烧伤创面:病理生理及草药治疗

D. Kaushik, Shiwani Kamboj, P. Kaushik, Shivkant Sharma, A. Rana
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引用次数: 11

摘要

在人体中,伤口愈合是一种正常的生物现象。烧伤可分为急性或慢性,取决于其来源和暴露时间。烧伤创面可能是浅表、局部或全层创面。当皮肤接触到较高的温度时,蛋白质会发生变性,从而使质膜的完整性丧失。当皮肤被烧伤时,许多炎症介质和释放剂如组胺、一氧化氮、氧自由基、类二十烷产物、肿瘤坏死因子、白细胞介素等在烧伤部位被释放。对于伤口愈合机制,角化细胞必须从未受伤部位移动到烧伤区域。对于深度烧伤,这个过程需要很长时间。通过一些未知的机制,烧伤伤口可以从一种形式转变为另一种形式。因此,在开始治疗前必须准确测量烧伤创面深度,以防止并发症的发生。实验动物可以通过使用不同的模型来诱导烧伤。许多治疗方法,如草药、局部药物、基因治疗、容量治疗和康复治疗都可以使用。本文主要从烧伤创面愈合的理论和实践两方面进行综述。本文介绍了几种烧伤创面愈合植物的化学成分、所用植物部位、用途及动物模型。
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Burn wound: Pathophysiology and its management by herbal plants
In human body, wound healing is a normal biological phenomenon. Burns may be acute or chronic depending upon the source and its time of exposure. Burn wounds may be superficial, partial or full thickness wounds. When skin comes in contact with higher temperature, protein denaturation takes place due to which the plasma membrane integrity is lost. When skin is burned, a number of inflammatory mediators and releasing agents such as histamine, nitric oxide, oxygen free radicals, eicosanoid products, tumor necrosis factors, and interleukins etc., are released at the site. For wound healing mechanism, the keratinocytes has to move from uninjured site to the burned area. For deeper burns this process takes a long time. By some unknown mechanisms, burn wounds may convert from one form to another form. So burn wound depth must be accurately measured before starting the treatment to prevent the complications. Burns can be induced in experimental animals by using different models. Many treatments such as herbal drugs, topical agents, gene therapy, volume therapy, and rehabilitation can be employed. This review article mainly deals with the theoretical and practical aspects of burn wound healing. Some burn wound healing plants with their chemical constituents, plant part used, uses and animal models are described here.
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