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低水平激光疗法治疗毛发生长的疗效:埃及的经验。

Results of low-level laser therapy in the treatment of hair growth: An Egyptian experience.

机构信息

Dermatology, Venereology and Andrology Department, Zagazig University, Zagazig, Egypt.

出版信息

Dermatol Ther. 2021 May;34(3):e14940. doi: 10.1111/dth.14940. Epub 2021 Apr 17.

Abstract

Recently, low level laser therapy was evaluated as an effective stimulating hair growth. Hair loss is the most common complaint in dermatology (specially females). It causes a significant psychosocial distress and decreased quality of life in affected patients and exists in different types, but the most common types are androgenetic alopecia and telogen effluvium (TE). Although there are many treatments with highest levels of medical evidence, but patients who exhibit intolerance or poor response to these treatments need additional treatment modalities. To evaluate the efficacy and safety low level laser therapy for female pattern hair loss (FPHL) and TE. A prospective interventional study included 20 female patients, 13 were diagnosed as FPHL, and 7 were diagnosed TE. Patients received two sessions per week with Hair Growth System (TOPHAT655) a bicycle-helmet type device. Treatment session of 20 minutes for 16 successive weeks (total of 32 treatments) with follow-up. Patients were evaluated by software-analyzed trichoscopic images, as the primary endpoint was the percent increase in hair counts from baseline to post-treatment. Global photography and patient satisfaction were determined as a secondary end point. Twenty patients completed the study (13 FPHL, 7 TE). FPHL patients baseline hair counts were 222.3 ± 33.5 (N = 13), in TE patients baseline hair counts were 271.2 ± 39.0 (N = 7). Post-treatment hair counts were 255.3 ± 30.4 (N = 13) In FPHL patients (P = .007), and 294.2 ± 38.1 (N = 7) in TE patients (P = .143). Low level laser therapy of the scalp at 655 nm significantly improved hair counts in FPHL, and there is no significance difference in TE patients with no serious adverse events. Additional studies should be considered to determine the long-term effects of low-level laser therapy treatment on hair growth and maintenance, and to optimize laser modality.

摘要

最近,低水平激光疗法被评估为一种有效的促进毛发生长的方法。脱发是皮肤科最常见的问题(尤其是女性)。它会导致受影响患者产生显著的社会心理困扰和生活质量下降,并且存在不同类型,但最常见的类型是雄激素性脱发和休止期脱发(TE)。尽管有许多治疗方法具有最高级别的医学证据,但对这些治疗方法不耐受或反应不佳的患者需要额外的治疗方式。评估低水平激光疗法治疗女性型脱发(FPHL)和 TE 的疗效和安全性。一项前瞻性干预研究纳入了 20 名女性患者,其中 13 名被诊断为 FPHL,7 名被诊断为 TE。患者每周接受两次治疗,使用 Hair Growth System(TOPHAT655),这是一种自行车头盔式设备。治疗疗程为 16 周,每周 2 次,每次 20 分钟(共 32 次治疗),并进行随访。患者通过软件分析的毛发镜图像进行评估,主要终点是从基线到治疗后的毛发计数增加百分比。整体摄影和患者满意度被确定为次要终点。20 名患者完成了研究(13 名 FPHL,7 名 TE)。FPHL 患者的基线毛发计数为 222.3±33.5(N=13),TE 患者的基线毛发计数为 271.2±39.0(N=7)。治疗后毛发计数为 255.3±30.4(N=13)在 FPHL 患者中(P=.007),和 294.2±38.1(N=7)在 TE 患者中(P=.143)。655nm 低水平激光头皮治疗可显著改善 FPHL 患者的毛发计数,而 TE 患者则无明显差异,且无严重不良事件。应考虑进行更多研究,以确定低水平激光治疗对毛发生长和维持的长期影响,并优化激光方式。

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