中国儿童特应性皮炎预防、治疗与管理实践共识（2026版）

doi:10.35541/cjd.20250462

中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (6): 487-504.doi: 10.35541/cjd.20250462

• 指南与共识·特应性皮炎 • 上一篇下一篇

中国儿童特应性皮炎预防、治疗与管理实践共识（2026版）

中华医学会皮肤性病学分会儿童皮肤病学组中华医学会儿科学分会皮肤病学组中国康复医学会皮肤病康复专业委员会儿童学组中国康复医学会皮肤病康复专业委员会特应性皮炎学组中国医师协会皮肤科医师分会儿童皮肤病学组中国医师协会儿科学分会皮肤病学组

中华医学会皮肤性病学分会儿童皮肤病学组中华医学会儿科学分会皮肤病学组中国康复医学会皮肤病康复专业委员会儿童学组中国康复医学会皮肤病康复专业委员会特应性皮炎学组中国医师协会皮肤科医师分会儿童皮肤病学组中国医师协会儿科学分会皮肤病学组

收稿日期:2025-08-27 修回日期:2026-04-18 发布日期:2026-06-05
通讯作者: 李萍；王华；马琳 E-mail:liping20081110@126.com; huawang@hospital.cqmu.edu.cn; bch_maleen@aliyun.com
基金资助:
北京市医院管理中心“登峰”人才培养计划（DFL20241201）

Chinese consensus on the prevention, treatment, and management of atopic dermatitis in children（2026 edition）

Pediatric Dermatology Group, Chinese Society of Dermatology; Dermatology Group, Chinese Pediatric Society, Chinese Medical Association; Pediatric Group, Chinese Association of Rehabilitation Dermatology; Atopic Dermatitis Group, Chinese Association of Rehabilitation Dermatology; Pediatric Dermatology Group, China Dermatologist Association; Dermatology Group, the Society of Pediatrics, Chinese Medical Doctor Association

Pediatric Dermatology Group, Chinese Society of Dermatology; Dermatology Group, Chinese Pediatric Society, Chinese Medical Association; Pediatric Group, Chinese Association of Rehabilitation Dermatology; Atopic Dermatitis Group, Chinese Association of Rehabilitation Dermatology; Pediatric Dermatology Group, China Dermatologist Association; Dermatology Group, the Society of Pediatrics, Chinese Medical Doctor Association

Received:2025-08-27 Revised:2026-04-18 Published:2026-06-05
Contact: Li Ping; Wang Hua; Ma Lin E-mail:liping20081110@126.com; huawang@hospital.cqmu.edu.cn; bch_maleen@aliyun.com
Supported by:
Beijing Hospitals Authority′s Ascent Plan（DFL20241201）

摘要/Abstract

摘要： 【摘要】特应性皮炎（AD）是儿童常见的慢性、复发性、炎症性、瘙痒性皮肤病，不仅影响患儿的睡眠质量、生长发育、学习效率、社交能力及心理健康，还显著降低患儿及其家庭生活质量，增加医疗、社会及经济多维度疾病负担。近年来，AD发病机制的研究不断深入，表皮屏障功能障碍、2型免疫应答异常、微生态失衡及遗传易感性共同参与疾病发生发展。生物制剂及小分子靶向药物的问世，标志着AD治疗进入精准治疗时代，疾病管理理念亦由“症状控制”向“全周期管理与疾病修饰”转变。同时，AD的早期预测与预防策略取得进展，使得“早期预防、精准治疗及全程管理”成为有效防治的核心。本共识以“预测预防-阶梯治疗-共病管理-全程管理”为核心框架，重点阐述三级预防策略、分级与个体化治疗策略、常见并发症及共病的识别与处理，以及患者教育与长期全程管理等关键维度，旨在为我国儿童AD“预防-治疗-管理”三位一体的临床实践提供科学、规范且实用的参考依据，切实提升防治成效，改善患儿的长期预后，提高患儿及其家庭的生活质量，并有效减轻整体疾病负担。

关键词: 皮炎, 特应性, 儿童, 预防, 治疗, 管理, 共识

Abstract: 【Abstract】 Atopic dermatitis （AD） is a common chronic, recurrent, inflammatory, and pruritic skin disease in children. It not only affects sleep quality, growth and development, learning efficiency, social functioning, and mental health, but also significantly reduces the quality of life of affected children and their families, and increases multidimensional medical, social, and economic burdens. In recent years, research into the pathogenesis of AD has advanced substantially, demonstrating that epidermal barrier dysfunction, aberrant type 2 immune responses, microbial dysbiosis, and genetic susceptibility jointly contribute to disease onset and progression. The emergence of biologics and small-molecule targeted therapies has marked the entry of AD treatment into the era of precision medicine, while the concepts in disease management have shifted from “symptom control” to “whole-process management and disease modification”. Meanwhile, progress has been achieved in early prediction and prevention strategies for AD, and “early prevention, precision treatment, and whole-process management” are considered the core principles of effective disease control. This consensus adopts “prediction and prevention-stepwise treatment-comorbidity management-whole-process management” as its core framework, with a focus on key dimensions including tertiary prevention strategies, stratified and individualized treatment approaches, identification and management of common complications and comorbidities, as well as patient education and long-term management. It aims to provide a scientific, standardized, and practical reference for the integrated clinical practice of “prevention-treatment-management” for childhood AD in China, thereby improving prevention and treatment outcomes, enhancing long-term prognosis, improving the quality of life of affected children and their families, and effectively reducing the overall disease burden.

Key words: Dermatitis, atopic, Child, Prevention, Therapy, Management, Consensus

中华医学会皮肤性病学分会儿童皮肤病学组中华医学会儿科学分会皮肤病学组中国康复医学会皮肤病康复专业委员会儿童学组中国康复医学会皮肤病康复专业委员会特应性皮炎学组中国医师协会皮肤科医师分会儿童皮肤病学组中国医师协会儿科学分会皮肤病学组. 中国儿童特应性皮炎预防、治疗与管理实践共识（2026版）[J]. 中华皮肤科杂志, 2026,59(6):487-504. doi:10.35541/cjd.20250462

Pediatric Dermatology Group, Chinese Society of Dermatology, Dermatology Group, Chinese Pediatric Society, Chinese Medical Association, Pediatric Group, Chinese Association of Rehabilitation Dermatology, Atopic Dermatitis Group, Chinese Association of Rehabilitation Dermatology, Pediatric Dermatology Group, China Dermatologist Association, Dermatology Group, the Society of Pediatrics, Chinese Medical Doctor Association. Chinese consensus on the prevention, treatment, and management of atopic dermatitis in children（2026 edition）[J]. Chinese Journal of Dermatology, 2026, 59(6): 487-504.doi:10.35541/cjd.20250462

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中国儿童特应性皮炎预防、治疗与管理实践共识（2026版）

Chinese consensus on the prevention, treatment, and management of atopic dermatitis in children（2026 edition）

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