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患有腹痛的马匹中生理和生化参数的预后重要性。

The prognostic importance of physiological and biochemical parameters in horses afflicted with colic.

机构信息

Lithuanian University of Health Sciences (LUHS), Veterinary Academy (VA), Large Animal Clinic, Kaunas, Lithuania.

出版信息

Open Vet J. 2024 Aug;14(8):1801-1807. doi: 10.5455/OVJ.2024.v14.i8.8. Epub 2024 Aug 31.

Abstract

BACKGROUND

Colic, a primary cause of illness and death in horses, necessitates the development of improved prognostic tools.

AIM

The aim of this study was to investigate the prognostic significance of physiological and biochemical parameters in horses suffering from colic.

METHODS

A comprehensive clinical evaluation of 117 horses included assessment of heart rate, mucous membranes, capillary refill time, rectal temperature, respiratory rate, gut motility, reflux, and limb pulse strength.

RESULTS

Stomach reflux, absence of gut noises, and increased heart rate (mean increase of 12 bpm) strongly correlate with a poor prognosis. Prolonged capillary refill time (mean increase of 3 seconds), rectal temperature (over 38.5°C), elevated packed cell volume (mean increase of 4%), and blood lactate levels (mean increase of 5 mmol/l) underscore the significance of these markers. Notably, blood lactate ( < 0.001), gut noises ( < 0.05), and heart rate ( < 0.001) demonstrate the highest predictive significance based on statistical analysis.

CONCLUSION

Future research should investigate the prognostic potential of additional parameters and assess the impact of recommended treatments on colic prognosis. This data-driven study emphasizes the critical role of early recognition and thorough assessment in colic cases, offering vital insights into improving equine healthcare and mitigating mortality rates.

摘要

背景

腹痛是马群中主要的疾病和死亡原因,这就需要开发更优的预后工具。

目的

本研究旨在探讨生理和生化参数在腹痛马预后中的意义。

方法

对 117 匹马进行全面的临床评估,包括心率、黏膜、毛细血管再充盈时间、直肠温度、呼吸频率、肠道蠕动、反流和四肢脉搏强度的评估。

结果

胃反流、肠鸣音消失和心率升高(平均增加 12 次/分)与预后不良强烈相关。毛细血管再充盈时间延长(平均增加 3 秒)、直肠温度升高(超过 38.5°C)、红细胞压积升高(平均增加 4%)和血乳酸水平升高(平均增加 5mmol/L)突出了这些标志物的重要性。值得注意的是,血乳酸(<0.001)、肠鸣音(<0.05)和心率(<0.001)基于统计分析显示出最高的预测意义。

结论

未来的研究应进一步探讨其他参数的预后潜力,并评估推荐治疗对腹痛预后的影响。这项数据驱动的研究强调了早期识别和全面评估在腹痛病例中的关键作用,为改善马科动物的医疗保健和降低死亡率提供了重要的见解。

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本文引用的文献

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Development of a Colic Scoring System to Predict Outcome in Horses.用于预测马匹结局的绞痛评分系统的开发。
Front Vet Sci. 2021 Oct 8;8:697589. doi: 10.3389/fvets.2021.697589. eCollection 2021.
7
Fifty years of colic surgery.五十年的绞痛外科手术
Equine Vet J. 2018 Jul;50(4):423-435. doi: 10.1111/evj.12817. Epub 2018 Mar 12.

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