Eming S A, Wlaschek M, Scharffetter-Kochanek K
Klinik und Poliklinik für Dermatologie und Venerologie, Uniklinik Köln, Köln, Deutschland.
Klinik für Dermatologie und Allergologie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland.
Hautarzt. 2016 Feb;67(2):112-6. doi: 10.1007/s00105-015-3738-2.
Restoration of tissue integrity is essential for host defense and protection of the organism. The efficacy and quality of skin repair varies significantly over a person's lifetime. Whereas prenatal wound healing is characterized by regeneration and scarless healing, scarring, fibrosis, and loss of function are features of postnatal repair. In fact, aging is the prominent risk factor for chronic wounds, skin fragility, infections, comorbidities, and decreased quality of life. Current strategies for restoration of tissue integrity and wound therapy are not sufficient and require further investigation of the underlying pathomechanisms and the development of causal-based concepts.
组织完整性的恢复对于宿主防御和机体保护至关重要。皮肤修复的功效和质量在人的一生中差异显著。产前伤口愈合的特征是再生和无瘢痕愈合,而瘢痕形成、纤维化和功能丧失则是产后修复的特征。事实上,衰老 是慢性伤口、皮肤脆弱、感染、合并症以及生活质量下降的主要危险因素。目前恢复组织完整性和伤口治疗的策略并不充分,需要进一步研究潜在的病理机制并制定基于因果关系的概念。