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头皮低温预防化疗所致脱发

Scalp hypothermia in the prevention of chemotherapy-induced alopecia.

作者信息

Vendelbo Johansen L

出版信息

Acta Radiol Oncol. 1985 Mar-Apr;24(2):113-6. doi: 10.3109/02841868509134372.

DOI:10.3109/02841868509134372
PMID:2988271
Abstract

Alopecia is a common side effect of cancer chemotherapy, especially in combination with regimens with doxorubicin (Adriamycin). The effect of scalp hypothermia in connection with chemotherapy was evaluated as hair protection in 61 women with disseminated breast carcinoma, where earlier treatment routines had caused wig-requiring alopecia in nearly all patients. The cooling was performed with a gel-helmet (Hypotherm Gel-Kap). Of the 61 patients, 47 (77%) had no or slight, not wig-demanding hair loss, and 14 (23%) had severe (wig-demanding) hair loss. Seven patients had liver dysfunction; in 5 of these severe hair loss was observed; 2 had slight hair loss. Eighty-three per cent of the patients with normal liver function had no hair loss. Treatment tolerance was found to be good, and side effects were minimal. The method is found to be simple, effective and inexpensive, though still not technically optimal.

摘要

脱发是癌症化疗常见的副作用,尤其是在联合使用阿霉素(阿霉素)的治疗方案时。对61例弥漫性乳腺癌女性患者,评估了头皮低温疗法联合化疗对头发的保护作用,这些患者之前的治疗常规几乎使所有患者都出现了需要佩戴假发的脱发情况。使用凝胶头盔(Hypotherm Gel-Kap)进行冷却。61例患者中,47例(77%)没有或仅有轻微脱发,不需要佩戴假发,14例(23%)出现严重(需要佩戴假发)脱发。7例患者有肝功能障碍;其中5例观察到严重脱发;2例有轻微脱发。肝功能正常的患者中有83%没有脱发。发现治疗耐受性良好,副作用最小。该方法简单、有效且成本低廉,尽管在技术上仍非最佳。

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Scalp hypothermia in the prevention of chemotherapy-induced alopecia.头皮低温预防化疗所致脱发
Acta Radiol Oncol. 1985 Mar-Apr;24(2):113-6. doi: 10.3109/02841868509134372.
2
Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: The SCALP Randomized Clinical Trial.头皮冷却装置对乳腺癌化疗女性脱发的影响:SCALP 随机临床试验。
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Prevention of doxorubicin-induced alopecia by scalp cooling in patients with advanced breast cancer.晚期乳腺癌患者通过头皮冷却预防阿霉素诱导的脱发
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COOLHAIR: a prospective randomized trial to investigate the efficacy and tolerability of scalp cooling in patients undergoing (neo)adjuvant chemotherapy for early breast cancer.COOLHAIR:一项前瞻性随机试验,旨在研究头皮冷却在接受早期乳腺癌新辅助化疗的患者中的疗效和耐受性。
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Patient-reported outcome assessment and objective evaluation of chemotherapy-induced alopecia.患者报告的化疗引起脱发的结局评估与客观评价。
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Scalp cooling has no place in the prevention of alopecia in adjuvant chemotherapy for breast cancer.在乳腺癌辅助化疗中,头皮冷却对于预防脱发并无作用。
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Scalp hypothermia: a comparison of ice packs and the Kold Kap in the prevention of doxorubicin-induced alopecia.
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Association Between Use of a Scalp Cooling Device and Alopecia After Chemotherapy for Breast Cancer.头皮冷却装置的使用与乳腺癌化疗后脱发之间的关联。
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Impact of scalp cooling on chemotherapy-induced alopecia, wig use and hair growth of patients with cancer.头皮冷却对癌症患者化疗引起的脱发、假发使用和头发生长的影响。
Eur J Oncol Nurs. 2013 Oct;17(5):536-40. doi: 10.1016/j.ejon.2013.02.004. Epub 2013 Apr 6.

引用本文的文献

1
A Clinical and Biological Guide for Understanding Chemotherapy-Induced Alopecia and Its Prevention.《理解化疗引起的脱发及其预防的临床和生物学指南》
Oncologist. 2018 Jan;23(1):84-96. doi: 10.1634/theoncologist.2017-0263. Epub 2017 Sep 26.
2
Scalp cooling with adjuvant/neoadjuvant chemotherapy for breast cancer and the risk of scalp metastases: systematic review and meta-analysis.头皮冷却联合辅助/新辅助化疗治疗乳腺癌及头皮转移风险:系统评价与荟萃分析
Breast Cancer Res Treat. 2017 Jun;163(2):199-205. doi: 10.1007/s10549-017-4185-9. Epub 2017 Mar 8.
3
Factors influencing the effectiveness of scalp cooling in the prevention of chemotherapy-induced alopecia.
影响头皮冷却预防化疗引起脱发效果的因素。
Oncologist. 2013;18(7):885-91. doi: 10.1634/theoncologist.2012-0332. Epub 2013 May 6.
4
Chemotherapy-induced alopecia: psychosocial impact and therapeutic approaches.化疗引起的脱发:社会心理影响及治疗方法
Support Care Cancer. 2004 Aug;12(8):543-9. doi: 10.1007/s00520-003-0562-5. Epub 2004 Jun 19.
5
Scalp hypothermia to prevent chemotherapy-induced alopecia is effective and safe: a pilot study of a new digitized scalp-cooling system used in 74 patients.头皮低温疗法预防化疗引起的脱发有效且安全:一项对74例患者使用新型数字化头皮冷却系统的初步研究。
Support Care Cancer. 2003 Jun;11(6):371-7. doi: 10.1007/s00520-003-0451-y. Epub 2003 Mar 21.