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因与运动相关的头部创伤导致的垂体功能减退症,以及在已退役的业余拳击手中使用生长激素替代疗法的效果。

Hypopituitarism due to sports related head trauma and the effects of growth hormone replacement in retired amateur boxers.

机构信息

Department of Endocrinology, Erciyes University Medical School, Kayseri, Turkey.

出版信息

Pituitary. 2010 Jun;13(2):111-4. doi: 10.1007/s11102-009-0204-0.

DOI:10.1007/s11102-009-0204-0
PMID:19847653
Abstract

Traumatic brain injury (TBI) has been recently recognized as a leading cause of pituitary dysfunction. Current data clearly demonstrated that sports related head trauma due to boxing, kickboxing, and soccer might results in pituitary hormone deficiencies, isolated growth hormone (GH) deficiency in particular. In the present report physiologic dose GH replacement therapy (GHRT) was performed in two GH deficient retired amateur boxers for the first time. The boxers received recombinant GH for 6 months. After 6 months of GHRT there were substantial improvements, but not complete normalization, in the body composition parameters, lipid profiles and quality of life scores in both boxers. These preliminary results suggest that GHRT may have beneficial effects in retired boxers with severe isolated GH deficiency due to sports related head trauma. But more data with higher number of boxers and longer GHRT duration are warranted.

摘要

创伤性脑损伤(TBI)最近被认为是垂体功能障碍的主要原因。目前的数据清楚地表明,由于拳击、跆拳道和足球等运动导致的头部创伤可能导致垂体激素缺乏,特别是孤立性生长激素(GH)缺乏。在本报告中,我们首次对两名患有 GH 缺乏症的退役业余拳击手进行了生理剂量的 GH 替代治疗(GHRT)。拳击手接受了重组 GH 治疗 6 个月。在 GHRT 治疗 6 个月后,两名拳击手的身体成分参数、血脂谱和生活质量评分都有了显著改善,但并未完全正常化。这些初步结果表明,GHRT 可能对因运动相关头部创伤导致严重孤立性 GH 缺乏的退役拳击手有有益的影响。但需要更多的、数据更多的、持续时间更长的 GHRT 来证实。

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本文引用的文献

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Growth hormone replacement therapy in adults with growth hormone deficiency: benefits and cost-effectiveness.生长激素缺乏症成人的生长激素替代治疗:获益和成本效益。
Expert Rev Pharmacoecon Outcomes Res. 2006 Apr;6(2):131-8. doi: 10.1586/14737167.6.2.131.
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Brief communication: pituitary volume and function in competing and retired male boxers.简短通讯:职业及退役男性拳击运动员的垂体体积与功能
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The history of pituitary dysfunction after traumatic brain injury.颅脑损伤后垂体功能障碍的历史。
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Pituitary dysfunction due to sports-related traumatic brain injury.因运动相关创伤性脑损伤导致的垂体功能障碍。
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Advances in understanding hypopituitarism.垂体功能减退症认识的进展
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