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死海地区银屑病的紫外线测量和光疗:25 年的经验。

Ultraviolet Measurements and Photoclimatotherapy for Psoriasis at the Dead Sea: 25 Years of Experience.

机构信息

Blaustein Institutes for Desert Research, ED Bergmann Campus, Ben-Gurion University of the Negev, Beer Sheva 8410506, Israel.

The Dead Sea and Arava Science Center, Masada 86910, Israel.

出版信息

Int J Environ Res Public Health. 2022 Sep 28;19(19):12364. doi: 10.3390/ijerph191912364.

DOI:10.3390/ijerph191912364
PMID:36231663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9566427/
Abstract

BACKGROUND

The Dead Sea basin is the lowest terrestrial site on the globe and is internationally recognized as a photoclimatotherapy center. Since the last century, questions were raised regarding a possible presence of unique incident ultraviolet irradiation, allowing the successful treatment of psoriasis, atopic dermatitis and other dermatological diseases.

AIM

This research study aims to determine the characteristics of solar ultraviolet irradiation and to understand the mechanism of action of photoclimatotherapy while applying results to clinical protocols of treatments.

METHODS

A meteorological station was established at the Dead Sea basin to continuously measure global, UVB and UVA irradiation. The same irradiation parameters are also monitored continuously by a set of identical ultraviolet irradiation instruments installed on the campus of the Ben-Gurion University of the Negev in Beer Sheva.

RESULTS

This study details the results of these long-term measurements, as well as their correlation with the success obtained by clinicians treating psoriasis patients.

CONCLUSIONS

A database of more than 25 years has enabled medical staff to establish tailor-made protocols for sun-exposure time intervals as a function of particular month and hour of day. The availability of such information significantly improved the results of photoclimatotherapy for psoriasis and simultaneously increased the safety of sun exposure at the Dead Sea.

摘要

背景

死海流域是地球上陆地海拔最低的地方,国际上公认其为光疗气候治疗中心。自上个世纪以来,人们就提出了一个问题,即在死海地区是否存在独特的、高剂量紫外线辐射,从而可以成功治疗银屑病、特应性皮炎和其他皮肤病。

目的

本研究旨在确定太阳紫外线辐射的特征,并了解光疗气候治疗的作用机制,同时将结果应用于临床治疗方案。

方法

在死海流域建立了一个气象站,以连续测量全球、UVB 和 UVA 辐射。在本古里安大学内的 Beer Sheva 分校的校园里,也安装了一套相同的紫外线辐射仪器,以连续监测相同的辐射参数。

结果

本研究详细介绍了这些长期测量的结果,以及它们与临床医生治疗银屑病患者的成功之间的相关性。

结论

超过 25 年的数据库使医务人员能够根据特定的月份和一天中的时间,制定出针对日光暴露时间间隔的个性化方案。这些信息的可用性显著提高了光疗气候治疗银屑病的效果,同时提高了在死海地区日光暴露的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/75260d2545a6/ijerph-19-12364-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/c0acec85f800/ijerph-19-12364-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/ba365988e2d6/ijerph-19-12364-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/fd331698529a/ijerph-19-12364-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/de255393f6ac/ijerph-19-12364-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/cfa85e1d1f02/ijerph-19-12364-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/75260d2545a6/ijerph-19-12364-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/c0acec85f800/ijerph-19-12364-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/ba365988e2d6/ijerph-19-12364-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/fd331698529a/ijerph-19-12364-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/de255393f6ac/ijerph-19-12364-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/cfa85e1d1f02/ijerph-19-12364-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1e/9566427/75260d2545a6/ijerph-19-12364-g006.jpg

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本文引用的文献

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Mind-Body Interventions as Alternative and Complementary Therapies for Psoriasis: A Systematic Review of the English Literature.身心干预作为银屑病的替代和补充疗法:对英文文献的系统评价
Medicina (Kaunas). 2021 Apr 23;57(5):410. doi: 10.3390/medicina57050410.
2
Commentary: Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study.评论:死海气候疗法对银屑病的影响;一项前瞻性队列研究。
Front Med (Lausanne). 2020 Nov 20;7:586418. doi: 10.3389/fmed.2020.586418. eCollection 2020.
3
Effect of Dead Sea Climatotherapy on Psoriasis; A Prospective Cohort Study.
死海气候疗法对银屑病的影响;一项前瞻性队列研究。
Front Med (Lausanne). 2020 Mar 18;7:83. doi: 10.3389/fmed.2020.00083. eCollection 2020.
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Effect of the Dead Sea climatotherapy for psoriasis on quality of life.死海气候疗法对银屑病患者生活质量的影响。
Isr Med Assoc J. 2013 Feb;15(2):99-102.
5
The solar ultraviolet B radiation protection provided by shading devices with regard to its diffuse component.遮阳设备对太阳紫外线 B 辐射的漫射部分的防护作用。
Photodermatol Photoimmunol Photomed. 2011 Oct;27(5):236-44. doi: 10.1111/j.1600-0781.2011.00608.x.
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The measurement and analysis of normal incidence solar UVB radiation and its application to the photoclimatherapy protocol for psoriasis at the Dead Sea, Israel.正常入射太阳 UVB 辐射的测量和分析及其在以色列死海银屑病光疗方案中的应用。
Photochem Photobiol. 2011 Jan-Feb;87(1):215-22. doi: 10.1111/j.1751-1097.2010.00842.x. Epub 2010 Nov 19.
7
Effectiveness of climatotherapy at the Dead Sea for psoriasis vulgaris: A community-oriented study introducing the 'Beer Sheva Psoriasis Severity Score'.死海气候疗法对寻常型银屑病的疗效:一项引入“贝尔谢巴银屑病严重程度评分”的社区导向性研究。
J Dermatolog Treat. 2005;16(5-6):308-13. doi: 10.1080/09546630500375841.
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[Preliminary report; the therapeutic effect of the hot springs of Zohar (Dead Sea) on some skin diseases].[初步报告;佐哈尔(死海)温泉对某些皮肤病的治疗效果]
Harefuah. 1959 Sep 15;57:143-5.
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Bioclimatology and balneology in dermatology: a Dead Sea perspective.皮肤科中的生物气候学与浴疗学:以死海为例
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Demographic evaluation of successful antipsoriatic climatotherapy at the Dead Sea (Israel) DMZ Clinic.以色列死海 DMZ 诊所成功的银屑病气候疗法的人口统计学评估。
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