van den Boom R, Driessen F, Streumer S J, Sloet van Oldruitenborgh-Oosterbaan M M
Department of Equine Sciences, Yalelaan 114, 3584 CM Utrecht, The Netherlands.
Tijdschr Diergeneeskd. 2010 Jul 1;135(13):520-5.
Insect bite hypersensitivity (IBH) is most often caused by Culicoides spp., although other insect species are also thought to play a role in causing this disease. The disease has been reported to occur in most countries, with a prevalence of up to 28% in some countries in some breeds. The only truly effective therapy currently available is to prevent horses from coming into contact with Culicoides midges, which can be achieved by stabling horses during certain times of the day or by covering them with insect blankets. The effect of a new dietary supplement containing vitamins, polypeptides, and amino acids on IBH severity was tested at the start of the Culicoides season (April 2009). Fifty horses participated in this placebo-controlled, double-blinded study: 25 horses received the supplement and 25 received placebo for 30 days; thereafter all horses received the supplement for a further 30 days. The investigators scored the severity of IBH in all horses, based on clinical evaluation and digital photographs taken before and after the first 30 days of the trial. The owners were asked to assess the severity of the signs prior to the investigation and after the first and second 30-day periods. For each period, IBH clinical symptoms were classified as increased, decreased, or the same. Results showed that investigator-assessed symptoms became worse in more horses receiving placebo than in horses receiving supplement, indicating a positive effect of the supplement. However, there were no treatment-group differences when symptom severity was scored by the horse owners. No side-effects were observed.
昆虫叮咬超敏反应(IBH)最常见的病因是库蠓属昆虫,不过其他昆虫种类也被认为在引发这种疾病中起一定作用。据报道,该病在大多数国家都有发生,在一些国家某些品种中的患病率高达28%。目前唯一真正有效的治疗方法是防止马匹接触库蠓蠓虫,这可以通过在一天中的特定时间将马匹关在马厩里或给它们盖上防虫毯来实现。在库蠓季节开始时(2009年4月),测试了一种含有维生素、多肽和氨基酸的新型膳食补充剂对IBH严重程度的影响。五十匹马参与了这项安慰剂对照、双盲研究:25匹马接受补充剂,25匹马接受安慰剂,为期30天;此后,所有马匹再接受30天的补充剂。研究人员根据临床评估以及在试验的前30天前后拍摄的数码照片,对所有马匹的IBH严重程度进行评分。在调查之前以及第一个和第二个30天周期之后,要求马主评估症状的严重程度。对于每个周期,将IBH临床症状分为加重、减轻或不变。结果显示,与接受补充剂的马匹相比,接受安慰剂的马匹中,经研究人员评估症状恶化的更多,这表明补充剂有积极效果。然而,由马主对症状严重程度进行评分时,各治疗组之间没有差异。未观察到副作用。