目前可用的合成皮肤疗法的有效性。

IF 1.2 Q4 SURGERY
Pooja Deshpande, Varoon Phondge, Alex K Wong, Mark S Granick
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引用次数: 0

摘要

慢性伤口、烧伤和创伤性损伤由于感染风险、延迟愈合和并发症(如疤痕)而呈现出重大的临床挑战。高级伤口护理随着皮肤替代品的发展而发展,分为生物和合成基质。合成皮肤替代品因其降低疾病传播风险、成本效益以及通过结构支持和细菌生物杀灭特性促进伤口愈合的能力而受到欢迎。材料和方法:本综述使用医疗保险和医疗补助中心来鉴定独特的合成皮肤替代品。我们联系了每家公司,以获得有关其各自产品的详细信息,包括其成分、作用机制、临床应用和优势。研究、病例报告和来自PubMed数据库、b谷歌Scholar和ClinicalTrials.gov的临床试验也进行了评估,以比较这些产品在治疗急性、慢性和复杂伤口方面的有效性。结果:综述发现,合成皮肤替代品在治疗慢性和复杂伤口方面具有几个关键优势。这些替代品通过促进细胞迁移、肉芽组织形成和血管生成来促进伤口愈合。它们还与改善的美容效果、降低感染风险和更快的伤口愈合有关。许多被审查的产品在治愈率方面表现出显著的改善,其中一些显示出比传统治疗更快的恢复。此外,合成材料减少了频繁换药的需要,并最大限度地减少了患者的不适。总的来说,结果表明,合成皮肤替代品有效地改善了各种伤口类型的伤口护理结果。结论:虽然人造皮肤替代品在伤口管理方面有很好的效果,但诸如初始成本高和需要进一步研究等局限性仍然存在。尽管如此,它们降低感染风险、加速愈合和改善患者舒适度的能力使它们成为传统生物替代品的有价值的替代品。未来的研究应侧重于长期的成本效益和更广泛的临床应用,以验证其广泛使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effectiveness of Currently Available Synthetic Skin Therapies.

Introduction: Chronic wounds, burns, and traumatic injuries present significant clinical challenges due to infection risks, delayed healing, and complications such as scarring. Advanced wound care has evolved with the development of skin substitutes, categorized into biologic and synthetic matrices. Synthetic skin substitutes have gained popularity due to their reduced risk of disease transmission, cost-effectiveness, and ability to enhance wound healing through structural support and bacterial biocidal properties.

Materials and methods: This review uses the Centers for Medicare and Medicaid to identify unique synthetic skin substitutes. Each company was contacted to obtain details about their respective products, including their composition, mechanisms of action, clinical applications, and advantages. Studies, case reports, and clinical trials from the PubMed database, Google Scholar, and ClinicalTrials.gov were also assessed to compare the effectiveness of these products in managing acute, chronic, and complex wounds.

Results: The review found that synthetic skin substitutes offer several key advantages in managing chronic and complex wounds. These substitutes enhance wound healing by promoting cell migration, granulation tissue formation, and angiogenesis. They are also associated with improved cosmetic outcomes, reduced infection risks, and quicker wound closure. Many of the products reviewed demonstrated significant improvements in healing rates, with some showing faster recovery than traditional treatments. Additionally, the synthetic materials reduced the need for frequent dressing changes and minimized discomfort for patients. Overall, the results indicate that synthetic skin substitutes effectively improve wound care outcomes across various wound types.

Conclusion: While synthetic skin substitutes offer promising outcomes in wound management, limitations such as high initial costs and the need for further research persist. Nonetheless, their ability to reduce infection risks, accelerate healing, and improve patient comfort makes them a valuable alternative to traditional biologic substitutes. Future studies should focus on long-term cost-effectiveness and broader clinical applications to validate their widespread use.

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