온천요법의 피부질환 치료 효과: 체계적 문헌고찰
Balneotherapy for the treatment of skin diseases : a systematic review
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Objectives : The aim of this systematic review was to evaluate the clinical effectiveness of balneotherapy in the treatment of skin diseases, by analyzing randomized controlled trials (RCTs). Methods : A systematic literature search was conducted in PubMed, Embase, and Cochrane CENTRAL databases using the keywords “balneotherapy” and “skin disease.” Inclusion criteria were RCTs that evaluated balneotherapy effects on skin diseases. Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Cochrane Risk of Bias tool. Results : A total of 12 RCTs were included, with most studies focusing on psoriasis (n=10), followed by atopic dermatitis (n=1) and chronic pruritus (n=1). Various types of balneotherapy were applied, including saline spa water, sulfur-rich thermal water, and geothermal water. The most common outcome measure was PASI (Psoriasis Area Severity Index). Balneotherapy combined with UV-B therapy showed superior efficacy compared to UV-B alone. Reported adverse events were generally mild skin reactions, including erythema and pruritus. Conclusions : Balneotherapy demonstrates significant clinical benefits in improving skin symptoms and quality of life, particularly in psoriasis patients. Further large-scale studies are needed to confirm its efficacy and generalize findings to broader populations.
Abstract
Objectives : The aim of this systematic review was to evaluate the clinical effectiveness of balneotherapy in the treatment of skin diseases, by analyzing randomized controlled trials (RCTs). Methods : A systematic literature search was conducted in PubMed, Embase, and Cochrane CENTRAL databases using the keywords “balneotherapy” and “skin disease.” Inclusion criteria were RCTs that evaluated balneotherapy effects on skin diseases. Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Cochrane Risk of Bias tool. Results : A total of 12 RCTs were included, with most studies focusing on psoriasis (n=10), followed by atopic dermatitis (n=1) and chronic pruritus (n=1). Various types of balneotherapy were applied, including saline spa water, sulfur-rich thermal water, and geothermal water. The most common outcome measure was PASI (Psoriasis Area Severity Index). Balneotherapy combined with UV-B therapy showed superior efficacy compared to UV-B alone. Reported adverse events were generally mild skin reactions, including erythema and pruritus. Conclusions : Balneotherapy demonstrates significant clinical benefits in improving skin symptoms and quality of life, particularly in psoriasis patients. Further large-scale studies are needed to confirm its efficacy and generalize findings to broader populations.
