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发育医学电子杂志  2025, Vol. 13 Issue (5): 385-390    DOI: 10.3969/j.issn.2095-5340.2025.05.010
  围产医学   综述 |新生儿 |
小于胎龄儿生长激素治疗进展
王萍萍 张彦 杨素红
杭州市儿童医院 内分泌科,浙江 杭州 310014
Progress in growth hormone therapy for small for gestational age infants
Wang Pingping, Zhang Yan, Yang Suhong
 (Department of Endocrinology, Hangzhou Children's Hospital, Zhejiang, Hangzhou 310014, China)
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摘要 【摘要】 小于胎龄儿(small for gestational age,SGA)成年期发生身材矮小的概率比正常出生体质量儿高5~7 倍,且代谢性疾病风险增加。近年来,重组人生长激素(recombinant human growth hormone,rhGH)用于改善 2~4 岁追赶生长不足的 SGA 儿童身高,经过 3~7 年治疗,成年身高可改善 6.9~12.6 cm。安全性总体良好,常见的不良反应包括注射部位局部疼痛、红肿,多可自行缓解;少数患儿可能出现一过性血糖升高、甲状腺功能减退等代谢异常。
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关键词:  小于胎龄儿  重组人生长激素  追赶生长  矮小症  疗效评估  风险管控    
Abstract: 【Abstract】Children born small for gestational age infant (SGA) have a 5- to 7-fold higher risk of developing short stature in adulthood compared with those of normal birth weight. Additionally, their risk of developing metabolic diseases also increases. In recent years, recombinant human growth hormone (rhGH) has been used to increase the height of SGA children aged 2 to 4 years who exhibit insufficient catch-up growth. After 3 to 7 years of treatment, adult height can be increased by 6.9-12.6 cm. Overall, the safety profile of rhGH is favorable. Common adverse reactions include local pain and redness at the injection site, which mostly resolve spontaneously. A small proportion of children may experience transient hyperglycemia, 
hypothyroidism, and other metabolic abnormalities.
Key words:  Small for gestational age    Recombinant human growth hormone    Catch-up growth    Dwarfism    Efficacy evaluation    Risk management
收稿日期:  2025-07-30                     发布日期:  2025-10-01     
通讯作者:  杨素红    E-mail:  yjhysh1998@163.com
引用本文:    
王萍萍 张彦 杨素红. 小于胎龄儿生长激素治疗进展[J]. 发育医学电子杂志, 2025, 13(5): 385-390.
Wang Pingping, Zhang Yan, Yang Suhong. Progress in growth hormone therapy for small for gestational age infants. Journal of Developmental Medicine(Electronic Version), 2025, 13(5): 385-390.
链接本文:  
http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2025.05.010  或          http://www.fyyxzz.com/CN/Y2025/V13/I5/385
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