Central Laboratory of The Lishui Hospital of Wenzhou Medical University, Lishui People's Hospital, Lishui, Zhejiang, China.
Molecular Pharmacology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China.
Front Immunol. 2024 May 21;15:1395479. doi: 10.3389/fimmu.2024.1395479. eCollection 2024.
The skin, being a multifaceted organ, performs a pivotal function in the complicated wound-healing procedure, which encompasses the triggering of several cellular entities and signaling cascades. Aberrations in the typical healing process of wounds may result in atypical scar development and the establishment of a persistent condition, rendering patients more vulnerable to infections. Chronic burns and wounds have a detrimental effect on the overall quality of life of patients, resulting in higher levels of physical discomfort and socio-economic complexities. The occurrence and frequency of prolonged wounds are on the rise as a result of aging people, hence contributing to escalated expenditures within the healthcare system. The clinical evaluation and treatment of chronic wounds continue to pose challenges despite the advancement of different therapeutic approaches. This is mainly owing to the prolonged treatment duration and intricate processes involved in wound healing. Many conventional methods, such as the administration of growth factors, the use of wound dressings, and the application of skin grafts, are used to ease the process of wound healing across diverse wound types. Nevertheless, these therapeutic approaches may only be practical for some wounds, highlighting the need to advance alternative treatment modalities. Novel wound care technologies, such as nanotherapeutics, stem cell treatment, and 3D bioprinting, aim to improve therapeutic efficacy, prioritize skin regeneration, and minimize adverse effects. This review provides an updated overview of recent advancements in chronic wound healing and therapeutic management using innovative approaches.
皮肤作为一个多方面的器官,在复杂的伤口愈合过程中起着关键作用,其中包括触发多个细胞实体和信号级联反应。伤口典型愈合过程中的异常可能导致非典型瘢痕形成和持续状态的建立,使患者更容易感染。慢性烧伤和伤口会对患者的整体生活质量产生不利影响,导致更高水平的身体不适和社会经济复杂性。由于人口老龄化,长期伤口的发生和频率呈上升趋势,从而导致医疗保健系统支出增加。尽管采用了不同的治疗方法,但慢性伤口的临床评估和治疗仍然存在挑战。这主要是由于伤口愈合过程中治疗时间长且过程复杂。许多传统方法,如生长因子的给药、伤口敷料的使用和皮肤移植的应用,都被用于促进不同类型伤口的愈合过程。然而,这些治疗方法可能仅适用于某些伤口,这凸显了需要推进替代治疗方法的必要性。新型伤口护理技术,如纳米治疗、干细胞治疗和 3D 生物打印,旨在提高治疗效果、优先考虑皮肤再生并最小化不良反应。本综述提供了使用创新方法治疗慢性伤口愈合和管理的最新进展概述。