CN103212105B - Hydrogel functional dressing for preventing pressure sores - Google Patents

Hydrogel functional dressing for preventing pressure sores Download PDF

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CN103212105B
CN103212105B CN201310140353.7A CN201310140353A CN103212105B CN 103212105 B CN103212105 B CN 103212105B CN 201310140353 A CN201310140353 A CN 201310140353A CN 103212105 B CN103212105 B CN 103212105B
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layer
hydrogel functional
support material
pressure ulcer
hydrogel
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CN103212105A (en
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于春暖
王靖哲
李姗姗
周德根
周志
刘春猛
王栗
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JIYUAN BIOLOGICAL SCIENCE-TECHNOLOGY Co Ltd CHANGCHUN
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JIYUAN BIOLOGICAL SCIENCE-TECHNOLOGY Co Ltd CHANGCHUN
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Abstract

The invention relates to a hydrogel functional dressing for preventing pressure sores. The hydrogel functional dressing comprises a support material layer and a hydrogel functional layer, wherein the support material layer is arranged at the bottom layer of the hydrogel functional layer; the hydrogel functional layer is stuck on the support material layer; and the hydrogel functional layer is prepared by 5-70% of hydrophilic polymer material and 30-95% of water by mass percent through one or combination of more in a physical method, a chemical method or a radiation method. The hydrogel functional dressing for preventing pressure sores is soft and elastic in properties, has good biocompatibility, is free from stimulation and sensitization, can disperse and buffer the pressure, and reduces the friction force and the shear force.

Description

A kind of hydrogel functional dressings that prevents pressure ulcer
Technical field
The present invention relates to a kind of hydrogel functional dressings that prevents pressure ulcer.
Background technology
Pressure ulcer is due to the long-term pressurized of local organization, there is continuous ischemia, anoxia, the necrosis of malnutrition Er Zhi tissue fester, patient with operation under anesthesia situation, because all or part of consciousness of health disappears, muscle loses autonomous regulating power, more easily cause skin injury, the chance that acute pressure ulcer occurs in art increases relatively.According to American National decubital ulcer advisory group, estimate: only the U.S. just has 1,000,000 people to suffer from pressure ulcer, in Japanese inpatient, 5.8% has pressure ulcer, and pressure ulcer is 3%~14% at the sickness rate of hospital.Paralytic, elderly patients, due to long-term bed or Sedentary wheelchair, the course of disease is long, malnutrition, cell regeneration repair ability is low, and pressure ulcer more easily occurs; Once pressure ulcer occurs, not only can increase the weight of the state of an illness, delay treatment, reduction patient's quality of life, increase medical expense, also can cause serious infection and cause death.According to related documents report, approximately there are every year 60000 people to die from pressure ulcer complication.Pressure ulcer is the problem of a universality in rehabilitation, nursing, external pressure act on skin after 2 hours the muscle below it can produce ischemia and change, uniform pressure acts on the skin complete degeneration of muscle in 6 hours, is therefore subject to for a long time medical apparatus and instruments compressing also can produce pressure ulcer.Therefore the prevention of pressure ulcer has very important medical significance.
Clinically, the modes such as employing is stood up, massage of preventing and kill off in advance of pressure ulcer, also adopt airfilled ring, heat lamp, smear the prevention that vaseline etc. carries out pressure ulcer, but airfilled ring easily makes blood circulation be obstructed, cause venous congestion and edema to hinder sweat evaporation and chafe, particularly edema and overweight people more should not use simultaneously; Use heat lamp etc. increases xerosis cutis, histiocyte metabolism and oxygen demand and then causes cell ischemia, even downright bad; Smear the oiliness improvers such as vaseline, without breathability, also apnea function, its water evaporation quantity maintains on a reduced levels, far below the water evaporation quantity of normal skin, causes skin dipping.
In recent years, along with going deep into of research, the understanding of pressure ulcer was thought to pressure, shearing force, frictional force are the principal elements that pressure ulcer occurs with relatively had new variation, researcher in the past.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of hydrogel functional dressings that prevents pressure ulcer, described hydrogel functional dressings character softness is flexible, there is good biocompatibility, non-stimulated, without sensitization, can disperse and compensator or trimmer pressure, reduce frictional force and shearing force, reduce pressure ulcer occurrence risk.
The technical scheme that the present invention solves the problems of the technologies described above is as follows: a kind of hydrogel functional dressings that prevents pressure ulcer, comprise layer of support material and hydrogel functional layer, described layer of support material is positioned at the bottom of described hydrogel functional layer, and described hydrogel functional layer pastes in described layer of support material; Wherein, the hydrophilic high molecular material that described hydrogel functional layer is 5%~70% by quality percentage composition and 30%~95% water, make by any one or a few combination in physical method, chemical method or method of radiating.
The invention has the beneficial effects as follows: the hydrogel functional dressings character softness of prevention pressure ulcer of the present invention is flexible, has good biocompatibility, non-stimulated, without sensitization, can disperse and compensator or trimmer pressure, reduce frictional force and shearing force.Be applicable to anesthesia surgery patient, only need the simple fixing generation that can prevent pressure ulcer in operation; For having a delicate constitution, the lower patient of body temperature, heating layer can maintain adhering part megadyne temperature degree at 35~42 ℃, has both reached the object of prevention pressure ulcer, can help again patient to maintain body temperature; Also be applicable to patient's life-time service such as long-term bed, unable changing position such as degree of depth stupor, ICU intensive care patient and paraplegia, hemiplegia, when nursing staff is turn-over bed for patient, can take dressing off converts thereupon and pastes position, reduce nursing procedure, increase dressing utilization rate, reduce patient economy burden; This dressing simultaneously can be cut into arbitrary size arbitrary shape, is applicable to be subject to for a long time the patient's of medical apparatus and instruments compressing the prevention of pressure ulcer, health and the psychological misery of avoiding sufferer to produce because of pressure ulcer.
Hydrogel functional layer is comprised of hydrogel, described hydrogel is to take the gel that water is disperse medium, the water soluble polymer network cross-linked polymer with cross-linked structure, character softness is flexible, there is good biocompatibility, effectively compensator or trimmer pressure, Decentralized Friction power and shearing force, nontoxic, non-stimulated, can safe and effective prevention pressure ulcer.Hydrogel pad, for orthopaedics PFN operation, is reduced to the generation of pressure ulcer, obtained good effect.
It can be the arbitrary shape at applicable apophysis position that the present invention prevents the shape of the hydrogel functional dressings of pressure ulcer.
On the basis of technique scheme, the present invention can also do following improvement.
Further, described hydrophilic high molecular material can be also synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material, can also mix mutually with synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material.
Further, described natural hydrophilic macromolecular material is polysaccharide and protein-based.
Further, described polysaccharide is any one or the two or more mixing in starch, methylcellulose, carboxymethyl cellulose, hydroxypropyl cellulose, agar, arabic gum, pectin, xanthan gum, carrageenan, alginic acid and hyaluronic acid; Described protein-based be any one or two or more mixing in gelatin, osseocolla, polyglutamic acid, polylysine, fibrin, elastin laminin and keratin.
Further, described synthetic hydrophilic polymer material is any one or the two or more mixing in polyacrylamide, polyacrylic acid, polyacrylate, polyvinylpyridine, polyvinylpyrrolidone, polyvinyl alcohol, polymaleic anhydride, polyquaternium, Polyethylene Glycol, polyethylene glycol oxide.
Further, the hydrogel functional dressings of described prevention pressure ulcer also comprises polyurethane rete, described polyurethane rete is positioned at the top layer of described hydrogel functional layer, the shape of described polyurethane rete, the shape of hydrogel functional layer and the shape of layer of support material are all corresponding, and the surface area of described polyurethane rete is more than or equal to the surface area of described layer of support material, the surface area of described layer of support material is more than or equal to the surface area of described hydrogel functional layer, described polyurethane rete covers in described hydrogel functional layer completely or part covers in described hydrogel functional layer.
Adopt the beneficial effect of above-mentioned further scheme to be, described polyurethane rete has the effect of controlling moisture evaporation, and the polyurethane rete of controlling moisture evaporation rate can cover hydrogel functional layer completely according to different user demands and also can be part covering hydrogel functional layer.
Further, the hydrogel functional dressings of described prevention pressure ulcer also comprises medical adhesive tape, and described medical adhesive tape is connected with described layer of support material.
Further, the shape of described medical adhesive tape is corresponding with the shape of described layer of support material, and the surface area of described medical adhesive tape is more than or equal to the surface area of described layer of support material.
Further, the hydrogel functional dressings of described prevention pressure ulcer also comprises heating layer, described heating layer is between described layer of support material and described medical adhesive tape, the periphery of described layer of support material is mutually bonding with the periphery of described medical adhesive tape, and described heating layer is covered by between described layer of support material and described medical adhesive tape.
Further, the shape of described heating layer is corresponding with the shape of described layer of support material, and the surface area of described heating layer is less than the surface area of described layer of support material.
Adopt the beneficial effect of above-mentioned further scheme to be, described heating layer has the effect of insulation; Described medical adhesive takes up fixation.
Further, the thickness of described hydrogel functional layer is 1~100 millimeter.
Accompanying drawing explanation
Fig. 1 is the STRUCTURE DECOMPOSITION figure that the present invention prevents the hydrogel functional dressings of pressure ulcer;
Fig. 2 is the cross sectional representation that the present invention prevents the hydrogel functional dressings of pressure ulcer;
In accompanying drawing, the list of parts of each label representative is as follows:
1, polyurethane rete, 2, hydrogel functional layer, 3, layer of support material, 4, heating layer, 5, medical adhesive tape.
The specific embodiment
Below in conjunction with accompanying drawing, principle of the present invention and feature are described, example, only for explaining the present invention, is not intended to limit scope of the present invention.
A kind of hydrogel functional dressings that prevents pressure ulcer, as shown in Figure 1 and Figure 2, comprise layer of support material 3 and hydrogel functional layer 2, described layer of support material 3 is positioned at the bottom of described hydrogel functional layer 2, and described hydrogel functional layer 2 pastes in described layer of support material 3; Wherein, the hydrophilic high molecular material that described hydrogel functional layer 2 is 5%~70% by quality percentage composition and 30%~95% water, be prepared from by any one or a few combination in physical method, chemical method or method of radiating.
Described hydrophilic high molecular material can be also synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material, can also mix mutually with synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material.
Described natural hydrophilic macromolecular material is polysaccharide and protein-based.Described polysaccharide is any one or the two or more mixing in starch, methylcellulose, carboxymethyl cellulose, hydroxypropyl cellulose, agar, arabic gum, pectin, xanthan gum, carrageenan, alginic acid and hyaluronic acid.Described protein-based be any one or two or more mixing in gelatin, osseocolla, polyglutamic acid, polylysine, fibrin, elastin laminin and keratin.
Described synthetic hydrophilic polymer material is any one or the two or more mixing in polyacrylamide, polyacrylic acid, polyacrylate, polyvinylpyridine, polyvinylpyrrolidone, polyvinyl alcohol, polymaleic anhydride, polyquaternium, Polyethylene Glycol, polyethylene glycol oxide.
The hydrogel functional dressings of described prevention pressure ulcer also comprises polyurethane rete 1, described polyurethane rete 1 is positioned at the top layer of described hydrogel functional layer 2, the shape of described polyurethane rete 1, the shape of the shape of hydrogel functional layer 2 and layer of support material 3 is all corresponding, and the surface area of described polyurethane rete 1 is more than or equal to the surface area of described layer of support material 3, the surface area of described layer of support material 3 is more than or equal to the surface area of described hydrogel functional layer 2, described polyurethane rete 1 covers in described hydrogel functional layer 2 completely or part covers in described hydrogel functional layer 2.
The hydrogel functional dressings of described prevention pressure ulcer also comprises medical adhesive tape 5, and described medical adhesive tape 5 is connected with described layer of support material 3.
The shape of described medical adhesive tape 5 is corresponding with the shape of described layer of support material 3, and the surface area of described medical adhesive tape 5 is more than or equal to the surface area of described layer of support material 3.
The hydrogel functional dressings of described prevention pressure ulcer also comprises heating layer 4, described heating layer 4 is between described layer of support material 3 and described medical adhesive tape 5, the periphery of described layer of support material 3 is mutually bonding with the periphery of described medical adhesive tape 5, and described heating layer 4 is covered by between described layer of support material 3 and described medical adhesive tape 5.
The shape of described heating layer 4 is corresponding with the shape of described layer of support material 3, and the surface area of described heating layer 4 is less than the surface area of described layer of support material 3.
The thickness of described hydrogel functional layer 2 is 1~100 millimeter.
Below by several specific embodiments so that specifically the present invention will be described.
Embodiment 1
Prevent a hydrogel functional dressings for pressure ulcer, comprise hydrogel functional layer 2, layer of support material 3.Hydrogel functional layer 2 thickness are 5mm, are connected with layer of support material 3, and the size of the size of layer of support material 3 and hydrogel functional layer is 10.0 * 10.0cm.
Embodiment 2
A kind of hydrogel functional dressings that prevents pressure ulcer, comprise hydrogel functional layer 2, backing material 3 and medical adhesive tape 5, hydrogel functional layer 2 is connected with layer of support material 3, and the thickness of hydrogel functional layer 2 is 4mm, and hydrogel functional layer 2 is of a size of 7.5 * 7.5cm; Layer of support material 3 is of a size of 8.5 * 8.5cm, and medical adhesive belt 5 and layer of support material 3 combinations, be of a size of 11.0 * 11.0cm.
Embodiment 3
A kind of hydrogel functional dressings that prevents pressure ulcer, comprise hydrogel functional layer 2, backing material 3 and polyurethane rete 1, the bottom of hydrogel functional layer 2 is connected with layer of support material 3, the top layer of hydrogel functional layer 2 is connected with polyurethane rete 1, the thickness of hydrogel functional layer 2 is 4mm, and hydrogel functional layer 2 is of a size of 9 * 14cm; Layer of support material 3 is of a size of 10 * 15cm, and the size of polyurethane rete 1 and layer of support material 3 are measure-alike, has the perforate of 5 * 6cm area in the middle of polyurethane rete 1.
Embodiment 4
A kind of hydrogel functional dressings that prevents pressure ulcer, comprise polyurethane rete 1, hydrogel functional layer 2 and backing material 3, the bottom of hydrogel functional layer 2 is connected with layer of support material 3, the top layer of hydrogel functional layer 2 is connected with polyurethane rete 1, the thickness of hydrogel functional layer 2 is 10mm, and hydrogel functional layer 2 is of a size of 9 * 14cm; Layer of support material 3 is of a size of 10 * 15cm, and the mid portion of polyurethane rete 1 contacts with hydrogel functional layer 2, and periphery connects together with layer of support material 3, its size and layer of support material 3 measure-alike.
Embodiment 5
Prevent a hydrogel functional dressings for pressure ulcer, comprise polyurethane rete 1, hydrogel functional layer 2, layer of support material 3, heating layer 4 and medical adhesive tape 5, wherein, the bottom is medical adhesive tape 5, is of a size of 10.0 * 10.0cm; Heating layer 4 is placed between layer of support material 3 and medical adhesive tape 5, and heating layer 4 is of a size of 5.0 * 5.0cm; The periphery of layer of support material 3 is mutually bonding with medical adhesive tape 5; Layer of support material 3 is connected with the bottom of hydrogel functional layer 2, and size is 10.0 * 10.0cm, and the thickness of hydrogel functional layer 2 is 4mm; Polyurethane rete 1 is positioned at top, is connected with the top layer of hydrogel functional layer 2, is of a size of 11.0 * 11.0cm.
During use, hydrogel functional layer 2 is pasted to the apophysis position of human body, if desired, with adhesive tape sticking, in human body skin, be fixed, sustainable 8~48 hours of effect.
The foregoing is only preferred embodiment of the present invention, in order to limit the present invention, within the spirit and principles in the present invention not all, any modification of doing, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.

Claims (8)

1. a hydrogel functional dressings that prevents pressure ulcer, is characterized in that: comprise layer of support material and hydrogel functional layer, described layer of support material is positioned at the bottom of described hydrogel functional layer, and described hydrogel functional layer pastes in described layer of support material; Wherein, the hydrophilic high molecular material that described hydrogel functional layer is 5%~70% by quality percentage composition and 30%~95% water, be prepared from by any one or a few combination in physical method, chemical method or method of radiating;
The hydrogel functional dressings of described prevention pressure ulcer also comprises polyurethane rete, described polyurethane rete is positioned at the top layer of described hydrogel functional layer, the shape of the shape of described polyurethane rete, hydrogel functional layer and the shape of layer of support material are all corresponding, and the surface area of described polyurethane rete is more than or equal to the surface area of described layer of support material, the surface area of described layer of support material is more than or equal to the surface area of described hydrogel functional layer, and described polyurethane rete covers in described hydrogel functional layer completely or part covers in described hydrogel functional layer;
The hydrogel functional dressings of described prevention pressure ulcer also comprises medical adhesive tape, and described medical adhesive tape is connected with described layer of support material;
The hydrogel functional dressings of described prevention pressure ulcer also comprises heating layer, described heating layer is between described layer of support material and described medical adhesive tape, the periphery of described layer of support material is mutually bonding with the periphery of described medical adhesive tape, and described heating layer is covered by between described layer of support material and described medical adhesive tape.
2. the hydrogel functional dressings of prevention pressure ulcer according to claim 1, it is characterized in that: the hydrophilic high molecular material of described hydrogel functional layer can be also synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material, can also mix mutually with synthesis hydrophilic macromolecular material for natural hydrophilic macromolecular material.
3. the hydrogel functional dressings of prevention pressure ulcer according to claim 2, is characterized in that: described natural hydrophilic macromolecular material is polysaccharide and protein-based.
4. the hydrogel functional dressings of prevention pressure ulcer according to claim 3, is characterized in that: described polysaccharide is any one or the two or more mixing in starch, methylcellulose, carboxymethyl cellulose, hydroxypropyl cellulose, agar, arabic gum, pectin, xanthan gum, carrageenan, alginic acid and hyaluronic acid; Described protein-based be any one or two or more mixing in gelatin, osseocolla, polyglutamic acid, polylysine, fibrin, elastin laminin and keratin.
5. the hydrogel functional dressings of prevention pressure ulcer according to claim 2, is characterized in that: described synthetic hydrophilic polymer material is any one or the two or more mixing in polyacrylamide, polyacrylic acid, polyacrylate, polyvinylpyridine, polyvinylpyrrolidone, polyvinyl alcohol, polymaleic anhydride, polyquaternium, Polyethylene Glycol, polyethylene glycol oxide.
6. the hydrogel functional dressings of prevention pressure ulcer according to claim 1, it is characterized in that: the shape of described medical adhesive tape is corresponding with the shape of described layer of support material, and the surface area of described medical adhesive tape is more than or equal to the surface area of described layer of support material.
7. the hydrogel functional dressings of prevention pressure ulcer according to claim 1, it is characterized in that: the shape of described heating layer is corresponding with the shape of described layer of support material, and the surface area of described heating layer is less than the surface area of described layer of support material.
8. according to the hydrogel functional dressings of the prevention pressure ulcer described in claim 1 to 5 any one, it is characterized in that: the thickness of described hydrogel functional layer is 1~100 millimeter.
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CN103755965A (en) * 2013-12-25 2014-04-30 南京工业大学 Epsilon-polylysine hydrogel and preparation method and application thereof
CN104857550B (en) * 2015-05-29 2017-03-15 南京工业大学 A kind of ε polylysines para hydroxybenzene propionic acid anti-bacterial hydrogel dressing and preparation method thereof
CN106581835A (en) * 2015-10-14 2017-04-26 泰升国际科技股份有限公司 Decompression pad for preventing pressure sores
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