Oosterlaan-Mayer B, Back W, Sloet van Oldruitenborgh-Oosterbaan M M
Hoofdafdeling Gezondheidszorg Paard, Faculteit Diergeneeskunde, Universiteit Utrecht, Yalelaan 12-16, 3584 CM Utrecht.
Tijdschr Diergeneeskd. 2002 Nov 1;127(21):644-9.
All horses and ponies with laminitis treated at the Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, between 1995 and 1998 were analysed retrospectively (n = 152). Based on the results of this study and on the world-wide knowledge on laminitis a standardised treatment protocol was adopted in 1999. Fifty-eight patients have been treated for laminitis between 1999 and 2001 following the treatment protocol. Compared to our hospital-population (orthopaedic patients), mares and ponies are at higher risk developing laminitis, but the prognosis does not differ between sexes as between breeds. Radiological evidence of rotation of the third phalanx seems to be of minor importance for the prognosis. Distal displacement of the third phalanx, however, seems to worsen the prognosis. The outcome of the acute cases is significantly better in the group treated following the protocol, than in the group without protocol. The outcome of the chronic cases is not influenced by the treatment protocol. Although the cases in both groups differ, as they are all clinical cases, our data suggest that the standardised treatment protocol results in a better outcome for cases of acute laminitis.
对1995年至1998年间在乌得勒支大学兽医学院马科学系接受治疗的所有患蹄叶炎的马和矮种马进行了回顾性分析（n = 152）。基于本研究结果以及全球范围内关于蹄叶炎的知识，1999年采用了标准化治疗方案。1999年至2001年间，有58例患者按照该治疗方案接受了蹄叶炎治疗。与我院骨科患者群体相比，母马和矮种马患蹄叶炎的风险更高，但不同性别和品种之间的预后并无差异。第三趾骨旋转的放射学证据对预后似乎不太重要。然而，第三趾骨的远侧移位似乎会使预后恶化。按照治疗方案治疗的急性病例组的预后明显好于未采用方案治疗的组。慢性病例的预后不受治疗方案的影响。尽管两组病例不同，因为它们都是临床病例，但我们的数据表明，标准化治疗方案能使急性蹄叶炎病例获得更好的预后。
