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评估一次性静脉注射50%葡萄糖溶液对产后奶牛电解质及能量平衡指标的影响。

Evaluation of the effect of bolus administration of 50% dextrose solution on measures of electrolyte and energy balance in postpartum dairy cows.

作者信息

Wagner Sarah A, Schimek Daniel E

机构信息

Department of Animal Sciences, College of Agriculture, Food Systems, and Natural Resources, North Dakota State University, Fargo, ND 58108, USA.

出版信息

Am J Vet Res. 2010 Sep;71(9):1074-80. doi: 10.2460/ajvr.71.9.1074.

Abstract

OBJECTIVE

To determine the effect of IV administration of a bolus of 50% dextrose solution on electrolyte and energy balance and effect of blood collection site on serum electrolyte values in postparturient dairy cows.

ANIMALS

24 clinically normal multiparous cows.

PROCEDURES

A bolus of 50% dextrose solution (0.5 L [n=8 cows]), 50% dextrose solution (1.0 L [8]), or saline (0.9% NaCl) solution (1.0 L, control treatment [8]) was administered via jugular venipuncture 5 to 10 days after parturition. Pretreatment and posttreatment blood samples were analyzed for concentrations of calcium, magnesium, phosphorus, potassium, glucose, insulin, beta-hydroxybutyric acid (BHBA), and nonesterified fatty acids. Coccygeal vessel and jugular vein blood samples were obtained prior to treatment, and electrolyte concentrations were compared.

RESULTS

Treatment with 50% dextrose decreased phosphorus concentration in serum, compared with the control treatment. Suppression of BHBA and nonesterified fatty acid concentrations following dextrose treatment lasted for <12 hours; mean BHBA concentrations in all groups were increased 24 hours after treatment. Mean serum phosphorus concentration in coccygeal vessel blood samples was 0.67 mg/dL greater than the concentration in jugular vein blood samples.

CONCLUSIONS AND CLINICAL RELEVANCE

Postpartum cows treated with dextrose solution may be at risk for hypophosphatemia, and 1 treatment with 0.5 or 1 L of 50% dextrose solution is unlikely to prevent or resolve acetonemia (ketosis). The risk of hypophosphatemia may be underestimated when coccygeal vessel blood samples are used for diagnosis.

摘要

目的

确定静脉注射大剂量50%葡萄糖溶液对产后奶牛电解质和能量平衡的影响,以及采血部位对血清电解质值的影响。

动物

24头临床正常的经产奶牛。

程序

在分娩后5至10天,通过颈静脉穿刺给予大剂量50%葡萄糖溶液(0.5升[n = 8头奶牛])、50%葡萄糖溶液(1.0升[8头])或生理盐水(0.9%氯化钠溶液,1.0升,对照处理[8头])。对治疗前和治疗后的血样进行钙、镁、磷、钾、葡萄糖、胰岛素、β-羟基丁酸(BHBA)和非酯化脂肪酸浓度分析。在治疗前采集尾静脉和颈静脉血样,并比较电解质浓度。

结果

与对照处理相比,50%葡萄糖治疗降低了血清磷浓度。葡萄糖治疗后BHBA和非酯化脂肪酸浓度的抑制持续时间<12小时;治疗后24小时所有组的平均BHBA浓度均升高。尾静脉血样中的平均血清磷浓度比颈静脉血样中的浓度高0.67毫克/分升。

结论及临床意义

用葡萄糖溶液治疗的产后奶牛可能有低磷血症风险,一次给予0.5或1升50%葡萄糖溶液不太可能预防或解决酮血症(酮病)。当使用尾静脉血样进行诊断时,低磷血症的风险可能被低估。

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