Royal Veterinary College, Department of Pathobiology and Population Sciences, London, UK.
UCL Centre for Biomaterials in Surgical Reconstruction and Regeneration, Department of Surgical Biotechnology, UCL Division of Surgery and Interventional Science, University College London, London, UK.
Int Wound J. 2023 Aug;20(6):2346-2359. doi: 10.1111/iwj.14048. Epub 2022 Dec 23.
Diabetic chronic wounds cause massive levels of patient suffering and economic problems worldwide. The state of chronic inflammation arises in response to a complex combination of diabetes mellitus-related pathophysiologies. Advanced treatment options are available; however, many wounds still fail to heal, exacerbating morbidity and mortality. This review describes the chronic inflammation pathophysiologies in diabetic ulcers and treatment options that may help address this dysfunction either directly or indirectly. We suggest that treatments to reduce inflammation within these complex wounds may help trigger healing.
糖尿病慢性伤口给全球的患者带来了巨大的痛苦和经济问题。慢性炎症状态是对与糖尿病相关的病理生理的复杂组合的反应。虽然有先进的治疗选择,但许多伤口仍未能愈合,从而加剧了发病率和死亡率。本文描述了糖尿病溃疡的慢性炎症病理生理和可能有助于直接或间接地解决这种功能障碍的治疗选择。我们建议,在这些复杂的伤口中减少炎症的治疗方法可能有助于触发愈合。