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HairMax激光梳激光光疗设备治疗男性雄激素性脱发:一项随机、双盲、假设备对照、多中心试验。

HairMax LaserComb laser phototherapy device in the treatment of male androgenetic alopecia: A randomized, double-blind, sham device-controlled, multicentre trial.

作者信息

Leavitt Matt, Charles Glenn, Heyman Eugene, Michaels David

机构信息

Private Dermatology Practice, Maitland, Florida, USA.

出版信息

Clin Drug Investig. 2009;29(5):283-92. doi: 10.2165/00044011-200929050-00001.

Abstract

BACKGROUND AND OBJECTIVE

The use of low levels of visible or near infrared light for reducing pain, inflammation and oedema, promoting healing of wounds, deeper tissue and nerves, and preventing tissue damage has been known for almost 40 years since the invention of lasers. The HairMax LaserComb is a hand-held Class 3R lower level laser therapy device that contains a single laser module that emulates 9 beams at a wavelength of 655 nm (+/-5%). The device uses a technique of parting the user's hair by combs that are attached to the device. This improves delivery of distributed laser light to the scalp. The combs are designed so that each of the teeth on the combs aligns with a laser beam. By aligning the teeth with the laser beams, the hair can be parted and the laser energy delivered to the scalp of the user without obstruction by the individual hairs on the scalp. The primary aim of the study was to assess the safety and effectiveness of the HairMax LaserComb laser phototherapy device in the promotion of hair growth and in the cessation of hair loss in males diagnosed with androgenetic alopecia (AGA).

METHODS

This double-blind, sham device-controlled, multicentre, 26-week trial randomized male patients with Norwood-Hamilton classes IIa-V AGA to treatment with the HairMax LaserComb or the sham device (2 : 1). The sham device used in the study was identical to the active device except that the laser light was replaced by a non-active incandescent light source.

RESULTS

Of the 110 patients who completed the study, subjects in the HairMax LaserComb treatment group exhibited a significantly greater increase in mean terminal hair density than subjects in the sham device group (p < 0.0001). Consistent with this evidence for primary effectiveness, significant improvements in overall hair regrowth were demonstrated in terms of patients' subjective assessment (p < 0.015) at 26 weeks over baseline. The HairMax LaserComb was well tolerated with no serious adverse events reported and no statistical difference in adverse effects between the study groups.

CONCLUSIONS

The results of this study suggest that the HairMax LaserComb is an effective, well tolerated and safe laser phototherapy device for the treatment of AGA in males.

摘要

背景与目的

自激光发明以来,利用低强度可见光或近红外光减轻疼痛、炎症和水肿,促进伤口、深层组织和神经愈合,以及预防组织损伤,这一应用已为人所知近40年。HairMax激光梳是一款手持式3R类低强度激光治疗设备,它包含一个单一激光模块,可模拟9束波长为655纳米(±5%)的光束。该设备采用一种通过连接在设备上的梳子梳理使用者头发的技术。这改善了分布的激光束向头皮的传递。梳子的设计使得梳子上的每一个齿都与一束激光束对齐。通过使齿与激光束对齐,头发可以被分开,激光能量能够传递到使用者的头皮,而不会被头皮上的单根头发阻挡。本研究的主要目的是评估HairMax激光梳激光光疗设备在促进男性雄激素性脱发(AGA)患者头发生长和停止脱发方面的安全性和有效性。

方法

这项双盲、假设备对照、多中心、为期26周的试验将诺伍德 - 汉密尔顿IIa - V级AGA男性患者随机分为两组,分别使用HairMax激光梳或假设备进行治疗(比例为2 : 1)。本研究中使用的假设备与有源设备完全相同,只是用非有源白炽光源取代了激光束。

结果

在完成研究的110名患者中,HairMax激光梳治疗组患者的平均终毛密度增加显著大于假设备组(p < 0.0001)。与这一主要有效性证据一致的是,在26周时,与基线相比,患者主观评估显示整体头发生长有显著改善(p < 0.015)。HairMax激光梳耐受性良好,未报告严重不良事件,且研究组间不良反应无统计学差异。

结论

本研究结果表明,HairMax激光梳是一种治疗男性AGA的有效、耐受性良好且安全的激光光疗设备。

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