Allen Heidi S, Swecker William S, Becvarova Iveta, Weeth Lisa P, Werre Stephen R
Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061.
J Am Vet Med Assoc. 2015 May 15;246(10):1098-103. doi: 10.2460/javma.246.10.1098.
To evaluate the long-term risk of recurrence of calcium oxalate (CaOx) cystic calculi in dogs of various breeds fed 1 of 2 therapeutic diets.
Retrospective cohort study. Animals-135 dogs with a history of CaOx cystic calculi.
Medical records for 4 referral hospitals were searched to identify dogs that had had CaOx cystic calculi removed. Owners were contacted and medical records evaluated to obtain information on postoperative diet, recurrence of signs of lower urinary tract disease, and recurrence of cystic calculi. Dogs were grouped on the basis of breed (high-risk breeds, low-risk breeds, and Miniature Schnauzers) and diet fed after removal of cystic calculi (diet A, diet B, and any other diet [diet C], with diets A and B being therapeutic diets formulated to prevent recurrence of CaOx calculi).
Breed group was a significant predictor of calculi recurrence (as determined by abdominal radiography or ultrasonography), with Miniature Schnauzers having 3 times the risk of recurrence as did dogs of other breeds. Dogs in diet group A had a lower prevalence of recurrence than did dogs in diet group C, but this difference was not significant in multivariable analysis.
Results indicated that Miniature Schnauzers had a higher risk of CaOx cystic calculi recurrence than did dogs of other breeds. In addition, findings suggested that diet may play a role in decreasing recurrence, but future prospective studies are needed to validate these observations.
评估喂食两种治疗性日粮之一的不同品种犬草酸钙(CaOx)膀胱结石复发的长期风险。
回顾性队列研究。动物——135只曾有CaOx膀胱结石病史的犬。
检索4家转诊医院的病历,以确定已摘除CaOx膀胱结石的犬。联系犬主并评估病历,以获取术后日粮、下尿路疾病体征复发及膀胱结石复发的信息。根据品种(高风险品种、低风险品种和迷你雪纳瑞)以及摘除膀胱结石后所喂食的日粮(日粮A、日粮B和任何其他日粮[日粮C],日粮A和B为专门配制用于预防CaOx结石复发的治疗性日粮)对犬进行分组。
品种组是结石复发(通过腹部X线摄影或超声检查确定)的显著预测因素,迷你雪纳瑞的复发风险是其他品种犬的3倍。日粮A组犬的复发患病率低于日粮C组犬,但在多变量分析中,这种差异不显著。
结果表明,迷你雪纳瑞比其他品种犬有更高的CaOx膀胱结石复发风险。此外,研究结果提示日粮可能在降低复发率方面发挥作用,但需要未来的前瞻性研究来验证这些观察结果。