放射损伤对创面愈合的影响

史春梦 程天民

引用本文:
Citation:

放射损伤对创面愈合的影响

  • 中图分类号: R818.74

Effects of radiation injury on wound healing

  • CLC number: R818.74

  • 摘要: 放射损伤合并创伤称为"放创复合伤",主要见于核爆炸、核事故和核恐怖活动,也可见于临床放疗等病例,其中创面或伤口愈合显著延缓是一个突出的医学问题。电离辐射延缓创面愈合的机制是"以细胞损害为关键环节的愈合诸因素调控失调",其中"细胞"同时包括造血细胞和修复细胞,而"损害"则同时包括数量和功能的损害。对放创复合伤创面促愈的一个重要原则是要同时考虑增加创伤局部造血细胞和修复细胞的数量,促进其功能。已经筛选获得了数种对放创复合伤具有促愈作用的药物和生长因子。成体多能干细胞的应用为放创复合伤等严重创伤的救治提供了新的思路和途径
  • [1] Timins JK, Lipoti JA. Radiological terrorism[J]. N J Med, 2003, 100(6):14-21.
    [2] Lowe AS, Walker MD, Cowan R, et al. Therapeutic ultrasound and wound closure:lack of healing effect on x-ray irradiated wounds in murine skin[J]. Arch Phys Med Rehabil, 2001, 82(11):1507-1511.
    [3] Kumar P, Jagetia GC. Modulation of wound healing in Swiss albino mice by different doses of gamma radiation[J]. Burns, 1995, 21(3):163-165.
    [4] 程天民,冉新泽.合并放射损伤的创伤难愈与促愈研究的进展与思考[J].中华放射医学与防护杂志,2002,22(3):145-148.
    [5] Carnevali S, Mio T, Adachi Y, et al. Gamma radiation inhibits fibroblast-mediated collagen gel retraction[J]. Tissue Cell, 2003,35(6):459-469.
    [6] Keller PF, Verin V, Ziegler T, et al. Ganurm-irradiation markedly inhibits the hydrated collagen gel contradiction by arterial smooth muscle cells[J]. J Investig Med, 2001, 49(3):258-264.
    [7] Braunhut SJ, Medeiros D, Lai L, et al. Tempol prevents impairment of the endothelial cell wound healing response caused by ionising radiation[J]. Br J Cancer Suppl, 1996, 27:S157-S160.
    [8] Qu J, Cheng T, Shi C, et al. A study on the activity of fibroblast cells in connection with tissue recovery in the wounds of skin injury after whole-body irradiation[J]. J Radiat Res, 2004, 45(2):341-344.
    [9] Qu j, Cheng T, Shi C, et al. Reduced presence of tissue-repairing cells in wounds combined with whole-body irradiation injury is associated with both suppression of proliferation and increased apoptosis[J]. Med Sci Monit, 2003, 9(10):BR370-BR377.
    [10] Chen YJ, Dai YS, Chen BF, et al. The effect of tetrandrine and extracts of centella asiatica on acute radiation dermatitis in rats[J].Biol Pharm Bull, 1999, 22(7):703-706.
    [11] Jagetia GC, Rajanikant GK, Baliga MS, et al. Augmentation of wound healing by ascorbic acid treatment in mice exposed to gaauna-radiation[J]. Int J Radiat Biol, 2004, 80(5):347-354.
    [12] Jagetia GC, Rajanikant GK. Role of curcumin, a naturally occurring phenolic compound of turmeric in accelerating the repair of excision wound, in mice whole-body exposed to various doses of gamma-radiation[J]. J Surg Res, 2004, 120(1):127-138.
    [13] Jagetia GC, Rajanikant GK. Effect of curcumin on radiationimpaired healing of excisional wounds in mice[J]. J Wound Care, 2004, 13(3):107-109.
    [14] Shi CM, Qu JF, Cheng TM. Effects of the nerve growth factor on the survival and wound healing in mice with combined radiation and wound injury[J]. J Radiat Res, 2003, 44(3):223-228.
    [15] Eming SA, Whitsitt JS, He L, et al. Particle-mediated gene transfer of PDGF isoforms promotes wound repair[J]. J Invest Dermatol, 1999,112(3):297-302.
    [16] Mustoe TA, Purdy J, Gramates P, et al. Reversal of impaired wound healing in irradiated rats by platelet-derived growth factor-BB[J].Am J Surg, 1989, 158(4):345-350.
    [17] Wheeless CR, Zanagnolo V, Bowers D, et al. The effect of growth hormone on the bursting strength of ileal anastomotic segments in radiation-injured rat bowel[J]. Gynecol Oncol, 1998, 70(1):121-122.
    [18] Breitbart AS, Mason JM, Urmacher C, et al. Gene-enhanced tissue engineering:applications for wound healing using cultureddermal fibroblasts transduced retrovirally with the PDGF-B gene[J].Ann Plast Surg, 1999, 43(6):632-639.
    [19] Dantzer D, Ferguson P, Hill R_P, et al. Effect of radiation and cell implantation on wound healing in a rat model[J]. J Surg Oncol, 2003,83(3):185-190.
    [20] Shi C, Cheng T, Su Y, et al. Transplantation of dermal multipotent cells promotes survival and wound healing in rats with combined radiation and wound injury[J]. Radiat Res, 2004, 162(1):56-63.
  • [1] 林治栋 . 骨髓基质细胞及其辐射残留损伤. 国际放射医学核医学杂志, 2001, 25(6): 282-284.
    [2] 闵锐 . 辐射损伤防护药及细胞因子治疗研究动态. 国际放射医学核医学杂志, 2004, 28(4): 173-178.
    [3] 苗莉缪竞诚 . 细胞因子在急性辐射损伤治疗中的作用. 国际放射医学核医学杂志, 2006, 30(3): 173-176.
    [4] 邢爽李明黄海潇罗庆良 . 急性辐射损伤的细胞因子联合治疗研究进展. 国际放射医学核医学杂志, 2008, 32(1): 47-50.
    [5] 高颖 . 辐射对骨髓造血微环境影响的研究进展. 国际放射医学核医学杂志, 2000, 24(4): 183-185.
    [6] 罗成基 . 白细胞介素-3与辐射损伤. 国际放射医学核医学杂志, 1995, 19(6): 263-266.
    [7] 周华云王国权周剑影罗成基 . 白细胞介素-6用于辐射损伤的治疗. 国际放射医学核医学杂志, 1996, 20(6): 265-267.
    [8] 李佳王月英邢志伟李进郝建秀于程程姜恩海 . 角质细胞生长因子对受照小鼠的遗传保护作用. 国际放射医学核医学杂志, 2013, 37(4): 196-198, 220. doi: 10.3760/cma.j.issn.1673-4114.2013.04.002
    [9] 包明月刘玉龙 . 应用间充质干细胞治疗急性辐射损伤的研究现状与进展. 国际放射医学核医学杂志, 2016, 40(1): 65-69. doi: 10.3760/cma.j.issn.1673-4114.2016.01.013
    [10] 张燕陈肖华 . 中枢神经系统辐射损伤的细胞与分子机制研究进展. 国际放射医学核医学杂志, 2004, 28(1): 41-44.
  • 加载中
计量
  • 文章访问数:  1246
  • HTML全文浏览量:  225
  • PDF下载量:  4
出版历程
  • 收稿日期:  2004-09-13

放射损伤对创面愈合的影响

  • 400038 重庆, 第三军医大学全军复合伤研究所

摘要: 放射损伤合并创伤称为"放创复合伤",主要见于核爆炸、核事故和核恐怖活动,也可见于临床放疗等病例,其中创面或伤口愈合显著延缓是一个突出的医学问题。电离辐射延缓创面愈合的机制是"以细胞损害为关键环节的愈合诸因素调控失调",其中"细胞"同时包括造血细胞和修复细胞,而"损害"则同时包括数量和功能的损害。对放创复合伤创面促愈的一个重要原则是要同时考虑增加创伤局部造血细胞和修复细胞的数量,促进其功能。已经筛选获得了数种对放创复合伤具有促愈作用的药物和生长因子。成体多能干细胞的应用为放创复合伤等严重创伤的救治提供了新的思路和途径

English Abstract

参考文献 (20)

目录

    /

    返回文章
    返回