首页|关于口服复方γ-氨基丁酸(GABA CO)增加矮小症患儿分泌生长激素的相关研究

关于口服复方γ-氨基丁酸(GABA CO)增加矮小症患儿分泌生长激素的相关研究

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目的 探讨口服复方γ-氨基丁酸(Compound γ-Aminobutyric Acid,GABA CO)增加矮小症患儿分泌生长激素的效果.方法 随机选取2020年4月—2021年3月福建省龙岩人民医院收治的80例矮小症患儿为研究对象,采用随机数字表法分成研究组与对照组,每组40例.对照组给予维生素B12相关辅助治疗,研究组在辅助治疗的基础上口服GABA CO治疗,两组均持续用药6个月.随访2年,比较两组患儿治疗前后的身高、体质量、骨龄,血清胰岛素样生长因子-1(Insulin-like Growth Factor 1,IGF-1)、胰岛素样生长因子结合蛋白-3(Insulin-like Growth Factor Binding Protein-3,IGFBP-3)水平、25羟基维生素D水平,治疗期间神经疲劳、厌食、血压下降等不良反应发生情况.结果 随访6个月后、1年后、2年后,两组患儿身高、体质指数、骨龄均高于治疗前,且不同时间点研究组患儿身高分别为(112.47±5.36)cm、(134.51±6.19)cm、(162.27±6.22)cm,均高于对照组的(106.51±5.62)cm、(121.36±6.52)cm、(150.54±6.31)cm,研究组体质指数,骨龄均高于对照组,差异有统计学意义(P均<0.05).随访6个月后、1年后、2年后,两组患儿IGF-1、25羟基维生素D水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P均<0.05).随访1年后、2年后,研究组患儿IGFBP-3水平均高于对照组,差异有统计学意义(P均<0.05).治疗期间,研究组不良反应发生率(7.50%)和对照组(10.00%)比较,差异无统计学意义(χ2=0.157,P>0.05).结论 口服GABA CO能够促进矮小症患儿生长发育,提高患儿生长因子水平.
Study on Oral Compound γ-Aminobutyric Acid(GABA CO)Increase the Secretion of Growth Hormone in Children with Dwarfism
Objective To explore the oral compound γ-Aminobutyric acid(GABA CO)increases the secretion of growth hormone in children with dwarfism.Methods A total of 80 children with nanosomia treated in Fujian Longyan People's Hospital from April 2020 to March 2021 were randomly selected as study subjects and divided into study group and control group by random number table method,with 40 cases in each group.The children in the control group were given vitamin B12 related adjuvant therapy,and the children in the study group were given oral GABA CO therapy on the basis of adjuvant therapy,and the two groups were given continuous medication for 6 months.Follow up for 2 years,the height,body mass and bone age,serum insulin-like growth factor 1(IGF-1),insulin-like growth factor binding protein-3(IGFBP-3)levels,25-hydroxyvitamin D levels,the incidence of adverse reactions such as nerve fatigue,anorexia and blood pressure decrease during treatment of the two groups were compared before and after treatment.Results After 6 months,1 year and 2 years of follow-up,the height,body mass index and bone age of chil-dren in both groups were higher than before treatment,and the height of children in the study group and at different times points were(112.47±5.36)cm,(134.51±6.19)cm,(162.27±6.22)cm,which were higher than(106.51±5.62)cm,(121.36±6.52)cm,(150.54±6.31)cm in the control group;body mass index and bone age in the study group were higher than those in control group,the differences were statistically significant(all P<0.05).After 6 months,1 year and 2 years of follow-up,the levels of IGF-1 and 25 hydroxy-vitamin D in 2 groups were higher than before treat-ment,and the levels of IGF-1 and 25 hydroxy-vitamin D in the study group were higher than those in the control group,the differences were statistically significant(all P<0.05).After 1 year and 2 years of follow-up,the level of IGFBP-3 in the study group was higher than that in the control group,and the differences were statistically significant(both P<0.05).During treatment,there was no statistically significant difference in the incidence of adverse reactions between the study group(7.50%)and the control group(10.00%)(χ2=0.157,P>0.05).Conclusion Oral of GABA CO can promote the growth and development of children with dwarfism and increase their growth factor levels.

R-aminobutyric acidGrowth hormoneDwarfismChildren

蔡新喜、凌武育、张春春、黄炳暖

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福建省龙岩人民医院小儿生长发育专科,福建 龙岩 364000

γ-氨基丁酸 生长激素 矮小症 患儿

龙岩市科技计划项目

2022LYF17011

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)
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