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体外冲击波疗法在烧伤创面修复和烧伤后瘢痕治疗中的应用 被引量:7
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作者 安东 刘阳 杨通江 《中国组织工程研究》 CAS 北大核心 2022年第20期3265-3272,共8页
背景:体外冲击波疗法作为烧伤治疗的新技术已开展16年,在促进烧伤创面愈合及改善烧伤后瘢痕挛缩、瘙痒疼痛及皮肤红斑方面取得了显著疗效,目前尚无规范性治疗指南,其分子机制、作用途径及治疗参数等值得进行更广泛深入的探索研究。目的... 背景:体外冲击波疗法作为烧伤治疗的新技术已开展16年,在促进烧伤创面愈合及改善烧伤后瘢痕挛缩、瘙痒疼痛及皮肤红斑方面取得了显著疗效,目前尚无规范性治疗指南,其分子机制、作用途径及治疗参数等值得进行更广泛深入的探索研究。目的:综述体外冲击波疗法在烧伤创面修复和烧伤后瘢痕治疗中的应用及研究进展。方法:在计算机中以“extracorporeal shock wave therapy,shock wave,burns,burn scar,scar”为英文检索词,以“体外冲击波疗法、冲击波、烧伤、瘢痕”为中文检索词,分别检索PubMed、Web of Science、中国知网、维普和万方数据库,检索时间截至2021年2月,得到关于体外冲击波疗法与烧伤、瘢痕研究的相关文献132篇,经纳入和排除标准筛选后,最终对59篇文献进行分析、归纳和综述。结果与结论:①体外冲击波疗法通过细胞机械转导、炎症反应调控、促血管生成改善循环及加速细胞增殖上皮化而促进烧伤创面的愈合;②体外冲击波疗法通过机械作用软化瘢痕,对瘢痕组织产生分子生物学调控,改善瘢痕瘙痒疼痛症状和瘢痕处皮肤外观及功能;③体外冲击波对烧伤的治疗作用体现为物理和生物学的双重影响,细胞机械转导途径在冲击波调控烧伤创面愈合以及增生性瘢痕进程两方面均发挥重要作用,冲击波的传导最终可引起蛋白、基因表达的变化并调控细胞生化反应。 展开更多
关键词 体外冲击波疗法 冲击波 烧伤 瘢痕 细胞机械转导 疼痛 康复治疗 综述
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Influence of different gravitational environments on the mechanotrans-duction in osteoblasts
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作者 张舒 吴兴裕 李莹辉 《Journal of Medical Colleges of PLA(China)》 CAS 2002年第2期101-104,共4页
Objective: To observe the effects of different gravitational environments on release of prostaglandin E2 in rat calvarial osteoblasts induced by fluid shear stress (FSS) so that to investigate the influence of differe... Objective: To observe the effects of different gravitational environments on release of prostaglandin E2 in rat calvarial osteoblasts induced by fluid shear stress (FSS) so that to investigate the influence of different gravity on mechanotransduction in osteoblasts. Methods: Osteoblasts were isolated from neonatal rat calvariae and then were set to three groups. Each was cultured in one gravitational environment; 1G terrestrial gravitational environment (control), simulated weightlessness achieved by using clinostat and 3G gravitational environment achieved by using centrifuge for 60 h, then osteoblasts were treated with 0. 5 Pa or 1. 5 Pa FSS in a flow chamber for 1 h. The release of PGE2 in osteoblasts was determined. Results: In 1G gravitational environment, the release of PGE2 was significantly increased along with the sustaining of FSS treatments (P<0. 01), but there was no remarkable difference between the responses to 0. 5 Pa FSS and 1. 5 Pa FSS (P>0. 05). While in simulated weightlessness environment group, no detectable release of PGE2 was found with the treatment of 0. 5 Pa FSS (P<0. 01), and the release of PGE2 was delayed and the amount of PGE2 production was remarkably decreased with 1. 5 Pa FSS treatment as compared with that of 1G group (P<0. 01). The responsiveness of osteoblasts cultured in 3G gravitational environment to FSS was similar to that of 1G group. Conclusion: These results indicate that in vitro the mechanotransduction in osteoblasts iss affected by stimulated weightlessness, whereas it is not altered in 3G gravitational environment. 展开更多
关键词 simulated weightlessness HYPERGRAVITY RAT BONE OSTEOBLAST fluid shear stress prostaglandin E2
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呼吸机相关肺损伤和细胞因子改变的研究进展 被引量:5
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作者 杜学柯 廖品琥 黄冰 《国际麻醉学与复苏杂志》 CAS 2007年第6期527-531,共5页
现将机械牵张/通气相关的炎性细胞因子的释放、细胞机械信号转导的机制,及与细胞因子的改变有关的实验性和临床研究的结果作一综述。
关键词 呼吸机相关肺损伤 细胞因子 细胞机械信号转导
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