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生长激素对矮小儿童生长速度及血清指标表达的影响。

The effects of growth hormones on the growth velocities and serum index expressions in short stature children.

作者信息

Zhou Ping, Lv Qing

机构信息

Department of Child Health, Maternal and Child Hospital of Hubei Province Wuhan 430070, Hubei, China.

Department of Pediatrics, Shenzhen University General Hospital Shenzhen 518055, China.

出版信息

Am J Transl Res. 2021 Jul 15;13(7):8421-8426. eCollection 2021.

Abstract

OBJECTIVE

To study the effect of recombinant human growth hormone (rhGH) treatment on the growth velocities and serum index expressions of short stature children.

METHODS

56 short stature children admitted to our hospital from January 2018 to January 2020 were recruited as the study cohort. All the children were treated with rhGH. After six months of treatment, their serum indicators [ghrelin, Nesfatin-1, bone-specific alkaline phosphate (BAP), insulin-like growth factor 1 (IGF-1)], their growth velocity indicators [body mass index (BMI), height, growth velocity (GV)], their blood lipid levels [triglycerides (TG), total cholesterol (TC), low density lipoprotein (LDL), high and low density lipoprotein (HDL)], their insulin statuses [fasting insulin (FINS), their homeostasis model assessment of insulin resistance (HOMA-IR)], and their thyroid function index [thyroid stimulating hormone (TSH), 3'-triiodothyronine (T3), 4'-triiodothyronine (T4)] level changes before and after the treatment were compared.

RESULTS

(1) After the treatment, the children's serum ghrelin and IGF-1 levels increased in comparison with their pre-treatment levels (P<0.05), and their nesfatin-1 levels decreased (P<0.05). (2) After the treatment, the children's BMI, height, and GV increased in comparison with their pre-treatment levels (P<0.05). (3) After the treatment, the children's TG levels were noticeably higher than they were before the treatment (P<0.05), and the TC and LDL levels were remarkably lower than they were before the treatment (P<0.05). (4) After the treatment, the children's T3 and T4 levels were significantly higher compared to their levels before the treatment (P<0.05).

CONCLUSION

GH can promote the development and growth of short stature children, improve their related serum indicator levels, and does not induce metabolic dysfunction.

摘要

目的

研究重组人生长激素(rhGH)治疗对矮小儿童生长速度及血清指标表达的影响。

方法

选取2018年1月至2020年1月我院收治的56例矮小儿童作为研究队列。所有儿童均接受rhGH治疗。治疗6个月后,比较其血清指标[胃饥饿素、Nesfatin-1、骨特异性碱性磷酸酶(BAP)、胰岛素样生长因子1(IGF-1)]、生长速度指标[体重指数(BMI)、身高、生长速度(GV)]、血脂水平[甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)、高密度脂蛋白和低密度脂蛋白(HDL)]、胰岛素状态[空腹胰岛素(FINS)、胰岛素抵抗稳态模型评估(HOMA-IR)]以及甲状腺功能指标[促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)]治疗前后的水平变化。

结果

(1)治疗后,儿童血清胃饥饿素和IGF-1水平较治疗前升高(P<0.05),Nesfatin-1水平降低(P<0.05)。(2)治疗后,儿童BMI、身高和GV较治疗前增加(P<0.05)。(3)治疗后,儿童TG水平显著高于治疗前(P<0.05),TC和LDL水平显著低于治疗前(P<0.05)。(4)治疗后,儿童T3和T4水平较治疗前显著升高(P<0.05)。

结论

生长激素可促进矮小儿童的发育和生长,改善其相关血清指标水平,且不会诱发代谢功能障碍。

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Growth Hormone Deficiency: Health and Longevity.生长激素缺乏症:健康与长寿。
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