{"id":471,"date":"2021-09-15T00:30:00","date_gmt":"2021-09-14T16:30:00","guid":{"rendered":"https:\/\/tpcha.tw\/?p=471"},"modified":"2026-02-22T13:46:33","modified_gmt":"2026-02-22T05:46:33","slug":"%e5%8f%b0%e7%81%a3%e5%b0%8f%e5%85%92%e5%85%a7%e5%88%86%e6%b3%8c%e5%b0%88%e5%ae%b6%e6%9c%83%e8%ad%b0-%e7%94%9f%e9%95%b7%e6%bf%80%e7%b4%a0%e7%99%82%e7%a8%8b%e5%84%aa%e5%8c%96","status":"publish","type":"post","link":"https:\/\/tpcha.tw\/?p=471","title":{"rendered":"\u53f0\u7063\u5c0f\u5152\u5167\u5206\u6ccc\u5c08\u5bb6\u6703\u8b70&#8211;\u751f\u9577\u6fc0\u7d20\u7642\u7a0b\u512a\u5316"},"content":{"rendered":"\n<p>\u672c\u6703\u65bc 110 \u5e74 9 \u6708 12 \u65e5\u8209\u8fa6\u300c\u53f0\u7063\u5c0f\u5152\u65b0\u9673\u4ee3\u8b1d\u5167\u5206\u6ccc\u751f\u9577\u6fc0\u7d20\u6cbb\u7642\u5c08\u5bb6\u6703\u8b70\u300d\uff0c\u9080\u8acb\u5c0f\u5152\u65b0\u9673\u4ee3\u8b1d\u5167\u5206\u6ccc\u5c08\u79d1\u91ab\u5e2b\u91dd\u5c0d\u751f\u9577\u6fc0\u7d20\u6cbb\u7642\u5167\u5bb9\u8207\u7642\u7a0b\u9032\u884c\u7814\u8a0e<\/p>\n\n\n\n<p><span class=\"has-inline-color has-pale-pink-color\"><strong>\u80cc\u666f\uff1a\u53f0\u7063<\/strong><\/span><\/p>\n\n\n\n<p>\u76ee\u524d\u5c0f\u5152\u8eab\u6750\u77ee\u5c0f\u554f\u984c\uff0c\u5728 GHD (Growth Hormone Deficiency) \u5df2\u6709\u660e\u78ba\u5065\u4fdd\u898f\u7bc4\u3002\u4e8b\u5be6\u4e0a\uff0c\u5c08\u79d1\u91ab\u5e2b\u5011\u5728\u81e8\u5e8a\u4e0a\u9047\u5230\u70ba\u6578\u4e0d\u5c11\u7684 ISS (Idiopathic Short Stature) \u60a3\u8005\uff0c\u7136\u800c\uff0c\u91dd\u5c0d ISS\u4ecd\u672a\u6709\u660e\u78ba\u5171\u8b58\u30022020 \u5e74\u5e95\uff0c\u53f0\u7063\u7cbe\u6e96\u5152\u7ae5\u5065\u5eb7\u5354\u6703 (TPCHA) \u5728\u5168\u53f0\u9032\u884c\u521d\u6b65\u8a2a\u8ac7\uff0c\u8a2a\u8ac7\u5c0d\u8c61\u6a6b\u8de8\u5317\u4e2d\u5357\u5171\u6709 14 \u4f4d\u8cc7\u6df1\u81e8\u5e8a\u91ab\u5e2b\u3002\u4ee5\u671f\u4e86\u89e3\u91ab\u5e2b\u5011\u5c0d\u65bc ISS \u5728\u55ae\u7528\u751f\u9577\u6fc0\u7d20 (GH) \u6cbb\u7642\u4e0b\uff0c\u6cbb\u7642\u65b9\u5f0f\u3001\u8abf\u6574\u5291\u91cf\u548c\u7642\u6548\u53cd\u61c9\u7684\u770b\u6cd5\u30022021\u5e74 9 \u6708\uff0cTPCHA \u65bc\u53f0\u4e2d\u53ec\u958b\u5c08\u5bb6\u6703\u8b70\uff0c\u5c07\u9019\u4efd\u8a2a\u8ac7\u7d50\u679c\u53ca\u570b\u5916\u6cbb\u7642\u6307\u5f15*\u5206\u4eab\u7d66\u8207\u6703\u91ab\u5e2b\uff0c\u91dd\u5c0d\u53ca\u65e9\u6cbb\u7642\u7684\u6642\u9593\u8207\u689d\u4ef6\u3001\u8d77\u59cb\u6cbb\u7642\u5291\u91cf\u3001\u6cbb\u7642\u5b8c\u6210\u6642\u9593\u3001\u7642\u6548\u53cd\u61c9\u5b9a\u7fa9\u3001\u5291\u91cf\u8abf\u6574\u8a0e\u8ad6\uff0c\u4e26\u900f\u904e 1 \u2013 10 \u5206 (\u5206\u6578\u8d8a\u9ad8\uff0c\u5171\u8b58\u5ea6\u8d8a\u597d) \u6295\u7968\u91cf\u5316\u5171\u8b58\u5ea6\uff0c\u5fb5\u8a62\u5728\u5834\u5c08\u5bb6\u7684\u770b\u6cd5\uff0c\u671f\u5f85\u70ba\u5c07\u4f86\u53f0\u7063 ISS \u6cbb\u7642\u65b9\u91dd\u51dd\u805a\u5171\u8b58\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-pale-pink-color\">\u80cc\u666f\uff1a\u570b\u969b<\/span><\/strong><\/p>\n\n\n\n<p>ISS \u7684\u81e8\u5e8a\u8a3a\u65b7\u5fc5\u9808\u6392\u9664\u6240\u6709\u5176\u4ed6\u53ef\u80fd\u9020\u6210\u8eab\u6750\u77ee\u5c0f\u7684\u554f\u984c\u3002\u6587\u737b\u6307\u51fa\u5c07\u8fd1 60 \u2013 80 % \u7684\u8eab\u6750\u77ee\u5c0f\u60a3\u8005\u88ab\u6b78\u985e\u65bc ISS \u4e2d\u3002\u5168\u7403\u50c5\u5c11\u6578\u570b\u5bb6\u6709\u6b64\u9069\u61c9\u75c7\uff0c\u4f8b\u5982\u7f8e\u570b\u8207\u97d3\u570b\u3002ISS\u6cbb\u7642\u53ef\u5f9e 5 \u6b72\u958b\u59cb\uff0c\u8d77\u59cb\u6cbb\u7642\u4e3b\u8981\u4f9d\u64da\u4ee5\u4e0b\u4e09\u500b\u689d\u4ef6\uff1a<\/p>\n\n\n\n<p>(1) \u9aa8\u9f61\u76f8\u5c0d\u5be6\u969b\u5e74\u9f61\u5728 2 SD (standard deviation) \u5167<br>(2) \u8eab\u9ad8\u5c0f\u65bc2.25 SDS (standard deviation score)<br>(3) \u9aa8\u677f\u4ecd\u6709\u6210\u9577\u7a7a\u9593<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e00\u3001\u98f2\u98df\u8207\u751f\u6d3b\u7fd2\u6163<\/span><\/strong><\/p>\n\n\n\n<p>\u5927\u591a\u6578\u91ab\u5e2b\u7686\u8868\u793a\uff0c\u8ffd\u8e64\u60a3\u8005\u534a\u5e74\u7684\u98f2\u98df\u3001\u751f\u6d3b\u7fd2\u6163\u53ca\u7761\u7720 (\u4e00\u822c\u5efa\u8b70\u65bc9-10\u9ede\u524d\u5165\u7761)\uff0c\u662f\u9032\u5165\u6cbb\u7642\u524d\u7684\u5fc5\u8981\u689d\u4ef6\u3002\u8207\u6703\u91ab\u5e2b\u63d0\u53ca\uff0c\u6210\u9577\u72c0\u6cc1\u662f\u7531\u7a2e\u7a2e\u56e0\u7d20\u9020\u6210\u3002\u56e0\u6b64\u76e1\u53ef\u80fd\u8490\u96c6\u81e8\u5e8a\u6578\u64da\uff0c\u5c0d\u65bc\u81e8\u5e8a\u5224\u65b7\u5f88\u6709\u5e6b\u52a9\u3002\u4f8b\u5982\u4f7f\u7528\u6578\u4f4d\u91ab\u7642\u8a2d\u5099 (inBody) \u5206\u6790\u8eab\u9ad4\u7d44\u6210\uff0c\u4e86\u89e3\u5b69\u7ae5\u662f\u5426\u5b58\u5728\u71df\u990a\u4e0d\u5747\u8861\u7b49\u554f\u984c\u3002\u53f0\u7063\u73fe\u884c\u6cbb\u7642\u6307\u5f15\u4ee5\u751f\u9577\u901f\u7387 &lt; 4 cm\/year \u70ba\u6cbb\u7642\u9580\u6abb\uff0c\u91ab\u5e2b\u5011\u8a8d\u70ba\u6bcf\u500b\u5c0f\u5b69\u7684\u751f\u9577\u901f\u7387\u4e0d\u4e00\u6a23\uff0c\u4ee5\u6b64\u70ba\u6a19\u6e96\u96e3\u514d\u72f9\u9698\uff0c\u61c9\u540c\u6642\u8207\u60a3\u8005\u904e\u53bb\u7684\u8eab\u9ad8\u751f\u9577\u901f\u7387\u505a\u6bd4\u8f03\uff0c\u8f03\u70ba\u9069\u7576\u3002\u82e5\u5728\u8ffd\u8e64\u671f\u9593\uff0c\u767c\u73fe\u8eab\u9ad8\u767c\u5c55\u6c92\u6709\u9054\u5230\u8a72\u5e74\u9f61\u61c9\u6709\u7684\u6210\u9577\u7387\uff0c\u91ab\u5e2b\u6703\u8003\u616e\u9032\u4e00\u6b65\u6cbb\u7642\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e8c\u3001\u53ca\u65e9\u6cbb\u7642 \u2013 \u512a\u5316\u6cbb\u7642\u6548\u76ca<\/span><\/strong><\/p>\n\n\n\n<p>\u53ca\u65e9\u6cbb\u7642\u662f\u6240\u6709\u5c08\u5bb6\u7686\u540c\u610f\u7684\u95dc\u9375\u3002\u76ee\u524d\u53f0\u7063\u5b78\u9f61\u5152\u7ae5\uff0c\u5927\u591a\u7d93\u7531\u5b78\u6821\u7be9\u6aa2\uff0c\u767c\u73fe\u6210\u9577\u4e0d\u8db3\u7684\u554f\u984c\uff1b\u751f\u9577\u66f2\u7dda &lt; 3 percentile \u6216\u751f\u9577\u901f\u7387 &lt; 4 cm\/year \u7684\u5b78\u7ae5\u6703\u62ff\u5230\u901a\u77e5\u55ae\uff0c\u63d0\u9192\u7236\u6bcd\u9808\u5e36\u5b69\u5b50\u5c31\u8a3a\u3002\u81e8\u5e8a\u4e0a\u4ea6\u4e0d\u4e4f\u4e3b\u52d5\u5c31\u8a3a\u7684\u6848\u4f8b\uff1b\u5b78\u9f61\u524d 2 \u2013 3 \u6b72\u5de6\u53f3\u7684\u5b69\u5b50\u7531\u7236\u6bcd\u5e36\u81f3\u91ab\u9662\u6aa2\u67e5\uff0c\u78ba\u5be6\u4e5f\u53ef\u4ee5\u767c\u73fe\u4e00\u4e9b\u771f\u7684\u9700\u8981\u63a5\u53d7\u6cbb\u7642\u7684\u60a3\u8005\u3002<\/p>\n\n\n\n<p>\u7814\u7a76\u6307\u51fa\uff0c\u6cbb\u7642\u6642\u9593\u5ef6\u9072\uff0c\u76f8\u5c0d\u9810\u671f\u7642\u6548\u4fbf\u4e0d\u7406\u60f3\u3002\u6cbb\u7642\u8d77\u59cb\u6642\u9593 (\u9752\u6625\u671f\u524d\u958b\u59cb\u6cbb\u7642)\u3001\u60a3\u8005\u8eab\u9ad8\u3001\u907a\u50b3\u8eab\u9ad8 (mid-parental height, MPH) \u53ca\u751f\u9577\u901f\u7387\u90fd\u5f88\u91cd\u8981\uff0c\u5c24\u5176\u7b2c\u4e00\u5e74\u6cbb\u7642\u6548\u679c\u597d\uff0c\u5c0d\u65bc\u672a\u4f86\u8eab\u9ad8\u6539\u5584\u66f4\u662f\u95dc\u9375\u3002\u9752\u6625\u671f\u524d\u958b\u59cb\u6cbb\u7642\u4e5f\u5f88\u91cd\u8981\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e09\u3001\u53ca\u65e9\u6cbb\u7642\u6642\u9593\u8207\u689d\u4ef6\u8a0e\u8ad6<\/span><\/strong><\/p>\n\n\n\n<p>\u95dc\u65bc ISS \u60a3\u8005\u5728\u4ec0\u9ebc\u689d\u4ef6\u4e0b\uff0c\u61c9\u5efa\u8b70\u7a4d\u6975\u6cbb\u7642\u7684\u8a0e\u8ad6\uff0c\u8207\u6703\u5c08\u5bb6\u5c31\u4ee5\u4e0b\u56db\u500b\u53c3\u8003\u9ede\u8a0e\u8ad6\uff1a<\/p>\n\n\n\n<p>(1) The relationship between bone age and chronological age<br>(2) Current height<br>(3) Growth velocity (cm\/year)<br>(4) Predicted adult height<\/p>\n\n\n\n<p>\u591a\u6578\u8207\u6703\u5c08\u5bb6\u63d0\u53ca\uff0c\u5c0d\u65bc ISS \u60a3\u8005\uff0c\u6703\u5148\u4ee5\u907a\u50b3\u8eab\u9ad8\u3001\u9810\u6e2c\u8eab\u9ad8 (predicted adult height)\u3001\u5bb6\u9577\u8207\u5b69\u7ae5\u5c0d\u6210\u9577\u7684\u671f\u5f85\uff0c\u540c\u6642\u6e9d\u901a\u751f\u6d3b\u53ca\u98f2\u98df\u7fd2\u6163 (lifestyle modification) \uff0c\u518d\u91dd\u5c0d\u9aa8\u9f61\u548c\u7576\u4e0b\u8eab\u9ad8(current height) \u8207\u5bb6\u9577\u8a0e\u8ad6\u4e26\u505a\u9069\u7576\u8a55\u4f30\uff0c\u914d\u5408\u81f3\u5c11\u534a\u5e74\u7684\u6642\u9593\u8ffd\u8e64\u8a72\u60a3\u8005\u7684\u6210\u9577\u72c0\u6cc1\uff0c\u4f86\u6c7a\u5b9a\u662f\u5426\u958b\u59cb\u6cbb\u7642\u3002\u8ffd\u8e64\u671f\u9593\u89c0\u5bdf\u5230\u9810\u6e2c\u8eab\u9ad8\u8ddf\u907a\u50b3\u8eab\u9ad8\u958b\u59cb\u6709\u843d\u5dee\uff0c\u5247\u6703\u6839\u64da\u60a3\u8005\u7684\u60c5\u6cc1\u6cbb\u7642\u3002\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u4e0d\u540c\u91ab\u5e2b\u5c0d\u9aa8\u9f61\u7684\u5224\u8b80\u4e5f\u4e0d\u4e00\u6a23\u3002\u53e6\u5916\uff0c\u958b\u59cb\u8ffd\u8e64\u7684\u6642\u9593\u76f8\u7576\u95dc\u9375\uff0c\u8d8a\u665a\u958b\u59cb\u8ffd\u8e64\uff0c\u89c0\u5bdf\u53ca\u6cbb\u7642\u7684\u6642\u6a5f\u4fbf\u5f80\u5f8c\u63a8\u5ef6\uff0c\u53ef\u80fd\u6703\u56e0\u6b64\u932f\u904e\u6cbb\u7642\u7684\u9ec3\u91d1\u6642\u671f\u3002<\/p>\n\n\n\n<p class=\"has-luminous-vivid-orange-color has-text-color\"><strong>\u5c08\u5bb6\u5171\u8b58\uff08\u5171\u8b58\u5e73\u5747\u5206\u6578 9.33\/10\uff09<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color\">\u5148\u505a\u751f\u6d3b\u4f5c\u606f\u8abf\u6574\uff0c\u82e5\u5728\u8ffd\u8e64\u671f\u9593\uff0c\u5c0f\u670b\u53cb\u9054\u5230\u4ee5\u4e0b\u4efb\u4e00\u689d\u4ef6\uff0c\u5c31\u53ef\u4ee5\u8003\u616e\u63a5\u53d7\u6cbb\u7642\uff1a<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\">(1) \u9aa8\u9f61\u76f8\u5c0d\u5be6\u969b\u5e74\u9f61\u5728 2 \u500d SDS \u5167<br>(2) \u65bc\u751f\u9577\u66f2\u7dda\u5716\u4e0a\uff0c\u8eab\u9ad8\u5c0f\u65bc\u907a\u50b3\u8eab\u9ad8\u7684 percentile<br>(3) \u751f\u9577\u901f\u7387 &lt; 4 cm\/year<br>(4) \u9810\u6e2c\u6210\u4eba\u8eab\u9ad8\u5973 &lt; 153 cm\uff0c\u7537 &lt; 165 cm<\/p>\n\n\n\n<p class=\"has-vivid-green-cyan-color has-text-color\"><strong>\u5c08\u5bb6\u610f\u898b<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>\u81e8\u5e8a\u4e0a\u4ea6\u9808\u8003\u91cf\u71df\u990a\u5747\u8861\u8ddf\u751f\u6d3b\u4f5c\u606f\uff1b\u82e5\u7dad\u751f\u7d20\u3001\u7926\u7269\u8cea\u53ca\u8102\u8cea\u651d\u53d6\u91cf\u5931\u8861\uff0c\u4ea6\u53ef\u80fd\u9020\u6210\u8eab\u9ad8\u4e0d\u7406\u60f3\u3002<\/li><li>\u82e5\u6cbb\u7642\u985e\u5225\u70ba\u81ea\u8cbb\u578b\uff0c\u7236\u6bcd\u548c\u60a3\u8005\u5c0d\u65bc\u6cbb\u7642\u7684\u614b\u5ea6\u4e5f\u5f88\u91cd\u8981\uff1b\u9019\u53ef\u80fd\u5f71\u97ff\u6cbb\u7642\u6642\u7684\u9075\u91ab\u56d1\u6027\u8207\u6cbb\u7642\u6642\u9593\u9577\u5ea6\u3002<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u56db\u3001\u8d77\u59cb\u6cbb\u7642\u5291\u91cf<\/span><\/strong><\/p>\n\n\n\n<p><strong>GHD\uff1a<\/strong>\u76ee\u524d\u53f0\u7063\u6709\u660e\u78ba\u5065\u4fdd\u898f\u7bc4 GHD \u7684\u8d77\u59cb\u6cbb\u7642\u5291\u91cf\uff1b\u591a\u6578\u91ab\u5e2b\u5f9e\u6700\u4f4e\u8d77\u59cb\u5291\u91cf 0.18 mg\/kg\/week\u958b\u59cb\u6cbb\u7642\uff1b\u82e5\u60a3\u8005\u7642\u6548\u4e0d\u7406\u60f3\uff0c\u5247\u6703\u9010\u6f38\u63d0\u9ad8\u5291\u91cf\u3002\u7f8e\u570b\u8207\u52a0\u62ff\u5927\u570b\u969b\u6cbb\u7642\u6307\u5f15 (PES)\uff0c\u5efa\u8b70\u8d77\u59cb\u5291\u91cf\u53ef\u8996\u60a3\u8005\u75be\u75c5\u56b4\u91cd\u5ea6\uff0c\u4ee5 0.16 \u2013 0.24 mg\/kg\/week \u958b\u59cb\u6cbb\u7642\u3002<\/p>\n\n\n\n<p><strong>ISS \u60a3\u8005\uff1a<\/strong>\u81e8\u5e8a\u91ab\u5e2b\u7528\u65bc ISS \u60a3\u8005\u7684 GH \u5291\u91cf\u4e00\u822c\u8f03 GHD\u60a3\u8005\u9ad8\uff1b\u53f0\u7063 ISS \u60a3\u8005\u7684\u6cbb\u7642\u4ee5 0.25 mg\/kg\/week \u8d77\u70ba\u591a\uff0c\u6700\u9ad8\u4e0d\u8d85\u904e 0.35 mg\/kg\/week\uff0c\u4e3b\u8981\u6191\u7d93\u9a57\u800c\u5b9a\u3002PES \u7684\u7d93\u9a57\u662f\u4ecb\u65bc0.24 &#8211; 0.47 mg\/kg\/week\u3002\u90e8\u5206\u91ab\u5e2b\u8a8d\u70ba\uff0c\u82e5\u4e00\u958b\u59cb IGF-1 \u6578\u503c\u504f\u4f4e\uff0c\u5247\u6703\u9078\u7528\u9ad8\u5291\u91cf\u9032\u884c\u6cbb\u7642\uff1b\u82e5 IGF-1 \u5728\u4e2d\u9593\u503c\uff0c\u6703\u9078\u64c7\u4f4e\u5291\u91cf\uff0c\u5f85\u5f8c\u7e8c\u6cbb\u7642\u8ffd\u8e64\u5f8c\u518d\u6c7a\u5b9a\u662f\u5426\u63d0\u9ad8\u5291\u91cf\u3002\u53e6\u5916\uff0c\u4ea6\u6709\u5c11\u6578\u91ab\u5e2b\u63d0\u9192\uff0c\u9ad8\u5291\u91cf\u6cbb\u7642\u904e\u7a0b\u4e2d\uff0c\u4e5f\u8981\u6301\u7e8c\u89c0\u5bdf\u60a3\u8005\u751f\u9577\u53ca\u5404\u9805\u751f\u5316\u6578\u64da\u6307\u6a19\uff0c\u907f\u514d\u526f\u4f5c\u7528\u7684\u767c\u751f\uff0c\u5982\u982d\u75db\u7b49\u554f\u984c\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">\u5c08\u5bb6\u5171\u8b58\uff08\u5171\u8b58\u5e73\u5747\u5206\u6578 9.63\/10\uff09<\/span><\/strong><\/p>\n\n\n\n<p>ISS \u60a3\u8005\u4f7f\u7528 GH\uff0c\u4e00\u822c\u5efa\u8b70\u8d77\u59cb\u5291\u91cf\u70ba 0.18 \u20130.35 mg\/kg\/week \uff0c \u4e26\u53c3\u8003 IGF-1 \u6578\u503c\u4f86\u8abf\u6574\u5291\u91cf\u3002<\/p>\n\n\n\n<p><span class=\"has-inline-color has-vivid-green-cyan-color\"><strong>\u5c08\u5bb6\u610f\u898b<\/strong><\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>\u4f9d\u64da GH \u6fc0\u767c\u8a66\u9a57\u6578\u503c (GH stimulation test) \u53ef\u5354\u52a9\u5224\u65b7\u8d77\u59cb\u5291\u91cf\u3002\u73fe\u884c\u53f0\u7063\u5065\u4fdd\u689d\u4ef6\uff0c\u82e5 GH &lt; 7 ng\/ml\u5247\u53ef\u7d66\u4ed8\uff0c\u5065\u4fdd\u5291\u91cf\u7bc4\u570d\u70ba 0.18 mg\/kg\/week\u3002\u82e5 GH &gt; 10 ng\/ml \u5247\u53ef\u8003\u616e\u4f7f\u7528 0.25 mg\/kg\/week\uff1b\u6700\u9ad8\u5230 0.3 \u2013 0.35 mg\/kg\/week\u3002<\/li><li>\u90e8\u5206\u91ab\u5e2b\u6703\u53c3\u8003\u8377\u862d\u8d77\u59cb\u5291\u91cf 0.05 mg\/kg\/day\uff1b\u82e5\u5b69\u7ae5\u6cbb\u7642\u5f8c\u7684\u7642\u6548\u53cd\u61c9\u4e0d\u5982\u9810\u671f\uff0c\u6703\u518d\u8003\u616e\u9010\u6f38\u63d0\u9ad8\u5291\u91cf\u81f3 0.07 mg\/kg\/day\u3002<\/li><li>\u6cbb\u7642\u904e\u7a0b\u4e2d\u9700\u8ffd\u8e64\u5f8c\u7e8c\u53cd\u61c9\uff0c\u76e3\u6e2c\u5404\u7a2e\u751f\u5316\u6578\u503c\uff0c\u4ee5\u907f\u514d\u56e0 IGF-1 \u904e\u9ad8\u800c\u7522\u751f\u53ef\u80fd\u7684\u526f\u4f5c\u7528\u3002<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e94\u3001\u6cbb\u7642\u5b8c\u6210\u6642\u9593\u8a0e\u8ad6<\/span><\/strong><\/p>\n\n\n\n<p>\u6301\u7e8c\u8ffd\u8e64\u60a3\u8005\u7684\u8eab\u9ad8\u8207\u5404\u7a2e\u53c3\u8003\u6578\u503c\u662f\u81e8\u5e8a\u91ab\u5e2b\u8abf\u6574\u6cbb\u7642\u7684\u91cd\u8981\u53c3\u8003\u3002\u591a\u6578\u91ab\u5e2b\u8868\u793a\uff0c\u6700\u91cd\u8981\u662f\u4ee5\u9aa8\u9f61\u8ddf\u751f\u9577\u901f\u5ea6\u4f86\u770b\u5b69\u7ae5\u662f\u5426\u9084\u6709\u751f\u9577\u7a7a\u9593\uff0c\u662f\u5426\u5df2\u7d93\u9054\u5230\u9810\u6e2c\u8eab\u9ad8\uff1b\u5176\u6b21\uff0c\u91ab\u5e2b\u6703\u5c0a\u91cd\u7236\u6bcd\u672c\u8eab\u7684\u610f\u9858\u8ddf\u7d93\u6fdf\u72c0\u6cc1\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">\u5c08\u5bb6\u5171\u8b58\uff08\u5171\u8b58\u5e73\u5747\u5206\u6578 9.6\/10\uff09<\/span><\/strong><\/p>\n\n\n\n<p>ISS \u60a3\u8005\u5728\u4ee5\u4e0b\u4efb\u4e00\u689d\u4ef6\u53ef\u4ee5\u8003\u616e\u505c\u6b62\u6cbb\u7642\uff1a<\/p>\n\n\n\n<p>(1) \u751f\u9577\u901f\u7387 &lt; 2 cm\/year<br>(2) \u7537\u751f\u9aa8\u9f61\u63a5\u8fd1 16 \u6b72\uff0c\u5973\u751f\u9aa8\u9f61\u63a5\u8fd1 14 \u6b72<br>(3) \u63a5\u8fd1\u9810\u6e2c\u8eab\u9ad8 (\u7537\u751f\u907a\u50b3\u8eab\u9ad8\u4ee5 \u00b1 7.5 cm\uff0c\u5973\u751f\u9810\u6e2c\u8eab\u9ad8\u4ee5 \u00b1 6 cm \u8a08\u7b97\u4e0b)<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u516d\u3001\u7642\u6548\u53cd\u61c9\u5b9a\u7fa9<\/span><\/strong><\/p>\n\n\n\n<p>\u570b\u969b\u7814\u7a76\u6307\u51fa\uff0cISS \u5728 GH \u6cbb\u7642 4 \u2013 7\u5e74\u9593\u53ef\u4ee5\u6709 3.5 \u2013 7.5 cm \u7684\u6210\u9577\u6548\u679c\uff1b\u4e00\u822c\u800c\u8a00\uff0c\u9752\u6625\u671f\u6642\u7684\u6cbb\u7642\u6548\u679c\u5c31\u6c92\u90a3\u9ebc\u597d\u3002\u6cbb\u7642\u5e74\u9f61\u8d8a\u5927\uff0c\u7642\u6548\u8d8a\u5dee\u3002\u95dc\u65bc\u7642\u6548\u53cd\u61c9\uff0c\u6cbb\u7642\u7b2c\u4e00\u5e74\u5f8c\u751f\u9577\u901f\u7387 &lt; 2 cm\/year \u5373\u70ba\u8207\u6703\u5c08\u5bb6\u5011\u5728\u5b9a\u7fa9\u7642\u6548\u53cd\u61c9\u4e0d\u597d\u6642\u7684\u57fa\u672c\u5171\u8b58\u3002\u7642\u6548\u53cd\u61c9\u4e0d\u597d\uff0c\u6703\u5148\u5617\u8a66\u589e\u52a0\u5291\u91cf\u3002<\/p>\n\n\n\n<p><span class=\"has-inline-color has-luminous-vivid-orange-color\"><strong>\u5c08\u5bb6\u5171\u8b58\uff08\u5171\u8b58\u5e73\u5747\u5206\u6578 9.6\/10\uff09<\/strong><\/span><\/p>\n\n\n\n<p>\u9752\u6625\u671f\u524d\u5b69\u7ae5\uff0c\u82e5\u6cbb\u7642\u524d\u5f8c\u8eab\u9ad8\u589e\u52a0\u901f\u7387\u672a\u9054 2cm\/year, \u5373\u70ba\u7642\u6548\u53cd\u61c9\u4e0d\u597d\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-green-cyan-color\">\u5c08\u5bb6\u610f\u898b<\/span><\/strong><\/p>\n\n\n\n<p>\u904e\u53bb\u6cbb\u7642\u7d93\u9a57\uff0c\u4e00\u822c\u9023\u7e8c GH \u6cbb\u7642 3 \u5e74\u4e0b\uff0c\u9010\u5e74\u751f\u9577\u901f\u7387\u53ef\u70ba\u7b2c\u4e00\u5e74 8 \u2013 10 cm\uff0c\u7b2c\u4e8c\u5e74 6 \u2013 8 cm \u53ca\u7b2c\u4e09\u5e74 6 cm\u3002\u7b2c\u4e00\u5e74\u7642\u6548\u6700\u91cd\u8981\uff0c\u61c9\u9054\u5230 8 \u2013 10 cm\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e03\u3001\u5291\u91cf\u8abf\u6574\u8a0e\u8ad6<\/span><\/strong><\/p>\n\n\n\n<p>\u81e8\u5e8a\u91ab\u5e2b\u5011\u6703\u900f\u904e\u4e86\u89e3\u60a3\u8005\u7684\u751f\u6d3b\u578b\u614b\u3001\u5b9a\u671f\u8ffd\u8e64\u9ad4\u91cd\u548c\u9aa8\u9f61\uff0c\u53ca\u89c0\u5bdf IGF-1 \u6578\u503c\u4f86\u6c7a\u5b9a\u5982\u4f55\u5291\u91cf\u3002\u6bcf\u6b21\u56de\u8a3a\u6703\u4f9d\u64da\u9ad4\u91cd\u8abf\u6574\u5291\u91cf\uff0c\u90e8\u5206\u91ab\u5e2b\u5927\u6982\u6bcf 3 \u2013 6 \u500b\u6708\u6703\u6aa2\u6e2c\u4e00\u6b21 IGF-1 \u6578\u503c\uff0c\u78ba\u4fdd IGF-1 \u90fd\u6709\u5728\u8a72\u5e74\u9f61\u9593\u7684\u6b63\u5e38\u7bc4\u570d\u5167\u3002\u5982\u679c\u6cbb\u7642\u6548\u679c\u4e0d\u597d\uff0c\u6703\u8a55\u4f30\u662f\u5426\u9700\u8981\u589e\u52a0\u5291\u91cf\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u597d\u7684\u7642\u6548\u53cd\u61c9\u5f80\u5f80\u4e5f\u8207\u9075\u91ab\u56d1\u6027\u6709\u95dc\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-luminous-vivid-orange-color\">\u5c08\u5bb6\u5171\u8b58\uff08\u5171\u8b58\u5e73\u5747\u5206\u6578 9.7\/10\uff09<\/span><\/strong><\/p>\n\n\n\n<p>\u82e5\u7642\u6548\u4e0d\u4f73\uff0c\u5247\u4f9d\u9ad4\u91cd\u53ca IGF-1 \u8b8a\u5316\u4f86\u8abf\u6574\u5291\u91cf\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-green-cyan-color\">\u5c08\u5bb6\u610f\u898b<\/span><\/strong><\/p>\n\n\n\n<p>\u82e5\u7642\u6548\u53cd\u61c9\u4e0d\u4f73\uff0c\u53ef\u4ee5\u76e3\u6e2c\u6bcf 3 \u20136 \u500b\u6708 IGF-1 \u6578\u503c\u53ca\u9ad4\u91cd\u8b8a\u5316\u60c5\u6cc1\u4f86\u8abf\u6574 GH \u5291\u91cf\uff1b\u4ee5 0.18 \u2013 0.35 mg\/kg\/week \u5340\u9593\u4e2d\u505a\u6cbb\u7642\u3002\u570b\u969b\u6cbb\u7642\u6307\u5f15\u4e5f\u8aaa\u660e\uff0c\u76e3\u6e2c\u9075\u91ab\u56d1\u6027\uff0c\u5c0d\u65bc\u5e6b\u52a9\u60a3\u8005\u7642\u6548\u5341\u5206\u91cd\u8981\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u516b\u3001\u9075\u91ab\u56d1\u6027\u7684\u91cd\u8981\u6027<\/span><\/strong><\/p>\n\n\n\n<p>GH \u6574\u9ad4\u6ce8\u5c04\u7387 (\u9075\u91ab\u56d1\u6027) \u9700\u9054 85 %\uff0c\u4e14\u7dad\u6301\u81f3\u5c11 2 \u2013 3 \u5e74\u6cbb\u7642\uff0c\u624d\u80fd\u9054\u5230\u597d\u7684\u7642\u6548\u53cd\u61c9\u3002\u76ee\u524d\u5df2\u6709\u6578\u4f4d\u91ab\u7642\u53ef\u4ee5\u8f14\u52a9\u76e3\u6e2c\u9075\u91ab\u56d1\u6027\u3002\u91ab\u5e2b\u5011\u9808\u76e1\u65e9\u8aaa\u660e\u53ef\u80fd\u7684\u9810\u671f\u8eab\u9ad8\u8207\u8cbb\u7528\uff0c\u5e6b\u52a9\u7236\u6bcd\u53ca\u5b69\u7ae5\u5efa\u7acb\u6cbb\u7642\u4fe1\u5fc3\u3002<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u4e5d\u3001\u672a\u4f86\u8a08\u756b<\/span><\/strong><\/p>\n\n\n\n<p>\u9752\u6625\u671f\u6cbb\u7642\u76f8\u95dc\u8b70\u984c\uff0c\u5982\u7537\u751f\u548c\u5973\u751f\u9aa8\u677f\u9589\u5408\u591a\u4e45\u524d\u6cbb\u7642\u8f03\u5408\u9069\uff0c\u5c07\u65bc\u4e0b\u6b21\u5c08\u5bb6\u6703\u8b70\u63a2\u8a0e\u3002\u56e0\u70ba\u9aa8\u677f\u9589\u5408\u6642\u6a5f\uff0c\u6703\u9700\u8981\u8003\u91cf\u5230\u9aa8\u9f61 &gt; \u5be6\u969b\u5e74\u9f61 (BA &gt; CA) \u53ca\u9aa8\u9f61=\u5be6\u969b\u5e74\u9f61 (BA = CA) \u6cbb\u7642\u72c0\u614b\u3002\u9019\u4e9b\u5f80\u5f80\u6703\u727d\u6d89\u5230\u9752\u6625\u671f\u6cbb\u7642\u8207 GH \u548c\u6027\u817a\u6fc0\u7d20\u91cb\u653e\u7d20\u4fc3\u9032\u5291 (GnRHa) \u5408\u4f75\u7528\u85e5\u7b49\u554f\u984c\uff1b\u540c\u6642\u90e8\u5206 ISS \u60a3\u8005\u4ea6\u6709\u53ef\u80fd\u6703\u5408\u4f75\u7528\u85e5\u6cbb\u7642\uff0c\u56e0\u6b64\u9019\u4e9b\u5167\u5bb9\u5c07\u6703\u65bc\u4e0b\u6b21\u5c08\u5bb6\u6703\u8b70\u6642\u9032\u4e00\u6b65\u8a0e\u8ad6\u3002<\/p>\n\n\n\n<p class=\"has-vivid-purple-color has-text-color\"><strong><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u5ea7\u9577Moderator<\/span><\/strong><\/p>\n\n\n\n<p>\u6731\u5fb7\u660e \u91ab\u5e2b (\u4e09\u8ecd\u7e3d\u91ab\u9662)<br>\u8607\u672c\u83ef \u91ab\u5e2b (\u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u91ab\u9662)<\/p>\n\n\n\n<p><span class=\"has-inline-color 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