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促性腺激素释放激素类似物(曲普瑞林)治疗女童特发性中枢性性早熟23例疗效观察
引用本文:张莉,刘正娟,王玉川,白雪梅,赵永鑫. 促性腺激素释放激素类似物(曲普瑞林)治疗女童特发性中枢性性早熟23例疗效观察[J]. 中国医学文摘(儿科学), 2011, 0(2)
作者姓名:张莉  刘正娟  王玉川  白雪梅  赵永鑫
作者单位:大连医科大学附属第二医院儿科;
摘    要:目的观察促性腺激素释放激素类似物(曲普瑞林)治疗女童特发性中枢性性早熟(ICPP)的临床疗效。方法应用曲普瑞林治疗23例ICPP女童6个月,观察治疗前后第二性征、子宫、卵巢、骨龄(BA)、血清雌二醇(E2)、促性腺激素释放激素(GnRH)激发试验激素水平、预测成人终身高的变化及药物副反应。结果治疗后患儿乳房、子宫、卵巢体积均有缩小,E2、促黄体生成激素(LH)、卵泡刺激素(FSH)峰值均显著降低,骨龄成熟延迟,骨龄/实际生活年龄(BA/CA)值下降,预测成人终身高治疗前为(155.5±0.81)cm,治疗后为(157.0±0.81)cm,较治疗前有改善,差异具有统计学意义(P<0.01)。结论曲普瑞林治疗ICPP能够抑制性腺轴及性腺发育,延缓BA成熟,最终对改善成人终身高有意义。

关 键 词:性早熟  促性腺素释放激素  曲普瑞林/治疗应用  儿童  

Effects of treatment with the GnRH analognes(triptorelin) on girls with idiopathic central precocious puberty
ZHANG Li,LIU Zheng-juan,WANG Yu-chuan,et al.. Effects of treatment with the GnRH analognes(triptorelin) on girls with idiopathic central precocious puberty[J]. Chinese Medical Digest(Pediatrics), 2011, 0(2)
Authors:ZHANG Li  LIU Zheng-juan  WANG Yu-chuan  et al.
Affiliation:ZHANG Li,LIU Zheng-juan,WANG Yu-chuan,et al.Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China
Abstract:Objectice To evaluate the effects of the GnRH analognes(triptorelin)on 23 girls with idiopathic central precocious puberty(ICPP).Methods Totally 23 girls with ICPP received triptorelin therapy for 6 months;before and after the treatment,observe the change of secondary sexual characteristics,volume of the ovary and uterus,bone age,serum level of E2,hormone level of the GnRH stimulating test,and the drug side effects.Results After 6 months of treatment with triptorelin,the size of breast,uterus and ovary was ...
Keywords:Sexual maturation  GnRH  Triptorelin  Children  
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