Chenier Tracey S, Whitehead Ashley E
Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Can Vet J. 2009 May;50(5):481-5.
The purpose of this study was to determine foaling rates in mares presented for medical or surgical treatment of colic, and to examine risk factors associated with abortion following colic. A retrospective analysis of 153 medical records found that mares treated surgically for colic (P = 0.0007) were 3.5 times more likely to have a negative pregnancy outcome than were mares treated medically for colic. Anesthetic time (P = 0.01) and intra-operative hypotension (P = 0.03) were significantly associated with negative pregnancy outcome. Mares with an anesthetic time > or = 3 h were 6 times more likely to abort. Signs of endotoxemia (P = 0.30), hypoxia (P = 0.89), flunixin meglumine administration (P = 0.13), mucous membrane color at the time of presentation (P = 0.82) and capillary refill time (P = 0.76) were not associated with pregnancy outcome. There was no difference in the foaling rate for mares that had received progestin supplementation versus those that had not (P = 0.42). In this study, the significant risk factors for abortion were surgically treated colic, long anesthetic time, and intraoperative hypotension.
本研究的目的是确定因腹痛接受内科或外科治疗的母马的产驹率,并检查与腹痛后流产相关的风险因素。对153份病历的回顾性分析发现,因腹痛接受手术治疗的母马(P = 0.0007)出现不良妊娠结局的可能性是因腹痛接受内科治疗的母马的3.5倍。麻醉时间(P = 0.01)和术中低血压(P = 0.03)与不良妊娠结局显著相关。麻醉时间≥3小时的母马流产的可能性高6倍。内毒素血症迹象(P = 0.30)、缺氧(P = 0.89)、氟尼辛葡甲胺给药(P = 0.13)、就诊时的黏膜颜色(P = 0.82)和毛细血管再充盈时间(P = 0.76)与妊娠结局无关。接受孕激素补充的母马与未接受孕激素补充的母马的产驹率没有差异(P = 0.42)。在本研究中,流产的显著风险因素是接受手术治疗的腹痛、麻醉时间长和术中低血压。