增长激素补充剂是否会影响特纳综合征的成年人身高?
S P Taback1, R Collu, C L Deal
1Endocrinology Services, Montréal Children's Hospital, Canada.
Lancet (London, England)
|July 6, 1996
概括
对于特纳的生长激素治疗.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 遗传学和遗传性疾病
背景情况:
- 特纳综合征是一种影响女性的遗传疾病.
- 从历史上看,生长激素 (GH) 治疗对成人身高产生了积极影响.
研究的目的:
- 为了评估复合人体生长激素 (rhGH) 对特纳综合征患者成年人身高的影响,在受控试验之外.
主要方法:
- 一项涉及31名特纳综合征患者的公开研究.
- 17名患者接受了皮下RhGH治疗;14人作为未经治疗的对照.
主要成果:
- 与预期的身高相比,接受治疗的患者的成年人身高显著更高.
- 然而,只有很小一部分 (4/17) 实现了最终高度在投射上方5厘米或更多.
- 分析被影响身高预测的患者和治疗变量所混.
结论:
- 建议在咨询患者时谨慎使用GH治疗对特纳综合征成人身高的预期益处.
- 随机对照试验是必要的,以确定GH的疗效和心理影响.
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