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Recent advances in the adjunctive management of diabetic foot ulcer: Focus on noninvasive technologies

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Endocrinol, Wuhan, Peoples R China [2]Branch Natl Clin Res Ctr Metab Dis, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Radiol, Wuhan, Peoples R China [4]Tongji Hosp, Tongji Med Coll, Div Trauma Surg, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Endocrinol, Jiefang Rd 1095, Wuhan 430030, Hubei, Peoples R China
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关键词: autologous platelet-rich plasma bioengineered tissue diabetic foot ulcer mesenchymal stem cell topical oxygen therapy

摘要:
Diabetic foot ulcer (DFU) is one of the most costly and serious complications of diabetes. Treatment of DFU is usually challenging and new approaches are required to improve the therapeutic efficiencies. This review aims to update new and upcoming adjunctive therapies with noninvasive characterization for DFU, focusing on bioactive dressings, bioengineered tissues, mesenchymal stem cell (MSC) based therapy, platelet and cytokine-based therapy, topical oxygen therapy, and some repurposed drugs such as hypoglycemic agents, blood pressure medications, phenytoin, vitamins, and magnesium. Although the mentioned therapies may contribute to the improvement of DFU to a certain extent, most of the evidence come from clinical trials with small sample size and inconsistent selections of DFU patients. Further studies with high design quality and adequate sample sizes are necessitated. In addition, no single approach would completely correct the complex pathogenesis of DFU. Reasonable selection and combination of these techniques should be considered.

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出版当年[2023]版
大类 | 1 区 医学
小类 | 1 区 药物化学 1 区 药学
最新[2025]版
大类 | 1 区 医学
小类 | 1 区 药物化学 1 区 药学
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Q1 CHEMISTRY, MEDICINAL Q1 PHARMACOLOGY & PHARMACY
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Q1 CHEMISTRY, MEDICINAL Q1 PHARMACOLOGY & PHARMACY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Endocrinol, Wuhan, Peoples R China [2]Branch Natl Clin Res Ctr Metab Dis, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Endocrinol, Wuhan, Peoples R China [2]Branch Natl Clin Res Ctr Metab Dis, Wuhan, Hubei, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Endocrinol, Jiefang Rd 1095, Wuhan 430030, Hubei, Peoples R China
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