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新生儿和婴儿的皮肤屏障功能

Skin Barrier Function in Neonates and Infants.

作者信息

Choi Eung Ho

机构信息

Department of Dermatology, Yonsei University Wonju College of Medicine, Wonju, Korea.

出版信息

Allergy Asthma Immunol Res. 2025 Jan;17(1):32-46. doi: 10.4168/aair.2025.17.1.32.

DOI:10.4168/aair.2025.17.1.32
PMID:39895601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11791375/
Abstract

This review focuses on the skin barrier function in neonates and infants, emphasizing the structural and functional differences compared to adult skin. Neonatal and infant skin is thinner, more permeable, and less developed, which makes it more vulnerable to irritants, infections, and dehydration. Additionally, the critical role of skin pH in maintaining barrier function is discussed, noting significant changes in pH levels during early life. This review also examines the relationship between the onset of atopic dermatitis and skin barrier function, underscoring the importance of maintaining skin barrier integrity from birth to reduce the risk of atopic diseases. Finally, recommendations are offered for skincare practices in neonates and infants, emphasizing the use of mild, fragrance-free products and the importance of tailoring skincare regimens to meet the specific needs of each neonate or infant.

摘要

本综述聚焦于新生儿和婴儿的皮肤屏障功能,着重阐述其与成人皮肤在结构和功能上的差异。新生儿和婴儿的皮肤更薄、渗透性更强且发育程度较低,这使其更容易受到刺激物、感染和脱水的影响。此外,还讨论了皮肤pH值在维持屏障功能中的关键作用,并指出生命早期pH水平的显著变化。本综述还研究了特应性皮炎的发病与皮肤屏障功能之间的关系,强调从出生起维持皮肤屏障完整性对于降低特应性疾病风险的重要性。最后,针对新生儿和婴儿的皮肤护理实践提出了建议,强调使用温和、无香料的产品以及根据每个新生儿或婴儿的具体需求定制皮肤护理方案的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3c/11791375/d19e52f88000/aair-17-32-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3c/11791375/03584609de25/aair-17-32-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3c/11791375/d19e52f88000/aair-17-32-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3c/11791375/03584609de25/aair-17-32-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb3c/11791375/d19e52f88000/aair-17-32-g002.jpg

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本文引用的文献

1
Importance of Stratum Corneum Acidification to Restore Skin Barrier Function in Eczematous Diseases.角质层酸化对恢复湿疹性疾病皮肤屏障功能的重要性。
Ann Dermatol. 2024 Feb;36(1):1-8. doi: 10.5021/ad.23.078.
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Early initiation of short-term emollient use for the prevention of atopic dermatitis in high-risk infants-The STOP-AD randomised controlled trial.早期使用短期保湿剂预防高危婴儿特应性皮炎的效果:一项 STOP-AD 随机对照试验。
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Skin Barrier Function in Infants: Update and Outlook.
Allergy Asthma Immunol Res. 2025 Jul;17(4):433-446. doi: 10.4168/aair.2025.17.4.433.
婴儿的皮肤屏障功能:最新进展与展望
Pharmaceutics. 2022 Feb 17;14(2):433. doi: 10.3390/pharmaceutics14020433.
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Time Trends in the Prevalence of Atopic Dermatitis in Korean Children According to Age.韩国儿童特应性皮炎患病率按年龄划分的时间趋势
Allergy Asthma Immunol Res. 2022 Jan;14(1):123-130. doi: 10.4168/aair.2022.14.1.123.
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The Importance of Skincare for Neonates and Infants: An Algorithm.新生儿和婴儿护肤的重要性:算法。
J Drugs Dermatol. 2021 Nov 1;20(11):1195-1205. doi: 10.36849/jdd.6219.
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Emollients in infancy to prevent atopic dermatitis: A systematic review and meta-analysis.婴儿时期使用保湿剂预防特应性皮炎:系统评价和荟萃分析。
Allergy. 2022 Jun;77(6):1685-1699. doi: 10.1111/all.15116. Epub 2021 Oct 12.
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Preterm Infant Skin Structure Is Qualitatively and Quantitatively Different From That of Term Newborns.早产儿的皮肤结构在质量和数量上与足月新生儿不同。
Pediatr Dev Pathol. 2021 Mar-Apr;24(2):96-102. doi: 10.1177/1093526620976831. Epub 2021 Jan 20.
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Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial.婴儿期每日使用保湿剂预防特应性皮炎:BEEP 随机对照试验。
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