Brühl W, Schmauz R
Erstes Deutsches Darmzentrum, Vlotho-Exter.
Zentralbl Hyg Umweltmed. 1998 Feb;200(5-6):562-70.
The most common morphological changes in 485 of our ambulatory patients were found on external examination of the anal region (46%). These changes included erosions, fissur and eczema. Regarding the symptoms the predominant complaints were itching and burning in 42.1%. Anal hygiene after defaecation was most commonly done with dry toilet-paper (55%). A change in anal hygiene after defaecation relieves symptoms: By changing from water to moist toilet paper in 9%, from dry toilet paper to moist toilet paper in 30%, from moist toilet paper to water in 32%, an from dry toilet paper to water in 60%. These results confirm known facts regarding the influences of conserving agents an printing materials in dry (often recycled) and moist toilet papers on the skin. These side-effects to be even more pronounced in the compromised skin and suggest that anal hygiene should be done with water only.
在我们485名门诊患者中，最常见的形态学变化是在肛门区域的外部检查中发现的（46%）。这些变化包括糜烂、肛裂和湿疹。关于症状，42.1%的主要主诉是瘙痒和灼痛。排便后最常用干卫生纸进行肛门清洁（55%）。排便后改变肛门清洁方式可缓解症状：从用水改为湿卫生纸的占9%，从干卫生纸改为湿卫生纸的占30%，从湿卫生纸改为水的占32%，从干卫生纸改为水的占60%。这些结果证实了关于干（通常是回收的）卫生纸和湿卫生纸中的防腐剂和印刷材料对皮肤影响的已知事实。这些副作用在受损皮肤中更为明显，表明肛门清洁应该只用清水进行。
