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光防护综述:临床医生指南之化学防晒剂与物理防晒剂的成分、特性、不良反应及特定疾病的益处

Review on photoprotection: a clinician's guide to the ingredients, characteristics, adverse effects, and disease-specific benefits of chemical and physical sunscreen compounds.

作者信息

McDonald Katherine Ann, Lytvyn Yuliya, Mufti Asfandyar, Chan An-Wen, Rosen Cheryl F

机构信息

Division of Dermatology, University of Toronto, Toronto, Canada.

Faculty of Medicine, University of Toronto, Toronto, Canada.

出版信息

Arch Dermatol Res. 2023 May;315(4):735-749. doi: 10.1007/s00403-022-02483-4. Epub 2022 Nov 28.

Abstract

Photoprotection is a critical health prevention strategy to reduce the deleterious effects of ultraviolet radiation (UVR) and visible light (VL). Methods of photoprotection are reviewed in this paper, with an emphasis on sunscreen. The most appropriate sunscreen formulation for personal use depends on several factors. Active sunscreen ingredients vary in their protective effect over the UVR and VL spectrum. There are dermatologic diseases that cause photosensitivity or that are aggravated by a particular action spectrum. In these situations, sunscreen suggestions can address the specific concern. Sunscreen does not represent a single entity. Appropriate personalized sunscreen selection is critical to improve compliance and clinical outcomes. Health care providers can facilitate informed product selection with awareness of evolving sunscreen formulations and counseling patients on appropriate use. This review aims to summarize different forms of photoprotection, discuss absorption of sunscreen ingredients, possible adverse effects, and disease-specific preferences for chemical, physical or oral agents that may decrease UVR and VL harmful effects.

摘要

光防护是一项关键的健康预防策略,旨在减少紫外线辐射(UVR)和可见光(VL)的有害影响。本文对光防护方法进行了综述,重点是防晒霜。个人使用的最合适的防晒霜配方取决于几个因素。活性防晒成分在UVR和VL光谱上的保护效果各不相同。有些皮肤病会引起光敏性,或者会因特定的作用光谱而加重。在这些情况下,防晒霜建议可以解决具体问题。防晒霜并非单一产品。选择合适的个性化防晒霜对于提高依从性和临床效果至关重要。医疗保健提供者可以通过了解不断发展的防晒霜配方并就正确使用方法为患者提供咨询,来促进明智的产品选择。本综述旨在总结不同形式的光防护,讨论防晒成分的吸收、可能的不良反应以及针对化学、物理或口服制剂的疾病特异性偏好,这些制剂可能会降低UVR和VL的有害影响。

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