脂质代谢指标对犬胰腺炎诊断和治疗效果评估的信息性

A. Zemlianskyi, O. Tymoshenko, A. Zakhariev, Yevheniia Vashchyk, N. Seliukova, R. Dotsenko
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摘要

本研究的目的:通过临床和实验室研究方法,证实脂质代谢紊乱在犬胰腺炎发生和病程中的致病作用,建立其诊断和评价治疗效果指标的信息性。材料和方法。采用临床、仪器、实验室的方法,包括血液、尿液的形态学研究、血清的生化研究:通过三酰甘油、总胆固醇、极低胆固醇(HDL)、低密度脂蛋白(LDL)和高密度脂蛋白(VLDL)的含量测定血脂谱,以及传统的测试和统计方法。结果。结果发现,最显著的变化是血清中脂质和脂蛋白代谢的固有变化:胆固醇、甘油三酯、低密度脂蛋白胆固醇,尤其是低密度脂蛋白胆固醇的浓度显著升高。相反,在急性胰腺炎过程中,高密度脂蛋白胆固醇的含量低于正常水平。甘油三酯、低密度脂蛋白胆固醇和VLDL的含量仍然很高。总胆固醇正常,高密度脂蛋白低于正常水平。结论。没有临床病理症状的狗的血脂图在组成上与其他研究者获得的结果没有区别。对于狗的胰腺炎,总胆固醇浓度增加1.9倍,甘油三酯增加5.4倍,胆固醇VLDL增加6.0倍,低密度脂蛋白胆固醇增加7.7倍。相反,在急性胰腺炎病程中,高密度脂蛋白胆固醇的含量比临床健康犬低1.5倍。治疗降低了ALT和AST的高酶血症程度,但α-淀粉酶活性在狗身上没有恢复正常。高于正常水平的甘油三酯、低密度脂蛋白胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇,尽管接受了治疗,仍然很低
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Informativity of lipid metabolism indicators for diagnostics and estimation of the effectiveness of treatment of dogs with pancreatitis
The aim of the research: to substantiate the pathogenetic role of lipid metabolism disorders in the occurrence and course of pancreatitis in dogs and to establish the informativeness of its indicators for diagnosis and evaluation of treatment effectiveness based on clinical and laboratory research methods. Materials and methods. Used clinical, instrumental, laboratory methods, including morphological studies of blood, urine, biochemical studies of serum: determination of the lipid profile by the content of triacylglycerols, total cholesterol, lipoproteins cholesterol of very low – HDL, low – LDL and high density – VLDL, traditional tests and statistical methods. Results. It was found that the most significant changes are inherent in the metabolism of lipids and lipoproteins in the serum: significantly increased concentrations of cholesterol, triacylglycerols, LDL cholesterol and especially LDL cholesterol. The content of HDL cholesterol, on the contrary, in the acute course of pancreatitis is below normal. The content of triacylglycerols, LDL cholesterol and VLDL remains high. Total cholesterol is normalized, and the level of HDL is below normal. Conclusions. Serum lipidogram of dogs without clinical symptoms of pathology does not differ in composition from the results obtained by other researchers. For pancreatitis in dogs, the concentration of total cholesterol increases by 1.9 times, triacylglycerols – by 5.4 times, cholesterol VLDL – in 6.0 times and LDL cholesterol – 7.7 times. The content of HDL cholesterol, in contrast, in the acute course of pancreatitis is 1.5 times lower than in clinically healthy dogs. Treatment reduces the degree of hyperenzymemia by ALT and AST, but α-amylase activity is not normalized in dogs. Above normal levels of triacylglycerols, LDL cholesterol and VLDL, and HDL cholesterol remain low, despite treatment
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