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一项随机、双盲、安慰剂对照研究,评估绿唇贻贝(Perna canaliculus)独特提取物对慢性腕关节炎引起的跛行马的疗效。

A randomised, double-blinded, placebo-controlled study on the efficacy of a unique extract of green-lipped mussel (Perna canaliculus) in horses with chronic fetlock lameness attributed to osteoarthritis.

机构信息

Estendart Ltd, Massey University, Private Bag, Palmerston North, New Zealand.

出版信息

Equine Vet J. 2012 Jul;44(4):393-8. doi: 10.1111/j.2042-3306.2011.00455.x. Epub 2011 Sep 1.

DOI:10.1111/j.2042-3306.2011.00455.x
PMID:21883418
Abstract

REASONS FOR PERFORMING STUDY

Lyophilised products from green-lipped mussel (Perna canaliculus[LPPC]) are used to orally treat horses with osteoarthritis (OA). However, no randomised, controlled or double-blinded studies on the efficacy of this treatment in horses have been reported to date.

OBJECTIVE

To investigate the effects of a unique LPPC (Biolane)(1) in improving clinical signs of OA in the fetlock.

METHODS

Data were analysed from 26 horses with primary fetlock lameness in a controlled, randomised and double-blinded, multi-centre clinical trial. The study design was a partial crossover with a washout period and consisted of 19 horses treated with LPPC and 20 with a placebo. Horses were dosed orally with 25 mg/kg bwt/day LPPC or placebo for 56 days. Efficacy was evaluated by clinical assessment of lameness, passive flexion, pain, swelling and heat in the affected joint. Relationships between variables were analysed using an ordinal logistic model with random effects for horse and horse x treatment according to a modified intention-to-treat analysis.

RESULTS

Clinical evaluation of horses with a fetlock lameness treated with LPPC showed a significant reduction in severity of lameness (P<0.001), improved response to the joint flexion test (P<0.001) and reduced joint pain (P = 0.014) when compared with horses treated with placebo.

CONCLUSIONS

The LPPC significantly alleviated the severity of lameness and joint pain and improved response to joint flexion in horses with lameness attributable to OA in the fetlock.

摘要

研究目的

绿唇贻贝(Perna canaliculus[LPPC])冻干产品用于口服治疗患有骨关节炎(OA)的马。然而,迄今为止,尚未有关于这种治疗方法对马疗效的随机、对照或双盲研究报告。

目的

研究一种独特的 LPPC(Biolane)(1)在改善腕关节 OA 临床症状方面的作用。

方法

在一项对照、随机、双盲、多中心临床试验中,对 26 匹具有原发性腕关节跛行的马进行了数据分析。该研究设计为部分交叉设计,有洗脱期,包括 19 匹接受 LPPC 治疗和 20 匹接受安慰剂治疗的马匹。马每天口服 25mg/kg bwt/LPPC 或安慰剂 56 天。疗效通过跛行、被动弯曲、疼痛、肿胀和受影响关节发热的临床评估进行评估。使用有序逻辑模型分析变量之间的关系,根据改良意向治疗分析,随机效应为马和马 x 治疗。

结果

与接受安慰剂治疗的马相比,接受 LPPC 治疗的腕关节跛行马的临床评估显示跛行严重程度显著降低(P<0.001),关节弯曲试验反应改善(P<0.001),关节疼痛减轻(P=0.014)。

结论

LPPC 显著减轻了马跛行的严重程度和关节疼痛,并改善了对关节弯曲的反应,对归因于腕关节 OA 的跛行有治疗作用。

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