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泛醇在医疗和美容干预后的伤口愈合(术后伤口愈合)中的应用

Dexpanthenol in Wound Healing after Medical and Cosmetic Interventions (Postprocedure Wound Healing).

作者信息

Gorski Julian, Proksch Ehrhardt, Baron Jens Malte, Schmid Daphne, Zhang Lei

机构信息

Bayer Vital GmbH, Building K 56, D-51368 Leverkusen, Germany.

Department of Dermatology, University of Kiel, Schittenhelmstrasse 7, D-24105 Kiel, Germany.

出版信息

Pharmaceuticals (Basel). 2020 Jun 29;13(7):138. doi: 10.3390/ph13070138.

Abstract

With the availability of new technologies, the number of subjects undergoing medical and cosmetic interventions is increasing. Many procedures (e.g., ablative fractional laser treatment) resulting in superficial/minor wounds require appropriate aftercare to prevent complications in wound healing and poor cosmetic outcome. We review the published evidence of the usefulness of topical dexpanthenol in postprocedure wound healing and the associated mechanisms of action at the molecular level. A search in the PubMed and Embase databases was performed to query the terms dexpanthenol, panthenol, superficial wound, minor wound, wound healing, skin repair, and postprocedure. Search results were categorized as clinical trials and in vitro studies. In vitro and clinical studies provided evidence that topically applied dexpanthenol promotes superficial and postprocedure wound healing. Latest findings confirmed that dexpanthenol upregulates genes that are critical for the healing process. The gene expression data are of clinical relevance as evidenced by prospective clinical studies indicating that topical dexpanthenol accelerates wound healing with rapid re-epithelialization and restoration of skin barrier function following skin injury. It can therefore be inferred that topical dexpanthenol represents an appropriate and state-of-the-art treatment option for superficial postprocedure wounds, especially when applied early after the superficial skin damage.

摘要

随着新技术的出现,接受医学和美容干预的人数不断增加。许多会造成浅表/轻微伤口的手术(如剥脱性点阵激光治疗)都需要适当的术后护理,以防止伤口愈合出现并发症和美容效果不佳。我们综述了已发表的关于外用泛醇在术后伤口愈合中的作用及相关分子作用机制的证据。我们在PubMed和Embase数据库中进行了检索,以查询泛醇、泛酰醇、浅表伤口、轻微伤口、伤口愈合、皮肤修复和术后等关键词。检索结果分为临床试验和体外研究。体外和临床研究表明,外用泛醇可促进浅表伤口和术后伤口的愈合。最新研究结果证实,泛醇可上调愈合过程中关键的基因。前瞻性临床研究表明,外用泛醇可加速伤口愈合,使皮肤损伤后快速重新上皮化并恢复皮肤屏障功能,这证明基因表达数据具有临床相关性。因此可以推断,外用泛醇是浅表术后伤口的一种合适且先进的治疗选择,尤其是在浅表皮肤损伤后早期使用时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/009d/7407203/e808792a9820/pharmaceuticals-13-00138-g001.jpg

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