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中药防治皮瓣缺血再灌注损伤基础研究概况

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皮瓣修复作为当前创伤、整形外科治疗皮肤缺损的主要方式之一,在烧伤、创伤修复、美容整形中发挥重要作用.皮瓣缺血再灌注损伤(flap ischemia reperfusion injury,FIRI)是皮瓣移植术后最严重的并发症,FIRI的不断加重最终可导致皮瓣坏死,严重影响皮瓣修复后的治疗效果.中药作为中医治疗疾病重要手段之一,在中医学理论指导下,通过"整体观、个体化、治未病"及作用途径广、靶点多、层次丰富的特点和优势在FIRI的防治中占据重要地位.既往研究发现,中药防治FIRI的作用机制主要包括减少炎症因子的产生、减轻氧化应激反应、促进血管新生、增强细胞自噬等方面.兹就从上述几个方面综述了中药防治FIRI的作用机制及相关研究进展,旨在为进一步研究中药在防治FIRI的作用机制及运用价值提供理论依据和参考.
Basic Research Progress of Traditional Chinese Medicine in Preventing and Treating Flap Ischemia Reperfusion Injury
Skin flap repair is one of the main ways to treat skin defects in current trauma and plastic surgery,and it plays an important role in burns,trauma repair,and cosmetic plastic surgery.Flap ischemia reperfusion injury(FIRI)is the most serious complication after skin flap transplantation.The continuous aggravation of FIRI can eventually lead to skin flap necrosis,seriously affecting the therapeutic effect after skin flap repair.As one of the important means of treating diseases with traditional Chinese medicine,under the guidance of traditional Chinese medicine theory,tradi-tional Chinese medicine plays an important role in the prevention and treatment of FIRI through its"holistic view,in-dividualization,and treatment before disease"and its characteristics and advantages of wide action pathways,multiple targets,and rich levels.important position.Previous studies have found that the mechanism of action of traditional Chi-nese medicine in preventing and treating FIRI mainly includes reducing the production of inflammatory factors,allevi-ating oxidative stress,promoting angiogenesis,and enhancing autophagy.This article reviews the mechanism of action and related research progress of traditional Chinese medicine in the prevention and treatment of FIRI from the above aspects,aiming to provide theoretical basis and reference for further research on the action mechanism and application value of traditional Chinese medicine in the prevention and treatment of FIRI.

Traditional Chinese medicineSkin flapIschemia-reperfusion injuryInflammatory responseOxidative stressAngiogenesisAutophagy

张继涛、樊成虎、王威威、胡相欣、吴沂泽、齐兵献、李昭成、陈彦同

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甘肃中医药大学 甘肃兰州 730000

甘肃省中医院 甘肃兰州 730000

中医药 皮瓣 缺血再灌注损伤 炎症反应 氧化应激 血管新生 自噬

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(6)