Phototherapy Specialist Nurse, Photobiology Unit, Department of Dermatology, Ninewells Hospital, Dundee.
Br J Nurs. 2020 May 28;29(10):547-552. doi: 10.12968/bjon.2020.29.10.547.
Psoriasis is a chronic, multisystem inflammatory disease, predominantly affecting the skin and joints, which is present in 2-3% of the world's population. Narrow band ultraviolet B (NB-UVB) and Psoralen + ultraviolet A (PUVA) are recognised, effective and, in the case of UVB, economical second-line treatments for psoriasis where topical therapies fail to control the disease or are an impracticable option due to the extent of skin involvement. This article examines the history of phototherapy and photochemotherapy and looks at current phototherapy treatments used for psoriasis. It discusses side effects of treatment and regimens that can be followed to increase effectiveness of treatment and minimise risks. The role of the nurse phototherapist is also discussed.
银屑病是一种慢性、多系统炎症性疾病，主要影响皮肤和关节，在全球人口中占 2-3%。窄谱中波紫外线（NB-UVB）和补骨脂素+长波紫外线（PUVA）是公认的有效二线治疗方法，适用于局部治疗无法控制疾病或由于皮肤受累范围广泛而不适用的银屑病患者。本文回顾了光疗和光化学疗法的历史，并探讨了目前用于银屑病的光疗方法。它讨论了治疗的副作用和可以遵循的方案，以提高治疗效果并降低风险。还讨论了护士光疗师的作用。
