Clinical Study on Different Doses of Recombinant Human Growth Hormone Combined with Small Dose of Stanozolol in the Treatment of Non-Growth Hormone Deficient Dwarfism in Children
WEI Qian, XIE Xin, WANG Yu. Clinical Study on Different Doses of Recombinant Human Growth Hormone Combined with Small Dose of Stanozolol in the Treatment of Non-Growth Hormone Deficient Dwarfism in Children[J]. 2021,21(6):654-657.
WEI Qian, XIE Xin, WANG Yu. Clinical Study on Different Doses of Recombinant Human Growth Hormone Combined with Small Dose of Stanozolol in the Treatment of Non-Growth Hormone Deficient Dwarfism in Children[J]. 2021,21(6):654-657. DOI: 10.14009/j.issn.1672-2124.2021.06.004.
OBJECTIVE: To probe into the clinical effect of different doses of recombinant human growth hormone( rh GH) combined with small dose of stanozolol in the treatment of non-growth hormone deficient dwarfism. METHODS:Totally 99 children with non-growth hormone deficient dwarfism admitted into the Affiliated Hospital of Hebei University from Jan. 2017 to Jan. 2018 were selected and divided into group A
group B and group C via random number table
with 33 cases in each group. Group A was treated with small dose of stanozolol
group B was given small dose of rhGH based on group A
while group C was given large dose of rhGH based on group A. The clinical efficacy after 1-year treatment
height( Ht) before and after treatment
growth velocity( GV)
height standard deviations( Ht SDS)
increment of bone age( ΔBA)
increment of height age( ΔHA)
ΔHA/ΔBA and incidences of adverse drug reactions were compared among three groups. RESULTS: The total effective rates of group A
group B and group C were respectively 69. 70%( 23/33)
81. 82%( 27/33) and 93. 94%( 31/33)
with statistically significant differences( P < 0. 05). After treatment
the Ht
GV and Ht SDS of three groups were significantly increased
those of group C were significantly higher than those of group B
and those of group B were significantly higher than those of group A
with statistically significant differences( P < 0. 05). After treatment
there were no statistical significance in differences in ΔBA
ΔHA and ΔHA/ΔBA among three groups( P > 0. 05). During treatment
the incidences of adverse drug reactions of group A
group B and group C were respectively 6. 06%( 2/33)
12. 12%( 4/33) and15. 15%( 5/33)
the differences among groups were not statistically significant( P > 0. 05). CONCLUSIONS: The efficacy of rhGH combined with small dose of stanozolol in the treatment of non-growth hormone deficient dwarfism in children is remarkable
which can rapidly improve the GV and height of children
and the combination of large-dose rhGH with small-dose stanozolol is more effective. rh GH does not accelerate skeletal maturation
does not affect the growth potential
and has a good therapeutic safety.
关键词
非生长激素缺乏性矮小症司坦唑醇重组人生长激素不同剂量临床疗效生长速率
Keywords
Non growth hormone deficiency dwarfismStanozololRecombinant human growth hormoneDifferent dosesClinical efficacyGrowth rate