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在雄激素性脱发患者治疗中,将低能量光疗添加至5%米诺地尔溶液的有效性。

The effectiveness of adding low-level light therapy to minoxidil 5% solution in the treatment of patients with androgenetic alopecia.

作者信息

Faghihi Gita, Mozafarpoor Samaneh, Asilian Ali, Mokhtari Fatemeh, Esfahani Alireza Asemi, Bafandeh Behzad, Nouraei Saeid, Nilforoushzadeh Mohammad Ali, Hosseini Seyed Mohsen

机构信息

Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Indian J Dermatol Venereol Leprol. 2018 Sep-Oct;84(5):547-553. doi: 10.4103/ijdvl.IJDVL_1156_16.

Abstract

BACKGROUND

Androgenetic alopecia is the commonest type of alopecia affecting over half of men and women. Low-level light therapy is a new technique for stimulating hair growth in both genders.

AIMS

To overcome the shortcomings of previous epidemiological studies and a lack of controlled clinical trials on the subject, this study compared the effectiveness of adding low-level light therapy to minoxidil topical solution in the treatment of androgenetic alopecia in patients presenting to two skin clinics in Isfahan, Iran during 2014-2015.

MATERIALS AND METHODS

This clinical trial included 50 patients aged 17-45 presenting to Khorshid and Alzahra educational centers and skin diseases research center for androgenetic alopecia during 2014-2015. The patients were randomly divided into a control and a case group. The case group received topical minoxidil 5% solution plus low-level light therapy twice per day. The control group was given the same topical solution and a laser comb system that was turned off to act as a placebo. Changes in patients' hair density and diameter and its overall regrowth as well as their satisfaction with the treatment were assessed at months 0 (baseline), 3, 6, 9 and 12.

RESULTS

The percentage of recovery from androgenetic alopecia and the patients' satisfaction with their treatment were significantly higher in the case group compared to the control group. The patients' mean hair density and diameter were found to be higher in the case group after the intervention compared to the control group.

LIMITATIONS

The study limitations included patient compliance, small sample size, patient insight due to novelty of the method and clinical judgement.

CONCLUSION

As a new method of treatment, low-level light therapy can help improve the percentage of recovery from androgenetic alopecia and increase patients' satisfaction with their treatment.

摘要

背景

雄激素性脱发是最常见的脱发类型,影响超过半数的男性和女性。低能量光疗法是一种刺激男女头发生长的新技术。

目的

为克服以往流行病学研究的不足以及该主题缺乏对照临床试验的问题,本研究比较了在伊朗伊斯法罕的两家皮肤诊所就诊的患者中,低能量光疗法联合米诺地尔外用溶液治疗雄激素性脱发的效果。

材料与方法

本临床试验纳入了2014年至2015年期间在霍尔希德和阿尔扎赫拉教育中心及皮肤病研究中心就诊的50例17至45岁的雄激素性脱发患者。患者被随机分为对照组和病例组。病例组每天接受两次5%米诺地尔外用溶液加低能量光疗法治疗。对照组给予相同的外用溶液和关闭的激光梳系统作为安慰剂。在第0个月(基线)、3个月、6个月、9个月和12个月评估患者的头发密度、直径变化及其整体再生情况以及他们对治疗的满意度。

结果

与对照组相比,病例组雄激素性脱发的恢复率和患者对治疗的满意度显著更高。干预后病例组患者的平均头发密度和直径高于对照组。

局限性

研究的局限性包括患者依从性、样本量小、由于方法新颖导致的患者洞察力以及临床判断。

结论

作为一种新的治疗方法,低能量光疗法有助于提高雄激素性脱发的恢复率,并提高患者对治疗的满意度。

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