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复幼合剂对乳房早发育患儿减重效果队列研究

赵曼曼 曹冰燕 刘美娟 王雨思 巩纯秀

中国中西医结合杂志2024,Vol.44Issue(4):419-425,7.
中国中西医结合杂志2024,Vol.44Issue(4):419-425,7.DOI:10.7661/j.cjim.20240308.043

复幼合剂对乳房早发育患儿减重效果队列研究

Cohort Study on Weight Loss Effect of Fuyou Formula in Children with Premature Breast Development

赵曼曼 1曹冰燕 2刘美娟 2王雨思 2巩纯秀2

作者信息

  • 1. 国家儿童医学中心首都医科大学附属北京儿童医院内分泌与遗传代谢科(北京 100045)||首都医科大学附属北京潞河医院儿科(北京 101100)
  • 2. 国家儿童医学中心首都医科大学附属北京儿童医院内分泌与遗传代谢科(北京 100045)
  • 折叠

摘要

Abstract

Objective To investigate the weight loss effect of Chinese medicine Fuyou Formula(FYF)in children with premature breast development.Methods A total of 202 girls of premature breast development with a follow-up time of more than 6 months were collected retrospectively.The patients were divided into a treatment group(received FYF)and a control group(did not receive medication).Totally 114 girls in the treatment group(used for more than 6 months)and 88 in the control group(not used any drug).The physical condition[including body weight,weight standard deviation score(SDS),height,body mass index(BMI)and BMI SDS]and pubertal development indicators[including luteinizing hormone(LH),follicle stimulating hormone(FSH),estradiol(E2),uterine diameter,and ovarian volume)]were observed in the two groups before and after treatment.Results Compared with baseline in the treatment group,the body weight SDS and BMI SDS of the patients decreased at 3 and 6 months of treatment(P<0.05).During the 3-6 month period of medication,the control of weight and BMI in the treatment group slowed down compared to the first 3 months of medication(P<0.05);LH,FSH,and uterine length of the treatment group gradually increased after 3 months of treatment(P<0.05);at 6 months of treatment,FSH,E2,and ovarian volume of the treatment group decreased(P<0.05),while LH,FSH,E2,uterine length,and ovarian volume of the control group gradually increased(P<0.05).Compared with the control group during the same period,the growth degrees of body weight,body weight SDS,BMI,and BMI SDS in the treatment group were all reduced(P<0.05),the uterine length and ovarian volume of the treatment group at 3 months of treatment were lower(P<0.05),and FSH,E2,uterine length,and ovarian volume of the treatment group at 6 months of treatment were lower(P<0.05).During the 6-month period of treatment,only 2 cases of mild abdominal discomfort occurred,and all the patients had no rash,poor appetite,diarrhea,etc.Liver and kidney function tests showed no abnormalities.Conclusion FYF for the treatment of precocious puberty has weight loss effect,especially in the first 3 months of medication.

关键词

复幼合剂/乳房早发育/减重/中药复方/中西医结合/队列研究

Key words

Fuyou Formula/premature breast development/weight loss/Chinese herbal compound/integrative medicine/cohort study

引用本文复制引用

赵曼曼,曹冰燕,刘美娟,王雨思,巩纯秀..复幼合剂对乳房早发育患儿减重效果队列研究[J].中国中西医结合杂志,2024,44(4):419-425,7.

中国中西医结合杂志

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