桦木三萜在遗传性大疱性表皮松解症中的临床应用
陈付英、卢文敏负责论文复习并撰写综述初稿，李明负责选题、修改并决定综述最终稿。
收稿日期: 2025-12-16
录用日期: 2026-03-04
网络出版日期: 2026-05-08
Clinical application of birch triterpenes extract in epidermolysis bullosa
Received date: 2025-12-16
Accepted date: 2026-03-04
Online published: 2026-05-08
遗传性大疱性表皮松解症（EB）是一组由于遗传缺陷造成皮肤、黏膜机械脆性增高的遗传性皮肤病，可伴有营养不良、慢性炎症、感染、鳞状细胞癌等全身并发症，尚无治愈性疗法。桦木三萜是一种以桦木醇为主要活性成分的创新植物凝胶制剂，可通过调节创面炎症反应、促进角质形成细胞迁移及稳定真皮-表皮黏附力，加速创面愈合。此外，在减少操作疼痛、减少换药负担、减轻伤口负担包括伤口疼痛和瘙痒等方面也显示出积极作用，且总体安全性良好。本文对桦木三萜凝胶的作用机制、临床有效性、安全性及临床应用情况进行了综述，以期为中国EB患者的临床治疗提供参考依据。
关键词： 遗传性大疱性表皮松解症; 桦木三萜; 创面愈合; 有效性; 安全性
陈付英 , 卢文敏 , 李明 . 桦木三萜在遗传性大疱性表皮松解症中的临床应用[J]. 临床儿科杂志, 2026 , 44(5) : 465 -470 . DOI: 10.12372/jcp.2026.25e1597
Epidermolysis bullosa (EB) is a group of inherited skin disorders caused by genetic defects that lead to increased mechanical fragility of the skin and mucous membranes. It can be accompanied by systemic complications such as malnutrition, chronic inflammation, infection, and squamous cell carcinoma. There is no curative treatment available. Birch triterpenes gel is an innovative botanical gel formulation primarily composed of betulin as the active ingredient. It accelerates wound healing by modulating the inflammatory response at the wound site, promoting keratinocyte migration, and stabilizing dermal-epidermal adhesion. Furthermore, it has demonstrated multiple positive outcomes in reducing procedural pain, decreasing the burden of dressing changes, and alleviating overall wound burden, including wound pain and itching, with an overall favorable safety profile. This article provides a review of the mechanism of action, clinical efficacy, safety, and clinical application of birch triterpenes gel, aiming to offer evidence-based guidance for the clinical management of EB patients in China.
Key words： epidermolysis bullosa; birch triterpenes; wound healing; efficacy; safety
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