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经鼻胃管给予低剂量低聚果糖治疗对马诱发蹄叶炎及相关葡萄糖和胰岛素动力学改变的影响。

Effects of low-dose oligofructose treatment administered via nasogastric intubation on induction of laminitis and associated alterations in glucose and insulin dynamics in horses.

作者信息

Kalck Karen A, Frank Nicholas, Elliott Sarah B, Boston Raymond C

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.

出版信息

Am J Vet Res. 2009 May;70(5):624-32. doi: 10.2460/ajvr.70.5.624.

Abstract

OBJECTIVE

To ascertain whether laminitis can be induced via administration of oligofructose (OF) at doses of 5.0 and 7.5 g/kg in horses and to assess glucose and insulin dynamics before and after treatment.

ANIMALS

19 adult horses.

PROCEDURES

Horses were fed OF (1.0 g/kg) mixed with oats for 6 days. Oligofructose at doses of 5.0 and 7.5 g/kg was then mixed with 4 L of water and administered (0 hours) to 8 (group A) and 4 (group B) horses, respectively, via nasogastric intubation; 8 horses received water alone. One horse in group A that did not develop laminitis was subsequently treated again and included in group B. Before and at intervals after treatment, resting plasma glucose and serum insulin concentrations were measured and frequently sampled IV glucose tolerance tests were performed. Area under the glucose curve (AUCg) and area under the insulin curve (AUCi) were calculated, and minimal model analyses were performed.

RESULTS

3 of 8 horses in group A and all 4 horses in group B developed laminitis. Significant treatment-time effects were detected for resting plasma glucose concentrations and AUCg. Among horses in group A, mean AUCg values at 24 and 48 hours were 34% and 32% higher, respectively, than the mean value at 24 hours. Treatment groups did not differ significantly with respect to resting serum insulin concentration, AUCi, or minimal model analysis results.

CONCLUSIONS AND CLINICAL RELEVANCE

In horses, laminitis can be induced and glucose dynamics altered via nasogastric administration of 5.0 g of OF/kg. An alteration in insulin dynamics was not detected following treatment with OF.

摘要

目的

确定以5.0和7.5 g/kg的剂量给马投喂低聚果糖(OF)是否可诱发蹄叶炎,并评估治疗前后的葡萄糖和胰岛素动态变化。

动物

19匹成年马。

方法

给马投喂与燕麦混合的OF(1.0 g/kg),持续6天。然后将5.0和7.5 g/kg剂量的低聚果糖分别与4 L水混合,通过鼻胃管分别给予8匹(A组)和4匹(B组)马(0小时);8匹马仅给予水。A组中1匹未发生蹄叶炎的马随后再次接受治疗,并纳入B组。在治疗前和治疗后的不同时间间隔,测量静息血浆葡萄糖和血清胰岛素浓度,并频繁进行静脉注射葡萄糖耐量试验。计算葡萄糖曲线下面积(AUCg)和胰岛素曲线下面积(AUCi),并进行最小模型分析。

结果

A组8匹马中有3匹、B组所有4匹马均发生了蹄叶炎。静息血浆葡萄糖浓度和AUCg检测到显著的治疗时间效应。在A组马中,24小时和48小时的平均AUCg值分别比24小时的平均值高34%和32%。治疗组在静息血清胰岛素浓度、AUCi或最小模型分析结果方面无显著差异。

结论及临床意义

在马中,通过鼻胃管给予5.0 g OF/kg可诱发蹄叶炎并改变葡萄糖动态变化。用OF治疗后未检测到胰岛素动态变化。

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