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关节内注射透明质酸与传统保守治疗对髋关节发育不良相关骨关节炎犬的疗效比较

Intra-Articular Hyaluronic Acid Compared to Traditional Conservative Treatment in Dogs with Osteoarthritis Associated with Hip Dysplasia.

作者信息

Carapeba Gabriel O L, Cavaleti Poliana, Nicácio Gabriel M, Brinholi Rejane B, Giuffrida Rogério, Cassu Renata N

机构信息

Postgraduate Program in Animal Science, Oeste Paulista University, 19067-175 Presidente Prudente, SP, Brazil.

Faculty of Veterinary Medicine, Oeste Paulista University, 19067-175 Presidente Prudente, SP, Brazil.

出版信息

Evid Based Complement Alternat Med. 2016;2016:2076921. doi: 10.1155/2016/2076921. Epub 2016 Oct 26.

Abstract

The purpose of this study was to compare the efficacy of the intra-articular (IA) hyaluronic acid injection to traditional conservative treatment (TCT) in dogs with osteoarthritis (OA) induced by hip dysplasia. Sixteen dogs were distributed into two groups: Hyal: IA injection of hyaluronic acid (5-10 mg), and Control: IA injection with saline solution (0.5-1.0 mL) in combination with a TCT using an oral nutraceutical (750-1000 mg every 12 h for 90 days) and carprofen (2.2 mg/kg every 12 h for 15 days). All dogs were assessed by a veterinarian on five occasions and the owner completed an assessment form (HCPI and CPBI) at the same time. The data were analyzed using unpaired test, ANOVA, and Tukey's test ( < 0.05). Compared with baseline, lower scores were observed in both groups over the 90 days in the veterinarian evaluation, HCPI, and CPBI ( < 0.001). The Hyal group exhibited lower scores from 15 to 90 and 60 to 90 days, in the CBPI and in the veterinarian evaluation, respectively, compared to the Control group. Both treatments reduced the clinical signs associated with hip OA. However, more significant results were achieved with intra-articular hyaluronic acid injection.

摘要

本研究的目的是比较关节内(IA)注射透明质酸与传统保守治疗(TCT)对髋关节发育不良诱发骨关节炎(OA)犬的疗效。16只犬被分为两组:透明质酸组(Hyal):IA注射透明质酸(5 - 10毫克);对照组(Control):IA注射盐溶液(0.5 - 1.0毫升),并结合使用口服营养保健品(每12小时750 - 1000毫克,共90天)和卡洛芬(每12小时2.2毫克/千克,共15天)进行TCT。所有犬由一名兽医进行五次评估,同时犬主填写一份评估表(HCPI和CPBI)。数据采用非配对t检验、方差分析和Tukey检验进行分析(P < 0.05)。与基线相比,在90天的兽医评估、HCPI和CPBI中,两组的评分均降低(P < 0.001)。与对照组相比,透明质酸组在第15至90天和第60至90天的CBPI及兽医评估中分别表现出较低的评分。两种治疗方法均减轻了与髋关节OA相关的临床症状。然而,关节内注射透明质酸取得了更显著的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b25d/5101385/a085b61d51cd/ECAM2016-2076921.001.jpg

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