Response to growth hormone in children with chondrodysplasia.

Response to growth hormone in children with chondrodysplasia.
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软骨发育不良儿童对生长激素的反应。

DOI:
10.1016/s0022-3476(96)70004-5
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发表时间:
1996
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Gross,AJ
Gross,AJ
中科院分区:
--
文献类型:
--
作者:
KeyJr,LL;Gross,AJ

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理论上存在这样的担忧,即患有软骨发育不良的儿童不会对生长激素(GH)治疗做出反应,因为异常生长的软骨无法做出反应。然而,迄今为止的经验表明,生长速度有所增加,特别是在治疗的第一年,这可能是有益的。在生长激素治疗的早期阶段,软骨发育不全患者和软骨发育不良患者的生长都有所增加。在国家合作生长研究中,14例软骨发育不全患者接受平均剂量为0.306 mg/kg/周的GH治疗,平均治疗2.1年,身高平均增加0.3 SD。在国家合作生长研究中,20例软骨发育不良患者接受平均剂量为0.317 mg/kg/周的GH治疗,平均治疗2.6年,身高平均增加0.7 SD。这些数据表明,软骨发育不良患者的异常生长软骨对GH治疗有反应。根据现有数据无法预测对最终身高的影响。(J PEDIATR 1996;128:S14-7)
Theoretic concerns exist that children with chondrodysplasia will not grow in response to growth hormone (GH) therapy because of an inability of the abnormal growth cartilage to respond. Experience to date, however, suggests that there is an increase in growth velocity, especially during the first year of treatment, which may be beneficial. Growth has increased during the early phases of GH therapy in both patients with achondroplasia and patients with hypochondroplasia. Fourteen patients with achondroplasia in the National Cooperative Growth Study have been treated with an average dose of GH of 0.306 mg/kg per week for an average of 2.1 years and have gained an average of 0.3 SD in height. Twenty patients with hypochondroplasia in the National Cooperative Growth Study have been treated with an average dose of GH of 0.317 mg/kg per week for an average of 2.6 years and have gained an average of 0.7 SD in height. These data suggest that the abnormal growth cartilage in patients with chondrodysplasia responds to GH therapy. The effect on final height cannot be predicted with the currently available data. (J PEDIATR 1996;128:S14-7)
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