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局部氧疗与微/纳米气泡:一种新的组织氧输送方式。

Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery.

机构信息

Center for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California.

Biomedical Engineering Department, University of California, Irvine, California.

出版信息

Int Wound J. 2018 Jun;15(3):363-374. doi: 10.1111/iwj.12873. Epub 2018 Jan 5.

DOI:10.1111/iwj.12873
PMID:29314626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7950116/
Abstract

Up to 15 billion dollars of US health care expenditure each year is consumed by treatment of poorly healing wounds whose etiologies are often associated with aberrancies in tissue oxygenation. To address this issue, several modes of tissue oxygen delivery systems exist, including Hyperbaric Oxygen Therapy (HBOT) and Topical Oxygen Therapy (TOT), but their efficacies have yet to be fully substantiated. Micro/nanobubbles (MNBs), which range anywhere from 100 μm to <1 μm in diameter and are relatively stable for hours, offer a new mode of oxygen delivery to wounds. The aim of this article is to systematically review literature examining the use of TOT for wound healing and use of MNBs for tissue oxygenation using the MEDLINE database. The search yielded 87 articles (12 MNB articles and 75 TOT articles), of which 52 met the inclusion criteria for this literature review (12 MNB articles and 40 TOT articles). Additionally, we present an analysis on the efficacy of our MNB generating technology and propose its use as a wound healing agent.

摘要

每年,高达 150 亿美元的美国医疗保健支出用于治疗愈合不良的伤口,而这些伤口的病因通常与组织氧合异常有关。为了解决这个问题,存在几种组织氧输送系统,包括高压氧治疗(HBOT)和局部氧治疗(TOT),但其疗效尚未得到充分证实。微/纳米气泡(MNBs)的直径范围为 100μm 至<1μm,并且相对稳定数小时,为伤口提供了一种新的供氧方式。本文的目的是使用 MEDLINE 数据库系统地回顾文献,检查 TOT 用于伤口愈合和 MNB 用于组织氧合的用途。该搜索产生了 87 篇文章(12 篇 MNB 文章和 75 篇 TOT 文章),其中 52 篇符合本文献综述的纳入标准(12 篇 MNB 文章和 40 篇 TOT 文章)。此外,我们还对我们的 MNB 生成技术的功效进行了分析,并提出将其用作伤口愈合剂。

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本文引用的文献

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Evaluating a novel oxygenating therapeutic for its potential use in the advancement of wound healing.评估一种新型氧合疗法在促进伤口愈合方面的潜在用途。
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A Retrospective Chart Review of Chronic Wound Patients Treated with Topical Oxygen Therapy.一项关于接受局部氧疗的慢性伤口患者的回顾性病历审查。
Adv Wound Care (New Rochelle). 2017 May 1;6(5):143-152. doi: 10.1089/wound.2017.0729.
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Topical oxygen therapy results in complete wound healing in diabetic foot ulcers.局部氧疗可使糖尿病足溃疡完全愈合。
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Dextran-shelled oxygen-loaded nanodroplets reestablish a normoxia-like pro-angiogenic phenotype and behavior in hypoxic human dermal microvascular endothelium.葡聚糖包裹的载氧纳米液滴可在缺氧的人真皮微血管内皮细胞中重建类似常氧的促血管生成表型和行为。
Toxicol Appl Pharmacol. 2015 Nov 1;288(3):330-8. doi: 10.1016/j.taap.2015.08.005. Epub 2015 Aug 12.
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