雄激素源性秃发526例生活质量调查与分析

目的探讨影响雄激素源性秃发患者生活质量的相关因素,包括年龄、性别、病程、家族史和临床分级。方法采用Ham ilton-Norwood hair loss Scale以及Ludw ig Scale分级法,对526例门诊病例进行雄激素源性秃发的分级评估,并用皮肤病生活质量指数(derm atology life quality Index,DLQI)调查问卷进行生活质量调查。每项指标分没有、轻微、严重、非常严重4个档次,分别赋值0、1、2、3,得出生活质量分值。结果年龄和临床分级的分组DLQI差异有统计学意义(P<0.05),而性别、病程、家族史等因素的分组DLQI差异无统计学意义(P>0.05)。结论对雄激素源性秃发患者而言,年龄越轻、病情越轻则对生活质量影响越大,应当及早给予积极治疗,并加大宣传以提高患者对疾病的认识。

526 Cases of Androgenetic Alopecia: an Investigation and Analysis on Quality of Life

Objective To evaluate the effects of androgenetic alopecia on quality of life and relevant factors including age,sex,duration of illness,family history and clinical classification.Methods 526 out-patients diagnosed with Hamilton-Norwood hair loss Scale or Ludwig Scale answered a questionnaire measured with DLQI.Factor analysis grouped the items into four subscales(no effect,mild effect,and severe effect,the most effect).The according score is 0,1,2,3.The higher the score,the lower the quality of life.Results The difference in quality of life is related to age of patients or clinical classification of the disease.Factors such as sex,duration of illness and family history make no difference.Conclusion Androgenetic alopecia affects the quality of life,especially of younger patients or those with more severe manifestations.Early treatments are essential for relieving patients from psychologically devastating effects.