生物材料在炎症性皮肤病治疗中的活性原理综述

A. Tigău, G. Vasile, L. Chirilă, A. Popescu, S. Olaru
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引用次数: 0

摘要

每年,数百万人受到急性或慢性皮肤损伤的影响。全世界每年有30万人死于中低收入国家的慢性伤口和烧伤。伤口被描述为皮肤完整性和功能的破坏,由不同的原因引起,如创伤、手术、糖尿病和烧伤。皮肤提供了对抗外部环境的机械屏障,并在体温调节、新陈代谢和体液平衡调节方面发挥了进一步的作用。皮肤病可以影响这些区域,它们可以受到体型,性别,年龄,药物,饮食和微环境的影响。此外,它们还能显示皮肤是健康还是患病。伤口敷料对伤口护理至关重要,它在伤口和外部环境之间提供了物理屏障,以防止进一步的损伤或感染。最有前途的伤口敷料具有生物相容性,能够对伤口环境进行物理保护,防止细菌渗透,并且具有高度多孔性。与合成化学品相比,在伤口敷料中使用天然生物相容性药物是非常可取的。为了达到充分的治疗效果,不同的聚合物系统被用于给药。为了提高药物的有效性、安全性、患者依从性和便利性,对给药系统进行了改进,以增强药物的释放、吸收、分布和消除。本文综述了利用蜂产品、药物、精油、金属纳米粒子和维生素等活性成分,从天然和合成来源制备伤口敷料的工程概况。
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ACTIVE PRINCIPLES APPLIED ON BIOMATERIALS FOR THE CURATIVE THERAPY OF INFLAMMATORY SKIN DISEASES - A REVIEW
Every year, millions of peoples are affected by skin injuries of either an acute or chronic nature. Worldwide 300,000 people die every year in lower-middle-income countries due to chronic wounds and burn injuries. Wounds are described as the disruption in the skin integrity and function, which arises from different causes such as trauma, surgery, diabetes, and burns. Skin provides a mechanical barrier against the external environment and has further roles in thermoregulation, metabolism and regulation of fluid balance. Skin diseases can affect each of these regions and they can be influenced by body size, sex, age, medications, diet, and microenvironment. Also, they can manifest whether the skin is healthy or diseased. Wound dressings are critical to wound care, providing a physical barrier between the wound and the external environment to prevent further damage or infection. The most promising wound dressings are biocompatible, enable physical protection of the wound milieu against penetration of bacteria and are highly porous. The use of natural biocompatible drugs is highly desirable in wound dressing compared to synthetic chemicals. To achieve an adequate therapeutic effect, different polymeric systems are used for drug delivery. To improve drug efficacy, safety, patient compliance and convenience a drug delivery system is modified to enhance drug release profile, absorption, distribution and elimination of the drug. The present review is an attempt to brief readers about the engineering of wound dressing materials from natural and synthetic sources upfront using active principles, such as bee products, drugs, essential oils, metallic nanoparticles and vitamins.
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