在医生和牙医中评估皮肤屏障状况
Željka Babić1, Iva Japundžić-Rapić2, Liborija Lugović Mihić2,3
1From the Unit for Occupational and Environmental Medicine, Institute for Medical Research and Occupational Health, Zagreb, Croatia.
Dermatitis : contact, atopic, occupational, drug
|November 7, 2023
概括
医生和牙医,特别是那些在手术角色,经历显著的皮肤屏障损害. 长时间使用手套加剧了这些影响,突出了手湿疹的职业风险.
科学领域:
- 皮肤病学 皮肤病学
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 医生和牙医容易患慢性手湿疹.
- 对他们的皮肤屏障状况的客观评估是有限的.
- 了解职业皮肤风险对于预防至关重要.
研究的目的:
- 客观地评估医生和牙医的皮肤屏障状况.
- 确定这些职业中导致皮肤屏障功能障碍的因素.
主要方法:
- 横截面流行病学研究.
- 包括职业问卷,医疗手部皮肤检查和测量皮肤间流失水分 (TEWL) 和皮肤pH值.
- 在五个组进行分析:非手术医生,手术医生,非手术牙医,手术牙医和对照组.
主要成果:
- 外科牙医的皮肤屏障最脆弱,其中43%的皮肤状况危急 (TEWL>30g/[m2·h]).
- 在非手术牙医中发现手皮pH值升高 (38%的pH值>5.5).
- 男性和长时间使用手套 (>1小时/天) 与更高的TEWL相关,而女性和长时间使用手套 (>4小时/天) 与更高的pH相关.
结论:
- 长时间使用手套和牙科专业,特别是外科专业,显著影响皮肤屏障的完整性.
- 这项研究提供了第一份关于医生和牙医皮肤屏障状况的客观数据.
- 研究结果强调需要有针对性的干预措施来保护医疗保健专业人员的手皮肤.
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