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澳大利亚马肌阵挛病——流行病学、临床及神经学调查

Australian Stringhalt--epidemiological, clinical and neurological investigations.

作者信息

Huntington P J, Jeffcott L B, Friend S C, Luff A R, Finkelstein D I, Flynn R J

机构信息

Department of Agriculture and Rural Affairs, VRI Attwood, Victoria, Australia.

出版信息

Equine Vet J. 1989 Jul;21(4):266-73. doi: 10.1111/j.2042-3306.1989.tb02165.x.

DOI:10.1111/j.2042-3306.1989.tb02165.x
PMID:2767028
Abstract

An investigation of 78 cases of typical Australian Stringhalt from 52 properties in Victoria was carried out from 1985 to 1987. Horses were either examined in the field (n = 52), referred to the Veterinary Clinical Centre (n = 13) or clinical details were obtained verbally (n = 13). In addition 10 cases of false or atypical stringhalt were examined. Detailed soil and pasture analysis was carried out on 14 properties where Australian Stringhalt had occurred. Information was also obtained on epidemiology of the condition from a survey of practitioners. Fifty of the 52 cases examined in the field occurred in horses that were dependent upon poor quality unimproved dry pasture. In all but a few cases, there was no pasture improvement or fertiliser application, leading to the development of weed-dominated pastures, particularly by flatweed, Hypochaeris radicata. The range of clinical signs exhibited by horses with Australian Stringhalt was described and a grading system proposed to classify horses according to severity of signs. Laryngeal abnormalities were present in 10 of 11 cases examined endoscopically and these horses exhibited increased electromyographic (EMG) activity in the long digital extensor muscle at rest and during hindlimb flexion. To a large extent, the EMG changes disappeared and digital extensor muscle atrophy improved in two horses that were monitored to recovery. Deep peroneal nerve conduction studies in four horses with Australian Stringhalt showed a substantial reduction in nerve conduction velocity and when stimulated at 50 Hz were unable to sustain activation of the long digital extensor muscle. EMG and evoked responses appeared to be sensitive indicators of the state of the disease.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1985年至1987年,对维多利亚州52处房产的78例典型澳大利亚僵腿病病例进行了调查。马匹要么在现场检查(n = 52),转诊至兽医临床中心(n = 13),要么通过口头获取临床细节(n = 13)。此外,还检查了10例假性或非典型僵腿病病例。对发生澳大利亚僵腿病的14处房产进行了详细的土壤和牧场分析。还通过对从业者的调查获得了该病的流行病学信息。在现场检查的52例病例中,有50例发生在依赖劣质未改良干牧场的马匹身上。除少数情况外,均未对牧场进行改良或施肥,导致杂草主导的牧场形成,尤其是由小花苣荬菜(Hypochaeris radicata)所致。描述了患有澳大利亚僵腿病的马匹表现出的一系列临床症状,并提出了一种分级系统,根据症状严重程度对马匹进行分类。在内镜检查的11例病例中,有10例存在喉部异常,这些马匹在休息和后肢屈曲时,长指伸肌的肌电图(EMG)活动增加。在对两匹监测至康复的马匹中,EMG变化在很大程度上消失,指伸肌萎缩得到改善。对4例患有澳大利亚僵腿病的马匹进行的腓深神经传导研究显示,神经传导速度大幅降低,在50 Hz刺激时无法维持长指伸肌的激活。EMG和诱发反应似乎是该病状态的敏感指标。(摘要截短至250字)

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