Yang Lianlian, Yang Fan
Department of Child Health, West China Second University Hospital, Sichuan University, No.20, Section 3, Renmin South Road, Wuhou District, Chengdu City, 610041, Sichuan Province, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, 610041, China.
BMC Pediatr. 2025 Jan 13;25(1):28. doi: 10.1186/s12887-024-05356-z.
To explore the effect of short-acting growth hormone (GH) supplementation on bone age and growth rate of children with idiopathic short stature.
The authoritative databases such as PubMed, Medline, and Web of Science were extensively searched through the systematic and comprehensive literature retrieval strategy to compile the clinical research data on the treatment of idiopathic short stature with short-acting GH. The study will be strictly screened to ensure that all enrolled research subjects are patients with idiopathic short stature, and the intervention method is defined as short-acting GH replacement therapy, and a reasonable control group is set, such as placebo treatment, to ensure the scientificity and comparability of research results. Outcome index data such as basic characteristics, sample size, follow-up time, and total effective rate of the included studies were extracted. In this study, RevMan 5.3, a professional statistical software tool, was used to systematically perform the meta-analysis process. Weighted average difference (WMD) was calculated as the primary outcome to evaluate the effect of bone age and growth rate, and the WAD in adverse reactions was considered as the secondary outcome.
Nine studies were included in the study, and 491 patients with idiopathic short stature were included in the study. The results of the meta-analysis showed that there was no significant difference in bone age but a significant difference in growth rate when compared with the control group.
Short-acting GH supplementation can significantly improve the growth rate of children with idiopathic short stature, but has little effect on bone age.
探讨补充短效生长激素(GH)对特发性矮小儿童骨龄和生长速率的影响。
通过系统全面的文献检索策略,广泛检索PubMed、Medline和Web of Science等权威数据库,汇编关于短效GH治疗特发性矮小的临床研究数据。将严格筛选研究,确保所有纳入的研究对象均为特发性矮小患者,干预方法定义为短效GH替代治疗,并设置合理的对照组,如安慰剂治疗,以确保研究结果的科学性和可比性。提取纳入研究的基本特征、样本量、随访时间和总有效率等结局指标数据。本研究使用专业统计软件工具RevMan 5.3系统地进行荟萃分析过程。计算加权平均差(WMD)作为主要结局指标,以评估骨龄和生长速率的影响,将不良反应的WAD作为次要结局指标。
该研究纳入9项研究,共纳入491例特发性矮小患者。荟萃分析结果显示,与对照组相比,骨龄无显著差异,但生长速率有显著差异。
补充短效GH可显著提高特发性矮小儿童的生长速率,但对骨龄影响较小。