波兰矮身儿童缺乏或正常的生长激素分泌:寻找临床差异
Katarzyna Anna Majewska1, Magdalena Tchorzewska-Skrobich1, Paulina Wais1
1Department of Pediatric Diabetes, Auxology and Obesity, Poznan University of Medical Sciences, 60-572 Poznan, Poland.
Biomedicines
|August 29, 2024
概括
波兰矮身儿童的临床特征显示,生长激素缺乏症 (GHD) 和正常生长激素分泌 (GHN) 的儿童之间没有显著差异. 这表明10 ng/mL的切割值可能与诊断不相关.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 儿童健康 儿童健康
背景情况:
- 矮身影响2.5%的儿童,生长激素缺乏症 (GHD) 有时可以用复合人体生长激素 (rhGH) 治疗.
- 对于GHD的诊断标准可能存在争议,需要进一步的数据来改进建议.
研究的目的:
- 分析波兰矮身儿童的临床特征.
- 评估当前GHD诊断标准的相关性,使用10 ng/mL峰值生长激素 (GH) 切断值.
主要方法:
- 对277名矮身儿童进行了回顾性分析.
- 分为GHD (峰值GH<10 ng/mL) 和正常GH分泌 (GHN) 的子组.
- 临床数据的比较,包括性别,出生体重,骨龄,身高SDS,IGF-1SDS,维生素D,乳指数,甲状腺功能低下和贫血.
主要成果:
- 在所有分析的临床变量中,GHD和GHN子组之间没有发现显著差异.
- 关键参数如性别,出生体重,骨龄延迟,身高SDS,IGF-1SDS和并发症患病率没有区别.
结论:
- 这些发现表明,根据10 ng/mL截止值,被诊断患有GHD的儿童和正常GH分泌的儿童之间存在实质性的临床重叠.
- 使用这种特定的切断值区分GHD和GHN的临床相关性似乎值得怀疑.
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