患有慢性乙型肝炎的幼儿的生长和甲状腺功能的动态变化,这些幼儿曾经接受过单一治疗,接受过干扰素治疗
Qiufeng He1, Chuangjie Mao1, Zhili Chen1
1From the Department of Hepatology, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, China.
佩吉芬α-2b (PegIFNα-2b) 可能抑制慢性乙型肝炎 (CHB) 的儿童的生长并增加甲状腺功能障碍. 这些效应通常在停止治疗后是暂时的.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
背景情况:
- 干扰素 (PegIFN) 显示出治疗慢性乙型肝炎 (CHB) 的前景.
- 评估PegIFNα-2b对儿科CHB患者的生长和甲状腺功能的影响至关重要.
研究的目的:
- 评估PegIFNα-2b单疗对患有CHB的幼儿生长参数 (WAZ,HAZ,BAZ) 和甲状腺功能的影响.
主要方法:
- 对62名CHB儿童进行回顾性研究,这些儿童接受了PegIFN α-2b治疗.
- 统计分析包括t测试和重复ANOVA来评估生长和甲状腺数据.
主要成果:
- 在以后的时间点,PegIFN α-2b治疗导致体重对年龄z分数 (WAZ),身高对年龄z分数 (HAZ) 和体重指数对年龄z分数 (BAZ) 的降低.
- 甲状腺功能障碍发生在17.7%的儿童中,但是暂时的,不会影响生长.
- 在治疗后96周,WAZ没有完全恢复到基线.
结论:
- 在小儿CHB患者中,PegIFNα-2b可以抑制生长并提高甲状腺功能障碍的风险.
- 观察到的生长抑制和甲状腺功能障碍在治疗停止后通常是可逆的.
- 建议在PegIFN α-2b治疗后进行长期生长监测,特别是WAZ.
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