Strauch Berish, Herman Charles, Dabb Richard, Ignarro Louis J, Pilla Arthur A
Albert Einstein College of Medicine, Bronx, NY, USA.
Aesthet Surg J. 2009 Mar-Apr;29(2):135-43. doi: 10.1016/j.asj.2009.02.001.
The initial development of pulsed electromagnetic field (PEMF) therapy and its evolution over the last century for use in clinical surgery has been slow, primarily because of lack of scientifically-derived, evidence-based knowledge of the mechanism of action.
Our objective was to review the major scientific breakthroughs and current understanding of the mechanism of action of PEMF therapy, providing clinicians with a sound basis for optimal use.
A literature review was conducted, including mechanism of action and biologic and clinical studies of PEMF. Using case illustrations, a holistic exposition on the clinical use of PEMF in plastic surgery was performed.
PEMF therapy has been used successfully in the management of postsurgical pain and edema, the treatment of chronic wounds, and in facilitating vasodilatation and angiogenesis. Using scientific support, the authors present the currently accepted mechanism of action of PEMF therapy.
This review shows that plastic surgeons have at hand a powerful tool with no known side effects for the adjunctive, noninvasive, nonpharmacologic management of postoperative pain and edema. Given the recent rapid advances in development of portable and economical PEMF devices, what has been of most significance to the plastic surgeon is the laboratory and clinical confirmation of decreased pain and swelling following injury or surgery.
脉冲电磁场（PEMF）疗法的初步发展及其在上个世纪用于临床手术的演变一直很缓慢，主要原因是缺乏基于科学推导和循证的作用机制知识。
我们的目的是回顾PEMF疗法作用机制的主要科学突破和当前认识，为临床医生提供最佳使用的坚实基础。
进行了一项文献综述，包括PEMF的作用机制以及生物学和临床研究。通过病例说明，对PEMF在整形外科中的临床应用进行了全面阐述。
PEMF疗法已成功用于术后疼痛和水肿的管理、慢性伤口的治疗以及促进血管舒张和血管生成。作者利用科学依据，介绍了目前公认的PEMF疗法作用机制。
本综述表明，整形外科医生手头有一个强大的工具，对术后疼痛和水肿进行辅助、无创、非药物管理且无已知副作用。鉴于便携式和经济型PEMF设备最近的快速发展，对整形外科医生来说最重要的是实验室和临床证实损伤或手术后疼痛和肿胀减轻。
