重组人生长激素治疗肾病综合征合并生长障碍的临床疗效观察

    Clinical efficacy of recombinant human growth hormone in the treatment of nephrotic syndrome complicated with growth disorder

    • 摘要:
      目的 观察重组人生长激素治疗儿童肾病综合征生长障碍的临床疗效。
      方法 选取40例肾病综合征合并生长障碍患儿作为研究对象,根据不同治疗方案,分为观察组(n = 13)和对照组(n = 27)。2组患儿均常规口服泼尼松片治疗,观察组在常规治疗的基础上,每晚睡前给予重组人生长激素0.15 IU/kg皮下注射,疗程12个月,比较2组患儿的临床疗效。
      结果 观察组和对照组治疗后的身高标准差积分(HtSDS)、胰岛素样血清生长因子1(IGF–1)、胰岛素样生长因子结合蛋白3(IGFBP–3)均高于治疗前(P<0.05);治疗后观察组HtSDS、生长速率(GV)、IGF–1、IGFBP–3均高于对照组(P<0.05 ~ P<0.01)。2组不良反应发生率差异无统计学意义(P>0.05)。
      结论 重组人生长激素可安全有效地改善肾病综合征合并生长障碍儿童的生长发育情况。

       

      Abstract:
      Objective To observe the clinical efficacy of recombinant human growth hormone in the treatment of growth disorders in children with nephrotic syndrome.
      Methods 40 children with nephrotic syndrome complicated with growth disorders were selected as the research subjects. According to different treatment plans, they were divided into an observation group (n=13) and a control group (n=27). Both groups of children were treated with routine oral prednisone tablets. The observation group received subcutaneous injection of recombinant human growth hormone at 0.15 IU/kg every night before bedtime for 12 months in addition to routine treatment. The clinical efficacy of the two groups of children was compared.
      Results The height standard deviation score (HtSDS), insulin-like serum growth factor 1 (IGF-1), and insulin-like growth factor binding protein 3 (IGFBP-3) of the observation group and control group after treatment were all higher than before treatment (P<0.05); After treatment, the observation group showed higher levels of HtSDS, growth rate (GV), IGF-1, and IGFBP-3 than the control group (P<0.05 ~ P<0.01). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05).
      Conclusions Recombinant human growth hormone can safely and effectively improve the growth and development of children with nephrotic syndrome complicated with growth disorders.

       

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