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儿童特应性皮炎居家皮肤护理方式与疾病严重程度的关系

Analysis of the relationship between home skin care associated factors and disease severity for children with atopic dermatitis
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摘要 目的探讨儿童特应性皮炎(atopic dermatitis,AD)居家皮肤护理方式对疾病严重程度的影响。方法采用方便抽样法,选取2022年6月至2023年6月在山东第二医科大学附属医院2型炎症多学科门诊中心就诊的AD患儿为研究对象,根据AD严重程度分为轻度组和中重度组,采用多元Logistic回归分析患儿一般资料和居家皮肤护理相关因素对患儿疾病严重程度的影响。结果共纳入358例AD患儿,其中轻度214例(59.78%)、中重度144例(40.22%)。多元Logistic回归分析显示,在居家皮肤护理相关因素中,使用清洁用品、洗浴时长5~10 min、洗浴水质为软水、洗浴水温≤38℃、洗浴频率每周≥1次、清洁用品酸碱度为中性或弱酸性、使用护肤品、每周全身护肤品使用量≥100 g、贴身衣物色彩为浅色、衣物更换频率不超过1周/次、抹药后按摩等居家皮肤护理措施是AD患儿疾病严重程度的保护因素(P<0.05),而清洁用品酸碱度为弱碱性、洗浴时长>10 min是AD患儿疾病严重程度的危险因素(P<0.05)。结论本研究分析了影响AD患儿疾病严重程度的居家皮肤护理相关保护和危险因素,为制定患儿居家皮肤护理措施、宣教指导内容提供理论基础和循证依据。 Objective To investigate the influence of the factors related to home skin care for children with atopic dermatitis (AD). Methods Using the convenience sampling method, the children with AD treated in the type 2 inflammation multidisciplinary clinic center in Affiliated Hospital of Shandong Second Medical University from June 2022 to June 2023 were selected to investigate the severity of the disease, and analyze the general data and factors related to home skin care using Logistic regression. Results Among 358 children with AD, there were 214 (59.78%) mild cases, 144 (40.52%) moderate-severe cases. Multiple Logistic regression analysis showed that among the factors of home skin care, use of cleaning products, bath time 5~10 min, soft-water bathing, bath water temperature ≤38 ℃, bath frequency was greater than or equal to once a week, pH of cleaning products was neutral or weakly acidic, use of skin care products, weekly full-body skincare use ≥100 g, light colors for intimate apparel, and the replacement frequency was not more than 1 week/time, and post-application massage were protective factors for severity of AD in children (P<0.05). The pH of cleaning products was weakly alkaline, and bath duration >10 min were the risk factors for severity of AD in children (P<0.05). Conclusion This study puts forward the protective factors and risk factors of home skin care for children with AD, which provide theoretical basis and evidence-based basis for the formulation of home skin care measures and education and guidance for AD children.
作者 杨帆 李冬冬 王小勤 魏玉芹 牟灵英 宋亚男 YANG Fan;LI Dongdong;WANG Xiaoqin;WEI Yuqin;MOU Lingying;SONG Yanan(Department of Joint Surgery,Affiliated Hospital of Shandong Second Medical University,Weifang 261035,Shandong Province,China;Department of Pediatrics,Zibo Hospital of Integrated Traditional Chinese and Western Medicine,Zibo 255026,Shandong Province,China;Reproductive Medicine Center,Affiliated Hospital of Shandong Second Medical University,Weifang 261035,Shandong Province,China;School of Nursing,Shandong Second Medical University,Weifang 261053,Shandong Province,China)
出处 《医学新知》 CAS 2024年第5期497-507,共11页 New Medicine
基金 山东省医药卫生科技发展计划项目(2017WS402) 国家重点实验室横向课题(2023KFKT001)。
关键词 儿童特应性皮炎 居家皮肤护理 疾病严重程度 因素分析 Atopic dermatitis in children Home skin care Disease severity Factor analysis
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