Hussein H, Abd Ellah M R
Department of Theriogenology, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut, Egypt.
Anim Reprod Sci. 2008 May;105(3-4):384-91. doi: 10.1016/j.anireprosci.2007.10.009. Epub 2007 Oct 24.
The aim of the present study was to determine the level of serum liver enzymes, triglyceride and some metabolites in cows with or without difficulties during parturition. The second goal was to compare between the possible effects of caesarian section and fetotomy on these parameters. A total number of 24 native breed cows at full term were included in this study. Out of them, 8 gave normal parturition, 16 cows were admitted with dystocia. The group of dystocia was subdivided into two groups; fetotomy (n=8) and caesarian (n=8) group. In the caesarian group, 4 cows were with uterine torsion. Five blood samples were collected from each cow: directly pre-partum, during and just after delivery and at, 24, 48 and 72 h post-partum. Serum samples were used for determination of aspartate amino transferase (AST), glutamate dehydrogenase (GLDH), gamma glutamyl transferase (gamma-GT), creatine phosphokinase (CK), glucose, total bilirubin, cholesterol and triglyceride. The results showed that AST, GGT, GLDH and CK activities were significantly increased in the group with caesarian sections due to uterine torsion than the control and fetotomy groups. There were insignificant changes in serum GGT and GLDH activities between control, fetotomy and dystocia group without uterine torsion at pre-partum and at 24 and 48 h post-partum. At 72 h post-partum, there was a significant increase in GLDH activity without significant increase in serum GGT activity. The concentrations of cholesterol and triglycerides did not differ in cows with dystocia compared to normal cows. In conclusion, cattle subjected to caesarian section and especially those with uterine torsion are associated with hepatic dysfunction. On the other hand, fetotomy has no effect on hepatocellular damage. The type of parturition has no effect on the bilirubin, cholesterol and triglyceride concentrations just before parturition to the 3rd day post-partum. It is recommended to supply cows with liver supportive therapy after caesarian section with uterine torsion.
本研究的目的是测定分娩过程中有无困难的奶牛的血清肝酶、甘油三酯和一些代谢物水平。第二个目标是比较剖腹产和截胎术对这些参数的可能影响。本研究共纳入24头足月本地品种奶牛。其中,8头正常分娩,16头奶牛因难产入院。难产组又分为两组:截胎术组(n = 8)和剖腹产组(n = 8)。剖腹产组中,4头奶牛伴有子宫扭转。从每头奶牛采集5份血样:产前即刻、分娩期间、分娩刚结束时以及产后24、48和72小时。血清样本用于测定天冬氨酸氨基转移酶(AST)、谷氨酸脱氢酶(GLDH)、γ-谷氨酰转移酶(γ-GT)、肌酸磷酸激酶(CK)、葡萄糖、总胆红素、胆固醇和甘油三酯。结果显示,因子宫扭转行剖腹产的组中,AST、GGT、GLDH和CK活性显著高于对照组和截胎术组。对照组、截胎术组和无子宫扭转的难产组在产前以及产后24和48小时血清GGT和GLDH活性变化不显著。产后72小时,GLDH活性显著升高,而血清GGT活性无显著升高。与正常奶牛相比,难产奶牛的胆固醇和甘油三酯浓度无差异。总之,接受剖腹产尤其是伴有子宫扭转的奶牛存在肝功能障碍。另一方面,截胎术对肝细胞损伤无影响。分娩类型对产前至产后第3天的胆红素、胆固醇和甘油三酯浓度无影响。建议对因子宫扭转行剖腹产的奶牛给予肝脏支持治疗。