首页|低能量激光治疗女性雄激素性脱发的大样本回顾性研究

低能量激光治疗女性雄激素性脱发的大样本回顾性研究

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目的 探究低能量激光(low-level laser therapy,LLLT)治疗女性雄激素性脱发(female androgenetic alopecia,FAGA)的长期有效性及安全性.方法 回顾性分析自 2018 年 4 月至 2023年 4 月,南方医科大学南方医院整形美容外科采用LLLT治疗女性雄激素性脱发患者的临床资料,评价其疗效情况,并通过有序Logistic回归分析探讨整体疗效的相关因素.结果 共纳入2418 例女性雄激素性脱发患者完整资料,1207 例(49.9%)达到轻微有效,767例(31.7%)达到显著有效.年龄 41~50 岁[OR值= 1.33,95%CI(1.01,1.75)]、>50 岁[OR值=1.72,95%CI(1.15,2.56)],LLLT治疗次数>180 次[OR值=1.39,95%CI(1.14,1.69)],联合使用米诺地尔[OR值=1.75,95%CI(1.50,2.04)]的患者整体疗效较好;头皮屑较多[OR值=0.78,95%CI(0.63,0.96)]的患者整体疗效较差;所有患者均未出现严重不良反应.结论 LLLT是一种安全有效治疗女性雄激素性脱发的疗法,建议患者长期规律使用,且联合使用米诺地尔疗效更佳.
A large sample retrospective study of low-level laser therapy for female androgenetic alopecia
Objective To explore the long-term efficacy and safety of low-level laser therapy for female androgenetic alopecia.Methods From April 2018 to April 2023,data on female androgenic alopecia treated with low-level laser therapy were collected to eval-uate the efficacy.Ordinal logistic regression analysis was used to explore the related factors of the overall efficacy.Results A total of 2418 female androgenetic alopecia patients were included in this study.Totally 1207(49.9%)patients treated with low-level laser therapy had a mild effect,and 767(31.7%)patients had a significant effect.And 41 to 50 years old patients[OR=1.33,95%CI(1.01,1.75)],>50 years old patients[OR=1.72,95%CI(1.15,2.56)],LLLT use times>180[OR=1.39,95%CI(1.14,1.69)],combination with minoxidil[OR =1.75,95%CI(1.50,2.04)]had a better overall effect.Patients with more scalp dandruff[OR=0.78,95%CI(0.63,0.96)]had a poor overall effect.None of the patients had serious adverse reactions.Conclusion Low-level laser therapy is a safe and effective treatment for female an-drogenetic alopecia patients.Long-term regular use of low-level laser in combination with minoxidil is more effective in the treatment of fe-male androgenetic alopecia.

Female androgenetic alopeciaFemale pattern hair lossLow-level laser therapyEfficacy assessment

张嘉显、李昊阳、高智雍、苗勇、樊哲祥

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南方医科大学南方医院 整形美容外科,广东广州 510515

女性雄激素性脱发 女性型脱发 低能量激光 疗效评估

2022年广州市科技计划

k30617055

2024

中国美容整形外科杂志
中国医师协会 辽宁省人民医院 沈阳军区总医院

中国美容整形外科杂志

CSTPCD
影响因子:0.605
ISSN:1673-7040
年,卷(期):2024.35(1)
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