在生长激素刺激测试上进行性类固醇原始化:一个范围审查
Ignazio Cammisa1, Donato Rigante1,2, Giorgio Sodero3,4
1Department of Life Sciences and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Children (Basel, Switzerland)
|October 29, 2025
概括
性类固醇启动可以提高生长激素刺激测试 (GHSTs) 在诊断儿童生长激素缺乏症 (GHD) 的准确性. 然而,需要标准化的协议来优化其诊断潜力.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 生殖内分泌学 生殖内分泌学
背景情况:
- 增长激素 (GH) 的分泌受性类固醇的影响,特别是在青春期.
- 在刺激测试期间,在低性类固醇的儿童中,可能会发生GH反应.
研究的目的:
- 评估性类固醇化剂在增强GH分泌中的作用在GHST期间.
- 评估其对儿科生长激素缺乏症 (GHD) 诊断准确性的影响.
主要方法:
- 医学文献的系统审查.
- 通过PubMed通过严格的资格标准进行搜索.
- 分析了1969年至2022年间发表的17项研究 (1097名参与者).
主要成果:
- 大多数研究表明,在性类固醇初始化后,GH峰值水平增加.
- 原始化减少了GHD的错误阳性诊断.
- 观察到原始化方案 (激素类型,剂量,施用) 的显著变化.
- 一些研究在真正的GHD病例中没有发现任何益处.
结论:
- 性类固醇原始化似乎可以增强GHST对GHD的特异性,而不会对生长产生不良影响.
- 目前缺乏对外性性类固醇的标准化指导方针.
- 需要进一步的前性研究来确定其诊断效用.
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