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水胶体在皮肤科应用的叙述性综述:应用与益处

Narrative Review of the Use of Hydrocolloids in Dermatology: Applications and Benefits.

作者信息

Nguyen Nhi, Dulai Ajay S, Adnan Sarah, Khan Zill-E-Huma, Sivamani Raja K

机构信息

Integrative Research Institute, 4825 J St., Sacramento, CA 95819, USA.

Integrative Skin Science and Research, 1495 River Park Drive, Sacramento, CA 95819, USA.

出版信息

J Clin Med. 2025 Feb 18;14(4):1345. doi: 10.3390/jcm14041345.

Abstract

Hydrocolloid dressings are commonly used in the treatment of chronic wounds by forming a gel-like protective layer upon the dispersion of water, absorbing exudate, and creating a moist environment that promotes healing. However, the use of hydrocolloids has expanded outside of wound care, and this review summarizes the evidence for their use within dermatology. To perform this narrative review, several databases were searched for manuscripts that described the use of hydrocolloid dressings within dermatology. The hydrophilic and colloidal dispersion properties of hydrocolloid dressings facilitate the formation of an absorptive, hydrating, and protective layer. In addition, the viscous layer supports innate immunity by activating immune cells such as granulocytes and monocytes, making them effective in wound care. Hydrocolloid dressings appear to be an effective treatment in acute wounds, with the potential of reduced healing time and easier application compared to traditional dressings. The majority of the related research suggests that hydrocolloid dressings and standard dressings have similar efficacy in healing pressure ulcers, and the prevention of hypertrophic and keloid scars. Early reports suggest that hydrocolloid dressings have a role in the treatment of facial dermatitis and acne vulgaris. Hydrocolloid dressings have been studied most extensively for chronic wounds and then for use in acute wounds. There have been a few studies on their use for treating acne, facial atopic dermatitis, and hypertrophic scarring. While more clinical studies are needed, there appears to be early evidence of hydrocolloid dressing use within dermatology.

摘要

水胶体敷料常用于慢性伤口的治疗,通过在水分分散时形成凝胶状保护层,吸收渗出液,并营造促进愈合的湿润环境。然而,水胶体的应用已扩展到伤口护理之外,本综述总结了其在皮肤科应用的证据。为进行本叙述性综述,检索了多个数据库,以查找描述水胶体敷料在皮肤科应用的手稿。水胶体敷料的亲水性和胶体分散特性有助于形成吸收性、保湿性和保护性的层。此外,粘性层通过激活粒细胞和单核细胞等免疫细胞来支持先天免疫,使其在伤口护理中有效。与传统敷料相比,水胶体敷料似乎是急性伤口的有效治疗方法,具有缩短愈合时间和更易于应用的潜力。大多数相关研究表明,水胶体敷料和标准敷料在愈合压疮以及预防增生性瘢痕和瘢痕疙瘩方面具有相似的疗效。早期报告表明,水胶体敷料在面部皮炎和寻常痤疮的治疗中发挥作用。水胶体敷料在慢性伤口治疗方面的研究最为广泛,其次是在急性伤口中的应用。关于其用于治疗痤疮、面部特应性皮炎和增生性瘢痕的研究较少。虽然需要更多的临床研究,但似乎有早期证据表明水胶体敷料可用于皮肤科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e99/11856799/dcc319a99303/jcm-14-01345-g001.jpg

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