Dohoo I R
Can J Comp Med. 1984 Jan;48(1):6-9.
Health and fertility data were recorded in 32 southern Ontario Holstein herds over a period of two and a half years. During that time 2.6% (80/3123) of breedings were followed by a postbreeding infusion. Breedings were divided into groups according to the breeding number (first to fifth), age group (less than 3 yr, 3 to 5.9 yr, greater than or equal to 6 yr) and disease status of the reproductive tract (four groups). The rate of use of infusions was higher following third to fifth breedings, increased with the age of the cow and was much higher in cows with a diagnosis of uterine infection. For each individual group of breedings the odds of a breeding followed by an infusion resulting in a pregnancy was compared to the odds of a breeding not followed by an infusion resulting in a pregnancy. In general the ratios of these odds were less than one, possibly indicating a detrimental effect due to the infusion. Summary odds ratios were calculated for each breeding number, each age group and each infection category. Again, in general, the odds ratios were less than one although the differences from one were not significant at p = 0.05. Two estimates of the overall summary odds ratio (based on all breedings) indicated that breedings followed by an infusion were only approximately 0.7 times as likely to result in a pregnancy as breedings not followed by an infusion. The two estimates of the summary odds ratio were not significantly different from one at p = 0.05. Several possible sources of bias in this type of trial, and their potential effects on the results are discussed.
在两年半的时间里,对安大略省南部的32个荷斯坦奶牛群记录了健康和繁殖数据。在此期间,2.6%(80/3123)的配种后进行了配种后灌注。配种根据配种次数(第一次至第五次)、年龄组(小于3岁、3至5.9岁、大于或等于6岁)和生殖道疾病状况(四组)进行分组。第三次至第五次配种后灌注的使用率更高,随奶牛年龄增加而增加,并且在诊断为子宫感染的奶牛中更高。对于每组单独的配种,将配种后进行灌注并怀孕的几率与配种后未进行灌注并怀孕的几率进行比较。总体而言,这些几率的比值小于1,这可能表明灌注有不利影响。计算了每个配种次数、每个年龄组和每个感染类别的汇总几率比。同样,总体而言,几率比小于1,尽管在p = 0.05时与1的差异不显著。基于所有配种的总体汇总几率比的两个估计值表明,配种后进行灌注的怀孕几率仅约为未进行灌注配种的0.7倍。在p = 0.05时,汇总几率比的两个估计值与1没有显著差异。讨论了这类试验中几种可能的偏差来源及其对结果的潜在影响。