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电刺激:一种治疗生物伤口的新型策略。

Electrical stimulation: a novel therapeutic strategy to heal biological wounds.

作者信息

Preetam Subham, Ghosh Arka, Mishra Richa, Pandey Arunima, Roy Debanjan Singha, Rustagi Sarvesh, Malik Sumira

机构信息

Department of Robotics and Mechatronics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST) Daegu 42988 Republic of Korea

KIIT School of Biotechnology, Kalinga Institute of Industrial Technology Bhubaneswar 751003 Odisha India

出版信息

RSC Adv. 2024 Oct 11;14(44):32142-32173. doi: 10.1039/d4ra04258a. eCollection 2024 Oct 9.

Abstract

Electrical stimulation (ES) has emerged as a powerful therapeutic modality for enhancing biological wound healing. This non-invasive technique utilizes low-level electrical currents to promote tissue regeneration and expedite the wound healing process. ES has been shown to accelerate wound closure, reduce inflammation, enhance angiogenesis, and modulate cell migration and proliferation through various mechanisms. The principle goal of wound management is the rapid recovery of the anatomical continuity of the skin, to prevent infections from the external environment and maintain homeostasis conditions inside. ES at the wound site is a compelling strategy for skin wound repair. Several ES applications are described in medical literature like AC, DC, and PC to improve cutaneous perfusion and accelerate wound healing. This review aimed to evaluate the primary factors and provides an overview of the potential benefits and mechanisms of ES in wound healing, and its ability to stimulate cellular responses, promote tissue regeneration, and improve overall healing outcomes. We also shed light on the application of ES which holds excellent promise as an adjunct therapy for various types of wounds, including chronic wounds, diabetic ulcers, and surgical incisions.

摘要

电刺激(ES)已成为一种强大的治疗方式,用于促进生物性伤口愈合。这种非侵入性技术利用低水平电流来促进组织再生并加速伤口愈合过程。电刺激已被证明可通过多种机制加速伤口闭合、减轻炎症、促进血管生成以及调节细胞迁移和增殖。伤口处理的主要目标是迅速恢复皮肤的解剖连续性,防止外部环境感染并维持内部的稳态条件。伤口部位的电刺激是皮肤伤口修复的一种引人注目的策略。医学文献中描述了几种电刺激应用,如交流电、直流电和脉冲电流,以改善皮肤灌注并加速伤口愈合。本综述旨在评估主要因素,并概述电刺激在伤口愈合中的潜在益处和机制,及其刺激细胞反应、促进组织再生和改善整体愈合结果的能力。我们还阐述了电刺激作为包括慢性伤口、糖尿病溃疡和手术切口在内的各种类型伤口的辅助治疗方法所具有的巨大前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b66/11467653/ea542e0c3517/d4ra04258a-f1.jpg

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