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健康麻醉马匹口腔、直肠黏膜及结肠浆膜微循环的比较

Comparison of the oral and rectal mucosal and colonic serosal microcirculations of healthy, anesthetized horses.

作者信息

Kieffer Philip J, Williams Jarred M, Shepard Molly K, Giguère Steeve, Epstein Kira L

机构信息

Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA (Kieffer, Williams, Giguère, Epstein); MedVet Medical & Cancer Centers for Pets, Chicago, Illinois, USA (Shepard).

出版信息

Can J Vet Res. 2018 Jan;82(1):55-59.

Abstract

The objectives of the study were to: i) determine baseline microvascular perfusion indices (MPI) and assess their repeatability in healthy horses under general anesthesia, and ii) compare the MPIs of 3 microvascular beds (oral mucosa, colonic serosa, and rectal mucosa). Healthy adult horses were anesthetized and sidestream dark field microscopy was used to collect video loops of the oral mucosa, rectal mucosa, and colonic serosa under normotensive conditions without cardiovascular support drugs; videos were later analyzed to produce MPIs. Baseline MPI values were determined for each site, which included the total vessel density (TVD), perfused vessel density (PVD), portion perfused vessels (PPV), and microcirculatory flow index (MFI). Differences in MPIs between microvascular beds were not statistically significant. Repeatability of the measurements varied for each MPI. In particular, the site of sampling had a profound effect on the repeatability of the PPV measurements and should be considered in future studies.

摘要

本研究的目的是

i)确定健康马匹在全身麻醉下的基线微血管灌注指数(MPI)并评估其可重复性,以及ii)比较3个微血管床(口腔黏膜、结肠浆膜和直肠黏膜)的MPI。对健康成年马匹进行麻醉,并使用旁流暗视野显微镜在无心血管支持药物的正常血压条件下收集口腔黏膜、直肠黏膜和结肠浆膜的视频环;随后对视频进行分析以得出MPI。确定了每个部位的基线MPI值,包括总血管密度(TVD)、灌注血管密度(PVD)、灌注血管比例(PPV)和微循环血流指数(MFI)。微血管床之间MPI的差异无统计学意义。每个MPI测量的可重复性各不相同。特别是,采样部位对PPV测量的可重复性有深远影响,在未来的研究中应予以考虑。

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