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采用GHRH_(1-29)每日60μg/kg、30μg/kg微泵腹部皮下持续输注,和GH每日0.1U/kg皮下注射治疗特发性下丘脑性GH缺乏性株儒症各20例,治疗时间6个月,比较对生长速率的影响。结果表明:3组生长速率均有明显加速,分别为9.1±2.9cm/年、8.5±2.9cm/年和13.8±3.0cm/年。前3个月治疗效果优于后3个月。GHRH治疗2组,治疗初3个月IGF-1浓度持续升高,6个月时恢复到基值,而GH治疗组,治疗6个月时IGF-1仍呈持续上升。GHRH血浓度随治疗时间延长呈持续上升。GHRH激发试验,GHRH治疗前、后6个月时,GH峰值后者明显大于治疗前基值。最后对上述现象进行了讨论。
Adopting GHRH (1-29) daily 60μg / kg, 30μg / kg micro pump subcutaneous continuous infusion, and GH daily 0.1U / kg subcutaneous injection treatment of idiopathic hypothalamic GH deficiency 20% For example, the treatment time of 6 months, compare the impact on growth rate. The results showed that the growth rates of three groups were significantly accelerated, 9.1 ± 2.9cm / year, 8.5 ± 2.9cm / year and 13.8 ± 3.0cm / year respectively. The first 3 months of treatment is better than after 3 months. GHRH treatment group 2, IGF-1 concentration continued to rise in the first 3 months of treatment, returned to the baseline value at 6 months, GH treatment group, IGF-1 still continued to rise at 6 months of treatment. GHRH blood concentration continued to rise with the treatment time. GHRH provocation test, GHRH treatment before and 6 months after the peak GH was significantly greater than the baseline before treatment. Finally, the above phenomenon was discussed.