天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用

伍静; 杨宽; 颜晓燕; 覃淮; 吴文浩

doi:10.14028/j.cnki.1003-3726.2025.24.323

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天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用

综述 | 更新时间：2025-04-29

- 天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用
- Application of Natural Polysaccharide-based Self-healing Hydrogel in Diabetic Wound Treatment
- 高分子通报 2025年38卷第5期页码：727-746
- 作者机构：
  
  1.成都医学院药学院，成都 610500
  2.西安医学院药学院，西安市多靶协同抗高血压创新药物研制重点实验室，药物研究所，西安 710021
- 作者简介：
  
  *杨宽，E-mail: yangkuan@xiyi.edu.cn；颜晓燕，E-mail: yxy1000322@cmc.edu.cn
- 基金信息：
  
  陕西省重点研发计划项目(2021ZDLSF03-05);陕西省教育厅青年创新团队项目(23JP155);陕西高校青年创新团队建设项目(2022-85);西安医学院校级科技创新团队(2021TD03;2021TD07);陕西省教育厅服务地方专项项目(23JC060);西安医学院专创融合创新创业课程(2024ZCRH-04);西安医学院科研能力提升计划项目(2022NLTS057)
- DOI：10.14028/j.cnki.1003-3726.2025.24.323
  中图分类号：
- 收稿日期：2024-10-27，
  
  录用日期：2024-12-27，
  
  网络出版日期：2025-02-18，
  
  纸质出版日期：2025-05-20
- 稿件说明：
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伍静, 杨宽, 颜晓燕, 覃淮, 吴文浩. 天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用. 高分子通报, 2025, 38(5), 727–746.

Wu, J.; Yang, K.; Yan, X, Y.; Qin, H. Wu, W. H. Application of natural polysaccharidebased self-healing hydrogel in diabetic wound treatment. Polym. Bull. (in Chinese), 2025, 38(5), 727–746.
伍静, 杨宽, 颜晓燕, 覃淮, 吴文浩. 天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用. 高分子通报, 2025, 38(5), 727–746. DOI： 10.14028/j.cnki.1003-3726.2025.24.323.

Wu, J.; Yang, K.; Yan, X, Y.; Qin, H. Wu, W. H. Application of natural polysaccharidebased self-healing hydrogel in diabetic wound treatment. Polym. Bull. (in Chinese), 2025, 38(5), 727–746. DOI： 10.14028/j.cnki.1003-3726.2025.24.323.

摘要

构建天然多糖基自愈合水凝胶的原料有壳聚糖、透明质酸、海藻酸钠、纤维素等多糖大分子，通过化学交联或物理交联的方法，可形成自愈合水凝胶。根据功能的不同，天然多糖基自愈合水凝胶可分为抗菌型、抗炎型以及多功能型。糖尿病创面因血糖水平异常存在炎症反应不平衡、氧化应激失衡、血管生成不足、细菌感染风险高等问题，导致愈合困难。天然多糖基自愈合水凝胶的多功能性可根据糖尿病伤口的修复阶段和感染程度不同来选择相应的治疗方式。本文系统总结了天然多糖基自愈合水凝胶在糖尿病伤口治疗中的应用进展，为水凝胶敷料的设计提供理论支持，并为糖尿病创面治疗带来新的启发。

Abstract

Chitosan

hyaluronic acid

sodium alginate

cellulose

and other polysaccharide macromolecules are utilized to create self-healing hydrogels based on natural polysaccharides. These self-healing hydrogels can be developed through either chemical or physical cross-linking methods. Depending on their specific function

natural polysaccharide-based self-healing hydrogels can be classified into antibacterial

anti-inflammatory

and multifunctional categories. Diabetic wounds present unique challenges

including unbalanced inflammatory responses

oxidative stress

insufficient angiogenesis

and increased risk of bacterial infection

all of which hinder healing due to abnormal blood sugar levels. The versatility of natural polysaccharide-based self-healing hydrogels allows for tailored selection according to the stage of diabetic wound repair and extent of infection. This review provides a comprehensive overview of the progress made in applying natural polysaccharide-based self-healing hydrogels for the treatment of diabetic wounds

offering both theoretical support for the design of hydrogel dressings and new insights into diabetic wound management.

关键词

Keywords

references

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