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犬低剂量泼尼松龙给药后的体重、血压及全身变化

Body weight, blood pressure, and systemic changes following low-dosage prednisolone administration in dogs.

作者信息

Lee Sang-Kwon, Park Seungjo, Cheon Byunggyu, Kim Hyun Woo, Yu Dohyeon, Choi Jihye

出版信息

Am J Vet Res. 2017 Sep;78(9):1091-1097. doi: 10.2460/ajvr.78.9.1091.

Abstract

OBJECTIVE To investigate systemic changes following low-dosage prednisolone administration in dogs. ANIMALS 4 healthy purpose-bred adult male Beagles. PROCEDURES Dogs were administered prednisolone PO at a dosage of 2 mg/kg/d for 2 weeks, 1 mg/kg/d for 4 weeks, and 0.5 mg/kg/d for 3 weeks. Body weight, blood pressure, hepatic size and echogenicity, percentage of vacuolated hepatocytes, serum hepatic enzyme activities and glucose concentration, adrenal gland size, and pancreatic echogenicity were evaluated weekly for 9 weeks. RESULTS The only significant change identified was an increase in hepatic echogenicity, assessed by measuring liver-kidney contrast on ultrasonographic images. Increases in hepatic size and percentage of vacuolated hepatocytes were identified, but values did not differ from baseline values. Similarly, serum hepatic enzyme activities increased, but changes were mild and not significantly different from baseline values. Body weight, pancreatic echogenicity, and serum glucose concentration did not show noticeable changes. Mild systemic hypertension was seen, but blood pressure was not significantly different from the baseline value. Similarly, adrenal gland size steadily decreased during the first 6 weeks and increased again after the prednisolone dosage was decreased to 0.5 mg/kg/d. However, mean adrenal gland size was not significantly different from the baseline value at any time. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that in dogs, administration of prednisolone at a low dosage was associated with minimal systemic effects.

摘要

目的 研究犬低剂量泼尼松龙给药后的全身变化。动物 4只健康的、专门繁育的成年雄性比格犬。方法 犬口服泼尼松龙,剂量为2 mg/kg/d,持续2周;1 mg/kg/d,持续4周;0.5 mg/kg/d,持续3周。在9周内每周评估体重、血压、肝脏大小和回声、空泡化肝细胞百分比、血清肝酶活性和葡萄糖浓度、肾上腺大小以及胰腺回声。结果 唯一确定的显著变化是通过测量超声图像上肝脏与肾脏的对比度评估的肝脏回声增强。肝脏大小和空泡化肝细胞百分比增加,但数值与基线值无差异。同样,血清肝酶活性增加,但变化轻微,与基线值无显著差异。体重、胰腺回声和血清葡萄糖浓度未显示明显变化。出现轻度全身性高血压,但血压与基线值无显著差异。同样,肾上腺大小在前6周稳步下降,泼尼松龙剂量降至0.5 mg/kg/d后再次增加。然而,肾上腺平均大小在任何时候与基线值均无显著差异。结论及临床意义 结果表明,在犬中,低剂量泼尼松龙给药的全身影响最小。

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