雄激素性秃发790例随访分析

Follow-up of 790 patients with androgenetic alopecia

目的:分析790例雄激素性秃发(AGA)患者的临床特征,了解AGA患者治疗的顺应性。方法:分析AGA患者的临床资料,通过电话进行治疗情况随访。结果:790例患者中,男性占88.5%,女性占11.5%。21～40岁患者占84.3%。424例患者(53.7%)对随访进行了反馈,其中13.9%未采用医生推荐的治疗;86.1%均能够坚持治疗,其中57.1%的患者治疗时间达到半年,29.7%达1年以上。疗效与疗程呈正相关,疗程越长疗效越好。294例(69.3%)患者因各种原因自行停药。结论:本研究提示AGA患者治疗顺应性还需提高,反映患者对AGA治疗的长期性认识不足,也提示医生在诊疗中应注意医患沟通和患者教育。

Objective： To study the clinical characteristics of androgenetic alopecia and the compliance of treatment. Methods： 790 patients with androgenetie alopecia were followed-up through phone call. The clinical manifestations and outcome of the treatment were analyzed. Results： Of all 790 patients, 88.5% were males and 11.5% were females. 84.3% patients were at the age between 20-40 years old. 424 patients （53.7%） responded to the follow-up, among whom 13.9% didn＇t use any treatment, 86.1% used treatment from less than 3 months to more than 3 years. 57.1% patients used the treatment for more than 6 months. 29.7% tor more than one year. Efficacy was found to be related to treatment duration. Good efficacy was seen in those who continued treatment for more than two and three years. 294 patients（69.3%）stopped treatment spontaneously. Conclusion： The complianee of the patients with AGA was not as good as expected, suggesting the difficulty in the treatment of ACA and the necessity of patient education.