本文選題：馬 + 急腹癥�。� 參考：《新疆農(nóng)業(yè)大學(xué)》2015年碩士論文

【摘要】：隨著馬匹的日益增加,馬腺疫等傳染病嚴(yán)重的影響著馬匹生長(zhǎng)發(fā)育,馬急腹癥等內(nèi)科病對(duì)國(guó)外引進(jìn)的優(yōu)質(zhì)馬匹造成了生命威脅,因此,本研究通過(guò)分析2013年3月至2015年3月新疆伊犁昭蘇縣某馬場(chǎng)的臨床病案,制定一個(gè)有效的治療方案對(duì)今后發(fā)生馬腺疫及馬急腹癥防治提供臨床依據(jù)。通過(guò)臨床癥狀診斷分析、直腸檢查、實(shí)驗(yàn)室血液學(xué)分析和治療馬的急腹癥病例34例、馬腺疫76例。馬急腹癥應(yīng)用中藥、西藥及中西結(jié)合治療,其中31例馬急腹癥痊愈,3例腸因扭轉(zhuǎn)病治療無(wú)效死亡,治愈率達(dá)91.2%;馬腺疫發(fā)病率為49%,其中幼駒98.6%,成年馬1.4%,應(yīng)用中藥、西藥及中西醫(yī)結(jié)合治療,一過(guò)型病畜35例,典性型27例,惡性型14例,繼發(fā)膿毒敗血癥死亡4例,治愈率為94.7%,病死率為5.3%。血液學(xué)檢測(cè)結(jié)果顯示:(1)采用西藥治療馬腺疫后,白細(xì)胞和紅細(xì)胞的數(shù)量以及紅細(xì)胞壓積還有淋巴細(xì)胞數(shù)以及血紅蛋白指標(biāo)的變化恢復(fù)到正常范圍內(nèi)(P0.01);生化測(cè)定顯示白蛋白升高(P0.01)和天冬氨酸氨基轉(zhuǎn)移酶升高(P0.05);檢測(cè)馬血清中的TNF-α和IL-6含量均降低,但是變化不明顯(P0.05)。中藥透膿散治療馬腺疫后,白細(xì)胞數(shù)、血紅蛋白含量降低至正常(P0.05),而且用藥后的紅細(xì)胞數(shù)升高而粒細(xì)胞數(shù)降低這兩項(xiàng)的均值有較為明顯的變化(P0.01),平均血紅蛋白濃度和紅細(xì)胞壓積這兩項(xiàng)均值用藥后有所升高;血糖升高(P0.01)、白蛋白顯著升高至正常范圍內(nèi)(P0.05)、而甘油三脂和直接膽紅素以及天門冬氨酸氨基轉(zhuǎn)移酶以及堿性磷酸酶降低(P0.05);TNF-α的均值降低(P0.01)而血清中IL-6的均值降低但無(wú)顯著差異。(2)西藥治療急腹癥紅細(xì)胞壓積明顯的下降、西藥和中西結(jié)合治療血紅蛋白濃度升高至正常值(P0.05);總蛋白(TP)下降(P0.05)以及鈉離子(Na+)均值變化顯著下降(P0.01);TNF-α和IL-6的均值均有所降低(P0.05)。臨床中應(yīng)用中藥治療馬腺疫效果比西藥治療效果好,中西結(jié)合治療馬急腹癥效果較好,為今后馬腺疫及馬急腹癥的治療和預(yù)防提供參考依據(jù)。
[Abstract]:With the increasing number of horses, infectious diseases such as horse adenosis have seriously affected the growth and development of horses. Medical diseases such as acute abdominal diseases of horses have posed a threat to the lives of imported high-quality horses from abroad. This study analyzed the clinical records of a horse farm in Zhaosu County, Xinjiang from March 2013 to March 2015, and established an effective treatment plan to provide clinical basis for the prevention and treatment of horse gland disease and horse acute abdomen in the future. Through clinical symptom diagnosis and analysis, rectal examination, laboratory hematology analysis and treatment of horse acute abdomen cases 34 cases, horse adenosis 76 cases. Chinese medicine, western medicine and Chinese medicine were used in the treatment of horse acute abdomen. Among them, 31 cases of acute abdomen were cured and 3 cases died from torsion disease, and the cure rate reached 91.2%. The incidence rate of horse gland disease was 49, in which the young horse was 98.6 and the adult horse 1.4 was treated with traditional Chinese medicine. There were 35 cases of one-pass disease, 27 cases of classical type, 14 cases of malignant type and 4 cases of secondary sepsis death. The cure rate was 94.7% and the mortality was 5.3%. The results of hematological examination showed that: 1) after using western medicine to treat horse adenosis, The changes of leukocyte and erythrocyte count, hematocrit, lymphocyte number and hemoglobin index returned to normal range (P0.01a); biochemical test showed that albumin increased P0.01) and aspartate aminotransferase (aspartate aminotransferase) increased P0.05a; The levels of TNF- 偽 and IL-6 in horse serum were all decreased. But the change was not obvious (P 0.05). After the treatment of horse gland disease with traditional Chinese medicine, the number of white blood cells, The content of hemoglobin decreased to normal P0.05, and the mean value of RBC increased and granulocyte decreased. The mean hemoglobin concentration and hematocrit increased after treatment. Serum levels of IL-6 decreased but not in serum, while triglyceride and direct bilirubin, aspartate aminotransferase and alkaline phosphatase decreased the mean value of TNF- 偽. Significant difference. 2) the decrease of hematocrit in the treatment of acute abdomen with western medicine, The concentration of hemoglobin increased to the normal value (P0.05), the total protein (TP) decreased (P0.05) and the mean value of sodium ion (Na) decreased significantly (P 0.01) and the mean of TNF- 偽 and IL-6 decreased significantly (P 0.05). The therapeutic effect of traditional Chinese medicine is better than that of western medicine in the treatment of horse gland disease, and the combination of Chinese and western medicine is better in the treatment of horse acute abdomen, which provides a reference for the treatment and prevention of horse gland disease and horse acute abdomen in the future.
【學(xué)位授予單位】：新疆農(nóng)業(yè)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：S858.21

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