皮肤科医生对可见光防护的态度、实践和建议。

Attitudes on, Practices, and Recommendations for Visible Light Protection Amongst Dermatology Practitioners.

出版信息

J Drugs Dermatol. 2024 Nov 1;23(11):965-971. doi: 10.36849/JDD.8159.

Abstract

BACKGROUND

Iron oxides, antioxidants, and pigmentary titanium dioxide are sunscreen additive ingredients that enhance visible light protection, reduce associated hyperpigmentation, and protect against certain photosensitive dermatoses There are currently no standardized recommendations for visible light protection with these additive ingredients, leading to varied clinical recommendations.

OBJECTIVES

This study aimed to evaluate dermatology practitioners' counseling practices for visible light protection.

METHODS

An electronic survey was distributed to dermatology practitioners. Survey responses were compiled for analysis, and statistical significance was calculated using a standard 95% confidence interval.

RESULTS

91.68% of 974 respondents actively counsel patients about visible light protection, primarily emphasizing its role in exacerbating pigmentation in patients with melanin-rich skin (70.92%). Of these, 10.34% recommended sunscreens with visible light protective additive ingredients specifically for patients with melanin-rich skin, and 48.89% recommended them for managing melasma or post-inflammatory hyperpigmentation. Iron oxide additive ingredients were most frequently recommended (90.92%), followed by antioxidants (69.08%) and pigmentary TiO2, (58.85%). 8.32% of respondents reported not counseling patients about visible light protection, with major reasons encompassing the lack of standardized guidelines (50.62%), challenges in recommending suitably tinted sunscreens (27.16%), limited availability of sunscreen options (23.46%), and insufficient supportive data (18.52%).

CONCLUSION

There is a need for increased education and awareness regarding visible light protection strategies and the identification of patients who may benefit the most from a targeted photoprotective strategy. Establishing standardized guidelines and broadening the availability of sunscreen options conferring visible light protection may help address these gaps. J Drugs Dermatol. 2024;23(11):965-971. doi:10.36849/JDD.8159.

摘要

背景

氧化铁、抗氧化剂和颜料性二氧化钛是防晒霜的添加剂成分，可增强可见光保护，减少相关的色素沉着，并预防某些光敏感皮肤病。目前，这些添加剂成分的可见光保护还没有标准化的建议，导致临床建议各不相同。

目的

本研究旨在评估皮肤科医生对可见光保护的咨询实践。

方法

向皮肤科医生分发了一份电子调查。对调查回复进行了汇编分析，并使用标准的 95%置信区间计算了统计学意义。

结果

974 名受访者中有 91.68%积极为患者提供可见光保护咨询，主要强调其在加重富含黑色素皮肤患者色素沉着方面的作用（70.92%）。在这些患者中，10.34%推荐含有可见光保护添加剂成分的防晒霜，48.89%推荐用于治疗黄褐斑或炎症后色素沉着过度。氧化铁添加剂成分最常被推荐（90.92%），其次是抗氧化剂（69.08%）和颜料性 TiO2（58.85%）。8.32%的受访者报告未对患者进行可见光保护咨询，主要原因包括缺乏标准化指南（50.62%）、难以推荐合适色调的防晒霜（27.16%）、防晒选择有限（23.46%）和缺乏支持性数据（18.52%）。