Centre for Materials Engineering and Regenerative Medicine, Bharath Institute of Higher Education and Research, Chennai, Tamilnadu, India.
Department of Environmental Engineering, Institute of Industrial Technology Changwon National University, Changwon, Gyeongsangnamdo, Republic of Korea.
Front Endocrinol (Lausanne). 2023 Jan 11;13:1074568. doi: 10.3389/fendo.2022.1074568. eCollection 2022.
Wound healing is a programmed process of continuous events which is impaired in the case of diabetic patients. This impaired process of healing in diabetics leads to amputation, longer hospitalisation, immobilisation, low self-esteem, and mortality in some patients. This problem has paved the way for several innovative strategies like the use of nanotechnology for the treatment of wounds in diabetic patients. The use of biomaterials, nanomaterials have advanced approaches in tissue engineering by designing multi-functional nanocomposite scaffolds. Stimuli-responsive scaffolds that interact with the wound microenvironment and controlled release of bioactive molecules have helped in overcoming barriers in healing. The use of different types of nanocomposite scaffolds for faster healing of diabetic wounds is constantly being studied. Nanocomposites have helped in addressing specific issues with respect to healing and improving angiogenesis. Method: A literature search was followed to retrieve the articles on strategies for wound healing in diabetes across several databases like PubMed, EMBASE, Scopus and Cochrane database. The search was performed in May 2022 by two researchers independently. They keywords used were "diabetic wounds, nanotechnology, nanocomposites, nanoparticles, chronic diabetic wounds, diabetic foot ulcer, hydrogel". Exclusion criteria included insulin resistance, burn wound, dressing material.
伤口愈合是一个连续事件的程序化过程,在糖尿病患者中会受到损害。糖尿病患者的这种愈合过程受损会导致截肢、住院时间延长、固定、自尊心低下和某些患者的死亡率。这个问题为几种创新策略铺平了道路,例如纳米技术在治疗糖尿病患者伤口中的应用。生物材料、纳米材料的使用在组织工程中通过设计多功能纳米复合支架取得了先进的方法。对与伤口微环境相互作用的刺激响应支架和生物活性分子的控制释放有助于克服愈合过程中的障碍。正在不断研究用于更快治疗糖尿病性伤口的不同类型的纳米复合支架。纳米复合材料有助于解决与愈合和改善血管生成有关的具体问题。方法:通过对 PubMed、EMBASE、Scopus 和 Cochrane 数据库等多个数据库进行文献检索,检索有关糖尿病伤口愈合策略的文章。这项研究是由两名研究人员于 2022 年 5 月独立进行的。他们使用的关键词是“糖尿病伤口、纳米技术、纳米复合材料、纳米粒子、慢性糖尿病伤口、糖尿病足溃疡、水凝胶”。排除标准包括胰岛素抵抗、烧伤伤口、敷料材料。