Progress in Clinical Research on Regenerative Medicine Technologies for the Treatment of Chronic Hard-to-Heal Wounds
DOI: https://doi.org/10.62517/jmhs.202505220
Author(s)
Rui Jiao, Ronghai Zhou, Yanchun He, Decai Kong, Yiman Shen, Na Song
Affiliation(s)
People’s Hospital of Hainan District, Wuhai, Inner Mongolia Autonomous Region, China
Abstract
Regenerative medicine technologies, which activate the body’s intrinsic repair mechanisms to achieve tissue regeneration, are currently regarded as a promising new direction in the treatment of chronic hard-to-heal wounds. This study explores the clinical research progress of regenerative medicine technologies in the treatment of such wounds. Chronic hard-to-heal wounds are increasingly prevalent in China, stemming from trauma, diabetes, pressure ulcers, lower limb venous and arterial diseases, among others. The causes are complex, and treatment is challenging, leading to high disability rates and significant suffering for patients. In recent years, regenerative medicine technologies have been widely applied in the treatment of chronic hard-to-heal wounds. These technologies are capable of non-invasive liquefaction and removal of necrotic tissue, physiological control of bacterial and toxin infections, and creating a physiologically moist environment conducive to skin regeneration. By promoting cell proliferation, tissue remodeling, granulation tissue growth, angiogenesis, and epithelial migration, regenerative medicine accelerates wound healing. In the treatment of chronic hard-to-heal wounds, the application of regenerative medicine technologies helps to establish standardized treatment protocols. These protocols not only reduce the economic burden on patients but also alleviate their suffering, enhancing their quality of life and offering substantial value for clinical promotion.
Keywords
Chronic Hard-to-Heal Wounds; Regenerative Medicine Technologies; Moisture Exposed Burn Ointment; Standardized Procedures
References
[1] Shu QF. Regulatory Mechanism of MEBT/MEBO on the Expression of CK10 and CK14 in Chronic Hard-to-Heal Wound Repair. Baise: Youjiang Medical University for Nationalities, 2019.
[2] Meng H, Su JL, Wang R, et al. Clinical epidemiology study of chronic cutaneous wounds: An analysis of 889 inpatients. Academic Journal of Chinese Pla Medical School, 2022, 43(3): 253-258.
[3] Jiang Y, Huang S, Fu X, et al. Epidemiolology of chronic cutaneouswoundsin Ching. Wound Repair Regen 2011,19(2): 181-188.
[4] Zhao Q, Xie JM, Tang QL, et al. Progress of Research on Mechanism of Action of MEBT/MEBO in Treating Chronic Refractory Wound. The Chinese Journal of Burns Wounds and Surface Ulcers, 2024, 36(6): 421-424.
[5] Han G, Ceilley R. Chronic wound healing:a review management and treatments. Adv Ther 2017,34(3): 599-610.
[6] Li JH, Tang QL. Progress of Basic and Clinical Research on MEBT/MEBO in the Treatment of Chronic Refractory Wounds. The Chinese Journal of Burns Wounds and Surface Ulcers, 2021, 33(2): 77-81.
[7] Zou SJ, Zhao LY. Application Effect of TIME Principle-Based Wound Bed Preparation Combined with Vacuum Sealing Drainage for Chronic Wound Care. Chinese Community Doctors, 2023, 39(36): 127-129.
[8] Wang W. Impact of Wound Ostomy Care Group’s Clinical Pressure Ulcer Prevention and Treatment on Pressure Ulcer Healing Time. Chongqing Medical Journal, 2022, 51(S2): 421-423.
[9] Murakami C, Kaneda Ynagata K et al. A study on thickness estimation of human soft tissue in a sitting position using a pressure mapping system. IEEJ Trans Electr Electron Eng 2023,18(3): 394-400.
[10] Chinese Diabetes Society. Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition) (Part 2). Chinese Journal of Practical Internal Medicine, 2021, 41(9): 757-784.
[11] Lavery LA Ryan EC Ahn J et al. The infected diabetic foot: reevaluating the infectious diseases society of America diabetic foot infection classification. Clin InfectDis 2020,70(8): 1573-1579.
[12] Gazzaruso C Montalcini T Gallotti P et al.Impact of mi.erovascular complications on the outcomes of diabetic foot in type 2 diabetic with documented peripheral artery disease. Endocrine 2023,80(1): 71-78.
[13] Jin XX, Zhang Y. Clinical Efficacy Observation of Intravenous Laser Therapy vs Traditional Venous Stripping for Treatment of Lower Extremity Venous Ulcers. Modern Diagnosis & Treatment, 2021, 32(9): 1435-1436.
[14] Chang GQ, Chen CY, Chen Z, et al. Chinese Expert Consensus on the Diagnosis and Treatment of Chronic Lower Extremity Venous Disease. Chinese Journal of Vascular Surgery (Electronic Version), 2014, 6(3): 143-151.
[15] Wang X, Fu ZH. Clinical Application Progress of Moist Burn Ointment in Common Chronic Hard-to-Heal Wounds. Practical Clinical Medicine, 2022, 23(6): 127-133.
[16] Liu Y. Research Progress on Post-Burn Residual Wound Care. Journal of Modern Medicine & Health, 2020, 36(15): 2402-2405.
[17] Liu J, Liu Y. Research advances on the formation mechanism and diagnosis of bacteria biofilms in chronic wounds. Chinese Journal of Burns and Wounds, 2021, 37(7): 692-696.
[18] Xu RX. Comprehensive Treatment of Ulcers. Beijing: Science Press, 2018, 8: 87-90.
[19] Li W, Ma YB, Yang Q et al. Moist exposed burn ointment for treating pressure ulcers: a multicenter randomized controlled trial. Medicine (Baltimore) 2017,96(29): e7582.
[20] Huang ZZ, Xu MJ. Effectiveness of Regenerative Medical Technology in the Treatment of Finger Tip Injuries Caused by Burns and Ulcers. Chinese Journal of Burns and Wounds, 2021, 33(4): 271-274.
[21] Srinivasan R, Santhakumari S, Poonguzhali P, et al. Bacterial biofilm inhibition: A focused review on recent therapeutic strategies for combating the biofilm mediated infections. Front Microbiol 2021,12:676458.
[22] Li M, Ma YS, Li Y, et al. Application of Bacteriophages in Biofilm Control of Pathogenic and Spoiling Bacteria from Fishery Product. Fisheries Science, 2021, 40(3): 467-474.
[23] Hurlow J, Bowler P G. Acute and chronic wound infections: microbiological immunological clinical and therapeutic distinctions. J Wound Care 2022, 31(5): 436-445.
[24] Jiang YD, Zhang Y, Tao K, et al. Study on the Distribution of Multidrug-Resistant Bacteria in Chronic Infectious Wounds. Chinese Journal of Disinfection, 2020, 37(8): 570-572.
[25] Mao DF, Hong SL, Zhou Q, et al. Pathogen Distribution, Drug Sensitivity, and the Relationship with TLR4/NF-κB Signaling Pathway in Chronic Wound Bacterial Infections. Shandong Medical Journal, 2024, 64(31): 78-81.
[26] Zhou R, Xiang CP, Zhang JJ, et al. Research progress on chemical compositions of Coptidis Rhizoma and pharmacological effects of berberine. China Journal of Chinese Materia Medica, 2020, 45(19): 4561-4573.
[27] Xie HJ, Shi R, Xiao XM. Application of MEBO in the Postoperative Wounds of Perianal Abscess Incision and Drainage. The Chinese Journal of Burns Wounds and Surface Ulcers, 2023, 35(4): 253-257.
[28] Xin WY, Song JK, He GR, et al. Research Progress on the Pharmacological Effects and Mechanisms of Baicalin and Baicalein. Chinese Journal of New Drugs, 2013, 22(6): 647-656.
[29] Wen P, Yu XL, Chen L, et al. Experiment on in Vitro Antibacterial Activity of Baicalein against Methicilin-Resistant Staphlococcus Aureus. Anti-Infection Pharmacy 2007, 4(4): 161-163.
[30] Tang QL. Clinical Application Guidelines for Burn Skin Regenerative Medical Technology. Beijing: China Traditional Chinese Medicine Publishing House, 2013: 159-160.
[31] Li JY, Xu XS. Research progress of moist healing wound management. Journal of Modern Medicine & Health, 2024, 6(40): 1932-1935.
[32] Xiao L, Ni W, Zhao X, et al. A moisture balanced antibacterial dressing loaded with lysozyme possesses antibacterial activity and promotes wound healing. Soft Matter 2021,17(11): 3162-3173.
[33] Tang QL, Han SS, Feng J, et al. Moist exposed burn ointment promotes cutaneous excisional wound healing in rats involving VEGF and bFGF. Mol Med Rep 2014, 9(4): 1277-1282.
[34] Tang QL, Han SS, Fu J, et al. Study on the Effect of MEBT/MEBO on the mRNA Expression of VEGF, bFGF, EGF in Skin Wound Healing. Journal of Youjiang Medical University for Nationalities, 2012, 34(5): 597-601.