男性雄激素性秃发中西医诊疗专家共识

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29 9月 2024

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Author : 伤口世界

国家皮肤和性传播疾病专业质控中心毛发专家委员会,国家中西医结合医学中心毛发专病医联体,中国整形美容协会中医美容分会,中华中医药学会皮肤科分会毛发学组,北京中西医结合学会皮肤性病专业委员会毛发学组

National Professional Quality Control Center for Skin and Sexually Transmitted Diseases, Hair Expert Comittee; National Center of Integrated Traditional Chinese and Westerm Medicine Hair Diseases Medical Treatment Combination; Chinese Plastic and Aesthetic Association of Traditional Chinese Medicine Cosmetology Branch; Working Group for Hair Diseases, China Association of Chinese Medicine, Dermatology Branch; Working Group for Hair Diseases, Beijing Association of the Integrating of Traditional and Western Medicine Dematological and Venereal Diseases Professional Committee

[摘要]雄激素性秃发(AGA)是临床最常见的脱发性疾病,男性AGA发病率更高,严重影响患者的身心健康和生活质量。目前认为该病与遗传易感性和脱发部位毛囊细胞对雄激素的高反应性密切相关。诊断主要依据病史、脱发模式和皮肤镜检查。中医药治疗是我国AGA防治的优势和特色,为了推广男性AGA的规范化中西医诊治理念,提高我国在该领域的诊治水平,特组织编写了该专家共识。

[关键词]雄激素性秃发,男性; 中西医;诊疗;专家共识
[中图分类号] R758.71
[文献标识码] A
[文章编号] 1000- 4963(2024 )05- -0305-07
doi: 10.16761/j.cnki.1000- 4963.2024.05.014

本文献转载于临床皮肤科杂志2024年53卷第5期 J Clin Dermatol, May 2024. Vol.53. No.5，不代表本网站赞同其观点和对其真实性负责，我们主要用于阅读分享，非商业用途，如若侵权，请告知删除。

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原创邓呈亮中华医学美学美容杂志

2026年4月2日 20:00 河北 5人

版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章。

引用本文：简喜超, 简扬, 邓呈亮. 2025版《中国糖尿病足防治实践指南》解读[J]. 中华医学美学美容杂志, 2026, 32(2): 99-103. DOI: 10.3760/cma.j.cn114657-20251215-00266.

通信作者：邓呈亮，Email：该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
Automated insulin delivery in pregnant women with type 1 diabetes mellitus: a systematic review and meta-analysis 2026-05-30 00:00

Athina Stamati1 · Athanasios Christoforidis2

Received: 7 October 2024 / Accepted: 31 December 2024 / Published online: 10 January 2025 © The Author(s) 2025

Abstract

Aims To assess the efficacy and safety of automated insulin delivery (AID) systems compared to standard care in managing glycaemic control during pregnancy in women with Type 1 Diabetes Mellitus (T1DM).

Methods We searched MEDLINE, Cochrane Library, registries and conference abstracts up to June 2024 for randomized controlled trials (RCTs) and observational studies comparing AID to standard care in pregnant women with T1DM. We con-ducted random effects meta-analyses for % of 24-h time in range of 63–140 mg/dL (TIR), time in hyperglycaemia (>140 mg/ dl and>180 mg/dL), hypoglycaemia (<63 mg/dl and<54 mg/dL), total insulin dose (units/kg/day), glycemic variability (%), changes in HbA1c (%), maternal and fetal outcomes.

Results Thirteen studies (450 participants) were included. AID significantly increased TIR (Mean difference, MD 7.01%, 95% CI 3.72–10.30) and reduced time in hyperglycaemia>140 mg/dL and>180 mg/dL (MD – 5.09%, 95% CI – 9.41 to – 0.78 and MD – 2.44%, 95% CI – 4.69 to – 0.20, respectively). Additionally, glycaemic variability was significantly reduced (MD – 1.66%, 95% CI – 2.73 to – 0.58). Other outcomes did not differ significantly.

Conclusion AID systems effectively improve glycaemic control during pregnancy in women with T1DM by increasing TIR and reducing hyperglycaemia without any observed adverse short-term effects on maternal and fetal outcomes.

Keywords Automated insulin delivery · Pregnancy · Type 1 diabetes mellitus · Systematic review · Meta-analysis
A nationwide registry-based cohort study of the association between childhood dental caries and gingivitis with type 2 diabetes in adulthood 2026-05-29 00:00

Nikoline Nygaard1 · Anne Kirstine Eriksen2 · Lars Ängquist3 · Daniel Belstrøm1 · Evelina Stankevic3 · Torben Hansen3 · Anja Olsen2 · Merete Markvart1

Received: 15 August 2024 / Accepted: 22 December 2024 / Published online: 13 January 2025 © The Author(s) 2025

Abstract

Background Evidence suggests a bidirectional relationship between oral health status and type 2 diabetes (T2D) in adults. Studies on associations between childhood oral health and T2D in adulthood are lacking.

Methods This is a nationwide Danish registry-based cohort study of individuals born between 1963 and 1972, having at least one registration in the National Child Odontology Registry between 1972 and 1987 (n=627,758). Follow-up lasted from 1995 to 2018. Main exposure variables were the highest achieved levels of dental caries and gingivitis between 1972 and 1987. The outcome was T2D diagnosis during follow-up. Data was analyzed using Cox-regression, stratified on sex, with age as the underlying timescale and highest achieved level of education between age 25–30 years as Cox-strata. Main analyses were conducted with and without age-restrictions (T2D diagnosis before/after age 40).

Results Compared to lowest-level references, high levels of gingivitis associated with increased hazard ratios (HRs) of T2D in both males (HR [95% confidence interval]: 1.59 [1.47; 1.72]) and females (1.87 [1.68; 2.08]), as did severe dental caries (males: (1.15 [1.04; 1.27], in females: 1.19 [1.06; 1.35]). Below age 40, gingivitis associated with increased HRs in males (1.84 ([1.58; 2.15]) and females (1.94 [1.63; 2.30]). Above age 40, both exposures displayed higher HRs in males (high gin-givitis: 1.52 [1.39; 1.66] vs. severe caries: 1.23 [1.09; 1.38]) and females (1.83 [1.59; 2.10] vs. 1.37 [1.17; 1.59]).

Conclusions Data suggest an association between childhood dental caries and gingivitis with risk of receiving a T2D diag-nosis in adulthood. However, results are affected by residual confounding warranting further studies.

Keywords Cohort studies · Dental caries · Diabetes mellitus · Type 2 · Gingivitis

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主任医师、教授、博导，南方医科大学第三附属医院（广东省骨科医院）院长

原创邓呈亮中华医学美学美容杂志