持续增长激素缺乏和对最终身高的影响的预测因素
Flavia Urbano1, Mariangela Chiarito1, Luigi Antonio Moscogiuri1
1Pediatric Hospital "Giovanni XXIII", 70126 Bari, Italy.
Children (Basel, Switzerland)
|March 28, 2025
概括
复合人体生长激素 (rhGH) 治疗的第一年生长率是持续生长激素缺乏症 (GHD) 和儿童治疗疗效的关键预测因素. 诊断时的女性性别和下骨年龄也表明更好的rhGH治疗结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 增长激素治疗疗法 增长激素治疗
- 儿童发作的疾病 儿童发作的疾病
背景情况:
- 儿童发病的生长激素缺乏症 (GHD) 需要在过渡阶段进行仔细管理.
- 重组人体生长激素 (rhGH) 治疗对于治疗持续性GHD至关重要.
- 确定持续性GHD和rhGH疗效的预测因素对于优化治疗至关重要.
研究的目的:
- 为了确定儿童持续性GHD的预测因子.
- 为了将这些预测因素与身高增长和父母中等身高 (MPH) 成绩相关联.
- 评估rhGH治疗在儿童发病的GHD中的疗效.
主要方法:
- 从GHD患者的人类学数据,骨年龄 (BA),IGF-1 SDS和GH峰值的回顾性分析.
- 在RhGH治疗期间,包括第一年,评估生长速度.
- 在诊断时收集了大脑MRI和最终高度 (FH) 数据.
主要成果:
- 在40.7%的受试者中观察到持久的GHD.
- 在RhGH治疗的第一年,生长率是持续GHD的显著预测指标.
- 女性性别与持续的GHD负面相关,而生长速度和发病时的年龄对身高增加产生了积极的影响.
结论:
- 在RhGH治疗期间的第一年生长率是持续GHD的主要预测因素.
- 一年生长率,女性性别和诊断时的下骨年龄预测了rhGH对增高和MPH的有效性.
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