Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Int Wound J. 2012 Jun;9(3):238-47. doi: 10.1111/j.1742-481X.2011.00888.x. Epub 2011 Nov 4.
Wound healing is a dynamic and complex biological process, which requires coordinated events including haemostasis, inflammation, proliferation, revascularisation and remodelling. Impaired wound healing is a common problem that occurs in both community and hospital settings. Various experimental and clinical studies have evaluated different modalities for the treatment of topical wounds, such as sugar, antibiotics, honey and phytotherapies; also statins have diverse pleiotropic effects that have been suggested to be useful to improve wound healing. Data derived from both animal and human studies showed that statins especially atorvastatin, simvastatin and pravastatin can accelerate the wound-healing process. However, further high-quality and evidence-based studies are needed to address the best statin drug, appropriate dose, the best administration route, duration of treatment and to determine correlation between pleiotropic effects of statins and their probable clinical benefits.
伤口愈合是一个动态而复杂的生物学过程,需要协调包括止血、炎症、增殖、再血管化和重塑等事件。伤口愈合受损是一种常见的问题,无论是在社区还是医院环境中都可能发生。各种实验和临床研究已经评估了不同的方法来治疗局部伤口,如糖、抗生素、蜂蜜和植物疗法;他汀类药物也具有多种多效性作用,这些作用被认为有助于改善伤口愈合。来自动物和人类研究的数据表明,他汀类药物,特别是阿托伐他汀、辛伐他汀和普伐他汀,可以加速伤口愈合过程。然而,需要进一步进行高质量和基于证据的研究,以确定最佳的他汀类药物、合适的剂量、最佳的给药途径、治疗持续时间,并确定他汀类药物的多效性作用与其可能的临床益处之间的相关性。