From the Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI 53706.
Am J Vet Res. 2021 Nov;82(11):920-923. doi: 10.2460/ajvr.82.11.920.
To evaluate glucose absorption rates as an indirect measure of fluid absorption after SC or intracoelomic (ICe) administration of 2.5% dextrose solution to experimentally dehydrated inland bearded dragons ().
9 adult bearded dragons.
In a randomized, blinded, placebo-controlled, crossover design study, bearded dragons were experimentally dehydrated with a previously described protocol and then received 2.5% dextrose solution (a 1:1 mixture of 5% dextrose in isotonic multiple electrolytes solution; 20 mL/kg), SC or ICe, or a control treatment (the same electrolytes solution without added glucose; 20 mL/kg). Blood glucose (BG) concentrations were measured at predetermined times up to 24 hours after fluid administration. There was a ≥ 14-day washout period between treatments. Mean changes in BG concentration from baseline were compared among treatments.
Administration of 2.5% dextrose solution by either route increased BG concentration with a significantly greater change in values within 5 minutes, compared with control treatment results. The mean change in BG concentration after ICe administration was significantly greater than that after SC administration 15 and 30 minutes after injection, with mean differences of -50 and -36 mg/dL, respectively, for the SC treatment. Within 1 hour after fluid administration, there was no significant difference in BG values between the 2 dextrose administration routes.
Findings supported that fluid therapy by SC administration, which carries a lower risk of iatrogenic complications, can provide results similar to those achieved with ICe administration.
评估葡萄糖吸收率,作为间接衡量经皮下(SC)或腹腔内(ICe)给予 2.5%葡萄糖溶液后液体吸收的指标,用于实验性脱水的内陆鬃狮蜥()。
9 只成年鬃狮蜥。
在一项随机、双盲、安慰剂对照、交叉设计的研究中,采用先前描述的方案使鬃狮蜥出现实验性脱水,然后经 SC 或 ICe 给予 2.5%葡萄糖溶液(5%葡萄糖与等渗电解质溶液的 1:1 混合物;20 mL/kg),或给予对照治疗(不含添加葡萄糖的相同电解质溶液;20 mL/kg)。在液体给药后最多 24 小时的预定时间测量血糖(BG)浓度。在治疗之间有≥14 天的洗脱期。比较治疗之间 BG 浓度的平均变化。
与对照治疗结果相比,通过任一途径给予 2.5%葡萄糖溶液均可增加 BG 浓度,且在 5 分钟内的变化值显著更大。ICe 给药后 BG 浓度的平均变化显著大于 SC 给药后 15 和 30 分钟时的变化,SC 治疗的平均差值分别为-50 和-36 mg/dL。在给予液体后 1 小时内,两种葡萄糖给药途径的 BG 值无显著差异。
研究结果支持 SC 给药的液体疗法,其具有较低的医源性并发症风险,可以产生与 ICe 给药相似的结果。