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一种新型身体保湿霜可增加皮肤水分,并改善儿童和成人的特应性皮炎症状。

A new body moisturizer increases skin hydration and improves atopic dermatitis symptoms among children and adults.

作者信息

Simpson Eric, Dutronc Yves

机构信息

Department of Dermatology, Oregon Health and Science University, Portland, Oregon 97239-4501, USA.

出版信息

J Drugs Dermatol. 2011 Jul;10(7):744-9.

PMID:21720656
Abstract

Moisturizers result in an increase of skin hydration and restoration of the skin barrier function and play a prominent role in the longterm management of atopic dermatitis (AD). Cetaphil RestoradermTM Moisturizer (CRM) contains novel ingredients specifically designed for AD, and its effects on skin hydration, skin barrier function and signs of AD were assessed in four studies, three of which were evaluator-blinded, randomized and intra-individual comparison trials. A single application of CRM induced significantly greater hydration than the untreated control for at least 24 hours (P is less than 0.001). After the skin was disrupted with 0.5% sodium dodecyl sulfate (SDS), applications of CRM led to a more rapid restoration of skin barrier function and maintained significantly greater skin hydration compared to the untreated control (both P is less than 0.05). After four weeks of twice-daily CRM application among subjects with a history of AD, a significant decrease of itching/stinging scores compared to baseline was reported, as well as an improvement in the quality-of- life and a high level of satisfaction regarding the product. When CRM was used as an adjunctive treatment with topical steroid for four weeks among subjects with mild-to-moderate AD, a more rapid decrease of overall disease severity was observed on days 7, 14 and 21 by the blinded investigator (P is less than 0.05), compared to steroid treatment alone. In summary, CRM is suitable for the specific needs of patients with AD and can be used either alone for long-term management or in adjunction with traditional treatment for both short and long-term disease control.

摘要

保湿剂可增加皮肤水分并恢复皮肤屏障功能,在特应性皮炎(AD)的长期管理中发挥着重要作用。丝塔芙修复保湿霜(CRM)含有专门为AD设计的新型成分,在四项研究中评估了其对皮肤水分、皮肤屏障功能和AD体征的影响,其中三项为评估者盲法、随机和个体内比较试验。单次涂抹CRM后,至少24小时内诱导的皮肤水合作用显著大于未处理的对照组(P小于0.001)。在用0.5%十二烷基硫酸钠(SDS)破坏皮肤后,与未处理的对照组相比,涂抹CRM可使皮肤屏障功能恢复更快,并保持显著更高的皮肤水合作用(两者P均小于0.05)。在有AD病史的受试者中,每天两次涂抹CRM四周后,报告瘙痒/刺痛评分与基线相比显著降低,生活质量得到改善,对该产品的满意度较高。当CRM与外用类固醇联合用于轻度至中度AD受试者四周时,与单独使用类固醇治疗相比,在第7天、14天和21天,盲法研究者观察到总体疾病严重程度下降更快(P小于0.05)。总之,CRM适合AD患者的特定需求,可单独用于长期管理,也可与传统治疗联合用于短期和长期疾病控制。

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