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左方变位皱胃手术矫正后,通过皱胃十二指肠肌电图检测奶牛的胰岛素抵抗和皱胃运动障碍。

Insulin resistance and abomasal motility disorders in cows detected by use of abomasoduodenal electromyography after surgical correction of left displaced abomasum.

作者信息

Pravettoni Davide, Doll Klaus, Hummel Markus, Cavallone Elena, Re Michela, Belloli Angelo G

机构信息

Klinik für Wiederkäuer und Schweine, Justus Liebig Universität, Giessen, Germany.

出版信息

Am J Vet Res. 2004 Oct;65(10):1319-24. doi: 10.2460/ajvr.2004.65.1319.

DOI:10.2460/ajvr.2004.65.1319
PMID:15524316
Abstract

OBJECTIVE

To determine the correlation between insulin concentrations and myoelectrical activity of the abomasum in cows with a left displaced abomasum (LDA).

ANIMALS

14 dairy cows with an LDA at the onset of lactation.

PROCEDURE

During surgical correction of an LDA, 3 pairs of electrodes were placed in the smooth muscle of the gastrointestinal tract (abomasal body, pars pylorica, and duodenum) of each cow. Electromyographic recordings were obtained once per day for 7 days. Samples were collected and tested to determine concentrations of insulin, glucagon, cortisol, glucose, beta-hydroxybutyrate, and nonesterified fatty acids.

RESULTS

All 14 cattle had high glucose and insulin concentrations at the time of admission, independent of ketosis. Concentrations of glucose and insulin decreased slowly after surgical treatment and were associated with a progressive increase in abomasoduodenal myoelectric activity. The 14 cows were allocated into 2 groups (suspected insulin-resistant cattle, n = 7; suspected non-insulin-resistant cattle, 7) on the basis of persistent hyperinsulinemia during the postoperative period. Seven days after surgery, the abomasoduodenal myoelectric patterns were still significantly lower for the insulin-resistant cows, compared with patterns for the non-insulin-resistant cows.

CONCLUSIONS AND CLINICAL RELEVANCE

Insulin resistance appears to be common in cows with an LDA. Analysis of results of this study reveals that abomasal atony in cows with an LDA depends on persistence of high serum concentrations of insulin. Results of this study could provide an explanation for a pathogenetic factor of LDAs and the frequent relapses of cattle affected by this condition.

摘要

目的

确定左方变位真胃(LDA)奶牛的胰岛素浓度与真胃肌电活动之间的相关性。

动物

14头泌乳初期患有LDA的奶牛。

方法

在对LDA进行手术矫正期间,在每头奶牛的胃肠道(真胃体、幽门部和十二指肠)平滑肌中放置3对电极。每天进行一次肌电图记录,持续7天。采集样本并检测以确定胰岛素、胰高血糖素、皮质醇、葡萄糖、β-羟基丁酸和非酯化脂肪酸的浓度。

结果

所有14头牛入院时血糖和胰岛素浓度均较高,与酮病无关。手术治疗后,葡萄糖和胰岛素浓度缓慢下降,并与真胃十二指肠肌电活动的逐渐增加相关。根据术后持续高胰岛素血症,将14头奶牛分为2组(疑似胰岛素抵抗奶牛,n = 7;疑似非胰岛素抵抗奶牛,7头)。术后7天,与非胰岛素抵抗奶牛相比,胰岛素抵抗奶牛的真胃十二指肠肌电模式仍显著较低。

结论及临床意义

胰岛素抵抗在患有LDA的奶牛中似乎很常见。本研究结果分析表明,患有LDA的奶牛真胃弛缓取决于血清高浓度胰岛素的持续存在。本研究结果可为LDA的发病因素及受此疾病影响的奶牛频繁复发提供解释。

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