Electrical Stimulation for Wound Healing: Opportunities for E-Textiles

IF 17.2 1区工程技术 Q1 ENGINEERING, BIOMEDICAL

IEEE Reviews in Biomedical Engineering Pub Date : 2022-09-29 DOI:10.1109/RBME.2022.3210598

Tom Greig;Russel Torah;Kai Yang

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Abstract

Ulcers and chronic wounds are a large and expensive problem, costing billions of pounds a year and affecting millions of people. Electrical stimulation has been known to have a positive effect on wound healing since the 1960s and this has been confirmed in numerous studies, reducing the time to heal, and the incidence of adverse events such as infections. However, because each study used different parameters for the treatment, inclusion criteria and metrics for quantifying the success, it is currently hard to combine them statistically and gain a true picture of its efficacy. As such, electrical stimulation has not been universally adopted as a recommended treatment for various types of wound. This paper summarises the biological basis for electrical simulation treatment and reviews the clinical evidence for its effectiveness. Notable is the lack of research focused on the electrodes used to deliver electrostimulation treatment. However, a significant amount of work has been conducted on electrodes for other medical applications in the field of e-textiles. This e-textile work is reviewed with a focus on its potential in electrostimulation and proposals are made for future developments to improve future studies and applications for wound healing via electrical stimulation.

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电刺激促进伤口愈合：电子纺织品的机遇。

溃疡和慢性伤口是一个巨大而昂贵的问题，每年花费数十亿英镑，影响数百万人。自 20 世纪 60 年代以来，人们就知道电刺激对伤口愈合有积极作用，这一点已被大量研究证实，它可以缩短愈合时间，降低感染等不良事件的发生率。然而，由于每项研究使用的治疗参数、纳入标准和量化成功的指标都不尽相同，因此目前很难将它们进行统计合并，从而获得其疗效的真实情况。因此，电刺激尚未被普遍采纳为治疗各类伤口的推荐方法。本文总结了电模拟治疗的生物学基础，并回顾了其有效性的临床证据。值得注意的是，缺乏对电刺激治疗所用电极的研究。不过，在电子纺织品领域，对用于其他医疗应用的电极进行了大量研究。本文对电子纺织品的研究工作进行了回顾，重点关注其在电刺激方面的潜力，并对未来的发展提出了建议，以改善未来通过电刺激进行伤口愈合的研究和应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IEEE Reviews in Biomedical Engineering Engineering-Biomedical Engineering

CiteScore

31.70

自引率

0.60%

发文量

期刊介绍： IEEE Reviews in Biomedical Engineering (RBME) serves as a platform to review the state-of-the-art and trends in the interdisciplinary field of biomedical engineering, which encompasses engineering, life sciences, and medicine. The journal aims to consolidate research and reviews for members of all IEEE societies interested in biomedical engineering. Recognizing the demand for comprehensive reviews among authors of various IEEE journals, RBME addresses this need by receiving, reviewing, and publishing scholarly works under one umbrella. It covers a broad spectrum, from historical to modern developments in biomedical engineering and the integration of technologies from various IEEE societies into the life sciences and medicine.