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3D 支架在糖尿病足溃疡治疗中的应用:新趋势与传统方法的比较。

3D scaffolds in the treatment of diabetic foot ulcers: New trends vs conventional approaches.

机构信息

School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK.

Faculty of Health and Applied Sciences, Center for Research in Biosciences, University of the West of England, Bristol BS16 1QY, UK.

出版信息

Int J Pharm. 2021 Apr 15;599:120423. doi: 10.1016/j.ijpharm.2021.120423. Epub 2021 Feb 27.

Abstract

Diabetic foot ulcer (DFU) is a serious complication of diabetes mellitus, affecting roughly 25% of diabetic patients and resulting in lower limb amputation in over 70% of known cases. In addition to the devastating physiological consequences of DFU and its impact on patient quality of life, DFU has significant clinical and economic implications. Various traditional therapies are implemented to effectively treat DFU. However, emerging technologies such as bioprinting and electrospinning, present an exciting opportunity to improve current treatment strategies through the development of 3D scaffolds, by overcoming the limitations of current wound healing strategies. This review provides a summary on (i) current prevention and treatment strategies available for DFU; (ii) methods of fabrication of 3D scaffolds relevant for this condition; (iii) suitable materials and commonly used molecules for the treatment of DFU; and (iv) future directions offered by emerging technologies.

摘要

糖尿病足溃疡(DFU)是糖尿病的一种严重并发症,大约影响 25%的糖尿病患者,已知病例中有超过 70%的患者因此导致下肢截肢。DFU 不仅对患者的生活质量造成严重的生理影响,而且具有重要的临床和经济意义。目前实施了各种传统疗法来有效治疗 DFU。然而,生物打印和静电纺丝等新兴技术为改善当前的治疗策略提供了一个令人兴奋的机会,即通过开发 3D 支架来克服当前伤口愈合策略的局限性。本文综述了(i)目前可用于 DFU 的预防和治疗策略;(ii)适用于该疾病的 3D 支架的制造方法;(iii)用于治疗 DFU 的合适材料和常用分子;以及(iv)新兴技术提供的未来方向。

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