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磁场在治疗糖尿病血管并发症中是否有一席之地?

Do Magnetic Fields Have a Place in Treating Vascular Complications in Diabetes?

作者信息

Mayrovitz Harvey N, Maqsood Raneem, Tawakalzada Aneil S

机构信息

Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Davie, USA.

Medical School, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

出版信息

Cureus. 2022 May 10;14(5):e24883. doi: 10.7759/cureus.24883. eCollection 2022 May.

Abstract

The use of electromagnetic field therapy (EMFT) is a non-invasive, potential alternative or complementary choice in the treatment of wounds, chronic pain, neuropathy, and other medical conditions, including tissue repair and cell proliferation. Static magnetic fields (SMFs) have been reported to increase microcirculatory blood flow by mediating vasodilation via nitric oxide. Studies report that SMF exposure causes homeostatic, normalizing effects on the vascular tone that may have beneficial effects in situations where tissue perfusion is limited, such as may be present in diabetes. Pulsed electromagnetic fields (PEMFs) have also shown promise in treating diabetic wounds by improving wound healing rates and other attributes. Our purpose was to critically review prior applications of EMFT for relevancy and effectiveness in treating diabetic complications. The goal was to provide information to allow for informed decisions on the possible use of these modalities in the treatment of persons with diabetic complications. The focus was on the following major areas: wound healing, neuropathy, blood glucose control, blood flow, inflammation and oxidative stress.

摘要

电磁场疗法(EMFT)的应用是治疗伤口、慢性疼痛、神经病变及其他病症(包括组织修复和细胞增殖)的一种非侵入性的、潜在的替代或补充选择。据报道,静磁场(SMF)可通过一氧化氮介导血管舒张来增加微循环血流量。研究报告称,暴露于SMF会对血管张力产生稳态的、使其正常化的作用,这在组织灌注受限的情况下(如糖尿病患者可能出现的情况)可能具有有益效果。脉冲电磁场(PEMF)在通过提高伤口愈合率及其他指标来治疗糖尿病伤口方面也显示出前景。我们的目的是严格审查EMFT先前在治疗糖尿病并发症方面的应用的相关性和有效性。目标是提供信息,以便就这些方法在治疗糖尿病并发症患者中的可能用途做出明智的决策。重点放在以下主要领域:伤口愈合、神经病变、血糖控制、血流、炎症和氧化应激。

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