medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2017-9-32-37medsovet-1949Research ArticleЗДОРОВЫЙ РЕБЕНОКHEALTHY CHILDУХОД ЗА КОЖЕЙ НОВОРОЖДЕННОГОNEWBORN SKIN CAREРЮМИНАИ. И.RYUMINAI. I.

д.м.н., профессор

MD, Prof.

ЗУБКОВВ. В.ZUBKOVV. V.

д.м.н.

MD

Научный центр акушерства, гинекологии и перинатологии им. В.И. КулаковаРоссияKulakov Scientific Center of Obstetrics, Gynecology and Perinatology of the Ministry of Health of RussiaRussian Federation201719072017093237Copyright © РЮМИНА И.И., ЗУБКОВ В.В., 20172017РЮМИНА И.И., ЗУБКОВ В.В.RYUMINA I.I., ZUBKOV V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1949

В статье авторы подробно освещают анатомо-физиологические особенности кожи новорожденных детей, роль первородной смазки, особенно выделена группа недоношенных детей. Приводятся примеры факторов риска развития кожных патологий, пути их предотвращения и способы первой помощи

In this article the authors provide a detailed description of anatomic and physicological peculiarities of the newborn children, the role of the vernix caseosa, a group of premature children is described as a separate group. Examples of skin pathology development risk factors, ways to prevent them and first aid measures are provided

кожановорожденныеуходдекспантенолskinnewbornscareDexapantenolReferencesБазовая помощь новорожденному – международный опыт. Под ред.Н.Н. Володина, Г.Т. Сухих, науч. ред. Е.Н. Байбарина, И.И. Рюмина. М.: ГЕОТАР-Медиа, 2008. 208 с.Loomis C, Koss T, Chu D. Fetal skin development. In: Eichenfield L, Frieden I, Esterly N, eds. Neonatal dermatology, 2nd ed. Philadelphia, PA: Saunders Elsevier, 2008: 1–17.Избранные клинические рекомендации по неонатологии. Под ред. Е.Н. Байбариной, Д.Н. Дягтерева. М.: ГЭОТАР-Медиа, 2016. 240 с.Shwayder T, Akland T. Neonatal skin barrier: structure, function, and disorders. Dermatol Ther, 2005;18: 87–103.Белоусова Н.А., Горелов А.В., Семеновых Е.Г. Лечение пеленочного дерматита у новорожденных с применением мази Д-пантенол. Педиатрия, 2002, 4: 54.Fluhr JW, Darlenski R, Lachmann N, et al. Infant epidermal skin physiology: adaptation after birth. Br J Dermatol 2012, 166: 483–490.Студеникин В.М., Студеникина Н.И. Уход за кожей детей первых лет жизни: нейро педиа трические аспекты. Леч. врач, 2008, 3: 66–70.Adam R. Skin Care of the Diaper Area. Pediatric Dermatology, 2008, 25(4): 427–433.Dorschner RA, Lin KH, Murakami M, et al. Neonatal skin in mice and humans expresses increased levels of antimicrobial peptides: innate immunity during development of the adaptive response. Pediatr Res, 2003 53: 566–572.Dorschner RA, Lin KH, Murakami M, et al. Neonatal skin in mice and humans expresses increased levels of antimicrobial peptides: innate immunity during development of the adaptive response. Pediatr Res, 2003 53: 566–572.Walker VP, Akinbi HT, Meinzen-Derr J, et al. Host defense proteins on the surface of neonatal skin: implications for innate immunity. J Pediatr, 2008, 152: 777–781.Walker VP, Akinbi HT, Meinzen-Derr J, et al. Host defense proteins on the surface of neonatal skin: implications for innate immunity. J Pediatr, 2008, 152: 777–781.Levy O. Innate immunity of the newborn: basic mechanisms and clinical correlates. Nat Rev Immunol, 2007, 7: 379–390.Levy O. Innate immunity of the newborn: basic mechanisms and clinical correlates. Nat Rev Immunol, 2007, 7: 379–390.Dominguez-Bello MG, Costello EK, Contreras M, et al. Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. Proc Natl Acad Sci USA, 2010, 107: 11971–11975.Dominguez-Bello MG, Costello EK, Contreras M, et al. Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. Proc Natl Acad Sci USA, 2010, 107: 11971–11975.Capone KA, Dowd SE, Stamatas GN, et al. Diversity of the human skin microbiome early in life. J Invest Dermatol, 2011, 131: 2026-2032.Capone KA, Dowd SE, Stamatas GN, et al. Diversity of the human skin microbiome early in life. J Invest Dermatol, 2011, 131: 2026-2032.Jost T, Lacroix C, Braegger CP, et al. New insights in gut microbiota establishment in healthy breast fed neonates. PLoS One, 2012, 7: e44595.Jost T, Lacroix C, Braegger CP, et al. New insights in gut microbiota establishment in healthy breast fed neonates. PLoS One, 2012, 7: e44595.Pickens WL, Warner RR, Boissy YL, et al. Characteri zation of vernix caseosa: water content, morphology, and elemental analysis. J Invest Dermatol, 2000;115:875–881.Pickens WL, Warner RR, Boissy YL, et al. Characteri zation of vernix caseosa: water content, morphology, and elemental analysis. J Invest Dermatol, 2000;115:875–881.Visscher MO, Narendran V, Pickens WL, et al. Vernix caseosa in neonatal adaptation. J Perinatol, 2005, 25: 440–446.Visscher MO, Narendran V, Pickens WL, et al. Vernix caseosa in neonatal adaptation. J Perinatol, 2005, 25: 440–446.Tollin M, Bergsson G, Kai-Larsen Y, et al. Vernix caseosa as a multi-component defence system based on polypeptides, lipids and their interactions. Cell Mol Life Sci, 2005, 62: 2390–2399.Tollin M, Bergsson G, Kai-Larsen Y, et al. Vernix caseosa as a multi-component defence system based on polypeptides, lipids and their interactions. Cell Mol Life Sci, 2005, 62: 2390–2399.Базовая помощь новорожденному – международный опыт. Под ред. Н.Н. Володина, Г.Т. Сухих, науч. ред. Е.Н. Байбарина, И.И. Рюмина. М.: ГЕОТАР-Медиа, 2008. 208 с.Базовая помощь новорожденному – международный опыт. Под ред. Н.Н. Володина, Г.Т. Сухих, науч. ред. Е.Н. Байбарина, И.И. Рюмина. М.: ГЕОТАР-Медиа, 2008. 208 с.Избранные клинические рекомендации по неонатологии. Под ред. Е.Н. Байбариной, Д.Н. Дягтерева. М.: ГЭОТАР-Медиа, 2016. 240 с.Избранные клинические рекомендации по неонатологии. Под ред. Е.Н. Байбариной, Д.Н. Дягтерева. М.: ГЭОТАР-Медиа, 2016. 240 с.Berg RW. Etiology and pathophysiology of diaper dermatitis. Adv Dermatol, 1988, 3: 75–98.Berg RW. Etiology and pathophysiology of diaper dermatitis. Adv Dermatol, 1988, 3: 75–98.Visscher MO, Hoath SB. Diaper dermatitis. In: Maibach H, ed. Handbook of irritant dermatitis. Berlin: Springer, 2006: 37–51.Visscher MO, Hoath SB. Diaper dermatitis. In: Maibach H, ed. Handbook of irritant dermatitis. Berlin: Springer, 2006: 37–51.Jordan WE, Lawson KD, Berg RW et al. Diaper dermatitis: frequency and severity among a general infant population. Pediatr Dermatol, 1986, 3: 198–207.Jordan WE, Lawson KD, Berg RW et al. Diaper dermatitis: frequency and severity among a general infant population. Pediatr Dermatol, 1986, 3: 198–207.Philipp R, Hughes A, Golding J. Getting to the bottom of nappy rash: ALSPAC survey team. Avon Longitudinal Study of Pregnancy and Childhood. Br J Gen Pract, 1997, 47: 493–497.Philipp R, Hughes A, Golding J. Getting to the bottom of nappy rash: ALSPAC survey team. Avon Longitudinal Study of Pregnancy and Childhood. Br J Gen Pract, 1997, 47: 493–497.Visscher MO, Chatterjee R, Munson KA et al. Development of diaper rash in the newborn. Pediatr Dermatol, 2000, 17: 52–57.Visscher MO, Chatterjee R, Munson KA et al. Development of diaper rash in the newborn. Pediatr Dermatol, 2000, 17: 52–57.Visscher MO. Recent advances in diaper dermatitis: etiology and treatment. Pediatr Health, 2009, 3: 81–98.Visscher MO. Recent advances in diaper dermatitis: etiology and treatment. Pediatr Health, 2009, 3: 81–98.Berg RW. Etiology and pathophysiology of diaper dermatitis. Adv Dermatol, 1988, 3: 75–98.Berg RW. Etiology and pathophysiology of diaper dermatitis. Adv Dermatol, 1988, 3: 75–98.Atherton D. Maintaining healthy skin in infancy using prevention of irritant napkin dermatitis as a model. Community Pract, 2005, 78: 255–257.Atherton D. Maintaining healthy skin in infancy using prevention of irritant napkin dermatitis as a model. Community Pract, 2005, 78: 255–257.The Royal Women’s Hospital. Clinical Practice Guideline – Skin Care for Newborn Babies. 2016.The Royal Women’s Hospital. Clinical Practice Guideline – Skin Care for Newborn Babies. 2016.Lund СН and Osborne JW. Validity and Reliabi lity of the Neonatal Skin Condition Score. JOGNN Clinical Research, 2004, 33(3) 320-327.Lund СН and Osborne JW. Validity and Reliabi lity of the Neonatal Skin Condition Score. JOGNN Clinical Research, 2004, 33(3) 320-327.Lavender T, Furber C, Campbell M et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr, 2012, 12: 59.Lavender T, Furber C, Campbell M et al. Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies: assessor-blinded randomised controlled equivalence trial. BMC Pediatr, 2012, 12: 59.Garcia Bartels N, Massoudy L, Scheufele R et al. Standardized diaper care regimen: a prospective, randomized pilot study on skin barrier function and epidermal IL-1alpha in newborns. Pediatr Dermatol, 2012, 29: 270–276.Garcia Bartels N, Massoudy L, Scheufele R et al. Standardized diaper care regimen: a prospective, randomized pilot study on skin barrier function and epidermal IL-1alpha in newborns. Pediatr Dermatol, 2012, 29: 270–276.Adam R, Schnetz B, Mathey P et al. Clinical demonstration of skin mildness and suitability for sensitive infant skin of a new baby wipe. Pediatr Dermatol, 2009, 26: 506–513.Adam R, Schnetz B, Mathey P et al. Clinical demonstration of skin mildness and suitability for sensitive infant skin of a new baby wipe. Pediatr Dermatol, 2009, 26: 506–513.Garcia Bartels N, Scheufele R, Prosch F et al. Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol, 2010, 27: 1–8.Garcia Bartels N, Scheufele R, Prosch F et al. Effect of standardized skin care regimens on neonatal skin barrier function in different body areas. Pediatr Dermatol, 2010, 27: 1–8.Белоусова Н.А., Горелов А.В., Семеновых Е.Г. Лечение пеленочного дерматита у новорожденных с применением мази Д-пантенол. Педиатрия, 2002, 4: 54.Белоусова Н.А., Горелов А.В., Семеновых Е.Г. Лечение пеленочного дерматита у новорожденных с применением мази Д-пантенол. Педиатрия, 2002, 4: 54.Студеникин В.М., Студеникина Н.И. Уход за кожей детей первых лет жизни: нейро педиа трические аспекты. Леч. врач, 2008, 3: 66–70.Студеникин В.М., Студеникина Н.И. Уход за кожей детей первых лет жизни: нейро педиа трические аспекты. Леч. врач, 2008, 3: 66–70.Blume-Peytavi U, Lavender T, Jenerowicz D, Ryumina I, Stalder J-F, Torrero A, Cork MJ. Recommendations from a European Rountable Meeting on Dest Practice Healthy Infant Skin Care. Pediatric Dermatology, 2016 1-11.Blume-Peytavi U, Lavender T, Jenerowicz D, Ryumina I, Stalder J-F, Torrero A, Cork MJ. Recommendations from a European Rountable Meeting on Dest Practice Healthy Infant Skin Care. Pediatric Dermatology, 2016 1-11.

The authors declare that there are no conflicts of interest present.