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微针联合 5%米诺地尔溶液治疗雄激素性脱发的疗效观察。

Effects of microneedling with 5% minoxidil topical solution combination therapy in treatment of androgenetic alopecia.

机构信息

Department of Plastic Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

出版信息

J Cosmet Dermatol. 2022 Nov;21(11):5665-5671. doi: 10.1111/jocd.15263. Epub 2022 Aug 9.

Abstract

BACKGROUND

Microneedling (MN) therapy is one of minimal invasive operations with needles rolled over skin to puncturing the epidermis, and it is becoming a widely used treatment during various dermatological diseases includes androgenetic alopecia (AGA).

OBJECTIVE

The purpose of the current study is to investigate the clinical observation and safety of MN combined with 5% minoxidil on triggering hair growth in AGA patients.

MATERIAL AND METHODS

This retrospective study has analyzed 18 AGA patients who were treated by MN in combination with 5% minoxidil topical solution between July 2021 and February 2022. All patients received six sessions of treatment under aseptic condition at an interval of 1 week. Assessment of hair regrowth was done at the baseline and 10 weeks by photography, investigator, and patient assessment global scoring table on clinical improvement, and the patient's final satisfaction was investigated.

RESULTS

According to the standardized 7-point scale, mean scores of investigator and participant assessments were 1.44 ± 0.61 and 1.66 ± 0.59, respectively, indicating that the hair appearance was considerably improved by MN combined with 5% minoxidil treatment. Fifteen patients (83.3%) were satisfied with the improvement in hair growth. No severe adverse events were noted in patients during and after the procedure.

CONCLUSION

The combination of the length of 1.5 mm MN and 5% minoxidil in the treatment of AGA showed efficacy with high safety, which is worthy of clinical application.

摘要

背景

微针刺疗法(MN)是一种微创操作,用滚轮上的针穿刺表皮,在各种皮肤科疾病中,包括雄激素性脱发(AGA),已成为广泛应用的治疗方法。

目的

本研究旨在观察 MN 联合 5%米诺地尔治疗 AGA 患者促毛发生长的临床疗效和安全性。

材料和方法

本回顾性研究分析了 2021 年 7 月至 2022 年 2 月期间接受 MN 联合 5%米诺地尔外用溶液治疗的 18 例 AGA 患者。所有患者均在无菌条件下接受 6 次治疗,间隔 1 周。在基线和 10 周时通过摄影、研究者和患者评估全球评分表评估毛发生长情况,并调查患者的最终满意度。

结果

根据标准化 7 分制,研究者和参与者评估的平均评分分别为 1.44±0.61 和 1.66±0.59,表明 MN 联合 5%米诺地尔治疗后头发外观明显改善。15 例患者(83.3%)对毛发生长的改善感到满意。在治疗过程中和治疗后,患者均未出现严重不良事件。

结论

1.5mm MN 联合 5%米诺地尔治疗 AGA 具有疗效高、安全性好的特点,值得临床应用。

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