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醋酸曲普瑞林治疗特发性中枢性性早熟女童的临床效果研究▲
Clinical study on triptorelin acetate for girls with idiopathic central precocious puberty

内科 201914卷01期 页码:16-19

作者机构:广西壮族自治区人民医院儿科,南宁市530021

基金信息:▲基金项目:广西卫计委自筹基金科研项目(Z20170313)

DOI:10.16121/j.cnki.cn45-1347/r.2019.01.05

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  • 参考文献
目的探讨醋酸曲普瑞林治疗特发性中枢性性早熟(ICPP)女童的临床效果及安全性。方法选择2003年1月至2017年10月在我院门诊就诊的ICPP女童166例为研究对象,按患儿或其家属意愿分为治疗组(88例)和对照组(78例),治疗组患儿使用醋酸曲普瑞林治疗,对照组患儿不接受药物治疗。比较两组患儿的月经初潮年龄、身高发育情况、子宫容积及左右卵巢大小。结果治疗组患儿月经初潮年龄明显大于对照组(P<0.05)。两组患儿的治疗前身高、遗传身高比较差异无统计学意义(P>0.05),治疗组患儿初潮后24个月的身高明显高于其遗传身高并且显著高于对照组患儿,对照组患儿初潮后24个月身高明显低于其遗传身高,差异有统计学意义(P<0.05)。治疗前及初潮后24个月,两组患儿的血睾酮水平比较,差异均无统计学意义(P>0.05)。治疗前,两组患儿的子宫容积、左右卵巢大小比较差异均无统计学意义(P>0.05);初潮后24个月,两组患儿的子宫容积、左右卵巢均明显大于治疗前(P<0.05),但两组患儿的子宫容积、左右卵巢大小比较差异无统计学意义(P>0.05)。结论使用醋酸曲普瑞林治疗ICPP女童能够延缓其月经初潮,促进身高发育,短期内无多囊卵巢综合征和高睾酮血症发生。
ObjectiveTo investigate the clinical efficacy and safety of triptorelin acetate for girls with idiopathic central precocious puberty (ICPP). Methods166 cases of ICPP girl who were admitted to our hospital from January 2003 to October 2017 were selected as subjects. According to the wishes of the girls or their families, they were divided into the treatment group (88 cases) and the control group (78 cases). The girls in the treatment group were treated with triptorelin acetate, and the girls in the control group were not treated with drugs. The menarche age, height development, uterine volume and left and right ovarian size were compared between the two groups. ResultsThe menarche age in the treatment group was significantly higher than that in the control group (P<0.05). There were no significant differences in pre-treatment height and hereditary height between the two groups (P>0.05). The height of the treatment group was significantly higher than their hereditary height at 24 months after menarche and was significantly higher than that of the control group. The height of the control group was significantly lower than their hereditary height at 24 months after menarche. The difference was statistically significant (P<0.05). There were no significant differences in blood testosterone levels between the two groups before treatment and 24 months after menarche (P>0.05). There were no significant differences in uterine volume and left and right ovary size between the two groups before treatment,(P>0.05). The uterine volume and left and right ovaries of the two groups were significantly greater than before treatment at 24 months after menarche (P<0.05), but there were no significant differences in uterine volume and left and right ovarian size between the two groups (P>0.05). ConclusionTriptoril acetate treatment of ICPP girls can delay menarche and promote height development. In the short term, no polycystic ovary syndrome and high testosteroneemia occur.

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