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肾病综合征患儿生长及相关因素探讨 被引量:1

Analysis of growth and related factors with nephrotic syndrome
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摘要 目的 探讨肾病综合征 (NS)患儿生长迟缓及相关因素。方法 对 3 3例肾病综合征患儿计算身高标准差积分 ,对患儿血钙、骨碱性磷酸酶 (BALP)、2 5 羟维生素D3[2 5 (OH)D3]、生长激素 (GH)、甲状旁腺素 (PTH)水平进行测定。结果 NS患儿血钙偏低 (P <0 .0 1 ) ,GH、2 5 (OH)D3较对照低 (P均<0 .0 5 ) ,PTH、BALP水平较对照组高 (P均 <0 .0 1 )。患儿的身高标准差积分 (HtSDS)降低。且与病程长短 ,激素累积使用量成密切相关。 Objective To study the growth obstruction and related factors in children with nephrotic syndrome (NS).Methods In 33 children with NS,HtSOS was calculated;the concentration of serum calcium,BALP,25(OH)D 3,PTH,GH were measured.Results Serum calcium levels were significantly lower (P<0.01);concentration of serum HG and 25(OH)D 3 significantly decreased (P<0.05,P<0.01);concentration of serum BALP and PHT markedly increased (P<0.01).HtSDS of patients decreased,which was closely related to the duration of disease and hormone accummulated dosage.Conclusion There were dysfunctions of the calcium and endocrine metabolism in children with nephrotic syndrome,which obstructed the children's growth.
出处 《河北医药》 CAS 2001年第11期816-817,共2页 Hebei Medical Journal
关键词 肾病综合征 生长迟缓 相关因素 儿童 糖皮质激素 治疗 nephrotic syndrome growth obstruction related factors
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参考文献5

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同被引文献8

  • 1Trompeter R S,Lloyd B W,Hicks J,et al.Long-term outcome for children with minimal-change nephrotic syndrome[J].Lancet,1985,1 (8425):368-370.
  • 2Emma F,Seato A,Rizzoni G.Long-term linear growth of children with severe steroid-responsive nephrotic syndrome[J].Pediatr Nephrol,2003,18(8):783-788.
  • 3Dong F,Ren J.Insulin-like growth factors(IGFs) and IGF-binding proteins in nephrotic syndrome children on glucocorticoid[J].Pharmacol Res,2003,48(4):319-323.
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  • 6中华医学会儿科学分会肾脏病学组,姚勇,杨霁云,陈述枚,丁洁.小儿肾小球疾病的临床分类、诊断及治疗[J].中华儿科杂志,2001,39(12):746-749. 被引量:1543
  • 7张纪芸,黄晓燕,杨剑辉,李宏向,许波,孙念政,郑楠,曾艳霞.肾病综合征患儿的生长激素-胰岛素样生长因子轴的紊乱及意义[J].中华内分泌代谢杂志,2002,18(4):310-311. 被引量:2
  • 8李凯红,郑燕,翟奇,陈茂余.原发性肾病综合征对儿童生长发育的影响[J].中国误诊学杂志,2003,3(8):1204-1205. 被引量:5

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