A retrospective study of recombinant human growth hormone in the treatment of school-aged pediatric patients with idiopathic short stature.

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-11-15 DOI:10.1097/MD.0000000000040545
Yao Chen, Yun-Hai Li, Xue-Rong Zhang
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Abstract

The present study aims to investigate the clinical efficacy of recombinant human growth hormone (r-hGH) in the treatment of school-age pediatric patients with idiopathic short stature (ISS). Pediatric patients who were diagnosed with ISS and treated with r-hGH at our hospital were enrolled as research subjects. The main outcome indicators included the serum level of insulin-like growth factor-1, insulin-like growth factor binding protein-3, baseline height standard deviation scores, and posttreatment height standard deviation scores and retrospective analysis was performed. This study complies with the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. A total of 42 pediatric patients with a diagnosis of ISS were enrolled in the present study (24 males and 18 females). Following treatment, the levels of insulin-like growth factor-1 and insulin-like growth factor binding protein-3 were significantly higher than the baseline level and the difference was statistically significant. The posttreatment height standard deviation scores was significantly higher than the baseline height standard deviation scores and the difference was statistically significant. There were no significant differences between male and female participants in height standard deviation scores, either before or following treatment. This study found that r-hGH therapy may increase height in school-age pediatric patients with ISS and is therefore worthy of clinical application.

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一项关于重组人生长激素治疗学龄儿童特发性矮身材患者的回顾性研究。
本研究旨在探讨重组人生长激素(r-hGH)治疗学龄儿童特发性矮身材(ISS)患者的临床疗效。研究对象为本院确诊为特发性矮身材并接受r-hGH治疗的儿童患者。主要结果指标包括血清中胰岛素样生长因子-1、胰岛素样生长因子结合蛋白-3、基线身高标准差评分和治疗后身高标准差评分,并进行回顾性分析。本研究符合《加强流行病学中观察性研究的报告》指南。共有 42 名确诊为 ISS 的儿科患者(男 24 名,女 18 名)参加了本研究。治疗后,胰岛素样生长因子-1和胰岛素样生长因子结合蛋白-3的水平明显高于基线水平,差异具有统计学意义。治疗后的身高标准差得分明显高于基线身高标准差得分,差异有统计学意义。无论是治疗前还是治疗后,男性和女性参与者的身高标准偏差得分均无明显差异。本研究发现,r-hGH疗法可增加学龄期儿童ISS患者的身高,因此值得临床应用。
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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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