Implications of Biomaterials for Chronic Wounds.

IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Mini reviews in medicinal chemistry Pub Date : 2025-01-07 DOI:10.2174/0113895575314580241121080256
Virginia-Silviana Barbu Becherescu, Madalina-Diana Gaboreanu, Ioana-Cristina Marinas, Andra-Maria Paun, Ileana Paula Ionel, Speranta Avram
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Abstract

The use of biomaterials in treating and managing chronic wounds represents a significant challenge in global healthcare due to the complex nature of these wounds, which are slow to heal and can lead to complications such as frequent infections and diminished quality of life for patients. Chronic wounds, which can arise from conditions like diabetes, poor circulation, and pressure sores, pose distinct challenges in wound care, necessitating the development of specialized dressings. The pathophysiology of chronic wounds is thoroughly examined in this article, with particular attention paid to the cellular and molecular defects at work and the therapeutic guidelines. It also identifies key issues in the field, such as biocompatibility, cost-effectiveness, immune reactions, and regulatory obstacles, while suggesting future research focuses on improving biocompatibility, integrating drug delivery systems, and exploring cellular treatments. Ethical implications, such as patient safety, informed consent, and equitable access to technology, are also discussed. Finally, this review highlights the transformative potential of biomaterials in chronic wound management, urging for continued research and clinical integration to fully harness their capabilities in improving patient care.

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生物材料对慢性伤口的影响。
使用生物材料治疗和管理慢性伤口是全球医疗保健面临的一项重大挑战,因为这些伤口的性质复杂,愈合缓慢,并可能导致诸如频繁感染和患者生活质量下降等并发症。慢性伤口可能由糖尿病、血液循环不良和压疮等疾病引起,对伤口护理构成了独特的挑战,需要开发专门的敷料。本文对慢性伤口的病理生理进行了全面的研究,特别关注了细胞和分子缺陷的作用和治疗指南。它还确定了该领域的关键问题,如生物相容性、成本效益、免疫反应和监管障碍,同时建议未来的研究重点是提高生物相容性、整合药物输送系统和探索细胞治疗。伦理影响,如患者安全,知情同意和公平获取技术,也进行了讨论。最后,本综述强调了生物材料在慢性伤口管理中的变革潜力,敦促继续研究和临床整合,以充分利用其改善患者护理的能力。
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来源期刊
CiteScore
7.80
自引率
0.00%
发文量
231
审稿时长
6 months
期刊介绍: The aim of Mini-Reviews in Medicinal Chemistry is to publish short reviews on the important recent developments in medicinal chemistry and allied disciplines. Mini-Reviews in Medicinal Chemistry covers all areas of medicinal chemistry including developments in rational drug design, synthetic chemistry, bioorganic chemistry, high-throughput screening, combinatorial chemistry, drug targets, and natural product research and structure-activity relationship studies. Mini-Reviews in Medicinal Chemistry is an essential journal for every medicinal and pharmaceutical chemist who wishes to be kept informed and up-to-date with the latest and most important developments.
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