芦荟对糖尿病足溃疡愈合过程的影响概述

Anna Kania, Grzegorz Kałużyński, Maciej Pełka, Justyna Fijałkowska, Łukasz Ciulkiewicz
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摘要

引言和目的 糖尿病足溃疡(DFU)是一种慢性病,每年影响着越来越多的人[1]。溃疡的愈合需要患者、专家和科学家通力合作,才能取得令人满意的效果。治疗这种类型的伤口不仅是治疗上的挑战[1,2,3,4,5,6],也是经济上的挑战,这就是为什么对这种现象已经进行了大量科学研究的原因[2,3]。科学家们仍在继续探索新的经济有效的治疗方法,以取代目前的治疗方案,并与当代知识和现有工程能力保持一致,以创造能加速 DFUs 愈合的技术和新敷料[2,3,7,8]。压力、肥胖、某些药物和慢性疾病等因素似乎会对修复过程产生负面影响[1,9,10,4,6,11]。研究证明,芦荟凝胶具有愈合特性,可作为一种潜在的敷料,加快糖尿病足溃疡的愈合过程[12,13,14]。 本文对芦荟在糖尿病足溃疡愈合过程中的适用性进行了文献综述。 材料与方法 搜索现有文献,包括随机临床试验和系统综述,我们利用数据库重点研究芦荟治疗糖尿病足溃疡的效果。 得出结论:目前关于使用芦荟凝胶治疗糖尿病足溃疡的科学研究表明,这种方法安全、有效且成本低廉[2,3]。然而,治疗的难度和此类伤口发病率的增加对寻找新的解决方案和探索芦荟在伤口愈合过程中可能发挥作用的机制提出了挑战。不过,本文介绍了芦荟凝胶在糖尿病足溃疡愈合过程中的应用前景。
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An overview of Aloe vera impact on the healing process of Diabetic Foot Ulcer
Introduction and aim Diabetic foot ulcer (DFU) is a chronic condition that affects an increasing number of people each year[1]. Healing the ulceration requires cooperation between patients, specialists and scientists in order to achieve satisfactory results. Treating this type of wound is not only a therapeutic challenge[1,2,3,4,5,6], but also an economic one, which is why so much scientific research has already been made on this phenomenon[2,3]. Still scientists continue their quest for new cost-effective alternatives to current therapeutic options that would be consistent with contemporary  knowledge and available engineering capabilities in pursuance of creating techniques and new dressings that will accelerate the healing of DFUs[2,3,7,8]. Factors such as stress, obesity, certain medications, and chronic diseases appear to negatively affect the process of repair [1,9,10,4,6,11]. Studies prove that aloe vera gel due to its healing properties, can be considered as a potential dressing that will expedite the mending process of diabetic foot ulceration[12,13,14].  In this paper, we performed a literature review of the applicability of aloe vera in the healing process of DFUs.   Materials and methods Searching the available literature, including randomized clinical trials and systematic reviews, we drew on databases focusing on the effects of treatment for diabetic foot ulceration using Aloe vera.    Conclusion: The current scientific research on the use of Aloe vera  gel in diabetic foot ulcer treatment indicates that this method is safe, effective and inexpensive[2,3]. However the difficulty of treatment and the increasing prevalence of this type of wound pose a challenge to finding new solutions and exploring mechanisms in which aloe vera can have a possible role in the wound healing process. Nevertheless, this paper presents a promising impact of Aloe vera gel applicability in the healing process of diabetic foot ulcer.
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