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雄激素性脱发的管理:文献系统综述。

Management of androgenic alopecia: a systematic review of the literature.

机构信息

Department of Dermatology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.

Department of Dermatology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.

出版信息

J Cosmet Laser Ther. 2024 Jan-Jun;26(1-4):1-16. doi: 10.1080/14764172.2024.2362126. Epub 2024 Jun 9.

DOI:10.1080/14764172.2024.2362126
PMID:38852607
Abstract

We aimed to determine the efficacy of the various available oral, topical, and procedural treatment options for hair loss in individuals with androgenic alopecia. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review of the National Library of Medicine was performed. Overall, 141 unique studies met our inclusion criteria. We demonstrate that many over the counter (e.g. topical minoxidil, supplements, low-level light treatment), prescription (e.g. oral minoxidil, finasteride, dutasteride), and procedural (e.g. platelet-rich plasma, fractionated lasers, hair transplantation) treatments successfully promote hair growth, highlighting the superiority of a multifaceted and individualized approach to management.

摘要

我们旨在确定雄激素性脱发患者各种可用的口服、局部和手术治疗选择的疗效。使用系统评价和荟萃分析的首选报告项目指南,对国家医学图书馆进行了系统评价。总的来说,有 141 项独特的研究符合我们的纳入标准。我们证明,许多非处方(例如局部米诺地尔、补充剂、低水平光疗)、处方(例如口服米诺地尔、非那雄胺、度他雄胺)和手术(例如富血小板血浆、分束激光、毛发移植)治疗都能成功促进头发生长,突出了多方面和个体化管理方法的优越性。

相似文献

1
Management of androgenic alopecia: a systematic review of the literature.雄激素性脱发的管理:文献系统综述。
J Cosmet Laser Ther. 2024 Jan-Jun;26(1-4):1-16. doi: 10.1080/14764172.2024.2362126. Epub 2024 Jun 9.
2
Efficacy of non-surgical treatments for androgenetic alopecia: a systematic review and network meta-analysis.非手术治疗雄激素性脱发的疗效:一项系统评价和网状Meta分析
J Eur Acad Dermatol Venereol. 2018 Dec;32(12):2112-2125. doi: 10.1111/jdv.15081. Epub 2018 Jul 11.
3
Systematic Review of Platelet-Rich Plasma Use in Androgenetic Alopecia Compared with Minoxidil, Finasteride, and Adult Stem Cell-Based Therapy.富含血小板血浆治疗雄激素性脱发与米诺地尔、非那雄胺和基于成人干细胞的治疗的系统评价。
Int J Mol Sci. 2020 Apr 13;21(8):2702. doi: 10.3390/ijms21082702.
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Guidelines for the diagnosis and treatment of male-pattern and female-pattern hair loss, 2017 version.男性型和女性型脱发的诊断和治疗指南,2017 年版。
J Dermatol. 2018 Sep;45(9):1031-1043. doi: 10.1111/1346-8138.14470. Epub 2018 Jun 4.
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A review of the treatment of male pattern hair loss.男性型脱发的治疗综述。
Expert Opin Pharmacother. 2020 Apr;21(5):603-612. doi: 10.1080/14656566.2020.1721463. Epub 2020 Feb 17.
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What's New in Therapy for Male Androgenetic Alopecia?男性雄激素性脱发治疗的新进展有哪些?
Am J Clin Dermatol. 2023 Jan;24(1):15-24. doi: 10.1007/s40257-022-00730-y. Epub 2022 Sep 28.
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Nonsurgical hair restoration treatment.非手术毛发修复治疗。
Cutis. 2019 Jul;104(1):17-24.
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Interventions for female pattern hair loss.女性型脱发的干预措施。
Cochrane Database Syst Rev. 2016 May 26;2016(5):CD007628. doi: 10.1002/14651858.CD007628.pub4.
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Androgenetic alopecia in transgender and gender diverse populations: A review of therapeutics.跨性别和性别多样化人群中的雄激素性脱发:治疗方法综述。
J Am Acad Dermatol. 2023 Oct;89(4):774-783. doi: 10.1016/j.jaad.2021.08.067. Epub 2021 Oct 28.
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Facial Plast Surg. 2024 Apr;40(2):252-266. doi: 10.1055/a-2196-4713. Epub 2023 Oct 23.

引用本文的文献

1
Androgenetic Alopecia: An Update on Pathogenesis and Pharmacological Treatment.雄激素性脱发:发病机制与药物治疗的最新进展
Drug Des Devel Ther. 2025 Aug 25;19:7349-7363. doi: 10.2147/DDDT.S542000. eCollection 2025.
2
Topical minoxidil for androgenetic alopecia: When blood pressure agents make you hairy.外用米诺地尔治疗雄激素性脱发:当降压药让你多毛时。
Can Fam Physician. 2025 Jul-Aug;71(7-8):499. doi: 10.46747/cfp.710708499.
3
Innovating alopecia treatment: nanostructured lipid carriers as advanced delivery platforms.创新脱发治疗方法:纳米结构脂质载体作为先进的递送平台
Naunyn Schmiedebergs Arch Pharmacol. 2025 Jan 18. doi: 10.1007/s00210-025-03784-x.
4
Caffeine as an Active Molecule in Cosmetic Products for Hair Loss: Its Mechanisms of Action in the Context of Hair Physiology and Pathology.咖啡因作为用于脱发的化妆品中的活性分子:其在毛发生理和病理背景下的作用机制
Molecules. 2025 Jan 4;30(1):167. doi: 10.3390/molecules30010167.
5
Topical dutasteride for androgenic alopecia: current state and prospects.外用度他雄胺治疗雄激素性脱发:现状与前景
Ther Deliv. 2025 Mar;16(3):271-283. doi: 10.1080/20415990.2024.2437973. Epub 2024 Dec 6.