首页|不同剂量重组人生长激素治疗特发性矮小症患者的疗效观察

不同剂量重组人生长激素治疗特发性矮小症患者的疗效观察

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目的 观察不同剂量重组人生长激素在特发性矮小症(ISS)患儿治疗中的影响。方法 纳入河南科技大学第一附属医院 2021 年 2 月至 2023 月 7 月收治的 61 例ISS患儿,所有患儿均接受重组人生长激素(rhGH)治疗。依照rhGH治疗剂量的不同分为3组,分别是低剂量组20例(0。26 mg/kg)、中剂量组20例(0。35 mg/kg)、高剂量组21例(0。41 mg/kg)。观察在不同组别患儿身高、年生长速率及相关血检指标水平。结果 治疗前、治疗 3 个月 3 组患儿身高相比,差异无统计学意义(P>0。05);治疗6个月后高剂量组患儿身高高于低剂量和中剂量组,差异具有统计学意义(P<0。05)。治疗前 3 组年生长速率相比,差异无统计学意义(P>0。05);治疗 3 个月、6 个月后高剂量组年生长速率高于低、中剂量组,差异具有统计学意义(P<0。05)。治疗前 3 组血糖水平对比,差异无统计学意义(P>0。05);治疗 3 个月高剂量组血糖高于低、中剂量组,差异具有统计学意义(P<0。05);治疗6个月高剂量组血糖高于中剂量组、低于低剂量组,差异具有统计学意义(P<0。05)。3 组治疗前、治疗 3 个月、6 个月后的血清游离三碘甲状腺原氨酸(FT3),血清游离甲状腺素(FT4),促甲状腺激素(TSH)水平相比,差异无统计学意义(P>0。05)。结论 高剂量rhGH治疗ISS效果明显,治疗时提高患者空腹血糖水平,因而高剂量rhGH治疗期间需对患儿上述两类指标进行严密监测。
Observation on the Efficacy of Different Doses of Recombinant Human Growth Hormone in the Treatment of Patients with Idiopathic Short Stature
Objective To observe the effect of different doses of recombinant human growth hormone(rhGH)in the treatment of children with idiopathic short stature(ISS).Methods 61 children with ISS admitted to The First Affiliated Hospital of Henan University of Science and Technology from February 2021 to July 2023 were included.All patients received rhGH treatment.According to different doses of rhGH treatment,they were divided into three groups:low-dose group(20 cases,0.26 mg/kg),medium-dose group(20 cases,0.35 mg/kg),and high-dose group(21 cases,0.41 mg/kg).The height,annual growth rate,and related blood test indicators of children in different groups were observed.Results Before treatment and 3 months after treatment,there was no statistical significance in the comparison of height among the three groups of children(P>0.05).Six months after treatment,the height of children in the high-dose group was higher than that in the low-dose and medium-dose groups,with a statistically significant difference(P<0.05).Before treatment,there was no statistical significance in the comparison of annual growth rate among the three groups(P>0.05).Three months and six months after treatment,the annual growth rate of the high-dose group was higher than that of the low-dose and medium-dose groups,with a statistically significant difference(P<0.05).Before treatment,there was no statistical significance in the comparison of blood glucose levels among the three groups(P>0.05).Three months after treatment,the blood glucose level of the high-dose group was higher than that of the low-dose and medium-dose groups,with a statistically significant difference(P<0.05).Six months after treatment,the blood glucose level of the high-dose group was higher than that of the medium-dose group and lower than that of the low-dose group,with a statistically significant difference(P<0.05).Before treatment,3 months and 6 months after treatment,there was no statistical significance in the comparison of serum free triiodothyronine(FT3),serum free thyroxine(FT4),and thyroid-stimulating hormone(TSH)levels among the three groups(P>0.05).Conclusion High-dose rhGH treatment has a significant effect on ISS,and it increases the patient's fasting blood glucose level during treatment.Therefore,during high-dose rhGH treatment,the above two indicators of children need to be closely monitored.

recombinant human growth hormoneidiopathic short staturegrowth parameters

袁园、刘婕、付留俊

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河南科技大学第一附属医院 内分泌科,河南 洛阳 471000

重组人生长激素 特发性矮小症 生长参数

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)