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生物医学应用中的低温介质:当前进展、挑战和未来展望。

Cryogenic Media in Biomedical Applications: Current Advances, Challenges, and Future Perspectives.

机构信息

The London Breast Institute, Princess Grace Hospital, London, U.K.

Heat Pipe and Thermal Management Research Group, College of Engineering, Design and Physical Sciences, Brunel University, London, U.K.

出版信息

In Vivo. 2024 Jan-Feb;38(1):1-39. doi: 10.21873/invivo.13407.

DOI:10.21873/invivo.13407
PMID:38148045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10756490/
Abstract

This paper explores the crucial role of cryogenic mediums in driving breakthroughs within the biomedical sector. The objective was to investigate, critically discuss, and present the current knowledge and state-of-the-art practices, along with the challenges and perspectives of the most common applications. Through an extensive literature review, this work aims to supplement existing research, offering a comprehensive and up-to-date understanding of the subject. Biomedical research involving cryogenic mediums is advancing on multiple fronts, including the development of advanced medical technologies, clinical treatments for life-threatening conditions, high-quality biospecimen preservation, and antimicrobial interventions in industrial food processing. These advances open new horizons and present cutting-edge opportunities for research and the medical community. While the current body of evidence showcases the impressive impact of cryogenic mediums, such as nitrogen, helium, argon, and oxygen, on revolutionary developments, reaching definitive conclusions on their efficiency and safety remains challenging due to process complexity and research scarcity with a moderate certainty of evidence. Knowledge gaps further underline the need for additional studies to facilitate cryogenic research in developing innovative technological processes in biomedicine. These advancements have the potential to reshape the modern world and significantly enhance the quality of life for people worldwide.

摘要

本文探讨了低温介质在推动生物医学领域突破方面的关键作用。目的是调查、批判性地讨论和呈现最常见应用的当前知识和最新实践、挑战和前景。通过广泛的文献回顾,本工作旨在补充现有研究,提供对该主题的全面和最新理解。涉及低温介质的生物医学研究正在多个方面取得进展,包括先进医疗技术的开发、危及生命状况的临床治疗、高质量生物样本的保存以及工业食品加工中的抗菌干预。这些进展开辟了新的视野,为研究和医学界提供了前沿机会。尽管目前的证据表明氮、氦、氩和氧等低温介质对革命性发展产生了巨大影响,但由于过程复杂性和研究稀缺性,对其效率和安全性得出明确结论仍然具有挑战性,证据确定性中等。知识空白进一步强调需要开展更多研究,以促进生物医学中创新技术过程的低温研究。这些进展有可能重塑现代世界,显著提高全球人民的生活质量。

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本文引用的文献

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Prospective Clinical Trial on Expanding Indications for Cryosurgery for Early Breast Cancers.早期乳腺癌冷冻治疗适应证拓展的前瞻性临床试验。
Clin Breast Cancer. 2023 Jun;23(4):363-368. doi: 10.1016/j.clbc.2023.01.007. Epub 2023 Jan 18.
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Effect of hyperbaric oxygen therapy on the patients with venous leg ulcer: A systematic review and meta-analysis.高压氧疗法对静脉性腿部溃疡患者的影响:系统评价和荟萃分析。
Asian J Surg. 2023 Oct;46(10):4131-4137. doi: 10.1016/j.asjsur.2023.01.068. Epub 2023 Feb 3.
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Efficacy of Cryotherapy Combined With Intralesional Purified Protein Derivative (PPD) Versus Intralesional PPD Monotherapy in the Treatment of Multiple Common Warts.冷冻疗法联合皮损内纯化蛋白衍生物(PPD)与皮损内 PPD 单药治疗多发性寻常疣的疗效比较。
J Cutan Med Surg. 2023 Mar-Apr;27(2):117-125. doi: 10.1177/12034754231152224. Epub 2023 Jan 27.
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The Role of Cryotherapy After Total Knee Arthroplasty: A Systematic Review.全膝关节置换术后冷冻疗法的作用:系统评价。
J Arthroplasty. 2023 May;38(5):950-956. doi: 10.1016/j.arth.2022.12.004. Epub 2022 Dec 8.
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An update on the use of cryoablation and immunotherapy for breast cancer.冷冻消融和免疫疗法在乳腺癌中的应用进展。
Front Immunol. 2022 Oct 27;13:1026475. doi: 10.3389/fimmu.2022.1026475. eCollection 2022.
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Is There a Place for Hyperbaric Oxygen Therapy?高压氧治疗有一席之地吗?
Adv Surg. 2022 Sep;56(1):169-204. doi: 10.1016/j.yasu.2022.02.011.
7
Systematic Review of Focal and Salvage Cryotherapy for Prostate Cancer.前列腺癌聚焦及挽救性冷冻疗法的系统评价
Cureus. 2022 Jun 28;14(6):e26400. doi: 10.7759/cureus.26400. eCollection 2022 Jun.
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Acute effects of cold spray application on mechanical properties of the rectus femoris muscle in athletes.冷喷应用对运动员股直肌机械性能的急性影响。
J Bodyw Mov Ther. 2022 Apr;30:100-104. doi: 10.1016/j.jbmt.2022.02.010. Epub 2022 Feb 7.
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Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery.几个世纪以来的低温疗法:改善健康、损伤及运动后恢复的低温疗法简史
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Worldwide rates of diagnosis and effective treatment for cystic fibrosis.全球囊性纤维化的诊断和有效治疗率。
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