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服用匹莫林的多动症儿童生长发育受损。

Impaired growth in hyperkinetic children receiving pemoline.

作者信息

Dickinson L C, Lee J, Ringdahl I C, Schedewie H K, Kilgore B S, Elders M J

出版信息

J Pediatr. 1979 Apr;94(4):538-41. doi: 10.1016/s0022-3476(79)80006-2.

DOI:10.1016/s0022-3476(79)80006-2
PMID:430289
Abstract

Decreased longitudinal growth was observed in 24 hyperkinetic children receiving pemoline therapy. Mean height velocity was 3.67 +/- 0.25 cm/year during therapy but 5.35 +/- 0.42 cm/year after treatment had been discontinued (P less than 0.01). There appeared to be an inverse relationship between growth velocity and drug dosage. All patients receiving less than the median dose of 3.72 mg/kg grew 4 cm/year or more, while seven of 12 patients receiving more than this dose grew at a slower rate. Body weight, basal and stimulated growth hormone values, and plasma somatomedin concentrations were not significantly altered by pemoline treatment, suggesting that this drug may have a direct effect on cartilage metabolism.

摘要

在接受匹莫林治疗的24名多动症儿童中观察到纵向生长减缓。治疗期间平均身高增长速度为3.67±0.25厘米/年,但停药后为5.35±0.42厘米/年(P<0.01)。生长速度与药物剂量之间似乎存在反比关系。所有接受低于中位数剂量3.72毫克/千克的患者每年生长4厘米或更多,而接受超过此剂量的12名患者中有7名生长速度较慢。匹莫林治疗对体重、基础和刺激后的生长激素值以及血浆生长调节素浓度没有显著影响,表明该药物可能对软骨代谢有直接作用。

相似文献

1
Impaired growth in hyperkinetic children receiving pemoline.服用匹莫林的多动症儿童生长发育受损。
J Pediatr. 1979 Apr;94(4):538-41. doi: 10.1016/s0022-3476(79)80006-2.
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The effects of stimulant medication on the growth of hyperkinetic children.
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Effect on growth in pemoline-treated children with attention deficit disorder.匹莫林治疗儿童注意力缺陷障碍对生长的影响。
Am J Dis Child. 1981 Apr;135(4):329-32. doi: 10.1001/archpedi.1981.02130280019007.
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Growth disturbances in hyperkinetic children.
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Growth in children with acute lymphocytic leukemia: a Pediatric Oncology Group study.
Med Pediatr Oncol. 1983;11(1):39-45. doi: 10.1002/mpo.2950110109.
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Clinical EEG studies of short and long term stimulant drug therapy of hyperkinetic children.多动症儿童短期和长期兴奋剂药物治疗的临床脑电图研究。
Clin Electroencephalogr. 1978 Oct;9(4):186-94. doi: 10.1177/155005947800900405.
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Human growth hormone treatment of children with growth failure and normal growth hormone levels by immunoassay: lack of correlation with somatomedin generation.采用免疫分析法对生长发育迟缓但生长激素水平正常的儿童进行人生长激素治疗:与生长调节素生成缺乏相关性。
Pediatrics. 1983 Mar;71(3):324-7.
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Response to growth hormone in attention deficit hyperactivity disorder: effects of methylphenidate and pemoline therapy.注意缺陷多动障碍对生长激素的反应:哌甲酯和匹莫林治疗的影响
Pediatrics. 1998 Aug;102(2 Pt 3):497-500.

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