Liu Na, Wang Xuemin, Odio Mauricio
Shanghai Skin Disease Hospital, Shanghai, China.
Pediatr Dermatol. 2011 Jul-Aug;28(4):380-6. doi: 10.1111/j.1525-1470.2011.01494.x.
Chinese cloth diapers differ from disposable diapers in several respects that are central to our understanding of the etiology of diaper dermatitis (DD), yet there are no published reports on the dermatological correlates of this manner of infant care, which is prevalent among the world's second-largest pediatric population. The objective was to determine the prevalence and severity of DD in exclusive users of Chinese cloth diapers. This observational study was conducted during a single home visit to 694 Chinese children who were exclusive users of cloth diapers in five inland cities of China. During each home visit, study nurses documented the presence and severity of DD using a visual dermatological scale and conducted transepidermal water loss (TEWL) and pH measurements. Diaper dermatitis was rare in the buttocks and genital area of the children (<20%) but was common in the perianal and intertriginous regions (50-70%). TEWL and pH were mildly higher in babies with DD than in those without DD in the genital and buttocks area. Diaper dermatitis is common in children who use traditional Chinese cloth diapers, especially in the perianal and intertriginous regions.
中国布尿布与一次性尿布在几个方面存在差异，这些差异对于我们理解尿布皮炎（DD）的病因至关重要。然而，关于这种在世界第二大儿童群体中普遍存在的婴儿护理方式与皮肤学方面的关联，目前尚无公开报道。本研究的目的是确定纯用中国布尿布的婴儿中尿布皮炎的患病率和严重程度。这项观察性研究是在对中国五个内陆城市的694名纯用布尿布的中国儿童进行一次家访期间进行的。在每次家访中，研究护士使用视觉皮肤学量表记录尿布皮炎的存在和严重程度，并进行经表皮水分流失（TEWL）和pH值测量。尿布皮炎在儿童的臀部和生殖器区域很少见（<20%），但在肛周和间擦部位很常见（50 - 70%）。在生殖器和臀部区域，患有尿布皮炎的婴儿的TEWL和pH值略高于未患尿布皮炎的婴儿。使用传统中国布尿布的儿童中尿布皮炎很常见，尤其是在肛周和间擦部位。
