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关于使用新型银-海藻-棉纤维治疗特应性皮炎的提案。

A proposal for the use of new silver-seaweed-cotton fibers in the treatment of atopic dermatitis.

作者信息

Araújo Catarina Portela, Gomes Joana, Vieira Ana Paula, Ventura Filipa, Fernandes José Carlos, Brito Celeste

机构信息

Serviço de Dermatologia, Hospital de Braga, Portugal.

出版信息

Cutan Ocul Toxicol. 2013 Oct;32(4):268-74. doi: 10.3109/15569527.2013.775655. Epub 2013 Mar 13.

Abstract

BACKGROUND

Atopic dermatitis (AD) is a disease with multifactorial etiology. Staphylococcus aureus is one of the predominant environmental factors acting on the course and intensity of the disease.

OBJECTIVES

The aims of the study were to evaluate the efficacy and safety of clothing made of cellulose fibers with seaweed enriched with silver ions in the treatment of children with AD.

METHODS

A prospective, randomized and double-blinded controlled selection was done to recruit 19 children with diagnosis of AD. This sample was divided in two groups with similar demographic and clinical characteristics (the "control" group of seven children who wore placebo clothing and the "trial textile" group of 12 children who wore clothing with the new textile). The severity of AD and clinical response were assessed by the SCORAD index, the intensity of pruritus and the changes in sleep characteristics, at the start of the study and after 7 and 90 d.

RESULTS

The SCORAD index improvement in the group with the fiber under study was statistically significant after the first 7 d of treatment (p < 0.001) and was reduced by about 45% after 90 d. There was also a statistically relevant reduction of the intensity of pruritus and an improvement in the sleep quality after the initial 7 d and at day 90.

CONCLUSION

The results showed that the textile clothing with seaweed enriched with silver ions brings a quicker improvement of the patients in the first days in opposition to the use of standard all-cotton clothes. The results also reinforce the importance of non-pharmacological measures, like clothing, in the management of patients with a diagnosis of AD.

摘要

背景

特应性皮炎(AD)是一种病因多因素的疾病。金黄色葡萄球菌是影响该疾病病程和严重程度的主要环境因素之一。

目的

本研究旨在评估富含银离子的海藻纤维素纤维制成的衣物治疗儿童特应性皮炎的疗效和安全性。

方法

进行一项前瞻性、随机、双盲对照研究,招募19例诊断为特应性皮炎的儿童。将该样本分为两组,两组的人口统计学和临床特征相似(“对照组”7名儿童穿着安慰剂衣物,“试验纺织品组”12名儿童穿着新型纺织品制成的衣物)。在研究开始时、7天和90天后,通过SCORAD指数评估特应性皮炎的严重程度和临床反应、瘙痒强度以及睡眠特征的变化。

结果

在治疗的前7天,研究中使用的纤维组的SCORAD指数改善具有统计学意义(p < 0.001),90天后降低了约45%。在最初7天和90天时,瘙痒强度也有统计学意义的降低,睡眠质量有所改善。

结论

结果表明,与使用标准全棉衣物相比,富含银离子的海藻纺织品制成的衣物在最初几天能使患者更快改善。结果还强化了非药物措施(如衣物)在特应性皮炎患者管理中的重要性。

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