Behrend Ellen N, Botsford Annabel N, Mueller Samuel A, Hofmeister Erik H, Lee Hollie P
Am J Vet Res. 2019 Oct;80(10):907-911. doi: 10.2460/ajvr.80.10.907.
To evaluate effects of the addition of glucose to dog and cat urine on urine specific gravity (USG) and determine whether glucosuria affects assessment of renal concentrating ability.
Urine samples from 102 dogs and 59 cats.
Urine for each species was pooled to create samples with various USGs. Glucose was added to an aliquot of each USG pool (final concentration, 2,400 mg/dL), and serial dilutions of the glucose-containing aliquot were created for each pool. The USG then was measured in all samples. The difference in USG attributable to addition of glucose was calculated by subtracting the USG of the unaltered sample from the USG of the sample after the addition of glucose. The relationship between the difference in USG and the USG of the unaltered, undiluted sample was evaluated by the use of linear regression analysis.
Addition of glucose to urine samples increased the USG. There was a significant relationship between USG of the undiluted sample and the difference in USG when glucose was added to obtain concentrations of 300, 600, 1,200, and 2,400 mg/dL in canine urine and concentrations of 600, 1,200, and 2,400 mg/dL in feline urine. The more concentrated the urine before the addition of glucose, the less change there was in the USG. Changes in USG attributable to addition of glucose were not clinically important.
Substantial glucosuria resulted in minimal alterations in specific gravity of canine and feline urine samples. Thus, USG can be used to assess renal concentrating ability even in samples with glucosuria.
评估向犬猫尿液中添加葡萄糖对尿比重(USG)的影响,并确定糖尿是否会影响对肾脏浓缩能力的评估。
来自102只犬和59只猫的尿液样本。
将每种动物的尿液汇集起来,以创建具有不同尿比重的样本。向每个尿比重样本的一份等分试样中添加葡萄糖(终浓度为2400mg/dL),并为每个样本创建含葡萄糖等分试样的系列稀释液。然后测量所有样本的尿比重。通过用添加葡萄糖后样本的尿比重减去未改变样本的尿比重,计算出因添加葡萄糖导致的尿比重差异。通过线性回归分析评估尿比重差异与未改变、未稀释样本的尿比重之间的关系。
向尿液样本中添加葡萄糖会增加尿比重。当向犬尿液中添加葡萄糖使其浓度达到300、600、1200和2400mg/dL,向猫尿液中添加葡萄糖使其浓度达到600、1200和2400mg/dL时,未稀释样本的尿比重与添加葡萄糖后的尿比重差异之间存在显著关系。添加葡萄糖前尿液浓度越高,尿比重变化越小。因添加葡萄糖导致的尿比重变化在临床上并不重要。
大量糖尿导致犬猫尿液样本的比重变化极小。因此,即使在有糖尿的样本中,尿比重也可用于评估肾脏浓缩能力。