Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (10): 893-902.doi: 10.35541/cjd.20250010
• Guidelines and Consensus • Previous Articles Next Articles
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
Online:2025-09-15
Published:2025-09-30
Contact:
renxq723@163. com; Ren Xianqing; Ma Lin
E-mail:bch_maleen@aliyun.com
Supported by: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
| [1] | 陈羽双, 杨斯钰, 黄玉婷, 等. 新生儿尿布皮炎的影响因素及预防进展[J]. 中国儿童保健杂志, 2021,29(3):277⁃280+284. |
| [2] | Merrill L. Prevention, treatment and parent education for diaper dermatitis[J]. Nurs Womens Health, 2015,19(4):324⁃336; quiz 337. doi: 10.1111/1751⁃486X.12218. |
| [3] | Odio M, Thaman L. Diapering, diaper technology, and diaper area skin health[J]. Pediatr Dermatol, 2014,31(Suppl 1):9⁃14. doi: 10.1111/pde.12501. |
| [4] | 盛平卫, 诸婧, 顾敏婕, 等. 小儿尿布皮炎中医诊治临床研究进展[J]. 内蒙古中医药, 2022,41(10):144⁃147. |
| [5] | 田金洲, 张伯礼, 高学敏, 等. 制定中成药治疗优势病种临床应用指南的指导意见[J]. 中国中西医结合杂志, 2018,38(1):7⁃11. doi: 10.7661/j.cjim.20171204.294. |
| [6] | 陈耀龙, 杨克虎, 王小钦, 等. 中国制订/修订临床诊疗指南的指导原则(2022版)[J]. 中华医学杂志, 2022,102(10):697⁃703. doi: 10.3760/cma.j.cn112137⁃20211228⁃02911. |
| [7] | Xie X, Wang Y, Li H. AGREEⅡ for TCM: Tailored to evaluate methodological quality of TCM clinical practice guidelines[J]. Front Pharmacol, 2022,13:1057920. doi: 10.3389/fphar.2022. 1057920. |
| [8] | Xie R, Xia Y, Chen Y, et al. The RIGHT extension statement for traditional Chinese medicine: development, recommendations, and explanation[J]. Pharmacol Res, 2020,160:105178. doi: 10.1016/j.phrs.2020.105178. |
| [9] | Jaeschke R, Guyatt GH, Dellinger P, et al. Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive[J]. BMJ, 2008,337:a744. doi: 10.1136/bmj.a744. |
| [10] | Zheng Y, Wang Q, Ma L, et al. Shifts in the skin microbiome associated with diaper dermatitis and emollient treatment amongst infants and toddlers in China[J]. Exp Dermatol, 2019,28(11):1289⁃1297. doi: 10.1111/exd.14028. |
| [11] | Bonifaz A, Rojas R, Tirado⁃Sánchez A, et al. Superficial mycoses associated with diaper dermatitis[J]. Mycopathologia, 2016,181(9⁃10):671⁃679. doi: 10.1007/s11046⁃016⁃0020⁃9. |
| [12] | Fölster⁃Holst R. Differential diagnoses of diaper dermatitis[J]. Pediatr Dermatol, 2018,35(Suppl 1):s10⁃s18. doi: 10.1111/pde.13484. |
| [13] | Mahé E. Childhood psoriasis[J]. Eur J Dermatol, 2016, 26(6): 537⁃548. doi: 10.1684/ejd.2016.2932. |
| [14] | Cohen B. Differential diagnosis of diaper dermatitis[J]. Clin Pediatr (Phila), 2017,56(5_suppl):16S⁃22S. doi: 10.1177/0009922817706982. |
| [15] | Lagerstedt M, Karvinen K, Joki⁃Erkkilä M, et al. Childhood lichen sclerosus⁃⁃a challenge for clinicians[J]. Pediatr Dermatol, 2013,30(4):444⁃450. doi: 10.1111/pde.12109. |
| [16] | Sivakumar A, Vageshappa RK, Kumari R. Acrodermatitis enteropathica[J]. JAMA Dermatol, 2024,160(1):102. doi: 10.1001/jamadermatol.2023.4147. |
| [17] | Krooks J, Minkov M, Weatherall AG. Langerhans cell histiocytosis in children: history, classification, pathobiology, clinical manifestations, and prognosis[J]. J Am Acad Dermatol, 2018,78(6):1035⁃1044. doi: 10.1016/j.jaad.2017.05.059. |
| [18] | Engelman D, Yoshizumi J, Hay RJ, et al. The 2020 international alliance for the control of scabies consensus criteria for the diagnosis of scabies[J]. Br J Dermatol, 2020,183(5):808⁃820. doi: 10.1111/bjd.18943. |
| [19] | Keuning MW, Kamp GA, Schonenberg⁃Meinema D, et al. Congenital syphilis, the great imitator⁃case report and review[J]. Lancet Infect Dis, 2020,20(7):e173⁃e179. doi: 10.1016/S1473⁃3099(20)30268⁃1. |
| [20] | Shin HT. Diagnosis and management of diaper dermatitis[J]. Pediatr Clin North Am, 2014,61(2):367⁃382. doi: 10.1016/j.pcl.2013.11.009. |
| [21] | Barret M, de Parades V, Battistella M, et al. Crohn's disease of the vulva[J]. J Crohns Colitis, 2014,8(7):563⁃570. doi: 10. 1016/j.crohns.2013.10.009. |
| [22] | McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long⁃term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association[J]. Circulation, 2017,135(17):e927⁃e999. doi: 10.1161/CIR.0000000000000484. |
| [23] | Atherton DJ. The aetiology and management of irritant diaper dermatitis[J]. J Eur Acad Dermatol Venereol, 2001,15(Suppl 1):1⁃4. doi: 10.1046/j.0926⁃9959.2001.00001.x. |
| [24] | Başkale H, Çelik SN. The effect of topical application of breast milk and education on preventing diaper dermatitis in children in rural areas[J]. J Pediatr Nurs, 2024,75:e169⁃e175. doi: 10.1016/j.pedn.2024.01.009. |
| [25] | Buckley BS, Mantaring JB, Dofitas RB, et al. A new scale for assessing the severity of uncomplicated diaper dermatitis in infants: development and validation[J]. Pediatr Dermatol, 2016,33(6):632⁃639. doi: 10.1111/pde.12988. |
| [26] | Blume⁃Peytavi U, Hauser M, Lünnemann L, et al. Prevention of diaper dermatitis in infants⁃⁃a literature review[J]. Pediatr Dermatol, 2014,31(4):413⁃429. doi: 10.1111/pde.12348. |
| [27] | Blume⁃Peytavi U, Kanti V. Prevention and treatment of diaper dermatitis[J]. Pediatr Dermatol, 2018,35(Suppl 1):s19⁃s23. doi: 10.1111/pde.13495. |
| [28] | Stamatas GN, Tierney NK. Diaper dermatitis: etiology, manifestations, prevention, and management[J]. Pediatr Dermatol, 2014,31(1):1⁃7. doi: 10.1111/pde.12245. |
| [29] | Pappas PG, Kauffman CA, Andes DR, et al. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America[J]. Clin Infect Dis, 2016,62(4):e1⁃50. doi: 10.1093/cid/civ933. |
| [30] | Klunk C, Domingues E, Wiss K. An update on diaper dermatitis[J]. Clin Dermatol, 2014,32(4):477⁃487. doi: 10.1016/j.clindermatol.2014.02.003. |
| [31] | 田晶, 卫风蕾, 陈萍, 等. 复方紫草油改善轻中度尿布皮炎临床症状的多中心、开放、随机对照临床研究[J]. 中华皮肤科杂志, 2022,55(10):864⁃868. doi: 10.35541/cjd.20210729. |
| [32] | 林德湘, 于冬梅, 刘艳华. 湿润烧伤膏治疗婴幼儿尿布皮炎94例疗效观察[J]. 河北中医, 2011,33(12):1849⁃1850. doi: 10.3969/j.issn.1002⁃2619.2011.12.049. |
| [33] | 王敏, 杨东梅. 湿润烧伤膏防治新生儿尿布皮炎的疗效观察[J]. 中国妇幼保健, 2007,22(35):5080. |
| [34] | 金佩丽, 杨戎威. 康复新液治疗90例早产儿尿布皮炎的疗效观察[J]. 华西药学杂志, 2013,28(3):333⁃334. doi: 10.13375/j.cnki.wcjps.2013.03.029. |
| [35] | Bewley A, Group DW. Expert consensus: time for a change in the way we advise our patients to use topical corticosteroids[J]. Br J Dermatol, 2008,158(5):917⁃920. doi: 10.1111/j.1365⁃2133.2008.08479.x. |
| [36] | 马琳, 刘盈. 皮肤金黄色葡萄球菌感染的抗菌药物选择[J]. 中国皮肤性病学杂志, 2013,27(3):225⁃227. |
| [37] | Meury SN, Erb T, Schaad UB, et al. Randomized, comparative efficacy trial of oral penicillin versus cefuroxime for perianal streptococcal dermatitis in children[J]. J Pediatr, 2008,153(6):799⁃802. doi: 10.1016/j.jpeds.2008.06.035. |
| [38] | Jongen J, Eberstein A, Peleikis HG, et al. Perianal streptococcal dermatitis: an important differential diagnosis in pediatric patients[J]. Dis Colon Rectum, 2008,51(5):584⁃587. doi: 10. 1007/s10350⁃008⁃9237⁃0. |
| [39] | 胡姑长, 陈影霞, 麦玉花, 等. 硝酸咪康唑散治疗婴幼儿尿布疹的疗效观察[J]. 医药前沿, 2012,2(18):379⁃380. doi: 10.3969/j.issn.2095⁃1752.2012.18.460. |
| [40] | Gupta AK, Skinner AR. Management of diaper dermatitis[J]. Int J Dermatol, 2004,43(11):830⁃834. doi: 10.1111/j.1365⁃4632. 2004.02405.x. |
| [41] | Blanco D, van Rossem K. A prospective two⁃year assessment of miconazole resistance in Candida spp. with repeated treatment with 0.25% miconazole nitrate ointment in neonates and infants with moderate to severe diaper dermatitis complicated by cutaneous candidiasis[J]. Pediatr Dermatol, 2013,30(6):717⁃724. doi: 10.1111/pde.12107. |
| [42] | 罗黎, 何娇, 张娟, 等. 新生儿尿布皮炎预防及管理的最佳证据总结[J]. 护理学报, 2023,30(6):42⁃46. doi: 10.16460/j.issn 1008⁃9969.2023.06.042. |
| [43] | 朱莉, 李香娥. 紫草油早期预防性使用降低新生儿红臀发生率的护理研究[J]. 中西医结合护理(中英文), 2015,1(1):23⁃24. doi: 10.11997/nitcwm.201501010. |
| [44] | 李陈, 常克. 紫草制剂防治尿布皮炎的临床研究进展[J]. 世界中医药, 2017,12(8):1733⁃1738. |
| [45] | 王建梅. 湿润烧伤膏对新生儿尿布皮炎的防治效果[J]. 临床皮肤科杂志, 2012,41(2):123. doi: 10.3969/j.issn.1000⁃4963. 2012.02.029. |
| [46] | 张洋, 王贤斌, 周书敏. 表皮生长因子联合湿润烧伤膏促进Wagner 1~2级糖尿病足创面愈合的疗效[J]. 中国药物经济学, 2023,18(12):83⁃86,95. doi: 10.12010/j.issn.1673⁃5846. 2023.12.019. |
| [47] | 向锋, 李俊, 沈健, 等. 湿润烧伤膏治疗糖尿病足创面的疗效分析[J]. 时珍国医国药, 2022,33(7):1672⁃1673. |
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