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重点与目标:难治性伤口愈合中的血管生成

The Focus and Target: Angiogenesis in Refractory Wound Healing.

作者信息

Cheng Biao, Fu Xiaobing

机构信息

1 College of Life Sciences, PLA General Hospital, PLA Medical College, Beijing, People's Republic of China.

2 The Key Laboratory of Trauma Treatment & Tissue Repair of Tropical Area, Guangzhou, People's Republic of China.

出版信息

Int J Low Extrem Wounds. 2018 Dec;17(4):301-303. doi: 10.1177/1534734618813229. Epub 2018 Dec 3.

Abstract

In recent years, wound repair, especially chronic and refractory wounds, is still a growing worldwide health problem that concerns the physical and mental health of patients and the productivity of society as a whole. In many developed countries and developing countries, such as China, rapid economic growth, negative lifestyle changes (such as increased dietary fat intake and reduced physical activity), and increasingly serious aging problems have led to more and more refractory wounds caused by chronic diseases, such as diabetes and microvascular diseases. There is a clear and orderly stage in the process of wound healing, and the malfunction of any step will lead to poor healing effect. There are many causes of refractory wounds, among which the poor vascular network is closely related. This review focuses on the role and improvement of the microvasculature in wound repair. In addition, the future developmental trend of wound regenerative therapy (active factors, [stem] cells, tissue-induced biomaterials, gene therapy, etc) is also considered.

摘要

近年来,伤口修复,尤其是慢性和难治性伤口,仍然是一个日益严重的全球性健康问题,关乎患者的身心健康以及整个社会的生产力。在许多发达国家和发展中国家,如中国,经济的快速增长、负面的生活方式改变(如饮食中脂肪摄入量增加和身体活动减少)以及日益严重的老龄化问题导致了越来越多由慢性疾病引发的难治性伤口,如糖尿病和微血管疾病。伤口愈合过程有清晰且有序的阶段,任何一个步骤出现故障都会导致愈合效果不佳。难治性伤口有多种成因,其中血管网络不佳与之密切相关。本综述重点关注微血管系统在伤口修复中的作用及改善。此外,还探讨了伤口再生治疗(活性因子、[干]细胞、组织诱导生物材料、基因治疗等)的未来发展趋势。

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