WANG Shan,MA Lin.The Use of Wet-wrap in Treatment of Severe Atopic Dermatitis in Children[J].The Chinese Journal of Dermatovenereology,2017,(12):1377-1379.[doi:10.13735/j.cjdv.1001-7089.201703077]





The Use of Wet-wrap in Treatment of Severe Atopic Dermatitis in Children
王珊 马琳
国家儿童医学中心首都医科大学附属北京儿童医院皮肤科,北京 100045
Department of Dermatology,Beijing Children's Hospital,Capital Medical University National Center for Children's Health,Beijing 100045,China
湿包裹 特应性皮炎 治疗 儿童 管状绷带
Wet-wrap Atopic dermatitis Treatment Children Tubular bandages
R 758.2
儿童重度特应性皮炎(atopic dermatitis,AD)因系统用药受年龄及不良反应的限制常缺乏有效治疗方法,而湿包裹治疗(wet-wrap treatment,WWT)是对反复难治性重度AD的一种有效且相对安全的方法。WWT是指在外用药物及润肤的基础上,使用双层管状绷带或纱布包裹治疗的一种治疗模式。在国际上广泛用于治疗各种瘙痒性皮肤疾病,尤其是儿童重度AD,与传统外用药物治疗比较的优势在于起效迅速、修复皮肤屏障,并显著控制瘙痒,从而改善生活质量,同时减少系统药物的应用。WWT目前报告不良反应较少,通常较轻微,且为一过性。该方法在国内尚无相关报道。
Treatment of severe atopic dermatitis(AD)in children is especially challenging because of the limitation of systemic treatment in consideration of age and adverse effects. Wet-wrap treatment(WWT)is a relatively safe and effective intervention for severe or refractory AD in children. WWT is a modality using double layers of bandages,cotton clothing,or gauze in addition to topical medication and emollient. WWT is widely used to treat various pruritic dermatosis,in particular,severe AD in children. Compared with traditional topical treatments,the advantages of WWT include quicker effect,repair of skin barrier function,and alleviation of pruritus,leading to improvement of the life quality and reduction in the use of systemic agents. The adverse reactions of WWT are fewer,and usually mild and transient. This method has not been reported in our country.


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更新日期/Last Update: 2017-12-01