首页|维生素D联合人生长激素对特发性矮身材儿童生长发育的影响

维生素D联合人生长激素对特发性矮身材儿童生长发育的影响

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目的:探究和分析特发性矮身材儿童应用人生长激素联合维生素D治疗的效果.方法:选取 2019 年 2 月—2022 年 2 月重庆市酉阳县人民医院收治的 70 例特发性矮身材患儿作为研究对象,根据治疗方法的不同将其分为对照组和试验组,每组各 35 例.对照组皮下注射重组人生长激素注射液 0.1~0.2 IU/kg,试验组皮下注射重组人生长激素注射液0.1~0.2 IU/kg,同时联合口服维生素D,连续观察治疗6个月.给药前和治疗后分别检测两组生长因子水平[包括25羟基维生素D(25-OH-VD)、胰岛素样生长因子-1(IGF-1)]、治疗期间的不良反应发生率及治疗总有效率.结果:经过 6 个月的治疗,试验组 25-OH-VD、IGF-1 生长因子水平显著高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);治疗总有效率比较,试验组高于对照组,差异有统计学意义(P<0.05).结论:对特发性矮身材儿童应用维生素D联合人生长激素治疗,能改善患儿生长因子水平,促进其更好地生长发育.
The Effect of Vitamin D Combined with Human Growth Hormone on the Growth and Development of Children with Idiopathic Short Stature
Objective:To explore and analyze the effectiveness of using human growth hormone combined with vitamin D in the treatment of children with idiopathic short stature.Method:A total of 70 children with idiopathic short stature treated in the People's Hospital of Youyang County from February 2019 to February 2022 were selected as the study objects.According to different treatment methods,the children were divided into control group and experimental group,with 35 objects in each group.The control group was injected subcutaneously with recombinant human growth hormone injection 0.1-0.2 IU/kg,while the experimental group was injected subcutaneously with recombinant human growth hormone injection 0.1-0.2 IU/kg combined with oral vitamin D,and observed and treated for 6 months.Growth factor levels[including 25 hydroxyvitamin D(25-OH-VD)and insulin-like growth factor-1(IGF-1)],incidence of adverse reactions during treatment and total effective rate of treatment were measured before and after treatment.Result:After 6 months of treatment,the levels of 25-OH-VD and IGF-1 growth factors in the experimental group were significantly higher than those in the control group,(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of vitamin D combined with human growth hormone therapy to children with idiopathic short stature can improve their growth factor levels and promote better growth and development.

Vitamin DHuman growth hormoneIdiopathic short statureGrowth and development

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重庆市酉阳县人民医院 重庆 409800

维生素D 人生长激素 特发性矮身材 生长发育

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(27)