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犬高甘油三酯血症作为内分泌疾病与胰腺炎之间介质的评估

Evaluation of Hypertriglyceridemia as a Mediator Between Endocrine Diseases and Pancreatitis in Dogs.

作者信息

Kim Hakhyun, Kang Ji-Houn, Heo Tae-Young, Kang Byeong-Teck, Kim Gonhyung, Chang Dongwoo, Na Ki-Jeong, Yang Mhan-Pyo

机构信息

Veterinary Medical Center, College of Veterinary Medicine (H.K., J-H.K., B-T.K., G.K., D.C., K-J.N., M-P.Y.), and Department of Information and Statistics, College of Natural Science (T-Y.H.), Chungbuk National University, Cheongju, South Korea.

出版信息

J Am Anim Hosp Assoc. 2019 Mar/Apr;55(2):92-100. doi: 10.5326/JAAHA-MS-6791. Epub 2019 Jan 17.

Abstract

The role of hypertriglyceridemia (HTG) secondary to endocrine diseases in the occurrence of pancreatitis in dogs has not been fully investigated. The objective of the present study was to evaluate HTG as a mediator between endocrine diseases and pancreatitis in dogs. The study design was a retrospective case-control study. Medical records of dogs newly diagnosed with acutely presenting pancreatitis between 2012 and 2014 were reviewed for the presence or absence of hyperadrenocorticism (HAC), diabetes mellitus (DM), and hypothyroidism. A matched case-control analysis was performed, and the association between endocrine diseases and pancreatitis was evaluated using multiple logistic regression analysis. In dogs with pancreatitis, the odds of HAC (P < .001) and DM (P < .001) were 4.5 and 12.4 times that of dogs without pancreatitis, respectively. HTG significantly mediated the association between DM and pancreatitis but not between HAC and pancreatitis. Additional studies will be necessary to confirm these findings and to further elucidate the associations between endocrine diseases and pancreatitis.

摘要

内分泌疾病继发的高甘油三酯血症(HTG)在犬胰腺炎发生中的作用尚未得到充分研究。本研究的目的是评估HTG作为犬内分泌疾病和胰腺炎之间的介导因素。研究设计为回顾性病例对照研究。对2012年至2014年间新诊断为急性胰腺炎的犬的病历进行审查,以确定是否存在肾上腺皮质功能亢进(HAC)、糖尿病(DM)和甲状腺功能减退。进行了匹配病例对照分析,并使用多元逻辑回归分析评估内分泌疾病与胰腺炎之间的关联。在患有胰腺炎的犬中,HAC(P <.001)和DM(P <.001)的比值分别是未患胰腺炎犬的4.5倍和12.4倍。HTG显著介导了DM与胰腺炎之间的关联,但未介导HAC与胰腺炎之间的关联。需要进一步的研究来证实这些发现,并进一步阐明内分泌疾病与胰腺炎之间的关联。

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