Expert consensus on the management of dermatogenic chronic pruritus in children

doi:10.19538/j.ek2024060601

Chinese Journal of Practical Pediatrics ›› 2024, Vol. 39 ›› Issue (6): 401-408.DOI: 10.19538/j.ek2024060601

Online:2024-06-06 Published:2024-06-24

儿童皮肤源性慢性瘙痒管理专家共识

执　笔：刘欣欣，杨晓晶，林　敏，钱　华
制定专家（按单位首字及姓氏笔画顺序排序）：上海交通大学医学院附属儿童医院（钱秋芳）；山东大学齐鲁儿童医院（史传奎，张建基，姬爱华）；山西省儿童医院（杨小英，张杏莲）；广东医科大学顺德妇女儿童医院（余嘉明）；天津大学儿童医院天津市儿童医院（李钦峰，冯小燕，刘欣欣，刘　薇，孙燕燕，林杨杨，宫泽琨）；天津市中医药研究院附属医院（蒋俊青）；天津市妇女儿童保健中心（李　静）；天津医科大学总医院滨海医院（于艳秋）；《中国实用儿科杂志》编辑部（吴洋意）；中国科学院心理研究所（郭　菲）；中南大学湘雅医学院附属儿童医院湖南省儿童医院（韦　祝）；内蒙古自治区妇幼保健院（李金梅）；石家庄市妇幼保健院石家庄市儿童医院（张凌伟）；北京大学第三医院（谢志强）；成都市妇女儿童中心医院（王　敏）；江西省儿童医院（林　敏，张　浩）；江南大学附属儿童医院无锡市儿童医院（杨　挺）；苏州大学附属儿童医院（钱　华）；沧州市妇幼保健院（庞　超）；青岛市妇女儿童医院（尹晓慧）；杭州市儿童医院（万明顺）；昆明市儿童医院（舒　虹）；河北省儿童医院（张晓茹）;河南省儿童医院（张嫦娥）; 南方医科大学皮肤病医院（叶　理）;南京医科大学附属妇产医院南京市妇幼保健院（马小玲）;南京医科大学附属儿童医院（李　敏）;复旦大学附属儿科医院（李　明）；重庆医科大学附属儿童医院（罗晓燕）;首都医科大学附属北京儿童医院（徐子刚，焦　磊）; 首都儿科研究所附属儿童医院（王建才，谷庆隆，杨晓晶，高　莹）；首都医科大学附属北京儿童医院保定医院（张均秀）；秦皇岛市妇幼保健院（徐春云）;徐州市儿童医院（陈　萍）;浙江大学医学院附属儿童医院（任韵清）; 深圳市儿童医院（李　萍）；深圳市妇幼保健院（熊　瑛）;湖北省妇幼保健院（邹晓燕）

通讯作者: 李钦峰，电子信箱：lyz20061217@sina.com；高莹，电子信箱：sccgcw@sina.com；谢志强，电子信箱：xiezq66@163.com
基金资助:
天津市医学重点学科（专业）建设项目（TJYXZDXK-040A）；天津市优秀卫生人才选拔培养计划（TJSJMYXYC-D2-031）；北京市中医药科技发展资金（BJZYYB-2023-20）

Abstract

Abstract: Pruritus occurs in many diseases， and in children it is mostly caused by skin disorders， namely dermatogenic pruritus. Persistent chronic pruritus（CP） is difficult to treat and can have a negative impact on children's sleep， mood， cognition， school performance， social and family functions， etc.， seriously affecting the quality of life of children and their family members. There is an urgent clinical need for standardized management of CP in children. However， there is currently a lack of independent guidelines or consensus on the diagnosis and treatment of CP in children at and abroad domestic. Based on evidence-based medicine and expert opinions， this consensus formulates a management plan for dermatogenic CP in children aged 0-18 for reference by clinical doctors.

Key words: child, chronic pruritus, management, consensus

摘要： 瘙痒见于多种疾病，在儿童多由皮肤疾病导致，即皮肤源性瘙痒。持续存在的慢性瘙痒治疗困难，可对患儿的睡眠、情绪、认知、学校表现及社会家庭功能等方面产生负面影响，严重影响患儿及其家庭成员的生活质量。临床上迫切需要对儿童慢性瘙痒进行规范化管理，而目前国内外缺乏独立的儿童慢性瘙痒诊疗指南或共识。该共识根据循证医学证据及专家意见，制定了一套针对0~18岁儿童皮肤源性慢性瘙痒的管理方案，供临床医生参考。

关键词: 儿童, 慢性瘙痒, 管理, 共识

Group of Dermatology, Professional Committee of Child Allergology, China Maternal and Child Health Association. Expert consensus on the management of dermatogenic chronic pruritus in children[J]. Chinese Journal of Practical Pediatrics, 2024, 39(6): 401-408.

中国妇幼保健协会儿童变态反应专业委员会儿童皮肤病学组. 儿童皮肤源性慢性瘙痒管理专家共识[J]. 中国实用儿科杂志, 2024, 39(6): 401-408.

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