Stamatas Georgios N, Tierney Neena K
Johnson & Johnson Santé Beauté France, Issy les Moulineaux, France.
Pediatr Dermatol. 2014 Jan-Feb;31(1):1-7. doi: 10.1111/pde.12245. Epub 2013 Nov 14.
Pediatricians and parents report diaper dermatitis (DD) to be one of the most common skin diseases that affects almost every child at some point during the early months and years of life. Diapered skin is exposed to friction and excessive hydration, has a higher pH than nondiapered skin, and is repeatedly soiled with feces that contains enzymes with high irritation potential for the skin. The combination of these factors frequently results in skin damage, leading to visible erythematous lesions that can be irritating and painful to the child. Behavioral changes such as increased crying and agitation and changes in eating and sleeping patterns indicate emotional distress. Appropriate skin care can help to prevent the occurrence of DD and to speed up the healing of affected skin. This includes frequent diaper changes and aeration, gentle cleansing, and the use of a barrier cream. Mild to moderate cases usually resolve after a few days of following this routine, but the use of harsh cleaning products can exacerbate DD.
儿科医生和家长报告称，尿布皮炎（DD）是最常见的皮肤疾病之一，几乎每个孩子在生命的最初几个月和几年中的某个时候都会受到影响。裹着尿布的皮肤会受到摩擦和过度水合作用，其pH值高于未裹尿布的皮肤，并且会反复被含有对皮肤具有高刺激性酶的粪便污染。这些因素的综合作用常常导致皮肤损伤，形成可见的红斑病变，这会让孩子感到刺激和疼痛。诸如哭闹增多、烦躁不安以及饮食和睡眠模式改变等行为变化表明孩子情绪困扰。适当的皮肤护理有助于预防尿布皮炎的发生，并加速受影响皮肤的愈合。这包括频繁更换尿布和通气、轻柔清洁以及使用隔离霜。轻度至中度病例通常在遵循此常规几天后即可痊愈，但使用刺激性强的清洁产品会加重尿布皮炎。
