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[7岁以下垂体功能不全儿童使用人生长激素的治疗结果。26例研究]

[Results of treatment with human growth hormone in children with pituitary insufficiency under 7 years of age. Study of 26 cases].

作者信息

Mugnier E, Ployard F, Roy M P, Fermanian J, Rappaport R

出版信息

Arch Fr Pediatr. 1985 Oct;42(8):671-6.

PMID:4074096
Abstract

Twenty-six children below age 7 years with idiopathic growth hormone deficiency have been treated with hGH for 2 years. Bone ages were inferior to 3 years and growth retardation averaged 3.9 +/- 0.9 standard deviation (SD) below the population mean. Results were compared to those obtained in a control group of 29 prepubertal patients, aged more than 7 years, and treated with hGH according to the same protocol. The mean height gains during the first and second year of treatment were respectively 8.4 +/- 1.8 cm and 6.6 +/- 1.5 cm. These values are significantly higher than those obtained in the group of older children. However within 2 years of treatment the initial catch-up in height of 0.9 +/- 0.6 DS was not different. In conclusion, we did not observe a better catch up growth in children before 7 years of age than in older prepubertal children, in spite of using higher doses of hGH.

摘要

26名7岁以下特发性生长激素缺乏症儿童接受了2年的人生长激素(hGH)治疗。骨龄小于3岁,生长迟缓平均比人群均值低3.9±0.9个标准差(SD)。将结果与29名7岁以上青春期前患者的对照组进行比较,这些患者按照相同方案接受hGH治疗。治疗第一年和第二年的平均身高增长分别为8.4±1.8厘米和6.6±1.5厘米。这些数值显著高于年龄较大儿童组。然而,在治疗的2年内,初始身高追赶0.9±0.6DS并无差异。总之,尽管使用了更高剂量的hGH,但我们并未观察到7岁前儿童的追赶生长比青春期前年龄较大儿童更好。

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1
[Results of treatment with human growth hormone in children with pituitary insufficiency under 7 years of age. Study of 26 cases].[7岁以下垂体功能不全儿童使用人生长激素的治疗结果。26例研究]
Arch Fr Pediatr. 1985 Oct;42(8):671-6.
2
[Results of treatment with growth hormone. Apropos of 31 cases of pituitary insufficiency].[生长激素治疗结果。关于31例垂体功能不全病例]
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Medical Research Council of Canada therapeutic trial of human growth hormone: first 5 years of therapy.加拿大医学研究委员会人类生长激素治疗试验:治疗的前五年
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Growth increments with low dose intermittent growth hormone and fluoxymesterone in first year of therapy in hypopituitarism.垂体功能减退症治疗第一年中低剂量间歇性生长激素与氟甲睾酮的生长增量
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[Treatment with hGH. Factors influencing response in children with somatotrophic insufficiency (author's transl)].[使用人生长激素治疗。影响生长激素缺乏症儿童反应的因素(作者译)]
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Growth hormone treatment in pituitary insufficiency: selected cases of children with craniopharyngioma and medulloblastoma.垂体功能不全的生长激素治疗:颅咽管瘤和髓母细胞瘤患儿的特定病例
Rocz Akad Med Bialymst. 2003;48:28-33.

引用本文的文献

1
Possible effects of an early diagnosis and treatment in patients with growth hormone deficiency: the state of art.生长激素缺乏症患者早期诊断和治疗的可能影响:现状。
Ital J Pediatr. 2017 Sep 16;43(1):81. doi: 10.1186/s13052-017-0402-8.
2
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.