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一种含类肝素保湿剂治疗老年性皮肤干燥症的疗效

Effectiveness of a heparinoid-containing moisturiser to treat senile xerosis.

作者信息

Hayama Koremasa, Takano Yusaku, Tamura Jin, Tagami Hachiro, Terui Tadashi

机构信息

Division of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan; Department of Dermatology, Tokiwadaira Central Hospital, Matsudo, Japan.

出版信息

Australas J Dermatol. 2015 Feb;56(1):36-9. doi: 10.1111/ajd.12179. Epub 2014 Oct 10.

Abstract

BACKGROUND AND OBJECTIVES

With the increasing elderly population in Japan, skin problems have become a greater concern. A heparinoid-containing moisturiser is frequently used in Japan, but there is a lack of evidence for its efficacy in treating senile xerosis. To determine whether there is a correlation between age and the hydration state of the stratum corneum (SC) assessed by skin capacitance, and to evaluate the efficiency of a heparinoid-containing moisturiser and a bed bath to treat senile xerosis.

METHODS

We recruited 73 individuals to assess the hydration state of the SC on their flexor forearm by measuring their skin capacitance. To evaluate the efficacy of a heparinoid-containing moisturiser on senile xerosis, we recruited seven inpatients with an inactive daily life (IDL) who had senile xerosis. They were treated with the moisturiser in addition to a bed bath in two different protocols, and we measured the skin capacitance on their flexor forearms on days 0, 7 and 14.

RESULTS

There was a weak negative correlation (-0.3854, P < 0.01) between skin capacitance and age. Following the moisturiser treatments, the seven inpatients had increased hydration of both arms on days 7 and 14. The skin capacitance of the right forearm slightly decreased on day 14, even though it was significantly different from day 0 (P < 0.05).

CONCLUSIONS

These findings indicate that treatment with a heparinoid-containing moisturiser together with a bed bath is an effective method for treating patients who have senile xerosis and IDL.

摘要

背景与目的

随着日本老年人口的增加,皮肤问题日益受到关注。含类肝素的保湿剂在日本被广泛使用,但缺乏其治疗老年性皮肤干燥症疗效的证据。本研究旨在确定年龄与通过皮肤电容评估的角质层(SC)水合状态之间是否存在相关性,并评估含类肝素的保湿剂和床上擦浴治疗老年性皮肤干燥症的效果。

方法

我们招募了73名个体,通过测量其屈侧前臂的皮肤电容来评估SC的水合状态。为了评估含类肝素的保湿剂对老年性皮肤干燥症的疗效,我们招募了7名日常生活不活跃(IDL)且患有老年性皮肤干燥症的住院患者。他们按照两种不同方案接受保湿剂治疗及床上擦浴,我们在第0、7和14天测量其屈侧前臂的皮肤电容。

结果

皮肤电容与年龄之间存在弱负相关(-0.3854,P < 0.01)。保湿剂治疗后,7名住院患者在第7天和第14天时双臂的水合程度均有所增加。尽管第14天时右前臂的皮肤电容与第0天相比有显著差异(P < 0.05),但略有下降。

结论

这些结果表明,含类肝素的保湿剂联合床上擦浴是治疗患有老年性皮肤干燥症和日常生活不活跃患者的有效方法。

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