摘要
用奥曲肽(sandostatin)治疗5例活动性肢端肥大症,疗程6个月.奥曲肽剂量450~1500μg/日,分次皮下注射。治疗后头痛、软组织肿胀等症状明显减轻。4例病人血清GH水平平均下降50%以上,1例无下降。4例垂体瘤体积稍缩小。治疗后糖尿病好转1例,1例出现糖耐量异常。另1例出现胆囊结石,停药1年后随诊,胆结石消失。结果提示奥曲肽能有效地降低血清GH水平,改善临床症状。对药物的副作用应作进一步观察。
Five patients with active
acromegaly were treated with Octreotide(sandostatin)for 6 months. The dosage of Octreolide
was450 μg to 1500 μg daily and it was given subcutaneouly every 8 hours. After treatment
the symptoms of headache and soft tissue swelling were improved.The mean serum GH level
was reduced by more than 50% in 4 patients and remained unchanged in 1.Slight shrinkage of
the pituitary GH-secreting tumor was found in 4 patients. Diabetes was improved in 1
patients,while glucose in-tolerancc occurred in 1 case. One patient developed gallbladder
stone during treatment.but it disappeared spontaneously 1 year af-ter withdrawing Octreotide.
The results suggest that Octreotide might be effective in reduction of serum GH, but the side
effects ofthe drug should be studied further.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
1995年第2期79-82,共4页
Chinese Journal of Endocrinology and Metabolism