纺织学报 ›› 2024, Vol. 45 ›› Issue (01): 240-249.doi: 10.13475/j.fzxb.20221106002

• 综合述评 • 上一篇    下一篇

面向个性化健康医疗的智能纺织品研究进展

董凯1,2(), 吕天梅1, 盛非凡1, 彭晓1,2   

  1. 1.中国科学院 北京纳米能源与系统研究所, 北京 101400
    2.中国科学院大学 纳米科学与技术学院, 北京 100049
  • 收稿日期:2022-11-21 修回日期:2023-07-28 出版日期:2024-01-15 发布日期:2024-03-14
  • 作者简介:董凯(1989—),男,研究员,博士。主要研究方向为摩擦电效应机电转化纤维材料的电荷转移理论、性能提升、规模制备和智能化集成应用。E-mail:dongkai@binn.cas.cn。
  • 基金资助:
    国家自然科学基金项目(22109012);北京市自然科学基金项目(2212052);北京市自然科学基金项目(L222037);中央高校基本科研业务费项目(E1E46805)

Advances in smart textiles oriented to personalized healthcare

DONG Kai1,2(), LÜ Tianmei1, SHENG Feifan1, PENG Xiao1,2   

  1. 1. Beijing Institute of Nanoenergy and Nanosystems, Chinese Academy of Science, Beijing 101400, China
    2. College of Nanoscience and Technology, University of Chinese Academy of Sciences, Beijing 100049, China
  • Received:2022-11-21 Revised:2023-07-28 Published:2024-01-15 Online:2024-03-14

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摘要：

为推进智能纺织品在个性化健康医疗体系中的深入研究和实际应用,推动当前以医院或诊所为中心的集中、被动式公共卫生医疗体系向未来以主动、预防、个性化、定制化和智能化为特征的新健康管理模式转变,首先介绍了智能纺织品的概念特征和功能属性,然后针对主动传感机制,详述了常见智能纺织品的电响应原理及其制备方式和各自优缺点。其次,介绍了智能纺织品在个性化健康医疗系统中的潜在应用,主要涵盖了体征体态监测、智能化诊断、个性化治疗和辅助康复训练等健康管理方面。最后,针对个性化健康医疗智能纺织品迈向大规模应用道路中的关键性挑战,对其优先发展方向和潜在解决方案做出了展望。

关键词: 智能纺织品, 健康医疗, 个性化应用, 监测与评估, 康复训练

Abstract:

Significance With the increasing prevalence of infectious diseases and the growing trend of population aging, the conventional hospital and the clinic-centered public health system lack the abilities for remote real-time monitoring, diagnosis and treatment, making it more difficult to achieve the monitoring of sustained vital signs and the implementation of long-term treatment programs. On the basis of the rapid development of wearable electronic devices, the Internet of Things, and artificial intelligence, the future healthcare model will transform from a therapeutic, centralized, passive, and even one-size-fits-all treatment to a new paradigm of proactive, preventive, personalized, customized and intelligent way. Therefore, various wearable signs and posture monitoring equipment, intelligent diagnostic and therapeutic tools, and highly integrated physiological health assessment systems are being developed, which will profoundly change the medical care and people's life in the future society.

Progress As a combination product of advanced functional or intelligent attributes with conventional wearable textile materials, smart textiles are gradually emerging because of their abilities to collect, process, transmit, and display information, which can serve as a good medium for human being to interact with the outside world. In addition, smart textiles can be a powerful tool to generate and store energy, sense and respond to multiple external stimuli (such as mechanical, thermal, optical, chemical, radiant, magnetic or acoustic stimul, and even communicate with users, which will attract considerable research interest and enrich a wide range of application areas ranging from wearable power sources, luminescent visualization, athletic sports, to personal health management and information transmission and communication. In term of personized healthcare, smart textiles can provide insight into a person's physiological state, and directly conduct on-site disease monitoring and intervention, thus reducing the healthcare burden and improving treatment results. According to their basic working mechanisms or electrical response modes, smart textiles can be divided into seven categories, including piezoelectric effect, piezoresistive effect, capacitive effect, triboelectric effect, thermoelectric effect, optical fiber based effect, electrochemical effect, and etc. Each mode has its own advantages and disadvantages, which need to weighed based on the actual application scenarios and performance requirements. For example, based on the coupling effect of triboelectrification and electrostatic induction, a variety of smart textiles based on triboelectric effect are developed, which have two main functions of autonomous power supplying and active self-powered sensing. uwing to the outstanding advantages of simple structure design, wide range of material selection, and high energy conversion efficiency at low frequencies, the triboelectric-based smart textiles have attracted extensive attention both from academia and industry, which have been widely studied in the applications of emergency self-charging clothes, multifunctional flexible sensors, personalized healthcare devices, human-computer interaction interfaces and artificial intelligence.

Conclusion and Prospect Aiming at the application of smart textiles in personalized healthcare, their recent research process in sleep respiration monitoring, electromyography monitoring, tactile sensing, personalized treatment, and intelligent diagnosis are mainly introduced. In each aspect, typical examples are given to illustrate the application of smart textiles in personalized healthcare. In the end, the future development trend and potential challenges of smart textiles in personalized healthcare are introduced. There is no doubt that with the integration of more intelligent technologies and the urgent needs of future medical market, smart textiles will be rapidly developed in personalized healthcare, and gradually form mature products. Meanwhile, it is also worth noting that the application of smart textiles in the field of personalized healthcare also faces many challenges, especially in the aspects of circuit connection reliability, long-time machine washability, affinity to human skin, large-scale fabrication and integration, and so on.

Key words: smart textile, wearable, healthcare, personalized application, monitoring and evaluation, rehabilitation training

中图分类号: 

  • TS101.8
[1] CHEN G R, XIAO X, ZHAO X, et al. Electronic textiles for wearable point-of-care systems[J]. Chemical Reviews, 2022, 122 (3): 3259-3291.
doi: 10.1021/acs.chemrev.1c00502
[2] GURWITZ J H, PEARSON S D. Novel therapies for an aging population grappling with price, value, and affordability[J]. Jama-Journal of the American Medical Association, 2019, 321 (16): 1567-1568.
doi: 10.1001/jama.2019.2633
[3] OSIER F, TING J P Y, FRASER J, et al. The global response to the COVID-19 pandemic: how have immunology societies contributed?[J]. Nature Reviews Immunology, 2020, 20 (10): 594-602.
doi: 10.1038/s41577-020-00428-4 pmid: 32913283
[4] YIP W N, FU H Q, CHEN A T, et al. 10 years of health-care reform in China: progress and gaps in Universal Health Coverage[J]. Lancet, 2019, 394 (10204): 1192-1204.
doi: S0140-6736(19)32136-1 pmid: 31571602
[5] 夏勇, 赵迎, 徐利云, 等. 抗菌防沾污生物防护材料的制备及其性能[J]. 纺织学报, 2023, 44 (1): 64-70.
XIA Yong, ZHAO Ying, XU Liyun, et al. Preparation and properties of antibacterial and anti-contamination biological protective materials[J]. Journal of Textile Research, 2023, 44 (1): 64-70.
[6] KNEVEL R, HUGLE T. E-health as a sine qua non for modern healthcare[J]. Rmd Open, 2022. DOI: 10.1136/rmdopen-2022-002401.
[7] KVEDAR J C, FOGEL A L, ELENKO E, et al. Digital medicine's march on chronic disease[J]. Nature Biotechnology, 2016, 34 (3): 239-246.
doi: 10.1038/nbt.3495 pmid: 26963544
[8] SEN A, JETTE N, HUSAIN M, et al. Epilepsy in older people[J]. Lancet, 2020, 395 (10225): 735-748.
doi: S0140-6736(19)33064-8 pmid: 32113502
[9] GUK K, HAN G, LIM J, et al. Evolution of wearable devices with real-time disease monitoring for personalized healthcare[J]. Nanomaterials, 2019, 9 (6): 813.
doi: 10.3390/nano9060813
[10] PANTELOPOULOS A, BOURBAKIS N G A. Survey on wearable sensor-based systems for health monitoring and prognosis[J]. IEEE Transactions on Systems, Man, and Cybernetics, Part C (Applications and Reviews), 2009, 40 (1): 1-12.
doi: 10.1109/TSMCC.2009.2032660
[11] FRATZL P, BARTH F G. Biomaterial systems for mechanosensing and actuation[J]. Nature, 2009, 462 (7272): 442-448.
doi: 10.1038/nature08603
[12] ZHENG Y, TANG N, OMAR R, et al. Smart materials enabled with artificial intelligence for healthcare wearables[J]. Advanced Functional Materials, 2021. DOI: 10.1002/adfm.202105, 31 (51): 2105482.
[13] LIBANORI A, CHEN G, ZHAO X, et al. Smart textiles for personalized healthcare[J]. Nature Electronics, 2022, 5(3): 142-156.
doi: 10.1038/s41928-022-00723-z
[14] 陈卓, 戴钧明, 潘晓娣, 等. 抗菌聚丙烯熔喷材料的反应挤出法制备及其性能[J]. 纺织学报, 2023, 44 (6): 57-65.
CHEN Zhuo, DAI Junming, PAN Xiaodi, et al. Fabrication and properties of antibacterial polypropylene melt-blown nonwoven fabrics by reactive extrusion[J]. Journal of Textile Research, 2023, 44(6): 57-65.
[15] 方剑, 任松, 张传雄, 等. 智能可穿戴纺织品用电活性纤维材料[J]. 纺织学报, 2021, 42 (9): 1-9.
FANG Jian, REN Song, ZHANG Chuanxiong, et al. Electroactive fibrous materials for intelligent wearable textiles[J]. Journal of Textile Research, 2021, 42(9): 1-9.
doi: 10.1177/004051757204200101
[16] KIRSTEIN T. The future of smart-textiles development: new enabling technologies, commercialization and market trends[M]. Multidisciplinary Know-how for Smart-Textiles Developers: Woodhead Publishing, 2013: 1-25.
[17] 樊威, 刘红霞, 陆琳琳, 等. 废旧天然纤维纺织品回收利用现状及高值化利用策略[J]. 纺织学报, 2022, 43(5): 49-56.
FAN Wei, LIU Hongxia, LU Lili, et al. Progress in recycling waste natural fiber textiles and high-value utilization strategy[J]. Journal of Textile Research, 2022, 43 (5): 49-56.
[18] ZHANG X L, WANG J N, XING Y, et al. Woven wearable electronic textiles as self-powered intelligent tribo-sensors for activity monitoring[J]. Global Challenges, 2019. DOI: 10.1002/gch2.201900070.
[19] STOPPA M, CHIOLERIO A. Wearable electronics and smart textiles: a critical review[J]. Sensors, 2014, 14 (7): 11957-11992.
doi: 10.3390/s140711957 pmid: 25004153
[20] SINGH A V, RAHMAN A, KUMAR N V G S, et al. Bio-inspired approaches to design smart fabrics[J]. Materials & Design, 2012, 36: 829-839.
doi: 10.1016/j.matdes.2011.01.061
[21] SYDUZZAMAN M, PATWARY S U, FARHANA K, et al. Smart textiles and nano-technology: a general overview[J]. Journal of Textile Science & Engineering, 2015, 5 (1): 1-7.
[22] 张宇, 刘来俊, 李超婧, 等. 外泌体功能化串晶结构纤维膜的制备及其成骨分化性能[J]. 纺织学报 2022, 43 (3): 24-30.
ZHANG Yu, LIU Laijun, LI Chaojing, et al. Preparation of exosome-functionalized shish-kebab fibrous membrane and its osteogenic differentiation ability[J]. Journal of Textile Research, 2022, 43(3): 24-30.
doi: 10.1177/004051757304300104
[23] ISLAM M R, AFROJ S, BEACH C, et al. Fully printed and multifunctional graphene-based wearable e-textiles for personalized healthcare applications[J]. Iscience, 2022, 25 (3): 1-11.
[24] FERNáNDEZ-CARAMÉS T M, FRAGA-LAMAS P. Towards the internet of smart clothing: a review on IoT wearables and garments for creating intelligent connected e-textiles[J]. Electronics Letters, 2018, 7 (12): 405.
doi: 10.1049/el:19710275
[25] AHMED A, HOSSAIN M M, ADAK B, et al. Recent advances in 2D MXene integrated smart-textile interfaces for multifunctional applications[J]. Chemistry of Materials, 2020, 32 (24): 10296-10320.
doi: 10.1021/acs.chemmater.0c03392
[26] HOSSAIN I Z, KHAN A, HOSSAIN G A. Piezoelectric smart textile for energy harvesting and wearable self-powered sensors[J]. Energies, 2022. DOI: 10.3390/en15155541.
[27] YANG T, PAN H, TIAN G, et al. Hierarchically structured PVDF/ZnO core-shell nanofibers for self-powered physiological monitoring electronics[J]. Nano Energy, 2020. DOI:10.1016/j.nanone.2020.104706.
[28] DANZ P, ARYAN V, MOHLE E, et al. Experimental study on fluorine release from photovoltaic backsheet materials containing PVF and PVDF during pyrolysis and incineration in a technical lab-scale reactor at various temperatures[J]. Toxics, 2019, 7 (3): 47.
doi: 10.3390/toxics7030047
[29] ABANAH J S, ESTHER S F, SREEJA B S, et al. Bio-compatible piezoelectric material based wearable pressure sensor for smart textiles[J]. Smart Materials and Structures, 2022. DOI: 10.1088/1361-665X/gcgffa.
[30] MOKHTARI F, SPINKS G M, FAY C, et al. Wearable electronic textiles from nanostructured piezoelectric fibers[J]. Advanced Materials Technologies, 2020. DOI:10.1002/admt.201900900.
[31] WEI Q K, CHEN G R, PAN H, et al. MXene-sponge based high-performance piezoresistive sensor for wearable biomonitoring and real-time tactile sensing[J]. Small Methods, 2022. DOI: 10.1002/smtd:2101051.
[32] LAI C, WU X, HUANG C, et al. Fabrication and performance of full textile-based flexible piezoresistive pressure sensor[J]. Journal of Materials Science: Materials in Electronics, 2022, 33 (8): 4755-4763.
doi: 10.1007/s10854-021-07665-w
[33] PAN H, CHEN G R, CHEN Y M, et al. Biodegradable cotton fiber-based piezoresistive textiles for wearable biomonitoring[J]. Biosensors & Bioelectronics, 2023. DOI:10.1016/j.bios.2022.114999.
[34] ZHENG Y Y, ZHANG Q H, JIN W L, et al. Carbon nanotube yarn based thermoelectric textiles for harvesting thermal energy and powering electronics[J]. Journal of Materials Chemistry A, 2020, 8 (6): 2984-2994.
doi: 10.1039/C9TA12494B
[35] XIAO Y, HU H, GUO D, et al. A jet printing highly sensitive cotton/MWCNT fabric-based flexible capacitive sensor[J]. Sensors and Actuators A: Physical, 2023. DOI:10.1016/j.sna.2023.114152.
[36] CHEN Y, WANG Z, XU R, et al. A highly sensitive and wearable pressure sensor based on conductive polyacrylonitrile nanofibrous membrane via electroless silver plating[J]. Chemical Engineering Journal, 2020. DOI: 10.1016/j.cej.2020.124960.
[37] VU C C, KIM J. Highly elastic capacitive pressure sensor based on smart textiles for full-range human motion monitoring[J]. Sensors and Actuators a-Physical, 2020. DOI:10.1016/j.sna.2020.112029.
[38] 吕晓双, 刘丽萍, 俞建勇, 等. 纤维基自供能电子皮肤的构建及其应用性能研究进展[J]. 纺织学报, 2022, 43 (10): 183-191.
LÜ Xiaoshuang, LIU Liping, YU Jianyong, et al. Fabrication and application research progress of fiber-based self-powered electronic skins[J]. Journal of Textile Research, 2022, 43(10): 183-191.
[39] CUI X J, WU H G, WANG R. Fibrous triboelectric nanogenerators: fabrication, integration, and appli-cation[J]. Journal of Materials Chemistry A, 2022, 10 (30): 15881-15905.
doi: 10.1039/D2TA03813G
[40] CAO R, PU X, DU X, et al. Screen-printed washable electronic textiles as self-powered touch/hesture tribo-sensors for intelligent human-machine interaction[J]. ACS Nano, 2018, 12 (6): 5190-5196.
doi: 10.1021/acsnano.8b02477
[41] XU F, JIN X, LAN C, et al. 3D arch-structured and machine-knitted triboelectric fabrics as self-powered strain sensors of smart textiles[J]. Nano Energy, 2023. DOI:10.1016/j.nanoen.2023.108312.
[42] KWAK S S, YOON H J, KIM S W. Textile-based triboelectric nanogenerators for self-powered wearable electronics[J]. Advanced Functional Materials, 2019. DOI:10.1002/adfm.201804533.
[43] NEWBY S, MIRIHANAGE W, FERNANDO A. Recent advancements in thermoelectric generators for smart textile application[J]. Materials Today Communications, 2022. DOI: 10.1016/j.mtcomm.2022.104585.
[44] WANG Z F, RUAN Z H, NG W S, et al. Integrating a triboelectric nanogenerator and a zinc-ion battery on a designed flexible 3D spacer fabric[J]. Small Methods, 2018. DOI: 10.10021smted.201800150.
[45] ZHANG X F, LI T T, REN H T, et al. Dual-shell photothermoelectric textile based on a PPy photothermal layer for solar thermal energy harvesting[J]. ACS Applied Materials & Interfaces, 2020, 12 (49): 55072-55082.
[46] GAO F P, LIU C X, ZHANG L C, et al. Wearable and flexible electrochemical sensors for sweat analysis: a review[J]. Microsystems & Nanoengineering, 2023, 9 (1): 1-8.
[47] PARRILLA M, CANOVAS R, JEERAPAN I, et al. A textile-based stretchable multi-Ion potentiometric sensor[J]. Advanced Healthcare Materials, 2016, 5 (9): 996-1001.
doi: 10.1002/adhm.201600092 pmid: 26959998
[48] GUALANDI I, TESSAROLO M, MARIANI F, et al. Textile chemical sensors based on conductive polymers for the analysis of sweat[J]. Polymers, 2021. DOI: 10.3390/polym13060894.
[49] BAHIN L, TOURLONIAS M, BUENO M A, et al. Smart textiles with polymer optical fibre implementation for in-situ measurements of compression and bending[J]. Sensors and Actuators A: Physical, 2023.DOI:10.1016/j.sna.2022.114117.
[50] ZHANG X, TANG S, MA R, et al. High-performance multimodal smart textile for artificial sensation and health monitoring[J]. Nano Energy, 2022.DOI:10.1016/j.nanoen.2022.107778.
[51] KEYUMENG, SHENLONGZHAO, YIHAOZHOU, et al. A wireless textile-based sensor system for self-powered personalized health care[J]. Matter, 2020, 2 (4): 896-907.
doi: 10.1016/j.matt.2019.12.025
[52] PENG X, DONG K, NING C, et al. All-nanofiber self-powered skin-interfaced real-time respiratory monitoring system for obstructive sleep apnea-hypopnea syndrome diagnosing[J]. Advanced Functional Materials, 2021, 31 (34): 1-10.
[53] YANG X, WANG S, LIU M, et al. All-nanofiber-based janus epidermal electrode with directional sweat permeability for artifact-free biopotential monitoring[J]. Small, 2022. DOI:10.1002/jsmll.202106477.
[54] LI F, XUE H, LIN X, et al. Wearable temperature sensor with high resolution for skin temperature monitoring[J]. ACS Applied Materials & Interfaces, 2022, 14 (38): 43844-43852.
[55] WANG H, WANG H, WANG Y, et al. Laser writing of janus graphene/Kevlar textile for intelligent protective clothing[J]. ACS Nano, 2020, 14 (3): 3219-3226.
doi: 10.1021/acsnano.9b08638 pmid: 32083839
[56] LUO J, GAO S, LUO H, et al. Superhydrophobic and breathable smart MXene-based textile for multifunctional wearable sensing electronics[J]. Chemical Engineering Journal, 2021. DOI:10.1016/j.cej.2020.126898.
[57] SHARMA S, CHHETRY A, ZHANG S, et al. Hydrogen-bond-triggered hybrid nanofibrous membrane-based wearable pressure sensor with ultrahigh sensitivity over a broad pressure range[J]. ACS Nano, 2021, 15 (3): 4380-4393.
doi: 10.1021/acsnano.0c07847 pmid: 33444498
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