Mai-Yi Fan Sabrina, Cheng Yu-Pin, Lee Ming-Yung, Lin Sung-Jan, Chiu Hsien-Yi
Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan.
Department of Dermatology, Cathay General Hospital, Taipei, Taiwan.
Dermatol Surg. 2018 Nov;44(11):1411-1420. doi: 10.1097/DSS.0000000000001577.
Previous studies have reported the benefits of low-level/light laser therapy (LLLT) for the promotion of hair regrowth. However, the effectiveness of LLLT for the treatment of androgenetic alopecia (AGA) is still a topic of debate.
To investigate the efficacy and safety of LLLT on hair regrowth in patients with AGA.
This 24-week, randomized, double-blind, self-comparison, sham device-controlled trial enrolled 100 patients with AGA. All participants were randomly assigned to receive the investigational LLLT on one side of the head and sham light treatment on the contralateral side, 3 times weekly for 30 minutes each, over a 24-week period. Global scalp photography, phototrichogram assessment, the investigator's global assessment (IGA) of hair regrowth, and the subject's assessment of the treatment satisfaction were used for evaluation.
After 24 weeks of treatment, the LLLT-treated scalp exhibited significantly greater hair coverage than the sham light-treated side (14.2% vs. 11.8%, p < .001). A significantly greater improvement from baseline in hair thickness, hair count, hair coverage, and IGA were also observed in the LLLT-treated side than in the sham light-treated side at the 12- and 24-week visits. No serious adverse events were observed.
The use of LLLT might be an effective, safe, well-tolerated treatment for AGA.
既往研究报道了低能量/低强度激光疗法(LLLT)对促进头发生长的益处。然而,LLLT治疗雄激素性脱发(AGA)的有效性仍是一个有争议的话题。
探讨LLLT对AGA患者头发生长的疗效和安全性。
这项为期24周的随机、双盲、自身对照、假设备对照试验纳入了100例AGA患者。所有参与者被随机分配,在24周内,每周3次,每次30分钟,接受头部一侧的研究性LLLT治疗,对侧接受假光治疗。采用全头皮摄影、毛发密度测定评估、研究者对头发生长的整体评估(IGA)以及受试者对治疗满意度的评估进行评价。
治疗24周后,接受LLLT治疗的头皮毛发覆盖率显著高于接受假光治疗的一侧(14.2%对11.8%,p <.001)。在第12周和第24周访视时,LLLT治疗侧的毛发厚度、毛发数量、毛发覆盖率和IGA较基线的改善也显著大于假光治疗侧。未观察到严重不良事件。
LLLT可能是一种治疗AGA有效、安全且耐受性良好的方法。