失禁相关性皮炎(IAD)是由于皮肤暴露于大小便中而引起的一种刺激性皮炎.推荐持续采用1种组合性的皮肤护理方案(皮肤清洁、皮肤保湿、皮肤保护剂的使用)来预防IAD.越来越多的证据表明组合性的皮肤护理方案可以有效地预防IAD,但仍需要更多的研究去确认和评价不同干预措施预防IAD的有效性和成本效益,需要更多的大样本研究去确定常用皮肤保护产品和其使用过程中的安全性和有效性.本文就IAD的流行病学、IAD与压力性溃疡的鉴别和目前IAD的皮肤保护方法的研究进展进行分析.%Incontinence - associated dermatitis ( IAD ) is an irritant inflammation of the skin associated with exposure to urine or stool. A consistently structured skin care regimen is recommended for the prevention of IAD, which is based on principles of gentle cleansing, miniaturization with an emollient moisturizer and skin protectant. More and more evidences have shown that structured skin care regimen can effectively prevent IAD, but additional research is still needed to identify and evaluate the efficacy and cost - effectiveness of various interventions for IAD, and larger sample studies are needed to ascertain the safety and effectiveness of commonly used products and procedures. This paper reviews the research progress in the epidemiology of IAD, the identification of IAD and pressure ulcer and skin protection methods of IAD.
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