[开放获取]    中西医联合防治婴幼儿尿布皮炎临床应用指南（2025版）

doi:10.35541/cjd.20250010

中华皮肤科杂志 ›› 2025, Vol. 58 ›› Issue (10): 893-902.doi: 10.35541/cjd.20250010

• 指南与共识·儿童皮肤病 • 上一篇下一篇

[开放获取] 中西医联合防治婴幼儿尿布皮炎临床应用指南（2025版）

中国中药协会儿童健康与药物研究专业委员会

中国中药协会儿童健康与药物研究专业委员会

收稿日期:2025-01-10 修回日期:2025-08-07 发布日期:2025-09-30
通讯作者: 任献青；马琳 E-mail:bch_maleen@aliyun.com
基金资助:
国家中医药管理局《中成药治疗优势病种临床应用指南》标准化项目（SATCM?2015?BZ［402］）；国家卫生健康委健康中国揭榜挂帅攻关项目（JKZGJBGG2331）；国家中医药管理局政策法规与监督司中医药标准化项目（GZY?FJS?2022?040）；北京市医院管理中心“登峰”人才培养计划（DFL20241201）

Clinical application guideline for the integration of traditional Chinese medicine and Western medicine in the prevention and treatment of infant diaper dermatitis （2025 edition）

The Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine

The Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine

Received:2025-01-10 Revised:2025-08-07 Published:2025-09-30
Contact: renxq723@163. com; Ren Xianqing; Ma Lin E-mail:bch_maleen@aliyun.com
Supported by:
Standardization Project of the "Clinical Application Guidelines for the Treatment of Dominant Diseases with Chinese Patent Medicines" by the National Administration of Traditional Chinese Medicine （SATCM-2015-BZ［402］）; Healthy China Project for Tackling Key Challenges by the National Health Commission（JKZGJBGG2331）; Traditional Chinese Medicine Standardization Project of the Department of Policies, Regulations and Supervision, National Administration of Traditional Chinese Medicine （GZY-FJS-2022-040）; Beijing Hospitals Authority′s Ascent Plan （DFL20241201）

摘要/Abstract

摘要： 【摘要】尿布皮炎是婴幼儿常见的皮肤疾病，会引起婴幼儿的不适，增加护理负担和家庭压力。目前，中西医均无指导婴幼儿尿布皮炎防治的循证指南。中国中药协会儿童健康与药物研究专业委员会成立多学科专家组，通过专家访谈及共识会议确定了11个临床问题，包括尿布皮炎的危险因素、临床表现、检查、鉴别诊断、严重程度评估、防治原则与目标、诊治策略以及预防措施。系统检索关于婴幼儿尿布皮炎的诊疗、评估、治疗与预防的中英文献证据，并使用牛津大学循证医学中心的推荐意见分级的评估、制订及评价（GRADE）方法完成证据分级与评价，通过德尔菲法及专家共识法达成推荐意见。本指南共提出17条推荐建议，并明确了中西医干预措施的干预时机与优势。本循证指南可为各级医院的中医师、西医师、患儿家属提供中西医结合预防与治疗婴幼儿尿布皮炎的科学建议。

关键词: 尿布疹, 婴幼儿尿布皮炎, 指南, 中西医结合, 预防, 治疗

Abstract: 【Abstract】 Diaper dermatitis is a common skin disease in infants and young children, which can cause discomfort, increase the care burden, and add to family stress. Currently, there is no evidence-based guideline on either traditional Chinese medicine or Western medicine for the prevention and treatment of diaper dermatitis in infants and young children. A multidisciplinary expert group was set up by the Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine. Eleven clinical questions were identified through expert interviews and consensus conferences, in terms of risk factors, clinical manifestations, examinations, differential diagnoses, severity assessment, principles and goals of prevention and treatment, diagnosis and treatment strategies, and preventive measures. A systematic search was conducted for Chinese and English literature on the diagnosis, assessment, treatment, and prevention of diaper dermatitis in infants and young children, which was graded and evaluated using the Grading of Recommendations Assessment, Development and Evaluation system from the Oxford Centre for Evidence-Based Medicine. Recommendations were finalized through the Delphi and expert consensus methods. This guideline proposes a total of 17 recommendations and clarifies the timing and advantages of the traditional Chinese medicine and Western medicine interventions. This evidence-based guideline provides scientific recommendations on the prevention and treatment of diaper dermatitis in infants and young children using the integrated traditional Chinese and Western medicine interventions for healthcare providers （including practitioners of traditional Chinese medicine and Western medicine） at all levels of hospitals, as well as for the families of affected children.

Key words: Diaper rash, Diaper dermatitis in infants and young children, Guideline, Integrated traditional Chinese medicine &, Western medicine, Prevention, Therapy

中国中药协会儿童健康与药物研究专业委员会. [开放获取] 中西医联合防治婴幼儿尿布皮炎临床应用指南（2025版）[J]. 中华皮肤科杂志, 2025,58(10):893-902. doi:10.35541/cjd.20250010

The Professional Committee on Child Health and Drug Research of the Chinese Association of Traditional Chinese Medicine. Clinical application guideline for the integration of traditional Chinese medicine and Western medicine in the prevention and treatment of infant diaper dermatitis （2025 edition）[J]. Chinese Journal of Dermatology, 2025, 58(10): 893-902.doi:10.35541/cjd.20250010

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[开放获取] 中西医联合防治婴幼儿尿布皮炎临床应用指南（2025版）

Clinical application guideline for the integration of traditional Chinese medicine and Western medicine in the prevention and treatment of infant diaper dermatitis （2025 edition）

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