目的:保湿产品广泛用于影响皮肤水合作用的条件。然而,缺乏科学证据导致不同卫生专业人员使用的建议存在差异和差异。本共识文件的目的是根据皮肤科医生的证据和经验提出建议,以统一和促进保湿产品在常规临床实践中的使用。
方法:准备了一份关于保湿产品的49份问卷,然后,排成5块:1)概念;2)特征,3)频率和数量,4)产品用途和应用领域,5)特殊人群。治疗湿疹患者的22位皮肤科专家使用2轮Delphi方法(在第2轮添加一项)对调查进行了回答。
结果:对27项声明达成共识(54%),最多(n=23)通过协议。在数量上达成了最高水平的协议,产品用途和应用领域(77.8%),其次是特征块(73%)和频率块(62.5%)。关于概念和特殊人群的障碍,对拟议项目的共识水平为37.5%和10%,分别。与特应性皮炎(64%)和发炎皮肤(33.3%)相比,使用润肤剂治疗干皮病(71%)的共识更高。
结论:共识建议可以帮助所有处方者,并改善有关其使用的现有证据。
OBJECTIVE: Moisturizing products are widely used in conditions affecting skin hydration. However, the lack of scientific evidence leads to discrepancies and great variability in the recommendations used by different health professionals. The aim of this consensus document is to generate recommendations based on the evidence and experience of dermatologists to unify and facilitate the use of moisturizing products in the routine clinical practice.
METHODS: A 49-statement questionnaire on moisturizing products was prepared and, then, arranged in 5 blocks: 1) concept; 2) characteristics, 3) frequency and quantity, 4) product use and areas of application, and 5) special populations. Twenty-two expert dermatologists in the management of patients with eczema answered to the survey using a 2-round Delphi methodology (adding an item on the 2nd round).
RESULTS: Consensus was reached on 27 statements (54%), most (n=23) via agreement. The highest level of agreement was reached in the blocks on quantity, product use and areas of application (77.8%), followed by the blocks on characteristics (73%) and frequency (62.5%). Regarding the blocks on concept and special populations, the level of consensus on the items proposed was 37.5% and 10%, respectively. Consensus on the use of emollients for xeroderma (71%) was higher vs atopic dermatitis (64%) and inflamed skin (33.3%).
CONCLUSIONS: Consensus recommendations can help all prescribers and improve the available evidence regarding their use.