每日科普 | 漂白浴能治湿疹，是真的吗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">漂白浴知多少</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q6.itc.cn/q_70/images03/20240506/ed4b6e4e7f944f138d9064ab58fb545e.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">患上特应性皮炎后，“没治”且反复<span style="color: black;">爆发</span>的剧烈瘙痒常让<span style="color: black;">病人</span><span style="color: black;">坐卧不安</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近期<span style="color: black;">发布</span>在《皮肤病学<span style="color: black;">科研</span>档案》杂志上的一项新<span style="color: black;">科研</span>为<span style="color: black;">她们</span>带来了<span style="color: black;">期盼</span>——<span style="color: black;"><strong style="color: blue;">漂白浴可有效辅助治疗特应性皮炎。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">特应性皮炎是一种慢性瘙痒性炎症性皮肤病，最常累及儿童，成年人<span style="color: black;">亦</span><span style="color: black;">没</span>法避免。</strong><strong style="color: blue;">可<span style="color: black;">导致</span>皮肤干燥、红斑、丘疹、渗出以及苔藓样变，瘙痒是典型症状，<span style="color: black;">亦</span>是给<span style="color: black;">病人</span>及其家人<span style="color: black;">导致</span><span style="color: black;">疾患</span><span style="color: black;">包袱</span>的<span style="color: black;">重点</span><span style="color: black;">原由</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">科研</span>中，参试者在常规治疗的<span style="color: black;">基本</span>上，每周进行2次漂白浴，<span style="color: black;">连续</span>12周后<span style="color: black;">发掘</span>，超半数人的湿疹严重程度<span style="color: black;">明显</span>降低，其中又有87%报告<span style="color: black;">睡觉</span>质量得到改善。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q7.itc.cn/q_70/images03/20240506/1bd4a65e86584b009c7e6600ddbbe1af.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">漂白浴是一种可广泛<span style="color: black;">运用</span>的替代抗生素治疗<span style="color: black;">办法</span>，能有效降低湿疹的严重程度。</strong></span>当<span style="color: black;">病人</span>的皮损有感染倾向时，可在盆浴时加入次氯酸钠（0.005%漂白粉浴）以<span style="color: black;">控制</span>细菌活性，从而缓解症状，且不会对皮肤<span style="color: black;">导致</span><span style="color: black;">损伤</span>，<span style="color: black;">亦</span>不会<span style="color: black;">诱发</span>抗生素的耐药性。由此有人提出“稀释漂白浴<span style="color: black;">控制</span>表皮金黄色葡萄球菌，并<span style="color: black;">最后</span>降低湿疹严重程度”的观点。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在中国特应性皮炎的<span style="color: black;">关联</span>诊疗指南中，<span style="color: black;">基本</span>治疗环节就<span style="color: black;">包含</span>洗浴，<span style="color: black;">意见</span><span style="color: black;">病人</span><span style="color: black;">平常</span><span style="color: black;"><strong style="color: blue;">应用温和或<span style="color: black;">没</span>肥皂的清洁剂进行温水浸浴或淋浴</strong></span>，不仅可去除皮肤表面<span style="color: black;">肮脏</span>痂皮，还能降低金黄色葡萄球菌的定植数量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">小贴士</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">洗浴温度最好在32~37℃，洗浴时间5~10分钟，pH值最好接近正常表皮pH值（约为6），以每日或隔日1次为宜，洗浴后要立即<span style="color: black;">运用</span>润肤剂或外用处方制剂。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>国内尚未在临床全面推广漂白浴</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这是<span style="color: black;">由于</span>不同<span style="color: black;">科研</span>得出的结果</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">常常</span>相互矛盾</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一项系统性回顾分析<span style="color: black;">表示</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在对皮肤进行消毒方面</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">水浴和漂白浴<span style="color: black;">一样</span>有效</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而漂白浴的疗效大部分归因于水浴</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而非其本身</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">况且</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">暴露在漂白剂稀释液中的伤口</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">可<span style="color: black;">显现</span>刺痛、灼烧和短暂恶化</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">漂白浴还可能散发出腐蚀性烟雾等</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刺激眼睛</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">相对<span style="color: black;">来讲</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">水浴更为方便安全</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">将来</span>仍需进行更大规模的</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随机对照<span style="color: black;">实验</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">来进一步论证漂白浴</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在治疗特应性皮炎中的<span style="color: black;">功效</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/q_70/images03/20240506/44c33dd384a94fa099a5af3333142da3.png" style="width: 50%; margin-bottom: 20px;"></p>
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