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用于假肢佩戴者多汗症管理的可穿戴传感器技术:一项叙述性综述。

Wearable Sensor Technology for Hyperhidrosis Management in Individuals With Prosthetic Limbs: A Narrative Review.

作者信息

Frasier Kelly M, Hash Mary Grace, Pugliese Andrew

机构信息

Dermatology, Northwell Health, New Hyde Park, USA.

Dermatology, Edward Via College of Osteopathic Medicine, Auburn, USA.

出版信息

Cureus. 2025 Feb 16;17(2):e79109. doi: 10.7759/cureus.79109. eCollection 2025 Feb.

DOI:10.7759/cureus.79109
PMID:40109775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11920845/
Abstract

Wearable sensor technologies offer a cutting-edge solution for managing hyperhidrosis in individuals with prosthetic limbs, directly addressing the complex challenges posed by excessive sweating at the prosthetic-skin interface. Excessive moisture can lead to skin breakdown, increased risk of infections, and compromised prosthetic fit, all of which reduce functionality and user comfort. Advanced biosensors embedded within the system continuously monitor moisture levels and skin temperature in real time, providing precise data on sweat production and skin conditions. This data is relayed to mobile health platforms, allowing users and clinicians to make informed, immediate adjustments, such as modifying prosthetic materials, adjusting fit, or activating integrated cooling mechanisms to mitigate complications. Integrating real-time feedback into the device's function offers a personalized, noninvasive approach, enhancing both comfort and long-term prosthetic performance while surpassing traditional hyperhidrosis treatments like systemic medications, topical therapies, or invasive interventions such as botulinum toxin injections. However, limitations such as sensor calibration issues in fluctuating environmental conditions, sensor durability, and ensuring user compliance remain challenges. Future advancements may incorporate machine learning algorithms to predict and preempt hyperhidrosis episodes, offering even more precise control and adaptability. With the potential for seamless integration into telemedicine platforms, wearable sensor technologies have the potential to revolutionize the management of hyperhidrosis for prosthetic users, offering a personalized, real-time solution that addresses both medical and functional challenges.

摘要

可穿戴传感器技术为管理假肢使用者的多汗症提供了一种前沿解决方案,直接应对了假肢与皮肤界面处过度出汗所带来的复杂挑战。过多的水分会导致皮肤破损、感染风险增加以及假肢贴合度下降,所有这些都会降低功能性和使用者的舒适度。系统中嵌入的先进生物传感器可实时持续监测湿度水平和皮肤温度,提供有关汗液分泌和皮肤状况的精确数据。这些数据会传输到移动健康平台,让使用者和临床医生能够做出明智、即时的调整,例如更换假肢材料、调整贴合度或启动集成冷却机制以减轻并发症。将实时反馈集成到设备功能中提供了一种个性化、非侵入性的方法,既能提高舒适度又能提升假肢的长期性能,同时超越了系统性药物、局部治疗或肉毒杆菌毒素注射等侵入性干预等传统多汗症治疗方法。然而,诸如在波动的环境条件下传感器校准问题、传感器耐用性以及确保使用者依从性等限制仍然是挑战。未来的进展可能会纳入机器学习算法来预测和预防多汗症发作,提供更精确的控制和适应性。由于可无缝集成到远程医疗平台,可穿戴传感器技术有潜力彻底改变假肢使用者多汗症的管理方式,提供一种解决医疗和功能挑战的个性化实时解决方案。

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本文引用的文献

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Perceptions of Wearable Health Tools Post the COVID-19 Emergency in Low-Income Latin Communities: Qualitative Study.低收入拉丁裔社区在 COVID-19 紧急情况后对可穿戴健康工具的看法:定性研究。
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Machine learning analysis of primary hyperhidrosis for classification of hyperhidrosis type and prediction of compensatory hyperhidrosis.
原发性多汗症的机器学习分析:用于多汗症类型分类及代偿性多汗症预测
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The Use of Wearable Technology in Providing Assistive Solutions for Mental Well-Being.可穿戴技术在提供心理健康辅助解决方案中的应用。
Sensors (Basel). 2023 Aug 24;23(17):7378. doi: 10.3390/s23177378.
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Using Perforated Liners to Combat the Detrimental Effects of Excessive Sweating in Lower Limb Prosthesis Users.使用穿孔内衬来对抗下肢假肢使用者过度出汗的有害影响。
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Current Trends in the Development of Electrochemical Biosensor for Detecting Analytes from Sweat.电化学生物传感器检测汗液中分析物的最新研究进展
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