Gittler Julia K, Wang Jason F, Orlow Seth J
The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, 240 East 38th Street, 11th Floor, New York, NY, 10016, USA.
Am J Clin Dermatol. 2017 Feb;18(1):45-57. doi: 10.1007/s40257-016-0240-2.
Atopic dermatitis is one of the most common complaints presenting to dermatologists, and patients typically inquire as to appropriate bathing recommendations. Although many dermatologists, allergists, and primary-care practitioners provide explicit bathing instructions, recommendations regarding frequency of bathing, duration of bathing, and timing related to emollient and medication application relative to bathing vary widely. Conflicting and vague guidelines stem from knowledge related to the disparate effects of water on skin, as well as a dearth of studies, especially randomized controlled trials, evaluating the effects of water and bathing on the skin of patients with atopic dermatitis. We critically review the literature related to bathing and associated atopic dermatitis treatments, such as wet wraps, bleach baths, bath additives, and balneotherapy. We aim to provide readers with a comprehensive understanding of the impact of water and related therapies on atopic dermatitis as well as recommendations based upon the published data.
特应性皮炎是皮肤科医生最常遇到的病症之一，患者通常会询问合适的沐浴建议。尽管许多皮肤科医生、过敏症专科医生和初级保健医生都提供了明确的沐浴指导，但关于沐浴频率、沐浴时长以及与润肤剂和药物使用相关的沐浴时间的建议却差异很大。相互矛盾且模糊的指南源于对水对皮肤不同影响的认识，以及缺乏评估水和沐浴对特应性皮炎患者皮肤影响的研究，尤其是随机对照试验。我们对与沐浴及相关特应性皮炎治疗方法（如湿包裹疗法、漂白浴、沐浴添加剂和浴疗）相关的文献进行了批判性综述。我们旨在让读者全面了解水及相关疗法对特应性皮炎的影响，并根据已发表的数据提供建议。
