首页|探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清IGFBP-3、IGF-1表达的影响

探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清IGFBP-3、IGF-1表达的影响

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目的 探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清胰岛素样生长因子结合蛋白-3(IGFBP-3)、胰岛素样生长因子-1(IGF-1)表达的影响.方法 70 例特发性矮小症患儿,以随机数字表法分为对照组和观察组,各 35 例.对照组采用生长激素治疗,观察组在对照组基础上联合脾虚汤治疗.对比两组患儿治疗 6、12 个月后的身高增长量,治疗前后血清IGFBP-3、IGF-1指标改善情况.结果 观察组治疗 6、12 个月的身高增长量(5.3±0.6)、(11.2±0.8)cm均高于对照组的(4.1±1.0)、(8.9±0.9)cm,差异有统计学意义(P<0.05);观察组治疗后的血清IGFBP-3(6.8±1.2)mg/L、IGF-1(452.0±14.1)ng/ml均高于对照组的(6.0±0.9)mg/L、(388.5±17.1)ng/ml,差异有统计学意义(P<0.05).结论 特发性矮小症采用脾虚汤联合生长激素治疗,可有效改善患儿的血清IGFBP-3、IGF-1,促使身高增长,应用效果显著.
Investigation on the clinical efficacy of Pixu decoction combined with growth hormone in the treatment of idiopathic short stature and its influence on the expression of IGFBP-3 and IGF-1 in serum
Objective To investigate the clinical efficacy of Pixu decoction combined with growth hormone in the treatment of idiopathic short stature and its influence on the expression of insulin-like growth factor binding protein-3(IGFBP-3)and insulin-like growth factor-1(IGF-1)in serum.Methods 70 child patients with idiopathic short stature were divided into a control group and an observation group by random number table method,with 35 cases in each group.The control group was treated with growth hormone,and the observation group was treated with Pixu decoction on the basis of the control group.The increase of height after 6 months and 12 months,and improvement of serum IGFBP-3 and IGF-1 before and after treatment were compared between the two groups.Results The increase of height in the observation group were(5.3±0.6)and(11.2±0.8)cm after 6 months and 12 months of treatment,which were higher than those of(4.1±1.0)and(8.9±0.9)cm in the control group,and the difference was statistically significant(P<0.05).After treatment,the serum IGFBP-3 of(6.8±1.2)mg/L and IGF-1 of(452.0±14.1)ng/ml in the observation group were higher than those of(6.0±0.9)mg/L and(388.5±17.1)ng/ml in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment of idiopathic short stature by Pixu decoction combined with growth hormone can effectively improve the serum IGFBP-3 and IGF-1 of child patients,and promote the growth of height.The application effect is remarkable.

Idiopathic short staturePixu decoctionGrowth hormoneInsulin-like growth factor binding protein-3Insulin-like growth factor-1

李丹丹

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110032 沈阳市儿童医院青春发育门诊

特发性矮小症 脾虚汤 生长激素 胰岛素样生长因子结合蛋白-3 胰岛素样生长因子-1

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(2)
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