Li Jie, Li Zhangping, Xiao Jian, Nie Chenyao
School of Pharmaceutical Sciences, Cixi Biomedical Research Institute, Wenzhou Medical University, Wenzhou, Zhejiang, China.
The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Front Bioeng Biotechnol. 2023 Nov 22;11:1331567. doi: 10.3389/fbioe.2023.1331567. eCollection 2023.
Chronic wounds arising from accidents, surgeries, or diseases impose a significant clinical and economic burden, underscoring the need for effective solutions to prevent severe complications. Recent advancements in materials science and electrochemical technology have facilitated the development of conformable electrochemical platforms for detection and management, incorporating monitoring, diagnosis, and treatment. Nevertheless, current wound detection and therapy systems face challenges related to the stability and specificity of sensor monitoring, as well as the need for on-site and comprehensive evaluation criteria to offer timely treatment guidance and follow-up care. This review provides a comprehensive overview of the closed-loop management system, emphasizing wound biomarker detection, wound assessment, and on-demand treatment, ultimately culminating in an integrated wound management approach by conformable electrochemical devices. Additionally, we explore the challenges, opportunities, and future prospects of soft and stretchable electrochemical biosensors, with the aim of enhancing the efficiency and timeliness of wound management.
由事故、手术或疾病引起的慢性伤口带来了巨大的临床和经济负担,凸显了寻求有效解决方案以预防严重并发症的必要性。材料科学和电化学技术的最新进展推动了适形电化学平台的发展,用于检测和管理,包括监测、诊断和治疗。然而,当前的伤口检测和治疗系统面临着与传感器监测的稳定性和特异性相关的挑战,以及需要现场和全面的评估标准以提供及时的治疗指导和后续护理。本综述全面概述了闭环管理系统,强调伤口生物标志物检测、伤口评估和按需治疗,最终形成了一种通过适形电化学装置的综合伤口管理方法。此外,我们探讨了柔软可拉伸电化学生物传感器的挑战、机遇和未来前景,旨在提高伤口管理的效率和及时性。