Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.

<h4>Purpose</h4>To explore the effects of recombinant human growth hormone (r-hGH) on inflammatory mediators, immune cells and prognosis in severe neurosurgical patients.<h4>Methods</h4>From August 2020 to June 2021, a total of 236 patients who admitted to the neurosurgical i...

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Main Authors: Xixian Liao, Haorun Huang, Binghui Qiu, Jiaping Chen, An Zhang, Haoxin Liang, Chuanping Huang, Fen Mei, Jian Mao, Fan Liu, Ming Jin, Xiaojie Peng, Haidie Ma, Wenjie Ding, Songtao Qi, Yun Bao
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317219
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author Xixian Liao
Haorun Huang
Binghui Qiu
Jiaping Chen
An Zhang
Haoxin Liang
Chuanping Huang
Fen Mei
Jian Mao
Fan Liu
Ming Jin
Xiaojie Peng
Haidie Ma
Wenjie Ding
Songtao Qi
Yun Bao
author_facet Xixian Liao
Haorun Huang
Binghui Qiu
Jiaping Chen
An Zhang
Haoxin Liang
Chuanping Huang
Fen Mei
Jian Mao
Fan Liu
Ming Jin
Xiaojie Peng
Haidie Ma
Wenjie Ding
Songtao Qi
Yun Bao
author_sort Xixian Liao
collection DOAJ
description <h4>Purpose</h4>To explore the effects of recombinant human growth hormone (r-hGH) on inflammatory mediators, immune cells and prognosis in severe neurosurgical patients.<h4>Methods</h4>From August 2020 to June 2021, a total of 236 patients who admitted to the neurosurgical intensive care unit (NSICU) were retrospectively analyzed. The patients were divided into GH group (97 cases) and nGH group (139 cases) according to whether they received r-hGH treatment. Parameters including CD4+ T cell counts, inflammatory mediators and prognosis were recorded and assessed.<h4>Results</h4>The results showed that the cure time of pneumonia and intracranial infection in GH group patients was significantly shorter than in the nGH group (24.25 ± 4.89 days and 21.33 ± 1.53 days versus 29.13 ± 7.43 days and 25.17 ± 2.32 days, respectively). However, there was no significant difference in GOS scores between two groups (31.96% ≤ 3 and 68.04% > 3 vs 39.57% ≤ 3 and 60.43% > 3) (P = 0.232). Furthermore, the number of CD4+ T cells and CD8+ T cells in the GH group showed a significant upward trend. Last but not least, significant differences were also observed in IL-6 and IL-10 levels between two groups at days 1, 3, and 7.<h4>Conclusion</h4>The application of r-hGH in severe neurosurgical patients was effective in increasing the number of CD4+ T cells, down-regulating inflammatory mediators, shortening the cure time of pneumonia, intracranial infections and urinary tract infections, and improving patients' prognosis.
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spelling doaj-art-26282e398d914d95b606ae79b0b1ccf32025-01-17T05:31:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031721910.1371/journal.pone.0317219Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.Xixian LiaoHaorun HuangBinghui QiuJiaping ChenAn ZhangHaoxin LiangChuanping HuangFen MeiJian MaoFan LiuMing JinXiaojie PengHaidie MaWenjie DingSongtao QiYun Bao<h4>Purpose</h4>To explore the effects of recombinant human growth hormone (r-hGH) on inflammatory mediators, immune cells and prognosis in severe neurosurgical patients.<h4>Methods</h4>From August 2020 to June 2021, a total of 236 patients who admitted to the neurosurgical intensive care unit (NSICU) were retrospectively analyzed. The patients were divided into GH group (97 cases) and nGH group (139 cases) according to whether they received r-hGH treatment. Parameters including CD4+ T cell counts, inflammatory mediators and prognosis were recorded and assessed.<h4>Results</h4>The results showed that the cure time of pneumonia and intracranial infection in GH group patients was significantly shorter than in the nGH group (24.25 ± 4.89 days and 21.33 ± 1.53 days versus 29.13 ± 7.43 days and 25.17 ± 2.32 days, respectively). However, there was no significant difference in GOS scores between two groups (31.96% ≤ 3 and 68.04% > 3 vs 39.57% ≤ 3 and 60.43% > 3) (P = 0.232). Furthermore, the number of CD4+ T cells and CD8+ T cells in the GH group showed a significant upward trend. Last but not least, significant differences were also observed in IL-6 and IL-10 levels between two groups at days 1, 3, and 7.<h4>Conclusion</h4>The application of r-hGH in severe neurosurgical patients was effective in increasing the number of CD4+ T cells, down-regulating inflammatory mediators, shortening the cure time of pneumonia, intracranial infections and urinary tract infections, and improving patients' prognosis.https://doi.org/10.1371/journal.pone.0317219
spellingShingle Xixian Liao
Haorun Huang
Binghui Qiu
Jiaping Chen
An Zhang
Haoxin Liang
Chuanping Huang
Fen Mei
Jian Mao
Fan Liu
Ming Jin
Xiaojie Peng
Haidie Ma
Wenjie Ding
Songtao Qi
Yun Bao
Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
PLoS ONE
title Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
title_full Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
title_fullStr Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
title_full_unstemmed Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
title_short Effects of recombinant human growth hormone in severe neurosurgical patients: A single center, retrospective study.
title_sort effects of recombinant human growth hormone in severe neurosurgical patients a single center retrospective study
url https://doi.org/10.1371/journal.pone.0317219
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