Journal of Shanghai Jiao Tong University (Medical Science) >

2022 , Vol. 42 >Issue 5: 562 - 569

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.05.002

Basic research

Effects of cryogen spray combined with polymeric hydrogel on acute burn wounds

  • Jiaoyun DONG ,
  • Fei SONG ,
  • Shuliang LU ,
  • Yan LIU ,
  • Ming TIAN
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  • Department of Burn, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
LIU Yan, E-mail: ly10515@rjh.com.cn.
TIAN Ming, E-mail: tianming198@163.com

Received date: 2022-01-24

  Accepted date: 2022-05-06

  Online published: 2022-05-28

Supported by

National Natural Science Foundation of China(81671916);Shanghai Municipal Key Clinical Specialty(shslczdzk02302)

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Abstract

Objective

·To develope a medical device for first aid of burns, a new formulation of cryogen spray and polymeric hydrogel, which can quickly reduce skin temperature and has no irritation, and investigate the effect of cryogen spray combined with polymeric hydrogel on quickly blocking the continuous injury of heat source to the skin tissue, and on the early repair of wound and reduction of the area and depth of burn wound.

Methods

·The cryogen spray was filled into the high-pressure tank and its cooling performance was evaluated. Polymeric hydrogel dressing was prepared and the cooling time was evaluated. The irritating effect on rat' back skin tissue was evaluated after exploring on cryogen spray combined with polymeric hydrogel continuouly for 72 h. A burn rat model was created, the rats were randomly divided into two groups with 6 in each group. The burn area and inflammatory reaction of cryogen spray combined with polymeric hydrogel treated for 24 h was compared with that of the untreated group or the tap water treatment group.

Results

·Compared with tap water, the cooling effect of 15% concentration cryogen spray was the best. Within 3 minutes, the cooling rate was significantly higher than that of the tap water control group (P<0.05). The cooling effect of polymeric hydrogel can be maintained for 8 h, the temperature of 70 ℃ water can be reduced to room temperature (22 ± 2) ℃ within 2 h, and the water temperature was lower than that of the control group throughout the whole process. Both materials had no irritating effect on skin tissue, and did not cause allergic reactions such as erythema and edema of skin tissue. Compared with the untreated group and the tap water group, the eschar area of the burn wound treated with cryogen spray combined with polymeric hydrogel decreased significantly (P<0.05). H-E staining showed that compared with the untreated group and the tap water group, the number of inflammatory cells in the wound of the combined application of cryogen spray and polymeric hydrogel group decreased significantly (P<0.05).

Conclusion

·The combination of cryogen spray and polymeric hydrogel shows good cooling efficiency. The combined application can reduce the eschar area, and prevent the progressive deepening of the wound and the accumulation of inflammatory cells, which is conducive to the wound healing as soon as possible in the later stage. It will not cause allergic reaction of skin tissue. It may be exploited as an effective and convenient tool for the first aid management of burn patients..

Key words： burns; first aid; cryogen spray; hydrogel

Cite this article

Jiaoyun DONG , Fei SONG , Shuliang LU , Yan LIU , Ming TIAN . Effects of cryogen spray combined with polymeric hydrogel on acute burn wounds[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022 , 42(5) : 562 -569 . DOI: 10.3969/j.issn.1674-8115.2022.05.002

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