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[使用催乳素抑制剂美他多辛和溴隐亭治疗母犬假孕]

[The treatment of pseudopregnancy in the bitch with prolactin inhibitors metergoline and bromocriptine].

作者信息

Grünau B, Nolte I, Hoppen H O

机构信息

Klinik für kleine Haustiere der Tierärztlichen Hochschule Hannover.

出版信息

Tierarztl Prax. 1996 Apr;24(2):149-55.

PMID:8650684
Abstract

In the present study, the prolactin inhibitor Metergoline was compared with Bromocriptine and tested against a placebo in 63 pseudogravid bitches. Bromocriptine has already been tested successfully in numerous investigations on the therapy of canine pseudogravidity, but--probably because of its high price and vomitus as a frequent side effect--it has not been really introduced as a therapeutical device in canine practice. It can be deduced from the results presented herein that prolactin is essential for maintaining the pseudogravidity, but keeping up the lactation process--especially galactopoiesis--can probably not be ascribed solely to prolactin. However, prolactin definitely plays an essential role in the hormonal scenario, the detailed regulating mechanisms of which are not known until today. Thus, no statistically convincing therapy outcome could be achieved by the prolactin inhibitors compared to the placebo group. A tendency towards earlier regression of the symptoms "mammogenesis", "behavioural change" and "galactorrhea" was however present in the treated animals. A striking difference was the much more lively behaviour of the bitches with 53% being more lively in the Metergoline group, 37% in the Bromocriptine and 10% in the placebo group. There were also clear differences in the compatibility of the drugs; in the Bromocriptine group, 30% of the animals vomited, in the Metergoline only 6.3%. This however did not lead to termination of the therapy in any case. In two cases of the Metergoline group (6.3%), the medication was ended due to extreme restlessness.

摘要

在本研究中,将催乳素抑制剂美替拉酮与溴隐亭进行了比较,并在63只假孕母犬中与安慰剂进行了对照试验。溴隐亭已在众多犬类假孕治疗研究中得到成功测试,但可能由于其价格高昂且频繁出现呕吐副作用,它尚未真正作为一种治疗手段应用于犬类临床实践。从本文给出的结果可以推断,催乳素对于维持假孕至关重要,但维持泌乳过程——尤其是乳汁分泌——可能不能仅归因于催乳素。然而,催乳素在激素调节过程中肯定起着至关重要的作用,其详细的调节机制至今尚不清楚。因此,与安慰剂组相比,催乳素抑制剂未能取得具有统计学说服力的治疗效果。不过,在接受治疗的动物中,“乳腺增生”、“行为改变”和“溢乳”症状有更早消退的趋势。一个显著差异是母犬的行为活跃度有很大不同,美替拉酮组中有53%的母犬行为更活跃,溴隐亭组为37%,安慰剂组为10%。药物的耐受性也存在明显差异;溴隐亭组有30%的动物呕吐,美替拉酮组仅为6.3%。然而,这在任何情况下都未导致治疗终止。在美替拉酮组中有两例(6.3%),由于极度烦躁不安而停止用药。

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