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评估人生长激素替代剂量用于治疗生长激素缺乏儿童的一项尝试。

An attempt to assess the replacement dose of human growth hormone in the treatment of growth hormone deficient children.

作者信息

Hibi I, Tanaka T, Yano H, Umezawa S, Kagawa J, Tanae A, Ishikawa E

机构信息

National Children's Medical Research Centre, Tokyo, Japan.

出版信息

Acta Paediatr Scand Suppl. 1987;337:87-92. doi: 10.1111/j.1651-2227.1987.tb17134.x.

DOI:10.1111/j.1651-2227.1987.tb17134.x
PMID:3324640
Abstract

In 25 patients with hGH deficiency, who had been treated long-term with hGH, the mode of hGH administration was switched from the conventional method (0.3-0.5 IU/kg/week, in two or three divided doses, intramuscularly) to daily subcutaneous injection at 1900-2100 hours with a dose of 0.46 +/- 0.07 IU/kg/week (equivalent to 14.7 +/- 2.0 IU/m2/week). After 1-3 months of this new mode of hGH administration, blood and urine were sampled at 0900 hours after overnight fasting. Blood glucose, plasma insulin, plasma IGF-1 and plasma total IGF (after extraction) were analysed in blood samples. IGF-1 and hGH were measured in urine samples. These measurements indicated that the dose studied was close to a replacement one, but might be slightly higher than the exact replacement dose.

摘要

在25例长期接受人生长激素(hGH)治疗的hGH缺乏患者中,hGH给药方式从传统方法(0.3 - 0.5国际单位/千克/周,分两到三次肌肉注射)改为每天19:00 - 21:00皮下注射,剂量为0.46 ± 0.07国际单位/千克/周(相当于14.7 ± 2.0国际单位/平方米/周)。在采用这种新的hGH给药方式1 - 3个月后,过夜禁食后于09:00采集血样和尿样。分析血样中的血糖、血浆胰岛素、血浆胰岛素样生长因子-1(IGF-1)和血浆总IGF(提取后)。测量尿样中的IGF-1和hGH。这些测量结果表明,所研究的剂量接近替代剂量,但可能略高于确切的替代剂量。

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Catch-up growth in early treated patients with growth hormone deficiency. Dutch Growth Hormone Working Group.生长激素缺乏症早期治疗患者的追赶生长。荷兰生长激素工作组。
Arch Dis Child. 1995 May;72(5):427-31. doi: 10.1136/adc.72.5.427.