Braun U, Bryce B, Liesegang A, Hässig M, Bleul U
Departement für Nutztiere, Vetsuisse Fakultät der Universität Zürich, Switzerland.
Schweiz Arch Tierheilkd. 2008 Jul;150(7):331-8. doi: 10.1024/0036-7281.150.7.331.
The goal of this study was to investigate the efficacy of calcium chloride, sodium phosphate or a combination of these two substances administered orally immediately postpartum for the prevention of parturient paresis in cows. Thirty-two cows that had had parturient paresis at the previous calving, and in which serum biochemistry had shown hypocalcaemia and hypophosphataemia, were used in the study. The cows were transferred to the Department of Farm Animals, University of Zurich, five days before their expected due dates. On a randomized trial, the cows were given calcium chloride, sodium phosphate, both substances or no treatment (controls) via a stomach tube immediately postpartum and 12 hours later. The cows were monitored for 96 hours during which time blood was collected on a regular basis for the determination of total calcium, ionized calcium, inorganic phosphorus and magnesium concentrations. Of the 32 cows treated, 19 (59%) had parturient paresis and 13 (41%) did not. The incidence of parturient paresis did not differ significantly among the groups although there was a tendency for a lower incidence in cows treated with both calcium chloride and sodium phosphate. The various treatments had no apparent effect on serum calcium concentration. The concentration of inorganic phosphorus increased significantly in cows treated with sodium phosphate compared with the controls. The results of this study showed that cows treated with both calcium chloride and sodium phosphate orally tended to have a lower incidence of parturient paresis. Further investigation into multiple administrations of oral calcium chloride and sodium phosphate, started before parturition, for the prevention of parturient paresis is required.
本研究的目的是调查产后立即口服氯化钙、磷酸钠或这两种物质的组合对预防奶牛产后瘫痪的效果。研究使用了32头在前次产犊时发生过产后瘫痪且血清生化检查显示低钙血症和低磷血症的奶牛。这些奶牛在预产期前5天被转移到苏黎世大学农场动物系。在一项随机试验中,奶牛在产后立即和12小时后通过胃管给予氯化钙、磷酸钠、两种物质或不进行处理(对照组)。对奶牛进行96小时的监测,在此期间定期采集血液以测定总钙、离子钙、无机磷和镁的浓度。在接受治疗的32头奶牛中,19头(59%)发生了产后瘫痪,13头(41%)未发生。尽管氯化钙和磷酸钠联合治疗的奶牛产后瘫痪发生率有降低的趋势,但各治疗组之间产后瘫痪的发生率没有显著差异。各种治疗对血清钙浓度没有明显影响。与对照组相比,接受磷酸钠治疗的奶牛无机磷浓度显著升高。本研究结果表明,口服氯化钙和磷酸钠联合治疗的奶牛产后瘫痪发生率往往较低。需要进一步研究在分娩前开始多次口服氯化钙和磷酸钠以预防产后瘫痪的情况。