Nicol Noreen Heer, Boguniewicz Mark
College of Nursing, University of Colorado, 13120 East 19th Avenue, Mail Stop C288-18, Aurora, CO 80045, USA.
Department of Pediatrics, National Jewish Health, University of Colorado School of Medicine, Denver, CO 80206, USA.
Immunol Allergy Clin North Am. 2017 Feb;37(1):123-139. doi: 10.1016/j.iac.2016.08.003. Epub 2016 Nov 1.
National and international guidelines address stepwise atopic dermatitis (AD) management. Wet wrap therapy (WWT) is important as an acute therapeutic intervention for treatment of moderate to severe AD. Using clothing instead of bandages makes this intervention simpler, less time intensive, and less expensive. Education of patients and caregivers is critical to success; methodology must be standardized. Future studies must carefully describe all procedure components. Incorporation of validated outcomes tools would help with interpretation. WWT should be considered as a potential treatment option ahead of systemic immunosuppressive therapies for patients failing conventional therapy.
国家和国际指南阐述了特应性皮炎（AD）的逐步管理方法。湿敷疗法（WWT）作为中重度AD治疗的一种急性治疗干预措施很重要。使用衣物而非绷带使这种干预更简单、耗时更少且成本更低。对患者和护理人员的教育是成功的关键；方法必须标准化。未来的研究必须仔细描述所有程序组成部分。纳入经过验证的结果工具将有助于解读。对于常规治疗失败的患者，在考虑全身免疫抑制疗法之前，应将湿敷疗法视为一种潜在的治疗选择。
