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血清非酯化脂肪酸浓度升高和离子钙浓度降低与母马产后绞痛有关。

Increased serum nonesterified fatty acid and low ionised calcium concentrations are associated with post partum colic in mares.

作者信息

Holcombe S J, Embertson R M, Kurtz K A, Roessner H A, Wismer S E, Geor R J, Kaneene J B

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.

Rood and Riddle Equine Hospital, Lexington, Kentucky, USA.

出版信息

Equine Vet J. 2016 Jan;48(1):39-44. doi: 10.1111/evj.12391. Epub 2015 Feb 2.

Abstract

REASONS FOR PERFORMING STUDY

Increased serum nonesterified fatty acids (NEFA) and decreased serum electrolytes are linked to abdomasal displacements in post partum dairy cattle. Post partum colic in mares may be associated with metabolic changes specific to pregnancy and the periparturient period.

OBJECTIVES

To determine if fluctuations in serum NEFA, ionised calcium (iCa) and magnesium (iMg) occurred in periparturient mares and if these alterations were associated with post partum colic.

STUDY DESIGN

Longitudinal observational study.

METHODS

Mares from 3 farms in central Kentucky were enrolled. Blood samples were collected 14 days prior to the estimated foaling date, within 4 days post parturition, and 14 and 28 days after foaling for batch analysis of serum NEFA, iCa and iMg. Health information was provided by farm managers and veterinarians. Data were analysed using Kruskal-Wallis χ(2) statistic for nonparametric data and a matched case/control approach. Repeated measures logistic regression models were developed.

RESULTS

Serum NEFAs were higher at 14-1 day before foaling (mean ± s.d., mmol/l), 0.28 ± 0.12, P = 0.04 and from foaling to 4 days after foaling, 0.29 ± 0.20 (P = 0.05) in mares that developed colic compared with those that did not colic, 0.19 ± 0.05 and 0.21 ± 0.14, respectively. Ionised calcium was lower at 15-28 days post foaling in mares that showed colic, 1.50 ± 0.17 compared to mares that did not colic, 1.60 ± 0.12, P = 0.02. Risk of colic in post partum mares increased 38% for each 0.1 mmol/l increase in serum NEFA (odds ratio = 1.38, 95% confidence interval 1.06-1.81, P = 0.02).

CONCLUSIONS

Mares with post partum colic had significantly higher serum NEFA and lower iCa prior to the colic episode compared with mares that did not develop colic. Monitoring these metabolic alterations may lead to predictive and preventive colic strategies for post partum mares.

摘要

开展本研究的原因

血清非酯化脂肪酸(NEFA)升高和血清电解质降低与产后奶牛的腹部移位有关。母马产后绞痛可能与妊娠及围产期特有的代谢变化有关。

目的

确定围产期母马血清NEFA、离子钙(iCa)和镁(iMg)是否发生波动,以及这些变化是否与产后绞痛有关。

研究设计

纵向观察性研究。

方法

招募了肯塔基州中部3个农场的母马。在预计产驹日期前14天、产后4天内以及产后14天和28天采集血样,用于批量分析血清NEFA、iCa和iMg。农场管理人员和兽医提供健康信息。使用Kruskal-Wallis χ(2)统计量分析非参数数据,并采用匹配病例/对照方法。建立重复测量逻辑回归模型。

结果

与未发生绞痛的母马相比,发生绞痛的母马在产驹前14 - 1天血清NEFA更高(均值±标准差,mmol/l),为0.28±0.12,P = 0.04,在产驹至产后4天为0.29±0.20(P = 0.05),未发生绞痛的母马分别为0.19±0.05和0.21±0.14。发生绞痛的母马在产后15 - 28天离子钙较低,为1.50±0.17,未发生绞痛的母马为1.60±0.12,P = 0.02。血清NEFA每增加0.1 mmol/l,产后母马发生绞痛的风险增加38%(比值比 = 1.38,95%置信区间1.06 - 1.81,P = 0.02)。

结论

与未发生绞痛的母马相比,发生产后绞痛的母马在绞痛发作前血清NEFA显著更高,iCa更低。监测这些代谢变化可能会为产后母马带来预测性和预防性的绞痛策略。

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