Suppr超能文献

临床评分系统和血脂谱作为采用激素 - 类固醇 - 碳水化合物治疗方案的酮病奶牛恢复指标的诊断意义

Diagnostic significance of clinical scoring system and serum lipid profiles as recovery indicators in ketotic dairy cattle using hormonal-steroids-carbohydrates therapeutic protocol.

作者信息

Khalphallah Arafat, Almuhanna Abdulaziz H, Abdulkarim Abdulrahman, Khesruf Khaled A, Abdelhafez Enas A, El-Deeb Wael, Mohamed Ragab H, Almubarak Adel I, Mousa Sabry A, Saber Mahmoud, Abdel-Lah Ebtsam S, Elmeligy Enas

机构信息

Division of Internal Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut, Egypt.

Department of Clinical Sciences, College of Veterinary Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.

出版信息

Open Vet J. 2025 Apr;15(4):1719-1733. doi: 10.5455/OVJ.2025.v15.i4.24. Epub 2025 Apr 30.

Abstract

BACKGROUND

Ketosis is one of the most important metabolic disorders occurring in dairy cows after calving, which is caused by a negative energy balance during the peripartum period or around parturition.

AIM

The current study focused on the diagnostic significance of the clinical scoring system, with serum lipid profiles, mainly lecithin cholesterol acyltransferase (LCAT) and apolipoprotein B-100 (ApoB-100), as recovery indicators in ketotic dairy cattle using the hormonal-steroids-carbohydrate therapeutic protocol. The study also discussed the correlation coefficient between serum apo-B100 and serum non-esterified fatty acids (NEFAs) in pretreated and post-treated ketotic cattle.

METHODS

In this study, 50 ketotic cattle from various dairy farms. The ketotic cows were subjected to a hormonal-steroids-carbohydrate therapeutic regimen extended for a continuous 5 days, including mainly insulin, dexamethasone, and carbohydrate replacement therapy (Glucose solution 50% alternative with dextrose solution 50%) with drenching of propylene glycol. and vitamin B injection. Insulin was administered simultaneously with both of glucose and glucocorticoid (Dexamethasone) and alternatively with a 50% dextrose solution. All animals were undergoing thorough clinical and biochemical investigations including mainly clinical scoring system, serum lipid profiles, and serum enzyme activities (Aspartate aminotransferase; AST) in days 0, 7, 14, 21, and 30.

RESULTS

The ketotic dairy cattle needed a maximum 30-day follow-up period post-therapy to restore their physiological status for clinical scoring data (7 days needed) and most serum lipid indices [14 days needed, i.e., apoB-100, β-hydroxy butyric acid, NEFA, glucose, cholesterol, and AST]. A 30-day post-therapy as a follow-up period was urgently required to restore their reference values of serum LCAT. The results of this study indicated that serum LCAT activity and ApoB-100 were the most sensitive indicators of the efficacy of therapy and the restoration of the physiological status. The study revealed a significant negative correlation between serum NEFA and apoB-100 in ketotic cattle. The results of this study indicated that serum LCAT activity and ApoB-100 were the most sensitive indicators of the efficacy of therapy and the restoration of the physiological status. This could be seen by an obvious improvement in serum lipid profiles, mainly LCAT and apoB-100, and clinical findings as well as clinical coring data. The study identified a significant negative correlation between NEFA and apoB-100 in ketotic cattle.

CONCLUSION

Exposure of diseased ketotic dairy cattle to this specific therapeutic strategy had a great impact on their recovery from ketosis and improved their health and productivity status. The current study concluded the diagnostic significance of the clinical scoring system (Appetite score, rumen filling score, manure digestion score, and manure condition score), and serum lipid profiles, mainly LCAT and apoB-100, as recovery indicators in ketotic dairy cattle using hormonal-steroids-carbohydrates therapeutic protocol.

摘要

背景

酮病是奶牛产后发生的最重要的代谢紊乱之一,它由围产期或分娩前后的能量负平衡引起。

目的

本研究聚焦于临床评分系统的诊断意义,以血清脂质谱(主要是卵磷脂胆固醇酰基转移酶(LCAT)和载脂蛋白B-100(ApoB-100))作为使用激素-类固醇-碳水化合物治疗方案的酮病奶牛恢复指标。该研究还讨论了预处理和治疗后酮病奶牛血清载脂蛋白B100与血清非酯化脂肪酸(NEFA)之间的相关系数。

方法

本研究选取了来自不同奶牛场的50头酮病奶牛。对酮病奶牛进行为期5天的激素-类固醇-碳水化合物治疗方案,主要包括胰岛素、地塞米松和碳水化合物替代疗法(50%葡萄糖溶液与50%右旋糖溶液交替使用),并灌服丙二醇和注射维生素B。胰岛素与葡萄糖和糖皮质激素(地塞米松)同时给药,也与50%右旋糖溶液交替使用。所有动物在第0、7、14、21和30天接受全面的临床和生化检查,主要包括临床评分系统、血清脂质谱和血清酶活性(天冬氨酸转氨酶;AST)。

结果

酮病奶牛在治疗后需要最长30天的随访期来恢复其临床评分数据(需要7天)和大多数血清脂质指标(需要14天,即ApoB-100、β-羟基丁酸、NEFA、葡萄糖、胆固醇和AST)的生理状态。迫切需要30天的治疗后随访期来恢复其血清LCAT的参考值。本研究结果表明,血清LCAT活性和ApoB-100是治疗效果和生理状态恢复的最敏感指标。该研究揭示了酮病奶牛血清NEFA与apoB-100之间存在显著负相关。本研究结果表明,血清LCAT活性和ApoB-100是治疗效果和生理状态恢复的最敏感指标。这可以从血清脂质谱(主要是LCAT和apoB-100)的明显改善、临床发现以及临床评分数据中看出。该研究确定了酮病奶牛中NEFA与apoB-100之间存在显著负相关。

结论

患病的酮病奶牛接受这种特定的治疗策略对其从酮病中恢复有很大影响,并改善了它们的健康和生产性能状态。本研究得出了临床评分系统(食欲评分、瘤胃充盈评分、粪便消化评分和粪便状况评分)以及血清脂质谱(主要是LCAT和apoB-100)作为使用激素-类固醇-碳水化合物治疗方案的酮病奶牛恢复指标的诊断意义。

相似文献

10
Glucose and xylitol tolerance tests for ketotic and healthy dairy cows.
J Dairy Sci. 1996 Mar;79(3):372-7. doi: 10.3168/jds.S0022-0302(96)76374-9.

本文引用的文献

8
Hepatocyte apoptosis in dairy cows with fatty infiltration of the liver.奶牛脂肪肝中的肝细胞凋亡。
Res Vet Sci. 2012 Dec;93(3):1281-6. doi: 10.1016/j.rvsc.2012.03.011. Epub 2012 Apr 17.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验