Evidensia Djursjukhuset Malmö, Malmo, Sweden.
Military Medical Academy, Belgrade, Serbia.
Reprod Domest Anim. 2022 Oct;57(10):1156-1164. doi: 10.1111/rda.14186. Epub 2022 Jun 24.
The work was aimed to research into the vital signs, haematological and biochemical parameters, acute-phase protein concentrations (CRP, albumin), progesterone (PG) and anti-Müllerian hormone (AMH) concentrations in bitches with pyometra and their comparison with those in healthy bitches. In addition, the goal of this work was to assess if some of the tested parameters may be used as a biomarker in the diagnostics of pyometra and the monitoring of the postoperative recovery. Forty 3-6-year-old bitches of various breeds were included in the research and allotted to two groups: the control (C, n = 20) and the diseased - bitches diagnosed with pyometra (P, n = 20). Blood samples for the analyses were taken immediately before surgery (0 h), and 12 h, 24 h, 48 h and 72 h after, excepting for AMH and PG concentrations, which were determined only at 0 h. Clinical examination detected significantly higher respiration rates in bitches with pyometra in comparison to healthy ones at all time points, higher heart rates before and 12 h after surgery, and higher body temperature before and 12 h, 48 h and 72 h post operation (p < .01). Significantly higher concentrations of CRP (p < .01) and lower concentrations of albumin were detected in bitches with pyometra in comparison to their healthy counterparts at all time points. Progesterone and AMH concentration analysis immediately before surgery detected significantly higher levels of the hormone in bitches with pyometra than in the control (p < .01). The inflammatory reaction of the endometrium resulted in a significant AMH concentration increase, whilst increased CRP concentrations and lower albumin concentrations throughout the research may be used as biomarkers of proinflammatory activities, that is of the acute-phase response.
本研究旨在研究脓性子宫炎患犬与健康犬的生命体征、血液学和生化学参数、急性期蛋白浓度(CRP、白蛋白)、孕酮(PG)和抗苗勒管激素(AMH)浓度,并进行比较。此外,本研究还旨在评估这些检测参数中的某些指标是否可用于脓性子宫炎的诊断和术后恢复监测。本研究纳入了 40 只年龄为 3-6 岁、不同品种的母犬,分为两组:对照组(C,n=20)和患病组 - 诊断为脓性子宫炎的母犬(P,n=20)。在术前(0 小时)、术后 12 小时、24 小时、48 小时和 72 小时采集血液样本进行分析,但 AMH 和 PG 浓度仅在 0 小时测定。临床检查发现,脓性子宫炎患犬在所有时间点的呼吸频率均明显高于健康犬,术前和术后 12 小时的心率更高,术前和术后 12 小时、48 小时和 72 小时的体温更高(p<.01)。与健康犬相比,脓性子宫炎患犬在所有时间点的 CRP 浓度(p<.01)更高,白蛋白浓度更低。术前即刻的 PG 和 AMH 浓度分析显示,脓性子宫炎患犬的激素水平明显高于对照组(p<.01)。子宫内膜的炎症反应导致 AMH 浓度显著升高,而整个研究过程中 CRP 浓度的升高和白蛋白浓度的降低可作为促炎活性的生物标志物,即急性期反应。