Lynde Charles
Lynde Centre for Dermatology, Markham, Ontario, Canada.
J Drugs Dermatol. 2008 Nov;7(11):1038-43.
The maintenance of normal hydration is an important function of the skin. The stratum corneum provides an antimicrobial, antioxidant, and UV barrier and plays an integral role in maintaining skin hydration. Environmental factors and disease states may compromise the barrier function of the stratum corneum, leading to excessively dry skin. Evidence supports the use of moisturizers in the treatment of various skin conditions, and a wide variety of these products are currently available. The presence of moisturizing agents in a compound, however, may not guarantee optimal moisturization effects. Pharmacologic and physiologic (eg, concentration, bioavailability, and proper determination of moisturization effects), as well as patient-based considerations, can potentially influence the effects of moisturizer ingredients. While moisturizers as adjunctive therapy have proven benefits in enhancing the management of certain dermatologic conditions, the incorporation of moisturizing ingredients into topical treatments may not translate into clinical benefit, particularly in the enhancement of skin barrier function.
维持正常水合作用是皮肤的一项重要功能。角质层提供抗菌、抗氧化和紫外线防护屏障,并在维持皮肤水合作用中发挥不可或缺的作用。环境因素和疾病状态可能会损害角质层的屏障功能,导致皮肤过度干燥。有证据支持使用保湿剂治疗各种皮肤状况,目前有各种各样的此类产品可供选择。然而,一种化合物中存在保湿剂可能无法保证达到最佳保湿效果。药理学和生理学因素(如浓度、生物利用度以及对保湿效果的正确测定)以及基于患者的因素都可能影响保湿剂成分的效果。虽然保湿剂作为辅助疗法已被证明在改善某些皮肤病的治疗方面有益,但将保湿成分纳入局部治疗可能不会转化为临床益处,尤其是在增强皮肤屏障功能方面。