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静脉输注10%氨基酸对低白蛋白血症犬血清白蛋白浓度的影响。

Influence of intravenous 10% amino acids infusion on serum albumin concentration in hypoalbuminemic dogs.

作者信息

Schneider Sabrina, Hartmann Katrin, Dörfelt René

机构信息

Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.

出版信息

Front Vet Sci. 2023 Jun 5;10:1198534. doi: 10.3389/fvets.2023.1198534. eCollection 2023.

Abstract

OBJECTIVE

To evaluate the effect of parenteral amino acid application in hospitalized hypoalbuminemic dogs.

MATERIALS AND METHODS

Medical records of client-owned hypoalbuminemic dogs (albumin ≤ 25 g/L) were analyzed. Dogs receiving amino acids for only 1-2 days, receiving transfusions or surgery, or <6 months of age were excluded. Dogs were grouped as those receiving intravenous amino acids (AA, 80 dogs) over 3 days and longer, and those without additional amino acid treatment (CON, 78 dogs). Duration of hospitalization, albumin, and total protein concentrations were compared between groups by Mann-Whitney U test. Course of albumin and total protein concentration was evaluated by Friedman test and Dunn's multiple comparison test. Significance was set to  ≤ 0.05.

RESULTS

Dogs in group AA received 10% amino acid solution intravenously over median 4 days (3-11 days). No significant differences regarding survival and adverse effects were observed between groups. Dogs of group AA had significantly longer duration of hospitalization (median 8 days; 3-33 days) compared to group CON dogs (median 6 days, 3-24 days;  < 0.001). Initial albumin concentration was lower in group AA compared to CON ( < 0.001). This difference was no longer present on day 2 ( = 0.134).

CONCLUSIONS AND CLINICAL RELEVANCE

Intravenous application of 10% amino acid solution in hypoalbuminemic dogs can improve albumin concentration after 2 days, but does not influence outcome.

摘要

目的

评估肠外氨基酸应用于住院低白蛋白血症犬的效果。

材料与方法

分析客户拥有的低白蛋白血症犬(白蛋白≤25 g/L)的病历。排除仅接受1 - 2天氨基酸治疗、接受输血或手术或年龄小于6个月的犬。将犬分为接受静脉氨基酸(AA组,80只犬)治疗3天及以上的犬和未接受额外氨基酸治疗的犬(CON组,78只犬)。采用Mann-Whitney U检验比较两组之间的住院时间、白蛋白和总蛋白浓度。通过Friedman检验和Dunn多重比较检验评估白蛋白和总蛋白浓度的变化过程。显著性设定为≤0.05。

结果

AA组犬静脉输注10%氨基酸溶液,中位时间为4天(3 - 11天)。两组之间在生存率和不良反应方面未观察到显著差异。与CON组犬(中位时间6天,3 - 24天)相比,AA组犬的住院时间显著更长(中位时间8天,3 - 33天;P < 0.001)。AA组的初始白蛋白浓度低于CON组(P < 0.001)。在第2天时这种差异不再存在(P = 0.134)。

结论及临床意义

低白蛋白血症犬静脉输注10%氨基酸溶液2天后可提高白蛋白浓度,但不影响预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185e/10277565/eb705a7c0c72/fvets-10-1198534-g001.jpg

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