创面复合液体敷料在皮肤创伤中的治疗研究

基于羧甲基壳聚糖的高生物相容性及聚乙烯醇缩丁醛的快速成膜,构建了一种创面复合液体敷料,并对其应用效果进行评价。首先应用羧甲基壳聚糖 (CMC)、聚乙烯醇缩丁醛 (PVB)和乙醇溶液,按照一定的比例,制备创面复合液体敷料。对其防水、透气、阻菌、细胞毒性进行性能研究及安全性评价。然后选择健康成年Sprague-Dawley(SD)大鼠40只,雌雄各半,构建大鼠创面模型,并将含有不同浓度的羧甲基壳聚糖(1.0、10.0、30.0 mg/mL)应用在其创面上,通过日常观察、HE染色等,研究创面复合液体敷料在皮肤创伤中的治疗效果。结果显示创面复合液体敷料上层膜液在1.8～2.3 mm 之间具有很好的防水透气性、阻菌性及生物兼容性。运用在动物模型上可以看到,第7 d含有10.0、30.0 mg/mL CMC组的大鼠创面愈合率分别为65.42%、67.38%,明显高于对照组且存在显著性差异(P< 0.01),14 d后含有10.0、30.0 mg/mL CMC组的大鼠创面愈合率已达到100%。HE 染色的第七天含有10.0、30.0 mg/mL CMC的创面复合液体敷料组中观察到有复层扁平的表皮和真皮的胶原纤维,第12 d组织开始出现内陷结构,含有厚实、粗糙胶原纤维的正常真皮与较薄的胶原纤维水平连接,表皮的复层鳞状上皮远远大于对照组中的三到四层。而且创面连接真皮结缔组织,它的表皮构成非常接近于正常皮肤组织。构建的创面复合液体敷料(10.0 mg/mL CMC)具备良好的防水、透气、阻菌性以及生物兼容性,随着羧甲基壳聚糖浓度的升高,治疗急性创面的效果越好,创面复合液体敷料能够对创面起到早期保护和促进愈合的效果。.

The Fabrication of Composite Liquid Dressing and Applications in Skin Wound Healing

The aim of this study is to investigate the effect of the composite liquid dressing in the treatment of acute skin ulcer for further applications in the prevention of surgical wound infection and promotion of wound healing. The composite liquid dressing (CLD) was prepared by carboxymethyl chitosan (CMC), polyvinyl butyral (PVB) and ethanol solution, according to the certain formulation. The performance and biological safety of CLD were evaluated by experiments of waterproof, breathable, bacteria resistance, and cell toxicity. Forty healthy adult SD rats, half male and half female, were made wound, carboxymethyl chitosan meanwhile different concentration at 1.0 mg/mL, 10.0 mg/mL, 30.0 mg/mLwas applied to the wound. The therapeutic effect of the wound composite liquid dressing was studied by daily observation and HE staining. The upper membrane liquid of CLD between 1.8～ 2.3 mm had very good waterproof permeability and resistance to bacteria. In animal models, the wound healing rate of the experimental group (10.0 and 30.0 mg/mL CMC) was 65.42% and 67.38%, which was higher than that of control group with significant difference (P< 0.01) on the 7^th day. The wound healing rate of the experimental group (10.0 and 30.0 mg/mL CMC) was 100% on the 14^th day. Seven days after the operations, the wound healing rate of the experimental group (10.0 and 30.0 mg/mL CMC), the stratified squamous epithelium that formed the epidermis and the dermis consisted of thin collagen fibers. The organization began to fall into the interior; the normal dermis with a thick, coarse collagen fiber was connected to a thin collagen fiber. The stratified squamous epithelium of the epidermis was much larger than that of the control group from 3 to 4. The wound was connected with dermal connective tissue. The skin was very close to the normal skin on the 12^th day. The results showed that the dressing functioned (10.0 mg/mL CMC ) as a good barrier against the penetration of infection, it was waterproof, had a suitable water vapor transmission rate, good biosafety and a rapid wound closure rate.