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在分娩前给早产犊牛的母牛注射地塞米松或前列腺素F2α类似物以预防呼吸窘迫综合征。

Prophylaxis of respiratory distress syndrome in premature calves by administration of dexamethasone or a prostaglandin F2 alpha analogue to their dams before parturition.

作者信息

Zaremba W, Grunert E, Aurich J E

机构信息

Clinic for Bovine Obstetrics and Gynecology, College of Veterinary Medicine, Hannover, Germany.

出版信息

Am J Vet Res. 1997 Apr;58(4):404-7.

PMID:9099388
Abstract

OBJECTIVE

To investigate effects of preterm induction of calving by administration of flumethasone and dinoprost on the lecithin-to-sphingomyelin ratio in amniotic fluid and on neonatal respiratory distress after birth.

ANIMALS

45 dairy cows and their newborn calves.

PROCEDURE

Amniotic fluid from 45 cows was obtained and tested between days 258 and 270 of gestation. Cows were then given flumethasone (10 mg; n = 15), dinoprost (25 mg; n = 15), or saline solution (n = 15). Thirty hours later, left flank cesarean section was performed, amniotic fluid was collected, and the calf was delivered. Blood for determination of progesterone was withdrawn at amniotic fluid sample collections and before induction of calving. Blood for analysis of pH and base deficit was collected from calves during cesarean section and repeatedly after birth. Phospholipids in amniotic fluid were measured by thin-layer chromatography, and progesterone was determined by radioimmunoassay. Base deficit and pH were measured, using a blood gas analyzer.

RESULTS

Before treatments, a corpus luteum was present in all cows and the lecithin-to-sphingomyelin ratio in amniotic fluid did not differ between groups. Thirty hours after injections of flumethasone and dinoprost, progesterone concentration had decreased (P < 0.05) and the lecithin-to-sphingomyelin ratio was significantly (P < 0.05) higher than values in controls. In calves delivered after flumethasone or dinoprost treatments, the degree of acidosis was significantly (P < 0.05) less than that in controls.

CONCLUSIONS

Flumethasone and dinoprost, given to pregnant cows, accelerate fetal lung maturation and improve respiratory function after birth.

摘要

目的

研究给予氟米松和地诺前列素早产对羊水卵磷脂与鞘磷脂比值及出生后新生儿呼吸窘迫的影响。

动物

45头奶牛及其新生犊牛。

方法

在妊娠第258至270天期间获取45头奶牛的羊水并进行检测。然后给奶牛分别注射氟米松(10毫克;n = 15)、地诺前列素(25毫克;n = 15)或生理盐水(n = 15)。30小时后,进行左侧腹剖宫产,收集羊水并娩出犊牛。在采集羊水样本时和诱导分娩前采集用于测定孕酮的血液。在剖宫产期间及出生后多次从犊牛采集用于分析pH值和碱缺失的血液。采用薄层色谱法测定羊水中的磷脂,采用放射免疫分析法测定孕酮。使用血气分析仪测量碱缺失和pH值。

结果

治疗前,所有奶牛均有黄体,各组羊水卵磷脂与鞘磷脂比值无差异。注射氟米松和地诺前列素30小时后,孕酮浓度降低(P < 0.05),卵磷脂与鞘磷脂比值显著高于对照组(P < 0.05)。在接受氟米松或地诺前列素治疗后娩出的犊牛中,酸中毒程度显著低于对照组(P < 0.05)。

结论

给怀孕奶牛注射氟米松和地诺前列素可加速胎儿肺成熟并改善出生后的呼吸功能。

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