中国医师协会皮肤科医师分会
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【摘要】 应用保湿润肤类产品是保护或修护皮肤屏障、维护皮肤健康和防治皮肤病的重要手段。为规范及合理应用保湿润肤类产品，中国医师协会皮肤科医师分会组织国内有关专家，结合国内外研究现状，就保湿润肤类产品的功效、成分选择、应用指征、使用法、不良反应及注意事项等深入讨论并达成此共识。
【关键词】 皮肤；保湿润肤类产品；合理应用；皮肤屏障；专家共识
DOI：10.35541/cjd.20230133
Guidance on application of moisturizers and emollients: an expert consensus（2023）
China Dermatologist Association
Corresponding authors: Hao Fei, Email: 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。; Gao Xinghua, Email: 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
【Abstract】 The application of moisturizers and emollients is an important method for protecting or repairing skin barriers, maintaining skin health, and coping with skin diseases. In order to standardize and rationalize the application of moisturizers and emollients, the China Dermatologist Association convened Chinese experts in this field to conduct sessions of in⁃depth discussions based on up⁃to⁃date Chinese and international research outcomes, and reached a consensus on the efficacy, composition selection, application indications, application methods and adverse reactions of moisturizers and emollients, as well as considerations during their use.
【Key words】
Skin; Moisturizers and emollients; Rational application; Skin barriers; Expert consensus
DOI: 10.35541/cjd.20230133
皮肤屏障功能维持着机体内环境稳定［1］ 。遗传基因异常、生理性衰退及各种疾病等均可破坏皮肤完整性，导致屏障功能障碍，进一步影响皮肤健康乃至疾病的发生和发展［2］ 。因此，使用保湿润肤类产品成为保护和修复皮肤屏障的重要措施。为规范及合理应用保湿润肤类产品，中国医师协会皮肤科医师分会组织国内有关专家，结合国内外研究现状，就保湿润肤类产品的功效、成分选择、应用指征、使用方法、不良反应及注意事项等深入讨论并达成应用指导的专家共识。
本共识文献检索自Medline、PubMed、Cochrane协作网、中国知网、万方医学网等数据库，关键词包括 但 不 限 于 ：moisturizer、emollient、skincare、skinbarrier、保湿润肤类产品、保湿剂、润肤剂、护肤品、皮肤屏障、天然保湿因子、特应性皮炎（atopicdermatitis，AD）、玫瑰痤疮、敏感性皮肤、经表皮失水率等，检索起始时间不限，大部分参考文献为2010年后最新发表。文中近30条重要结论均经过专家组Delphi问询法论证。
Jeffrey Rajkumara Neha Chandana Peter Liob Vivian Shic
a Department of Dermatology, University of Illinois at Chicago College of Medicine, Chicago, IL, USA;
b Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA;
c Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AK, USA
Keywords
Skin barrier · Barrier disruption · Moisturizers
Abstract
Background: The anatomic layers of the skin are well-defined, and a functional model of the skin barrier has recently been described. Barrier disruption plays a key role in several skin conditions, and moisturization is recommended as an initial treatment in conditions such as atopic dermatitis. This review aimed to analyze the skin barrier in the context of the function model, with a focus on the mechanisms by which moisturizers support each of the functional layers of the skin barrier to promote homeostasis and repair. Summary: The skin barrier is comprised of four interdependent layers – physical, chemical, microbiologic, and immunologic – which maintain barrier structure and function. Moisturizers target disruption affecting each of these four layers through several mechanisms and were shown to improve transepidermal water loss in several studies. Occlusives, humectants, and emollients occlude the surface of the stratum corneum (SC), draw water from the dermis into the epidermis, and assimilate into the SC, re- spectively, in order to strengthen the physical skin barrier. Acidic moisturizers bolster the chemical skin barrier by sup-porting optimal enzymatic function, increasing ceramide production, and facilitating ideal conditions for commensal microorganisms. Regular moisturization may strengthen the immunologic skin barrier by reducing permeability and subsequent allergen penetration and sensitization. Key Messages: The physical, chemical, microbiologic, and im-munologic layers of the skin barrier are each uniquely impacted in states of skin barrier disruption. Moisturizers target each of the layers of the skin barrier to maintain homeostasis and facilitate repair.
一般指热力，包括热液（水、汤、油等）、蒸气、高温气体、火焰、炽热金属液体或固体（如钢水、钢锭）等所引起的组织损害，主要指皮肤和/或黏膜，严重者也可伤及皮下或/和黏膜下组织，如肌肉、骨、关节甚至内脏。烫伤是由热液、蒸气等所引起的组织损伤，是热力烧伤的一种。
伤口世界平台生态圈，以“关爱人间所有伤口患者”为愿景，连接、整合和拓展线上和线下的管理慢性伤口的资源，倡导远程、就近和居家管理慢性伤口，解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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