妇儿健康导刊2024,Vol.3Issue(14) :60-63.

不同剂量重组人生长激素对特发性矮小症患儿25-羟维生素D、胰岛素样生长因子1水平的影响

Effect of different doses of Recombinant Human Growth Hormone on 25-hydroxyvitamin D and insulin-like growth factor 1 levels in children with idiopathic short stature

吴伟 陈飞 由庆云 徐卫芳 李宁
妇儿健康导刊2024,Vol.3Issue(14) :60-63.

不同剂量重组人生长激素对特发性矮小症患儿25-羟维生素D、胰岛素样生长因子1水平的影响

Effect of different doses of Recombinant Human Growth Hormone on 25-hydroxyvitamin D and insulin-like growth factor 1 levels in children with idiopathic short stature

吴伟 1陈飞 1由庆云 2徐卫芳 3李宁1
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作者信息

  • 1. 山东大学附属儿童医院 济南市儿童医院儿童保健所,山东济南 250000
  • 2. 山东省临清市人民医院儿科,山东临清 252600
  • 3. 山东省临沂市费县妇幼保健院儿保科,山东临沂 273400
  • 折叠

摘要

目的 分析不同剂量重组人生长激素(rhGH)对特发性矮小症(ISS)患儿 25-羟维生素D、胰岛素样生长因子1(IGF-1)水平的影响.方法 选取 2019 年12 月至 2021年 7 月在山东大学附属儿童医院儿童保健所就诊的ISS儿童共 72 例为研究对象.患儿均在常规营养支持治疗基础上给予rhGH治疗,根据rhGH的剂量不同分为两组,对照组(34例)的剂量为 0.15IU/(kg·d),观察组(38例)的剂量为 0.20 IU/(kg·d),比较两组身高、身高标准差积分(HtSDS)、体重指数(BMI)及治疗后 25-羟维生素D、IGF-1水平的变化.结果 两组治疗前身高、HtSDS、BMI、25-羟维生素D、IGF-1水平比较,差异无统计学意义(P>0.05);治疗后,观察组HtSDS、IGF-1水平均高于对照组(P<0.05).结论 高剂量rhGH可有效改善ISS儿童的身高及IGF-1水平,值得临床应用.

Abstract

Objective To analyze the effect of different doses of Recombinant Human Growth Hormone(rhGH)on 25-hydroxyvitamin D and insulin-like growth factor 1(IGF-1)levels in children with idiopathic short stature(ISS).Methods A total of 72 children with ISS in Children's Health Center,Children's Hospital Affiliated to Shandong University from December 2019 to July 2021 were enrolled.All the children received rhGH treatment based on conventional nutritional support.According to the different doses of rhGH,they were divided into two groups,the dose of control group(34 cases)was 0.15 IU/(kg·d),and the dose of observation group(38 cases)was 0.20 IU/(kg·d).The changes of height,height-standard deviation score(HtSDS),body mass index(BMI),and 25-hydroxyvitamin D and IGF-1 levels were compared between the two groups.Results There were no significant differences in height,HtSDS,BMI,and levels of 25-hydroxyvitamin D and IGF-1 between the two groups before treatment(P>0.05).After treatment,the HtSDS and IGF-1 level in the observation group were higher than those in the control group(P<0.05).Conclusion High-dose rhGH can effectively improve the height and IGF-1 level in ISS children,which is worthy of clinical application.

关键词

重组人生长激素/特发性矮小症/25-羟维生素D/胰岛素样生长因子-1

Key words

Recombinant Human Growth Hormone/Idiopathic short stature/25-hydroxyvitamin D/Insulin-like growth factor-1

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出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
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