PDF(Pubmed)
Abstract：
Androgenetic alopecia, the most common cause of hair loss affecting both men and women, is typically treated using pharmaceutical options, such as minoxidil and finasteride. While these medications work for many individuals, they are not suitable options for all. To date, the only non-pharmaceutical option that the United States Food and Drug Administration has cleared as a treatment for androgenetic alopecia is low-level laser therapy (LLLT). Numerous clinical trials utilizing LLLT devices of various types are available. However, a myriad of other physical treatments for this form of hair loss have been reported in the literature. This review evaluated the effectiveness of microneedling, pulsed electromagnetic field (PEMF) therapy, low-level laser therapy (LLLT), fractional laser therapy, and nonablative laser therapy for the treatment of androgenetic alopecia (AGA). It also explores the potential of multimodal treatments combining these physical therapies. The majority of evidence in the literature supports LLLT as a physical therapy for androgenetic alopecia. However, other physical treatments, such as nonablative laser treatments, and multimodal approaches, such as PEMF-LLLT, seem to have the potential to be equally or more promising and merit further exploration.
摘要：
雄激素性脱发,影响男性和女性脱发的最常见原因，通常使用药物治疗，比如米诺地尔和非那雄胺.虽然这些药物对许多人有效，它们不是所有人的合适选择。迄今为止,美国食品和药物管理局批准的治疗雄激素性脱发的唯一非药物选择是低水平激光治疗(LLLT).利用各种类型的LLLT装置的许多临床试验是可用的。然而,大量的其他物理治疗这种形式的脱发已经在文献中报道。这篇综述评估了微针的有效性，脉冲电磁场（PEMF）治疗，低水平激光治疗（LLLT），点阵激光治疗,非消融性激光治疗雄激素性脱发（AGA）。它还探讨了结合这些物理疗法的多模式治疗的潜力。文献中的大多数证据支持LLLT作为雄激素性脱发的物理疗法。然而,其他物理治疗,如非消融性激光治疗，和多模式方法，例如PEMF-LLLT，似乎有可能同样或更有希望，值得进一步探索。
