Wound management is a major challenge worldwide, placing
a huge
financial burden on the government of every nation. Wound dressings
that can protect wounds, accelerate healing, prevent infection, and
avoid secondary damage continue to be a major focus of research in
the health care and clinical communities. Herein, a novel zwitterionic
polymer (LST) hydrogel incorporated with [2-(methacryloyloxy) ethyl]
dimethyl-(3-sulfopropyl) ammonium hydroxide (SBMA), mussel-inspired N-[tris(hydroxymethyl)methyl] acrylamide (THMA), and lithium
magnesium salt was prepared for functional wound dressings. The incorporation
of the THMA monomer containing three hydroxyl groups gives the hydrogel
suitable adhesion properties (∼6.0 KPa). This allows the LST
zwitterionic hydrogels to bind well to the skin, which not only protects
the wound and ensures its therapeutic efficacy but also allows for
painless removal and reduced patient pain. Zwitterionic sulfobetaine
units of SBMA provide antimicrobial and mechanical properties. The
chemical structure and microscopic morphology of LST zwitterionic
hydrogels were systematically studied, along with their swelling
ratio, adhesion, and mechanical properties. The results showed that
the LST zwitterionic hydrogels had a uniform and compact porous structure
with the highest swelling and mechanical strain of 1607% and 1068.74%,
respectively. The antibacterial rate of LST zwitterionic hydrogels
was as high as 99.49%, and the hemostatic effect was about 1.5 times
that of the commercial gelatin hemostatic sponges group. In further
studies, a full-thickness mouse skin model was selected to evaluate
the wound healing performance. Wounds covered by LST zwitterionic
hydrogels had a complete epithelial reformation and new connective
tissue, and its vascular regenerative capacity was increased to about
2.4 times that of the commercial group, and the wound could completely
heal within 12–13 days. This study provides significant advances
in the design and construction of multifunctional zwitterionic hydrogel
adhesives and wound dressings.