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纳秒脉冲电场促进伤口愈合的研究进展OACSTPCD

Research Progress of Nanosecond Pulsed Electric Field in Promoting Wound Healing

中文摘要英文摘要

伤口愈合是一个复杂且动态的生理过程,涉及多阶段的生物反应,包括止血、炎症、增生和重塑.近年来,纳秒脉冲电场(Nanosecond Pulsed Electric Field,nsPEF)因其在细胞和组织修复方面的潜力而受到广泛关注,展现出在促进伤口愈合中的应用前景.本综述系统总结了nsPEF的基本原理及其在伤口愈合过程中的影响机制,探讨了nsPEF对细胞增殖、迁移、血管生成、抗炎与抗菌作用的促进,以及其通过电穿孔效应增强药物和营养物质摄取的能力.尽管nsPEF在临床应用中仍处于探索阶段,已有初步的动物模型和临床试验结果显示其能够显著加速急性和慢性伤口的愈合,减少感染率.然而,关于不同强度、频率和电场作用时间对治疗效果的影响,以及不同伤口类型的适用性和长期安全性等问题仍需进一步研究.未来研究应聚焦于优化nsPEF的使用参数,与其他治疗方法结合使用,以实现个性化治疗方案,从而提高整体治疗效果和安全性.

Wound healing is a complex and dynamic physiological process involving multiple stages of biological responses,including hemostasis,inflammation,proliferation,and remodeling.In recent years,nanosecond pulsed electric field(nsPEF)has garnered significant attention for their potential in cellular and tissue repair,demonstrating promising applications in promoting wound healing.This review systematically summarized the fundamental principles of nsPEF and its mechanisms of influence during the wound healing process,exploring its effects on cell proliferation,migration,angiogenesis,and anti-inflammatory and antibacterial actions,as well as its ability to enhance the uptake of drugs and nutrients through electroporation.Although nsPEF is still in the exploratory stage of clinical application,preliminary results from animal models and clinical trials have shown that it can significantly accelerate the healing of acute and chronic wounds while reducing infection rates.However,further research is needed to address questions regarding the effects of different intensities,frequencies,and durations of electric field exposure on treatment outcomes,as well as the applicability to various wound types and long-term safety.Future studies should focus on optimizing the parameters of nsPEF use and combining it with other treatment methods to achieve personalized treatment plans,thereby improving overall efficacy and safety.

周伟杰;董延钊;邹晓迪;伊方昱;陈永刚;吴斌;Ahmad Alhaskawi;卢荟

中国人民解放军联勤保障部队第九〇三医院 骨科,浙江 杭州 310003浙江大学医学院附属第一医院 骨科,浙江 杭州 310003浙江中医药大学第二附属医院 骨科,浙江 杭州 310003杭州市中医院 肾内科,浙江 杭州 310003杭州睿笛生物科技有限公司,浙江 杭州 310012杭州睿笛生物科技有限公司,浙江 杭州 310012浙江大学医学院附属第一医院 骨科,浙江 杭州 310003浙江大学医学院附属第一医院 骨科,浙江 杭州 310003

医药卫生

纳秒脉冲电场伤口愈合信号通路细胞增殖电刺激

nanosecond pulsed electric field(nsPEF)wound healingsignaling pathwaycell proliferationelectrical stimulation

《中国医疗设备》 2025 (4)

19-23,5

浙江省卫生健康委医药卫生科技计划项目(2022KY1455).

10.3969/j.issn.1674-1633.20241332

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