Avci Pinar, Gupta Gaurav K, Clark Jason, Wikonkal Norbert, Hamblin Michael R
Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts 02114; Department of Dermatology, Harvard Medical School, Boston, Massachusetts 02115; Department of Dermatology, Venereology and Dermato-Oncology, Semmelweis University School of Medicine, Budapest 1085, Hungary.
Lasers Surg Med. 2014 Feb;46(2):144-51. doi: 10.1002/lsm.22170. Epub 2013 Aug 23.
Alopecia is a common disorder affecting more than half of the population worldwide. Androgenetic alopecia, the most common type, affects 50% of males over the age of 40 and 75% of females over 65. Only two drugs have been approved so far (minoxidil and finasteride) and hair transplant is the other treatment alternative. This review surveys the evidence for low-level laser therapy (LLLT) applied to the scalp as a treatment for hair loss and discusses possible mechanisms of actions.
Searches of PubMed and Google Scholar were carried out using keywords alopecia, hair loss, LLLT, photobiomodulation.
Studies have shown that LLLT stimulated hair growth in mice subjected to chemotherapy-induced alopecia and also in alopecia areata. Controlled clinical trials demonstrated that LLLT stimulated hair growth in both men and women. Among various mechanisms, the main mechanism is hypothesized to be stimulation of epidermal stem cells in the hair follicle bulge and shifting the follicles into anagen phase.
LLLT for hair growth in both men and women appears to be both safe and effective. The optimum wavelength, coherence and dosimetric parameters remain to be determined.
脱发是一种常见疾病,影响着全球半数以上的人口。雄激素性脱发是最常见的类型,40岁以上男性中有50%受其影响,65岁以上女性中有75%受其影响。到目前为止,仅有两种药物(米诺地尔和非那雄胺)获批,植发是另一种治疗选择。本综述调查了低能量激光疗法(LLLT)用于头皮治疗脱发的证据,并讨论了可能的作用机制。
使用关键词“脱发”“毛发脱落”“低能量激光疗法”“光生物调节作用”在PubMed和谷歌学术上进行检索。
研究表明,低能量激光疗法可刺激化疗诱导脱发的小鼠以及斑秃患者头发生长。对照临床试验表明,低能量激光疗法能刺激男性和女性头发生长。在各种作用机制中,主要机制据推测是刺激毛囊隆突部位的表皮干细胞,并使毛囊进入生长期。
低能量激光疗法促进男性和女性头发生长似乎既安全又有效。最佳波长、相干性和剂量参数仍有待确定。