首页|肛瘘术后应用中医药治疗患者创面愈合相关信号通路及生长因子变化的临床现状分析

肛瘘术后应用中医药治疗患者创面愈合相关信号通路及生长因子变化的临床现状分析

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肛瘘一般难以自愈,手术是治愈该病的有效方法,但因肛瘘病变位置特殊,术后创面多为开放性,易引发一系列问题,增加患者痛苦.近年中医药治疗因费用低、疗效理想等优势已逐渐成为肛瘘术后促进创面愈合的主要方式.目前发现,部分中草药化合物的活性成分、中药复方制剂在促进肛瘘术后创面愈合有重要作用.通过检索发现,中医药可通过调控转化生长因子-β(TGF-β)/Smad、缺氧诱导因子1(HIF-1)、磷脂酰肌醇-3激酶蛋白激酶B(PI3K/Akt)、Hippo等信号通路等加速新生血管形成,促进肛瘘术后创面愈合.通过总结肛瘘术后应用中医药治疗患者创面愈合相关信号通路、生长因子变化及其作用机制,旨在为中医药治疗肛瘘术后患者的进一步研究提供依据.
Analysis of clinical status of changes in signaling pathways and growth factors related to wound healing in patients treated with traditional Chinese medicine after anal fistula surgery
Anal fistula is generally difficult to self-healing,and surgery is an effective way to cure the disease.However,due to the special location of anal fistula lesions,postoperative wounds are mostly open,which can easily cause a series of problems and increase the pain of the patients.In recent years,traditional Chinese medicine treatment has gradually become the main way to promote wound healing after anal fistula surgery due to the advantages of low cost and ideal efficacy.At present,it is found that the active ingredients of some Chinese herbal compounds,and Chinese herbal compound preparations have important roles in promoting wound healing after anal fistula surgery.Through searching,it is found that traditional Chinese medicine can accelerate neovascularization and promote wound healing after anal fistula surgery by regulating the signaling pathways of transforming growth factor-β(TGF-β)/Smad,hypoxia-inducible factor 1(HIF-1),phosphatidylinositol-3-kinase/protein kinase B(PI3K/Akt),and Hippo,etc.This paper summarizes the signaling pathways,growth factor changes and the mechanism of action related to wound healing in patients treated with traditional Chinese medicine after anal fistula surgery,in order to provide basis for further research on the treatment of postoperative anal fistula patients with traditional Chinese medicine.

anal fistulasurgerytraditional Chinese medicine therapywound healingsignaling pathwaygrowth factor

韩海涛、柳越冬、张相安、张双喜、郭海霞

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辽宁中医药大学研究生院,沈阳 110000

辽宁中医药大学附属第三医院,沈阳 110003

河南中医药大学第一附属医院,郑州 450000

肛痿 手术 中医药疗法 创面愈合 信号通路 生长因子

河南省2023年科技发展计划河南省中医药科学研究专项课题

2321023112212019JDZX2075

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(8)