Background: Conventional and refractory wounds frequently remain in a prolonged inflammatory phase associated with excessive reactive oxygen species (ROS) accumulation and disruption of endogenous electrical cues. Methods: A multifunctional nanocomposite hydrogel was fabricated via an amidation condensation reaction, utilizing 3-amino-4-methoxybenzoic acid (AMB)-modified carboxymethyl chitosan (PAMB-CMCS) and decellularized extracellular matrix (dECM) as macromolecular networks, integrated with Astragaloside IV-Loaded Polydopamine/Zeolitic Imidazolate Framework-8 (AS@PDA/ZIF-8) nanoparticles. Results: The hydrogel provided a biomechanically supportive scaffold with compressive strength of 27.24 ± 1.9 kPa and breaking strength of 28.2 ± 2.8 kPa and exhibited electrical conductivity of 29.84 mS/cm, ROS-scavenging activity, and near-infrared (NIR)-responsive photothermal behavior reaching 62.55 °C. The integrated PDA@ZIF-8 nanoplatform further contributed to antibacterial performance and localized AS release, thereby improving the wound microenvironment and accelerating full-thickness cutaneous defect repair. Conclusions: This macromolecule-based composite hydrogel offers a promising therapeutic strategy for complex wound management.

Background: Photothermal therapy (PTT), a highly efficient and controllable method with minimal drug resistance, transforms near-infrared (NIR) radiation into heat. This process exerts antibacterial effects, aids in tissue repair, and promotes healing. Methods: Our study presented a novel kind of composite wound dressing that incorporated adhesive conductive hydrogel combined with piezoelectric film for NIR-responsive applications. The inherent adhesiveness of the hydrogel ensured robust anchoring of the piezoelectric film to both hydrogel matrix and wound site. Its conductivity enabled synergistic endogenous electrical stimulation with the piezoelectric film, while also serving as therapeutic layer to augment hemostasis, analgesia, and antibacterial activity. Results: The hydrogel’s capacity for moisture retention and exudate absorption sustained optimal wound environment, thereby supporting debridement and recovery. Furthermore, the piezoelectric film possessed excellent photothermal properties and transferred heat to the hydrogel through heat conduction to enhance antibacterial activity and promote wound healing. The in vitro and in vivo experiments confirmed that the composite dressing exhibited strong promotion effect on wound healing under NIR irradiation. Conclusions: In summary, our research provided a new strategy for developing advanced piezoelectric biomaterials with great clinical potential for wound healing.

Background: Photothermal therapy (PTT), a highly efficient and controllable method with minimal drug resistance, transforms near-infrared (NIR) radiation into heat. This process exerts antibacterial effects, aids in tissue repair, and promotes healing. Methods: Our study presented a novel kind of composite wound dressing that incorporated an adhesive conductive hydrogel (PTP) combined with a piezoelectric film (P/M) for NIR- responsive applications. The inherent adhesiveness of the hydrogel ensured robust anchoring of the piezoelectric film to both hydrogel matrix and wound site. Its conductivity enabled synergistic endogenous electrical stimulation with the piezoelectric film, while also serving as therapeutic layer to augment hemostasis, analgesia, and antibacterial activity. Results: The hydrogel’s capacity for moisture retention and exudate absorption sustained optimal wound environment, thereby supporting debridement and recovery. Furthermore, the P/M film possessed excellent photothermal properties and transferred heat to the hydrogel through heat conduction to enhance antibacterial activity and promote wound healing. The in vitro and in vivo experiments confirmed that the composite dressing exhibited strong promotion effect on wound healing under NIR irradiation. Conclusions: In summary, our research provided a new strategy for developing advanced piezoelectric biomaterials with great clinical potential for wound healing.