猫围术期血清葡萄糖和血清果糖胺水平的比较

Özgenur Ünsur, Turan Ci̇velek
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摘要

本研究调查了阉割和卵巢切除术麻醉猫血清葡萄糖和果糖胺水平随采样时间的变化情况。研究对象包括 25 只年龄在 6 个月到 2 岁之间的猫。分别在麻醉前、麻醉开始时、麻醉苏醒前和麻醉苏醒后采集了麻醉猫(美多咪定、丁羟吗啡、氯胺酮)的血液样本。测量血清中的葡萄糖、果糖胺、胆固醇、甘油三酯、总蛋白和白蛋白水平。根据测量时间进行统计比较后发现,血清葡萄糖水平变化显著。然而,血清果糖胺水平在统计学上没有明显差异。据估计,围手术期血糖水平的变化可能与麻醉剂有关,虽然果糖胺水平在统计学上没有明显变化,但围手术期血糖水平升高的原因之一可能是手术应激。研究结果表明,血清葡萄糖测量对猫围术期血糖控制非常重要,而血清果糖胺测量对排除可能因不同原因导致的围术期高血糖具有诊断价值。围手术期稳定的血清果糖胺水平表明它没有受到本研究中使用的麻醉剂的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kedilerde Perioperatif Serum Glukoz ve Serum Fruktozamin Seviyelerinin Karşılaştırılması
In this study, the changes in serum glucose and fructosamine levels according to the sampling time in cats anaesthetised for castration and ovariohysterectomy were investigated. The study material consisted of 25 cats aged between 6 months and 2 years. Blood samples were collected from the anaesthetised cats (medetomidine, butorphanol, ketamine) before anaesthesia, at the beginning of anaesthesia, before awakening from anaesthesia and after awakening from anaesthesia. Glucose, fructosamine, cholesterol, triglyceride, total protein and albumin levels were measured in the sera obtained. In the statistical comparison made according to the measurement times, it was found that serum glucose level changed significantly. However, no statistically significant difference was found in serum fructosamine levels. It was evaluated that the variation in glucose levels in the perioperative period may be related to anaesthetic agents, and although there was no statistically significant change in fructosamine levels, one of the reasons for the increase in glucose levels observed in the perioperative period was probably operation stress. The results of the study showed that serum glucose measurements are important in perioperative glycaemic control of cats, and serum fructosamine measurements have diagnostic value in the exclusion of possible perioperative hyperglycemia that may develop for different reasons. The stable serum fructosamine level in the perioperative period can be accepted as an indication that it was not affected by the anaesthetic agents used in this study.
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