5%米诺地尔擦剂+梅花针针刺法+激光生发仪照射治疗 男性雄激素性脱发的效果

目的 分析5%米诺地尔擦剂+梅花针针刺法+激光生发仪照射治疗男性雄激素性脱发的效果。 方法 选取2021年11月-2022年6月我院皮肤科门诊收治的90例雄激素性脱发男性患者为研究对象，按照随机 数字表法分为A、B、C三组，每组30例。A组予以5%米诺地尔擦剂+梅花针针刺法+激光生发仪照射，B组予 以5%米诺地尔擦剂+激光生发仪照射，C组予以5%米诺地尔擦剂+梅花针针刺法，通过毛发镜检测技术比较 三组治疗前后左侧额角、右侧额角、头顶部的毛发密度、毛发直径变异率、含单根毛发的毛囊单位比例、毛 干平均直径变化。结果 三组治疗后左侧额角、右侧额角、头顶部的毛发密度、毛发直径变异率、含单根毛 发的毛囊单位比例、毛干平均直径变化均优于治疗前（P＜0.05）；A组改善毛发密度、降低毛发直径变异率 优于B、C组；改善头顶部含单根毛发毛囊比例方面优于B组；改善左侧额角、右侧额角、头顶部含单根毛发 毛囊比例方面优于C组（P＜0.05）。结论 5%米诺地尔擦剂+梅花针针刺法+激光生发仪照射的联合疗法治疗 男性雄激素性脱发的效果更佳，毛发生发速度更快，可降低毛发直径变异率，值得临床应用。

Effect of 5% Minoxidil Liniment+Plum-blossom Needle Acupuncture+Laser Hair Generator Irradiation in the Treatment of Male Androgenic Alopecia

Objective To analyze the effect of 5% minoxidil liniment+plum-blossom needle acupuncture+laser hair generator irradiation in the treatment of male androgenic alopecia. Methods A total of 90 male patients with androgenetic alopecia admitted to the dermatology clinic of our hospital from November 2021 to June 2022 were selected as the research objects. According to the random number table method, they were divided into three groups : A, B and C, with 30 cases in each group. Group A was treated with 5% minoxidil liniment+plum-blossom needle acupuncture+laser hair generator irradiation. Group B was treated with 5% minoxidil liniment+laser hair generator irradiation. Group C was treated with 5% minoxidil liniment+plum-blossom needle acupuncture. The hair density, hair diameter variation rate, hair follicle unit ratio containing single hair, and average hair shaft diameter of the left frontal horn, right frontal horn, and head top were compared before and after treatment by hair microscopy. Results After treatment, the hair density, hair diameter variation rate, hair follicle unit ratio with single hair, and hair shaft average diameter of the left frontal angle, right frontal angle, and head top in the three groups were better than those before treatment (P<0.05), while the hair density and hair diameter variation rate of group A were better than those of group B and group C, the proportion of hair follicles containing single hair in the top of the head was better than that of group B, and the proportion of hair follicles containing single hair in the left frontal angle, right frontal angle and top of the head was better than that of group C (P<0.05). Conclusion The combined therapy of 5% minoxidil liniment+plum-blossom needle acupuncture+laser hair generator irradiation has better efficacy in the treatment of male androgenic alopecia, with faster hair growth and lower hair diameter variation rate, which is worthy of clinical application.