11(1): 15-19.
[15]
徐玉茵,韩颖,田林奇,等. GB/T 16886. 5-2017中体外细胞毒性试验的比较与分析[J]. 医疗卫生装备2019, 40(7): 74-77, 93.
[1] 郝丽文, 王增涛, 荣凯, 侯致典, 陈超, 仇申强, 刘林峰, 张迪, 王云鹏, 钟硕. 趾增宽术在缺损手指全形再造中的应用效果观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 476-479.
[2] 张健, 刘小龙, 查天建, 姚俊杰, 王傑. 富含血小板血浆联合异种脱细胞真皮基质修复糖尿病足缺血性创面的临床效果[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 503-506.
[3] 周子慧, 李恭驰, 李炳辉, 王知, 刘慧真, 王卉, 邹利军. 细胞自噬在创面愈合中作用的研究进展[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 542-546.
[4] 蔡柔妹, 曾洁梅, 黄伟丽, 谢文敏, 刘燕丹, 吴漫君, 蔡楚燕. 利用QC小组干预降低经烧伤创面股静脉置管导管相关性感染发生率的临床观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 399-404.
[5] 何雪锋, 赵世新, 李珮珊, 刘恒登, 谢举临. 卡奴卡叶提取物通过增强真皮成纤维细胞功能促进大鼠创面修复的效果观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 405-412.
[6] 赵雅玫, 谢斌, 陈艳, 吴健. 抗生素骨水泥联合负压封闭引流对糖尿病足溃疡临床疗效的荟萃分析[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 427-433.
[7] 王鹏, 肖厚安, 贾赤宇. 不同因素调控巨噬细胞极化在慢性难愈性创面中的研究进展[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 454-459.
[8] 韩春茂. 解决慢性创面患者医疗服务最后一公里[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 460-460.
[9] 谢挺. 疑难创面疾病的诊疗思路[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 368-368.
[10] 冉新泽, 王军平, 王涛, 王锋超, 程天民. 我国放射复合伤创面处理与创伤促愈的研究历程[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 280-284.
[11] 汪国建, 谭雨龙, 龙爽, 吕晓凡, 赵娜, 冉新泽, 王军平, 王涛. 高温高湿环境暴露对重度放创复合伤小鼠损伤恢复的影响[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 285-292.
[12] 贾蔓箐, 卞婧, 周业平. 对小剂量胰岛素局部注射促进脂肪干细胞移植成活及改善糖尿病创面愈合临床观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 312-316.
[13] 刘江涛, 王一勇, 欧阳容兰, 黄书润. 采用改良胸脐带蒂皮瓣修复手腕背部深度创面的临床效果[J]. 中华损伤与修复杂志(电子版), 2023, 18(04): 321-325.
[14] 陈旭渊, 罗仕云, 李文忠, 李毅. 腺源性肛瘘经手术治疗后创面愈合困难的危险因素分析[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 82-85.
[15] 李燕, 姚毅冰, 毛志远, 于海燕, 刘昕, 樊再雯. NCAPH在肺鳞癌中表达的临床意义及与免疫微环境浸润的关系[J]. 中华临床医师杂志(电子版), 2023, 17(04): 446-454.
阅读次数
全文


摘要