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从实验室到临床乃至更广泛应用的伤口管理材料与技术

Wound management materials and technologies from bench to bedside and beyond.

作者信息

Wang Canran, Shirzaei Sani Ehsan, Shih Chia-Ding, Lim Chwee Teck, Wang Joseph, Armstrong David G, Gao Wei

机构信息

Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, USA.

Southwestern Academic Limb Salvage Alliance (SALSA), Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

出版信息

Nat Rev Mater. 2024 Aug;9(8):550-566. doi: 10.1038/s41578-024-00693-y. Epub 2024 Jun 17.

Abstract

Chronic wounds represent a major global health problem, causing staggering economic and social burdens. The pursuit of effective wound healing strategies demands a multidisciplinary approach, and advances in material sciences and bioengineering have paved the way for the development of novel wound healing biomaterials and technologies. In this Review, we provide an overview of the history and challenges of wound management and highlight the current state-of-the-art in wound healing biomaterials alongside the emerging technologies poised to transform the landscape of chronic wound treatment and monitoring. Moreover, we discuss the clinical and commercial considerations associated with wound healing strategies, including the regulatory pathways and key steps in the translational process. Furthermore, we highlight existing translational gaps, and offer a nuanced understanding of the challenges that persist in translating innovative concepts into mainstream clinical practices. Continued innovations and interdisciplinary collaboration will pave the way for better wound care outcomes and potentially dramatically improved quality of life for a steadily increasing and aging population.

摘要

慢性伤口是一个重大的全球健康问题,造成了惊人的经济和社会负担。寻求有效的伤口愈合策略需要多学科方法,材料科学和生物工程的进展为新型伤口愈合生物材料和技术的开发铺平了道路。在本综述中,我们概述了伤口管理的历史和挑战,强调了伤口愈合生物材料的当前技术水平以及有望改变慢性伤口治疗和监测格局的新兴技术。此外,我们讨论了与伤口愈合策略相关的临床和商业考量,包括监管途径和转化过程中的关键步骤。此外,我们突出了现有的转化差距,并对将创新概念转化为主流临床实践中仍然存在的挑战提供了细致入微的理解。持续的创新和跨学科合作将为改善伤口护理结果铺平道路,并有可能显著提高不断增长的老年人口的生活质量。

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