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益生菌及其对手术伤口愈合的影响:系统评价及纳米技术作用的新见解。

Probiotics and Their Effect on Surgical Wound Healing: A Systematic Review and New Insights into the Role of Nanotechnology.

机构信息

1st Propaedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, 54636 Thessaloniki, Greece.

1st Propaedeutic Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki (AUTH), 54621 Thessaloniki, Greece.

出版信息

Nutrients. 2021 Nov 26;13(12):4265. doi: 10.3390/nu13124265.

Abstract

Skin tissue repair is of fundamental importance for maintaining homeostasis regulation, protection barrier, absorption, and excretion of skin tissue. Wound healing is a complicated process that can be impaired by infections and therefore have a significant economic and social impact. Simultaneously, the overuse of antibiotics has led to antimicrobial resistance and loss of their efficacy. Thus, the need for alternative antimicrobial agents is urgent. The newest approaches on wound dressings employ new therapeutic agents, such as probiotics. Probiotics alone or in tandem with nanotechnology-based techniques exhibit a broad range of benefits on surgical wounds. This systematic review aims to consider current knowledge of probiotic effects on animals and humans regarding surgical wound healing and provide new insights into the role of nanotechnology. The databases included were PubMed (MEDLINE), Scopus, and Cochrane Library (CENTRAL). Studies focused on burns, chronic wounds, and diabetic ulcers were excluded. The promising industry of probiotics demonstrates a significant upsurge as more and more healthy individuals rely their well-being on alternative medicine. Included probiotics illustrated positive results on wound re-epithelization, neovascularization, and wound healing. No adverse effects were noted.

摘要

皮肤组织修复对于维持皮肤组织的内稳态调节、保护屏障、吸收和排泄功能至关重要。伤口愈合是一个复杂的过程,容易受到感染的影响,因此对经济和社会具有重大影响。同时,抗生素的过度使用导致了抗微生物药物耐药性的产生,降低了它们的疗效。因此,迫切需要替代抗微生物药物。新型伤口敷料的最新方法采用了新的治疗剂,如益生菌。益生菌单独或与基于纳米技术的技术联合使用,对手术伤口具有广泛的益处。本系统评价旨在考虑目前关于益生菌对动物和人类手术伤口愈合影响的知识,并为纳米技术的作用提供新的见解。纳入的数据库包括 PubMed(MEDLINE)、Scopus 和 Cochrane 图书馆(CENTRAL)。研究集中在烧伤、慢性伤口和糖尿病溃疡,排除在外。随着越来越多的健康个体依赖替代医学来维持健康,益生菌这一前景广阔的产业呈现出显著的增长。所纳入的益生菌在伤口再上皮化、新生血管形成和伤口愈合方面显示出积极的结果。未观察到不良反应。

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