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[青春期矮小儿童身高增长的药物治疗]

[Pharmacological therapies for height improvement in pubertal children with short stature].

作者信息

Zhu Jian-Fang, Wang Chun-Lin

机构信息

Department of Pediatrics,First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China (Wang C-L, Email:

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024 Feb 15;26(2):118-123. doi: 10.7499/j.issn.1008-8830.2309125.

Abstract

Short stature in puberty significantly affects the physical and mental health of adolescents. The continuous acceleration of skeletal maturation, caused by sex hormones during puberty, limits the time available for growth and poses a considerable challenge for the treatment of short stature. To date, there is still no standardized treatment protocol for this disorder. However, puberty is the last period to improve the final adult height. Currently, commonly used pharmacological treatments in clinical settings include recombinant human growth hormone, gonadotropin-releasing hormone analogs, and third-generation aromatase inhibitors. In recent years, personalized treatment aiming to improve the final adult height has become a key focus in clinical practice. This article provides a comprehensive summary of research on pharmacological therapies for height improvement in pubertal children with short stature, offering valuable insights for healthcare professionals.

摘要

青春期身材矮小会显著影响青少年的身心健康。青春期性激素导致骨骼成熟持续加速,限制了生长时间,给身材矮小的治疗带来了巨大挑战。迄今为止,针对这种疾病仍没有标准化的治疗方案。然而,青春期是提高最终成人身高的最后阶段。目前,临床常用的药物治疗包括重组人生长激素、促性腺激素释放激素类似物和第三代芳香化酶抑制剂。近年来,旨在提高最终成人身高的个性化治疗已成为临床实践的关键重点。本文全面总结了青春期身材矮小儿童身高改善药物治疗的研究,为医疗保健专业人员提供了有价值的见解。

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[Pharmacological therapies for height improvement in pubertal children with short stature].[青春期矮小儿童身高增长的药物治疗]
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Should Skeletal Maturation Be Manipulated for Extra Height Gain?骨骼成熟度是否应该被人为干预以获得额外身高增长?
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本文引用的文献

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Should Skeletal Maturation Be Manipulated for Extra Height Gain?骨骼成熟度是否应该被人为干预以获得额外身高增长?
Front Endocrinol (Lausanne). 2021 Dec 16;12:812196. doi: 10.3389/fendo.2021.812196. eCollection 2021.
9
Prevalence of short stature among children in China: A systematic review.中国儿童矮小症患病率:一项系统综述。
Pediatr Investig. 2021 Jan 25;5(2):140-147. doi: 10.1002/ped4.12233. eCollection 2021 Jun.
10
Impact of short stature on quality of life: A systematic literature review.矮小身材对生活质量的影响:系统文献回顾。
Growth Horm IGF Res. 2021 Apr-Jun;57-58:101392. doi: 10.1016/j.ghir.2021.101392. Epub 2021 Apr 30.

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