Investigation of the Effects of Acupuncture Treatment on Retentio Secundinarium and Uterine Involution in Cases of Dystocia due to Intra Partum Uterine Torsio in Cows

Öz

The aim of this study was to investigate the effects of a standardized acupuncture protocol on retentio secundinarum (RS) and uterine involution following retorsion in cows experiencing dystocia due to uterine torsion (UT). Cows diagnosed with UT were randomly assigned to two groups. Standardized acupuncture treatment protocol, developed to assist parturition, was applied to 45 cows in the first group prior to retorsion. The acupuncture needles were inserted at Hundred Meeting Point (BAI HUI), bladder (BI) points 28, 31, 32, 33, 34, and four specific acupoints. Acupuncture needles were left in place until the completion of calf delivery or fetal extraction. In the second group (n=46), which served as the control for comparison, no acupuncture was applied. In all animals with TU, the torsion in the uterus was corrected using the appropriate retortion method. Numerically, although the acupuncture protocol reduced the risk of RS associated with UT by 26.4%, this reduction was not statistically significant (p=0.272). Similarly, the contribution of acupuncture to timely postpartum uterine involution in cows with UT was clearly evident in the numerical data. The contribution of acupuncture in timely involution of the uterus and animals with mild uterine problems was statistically significant when compared to animals in Group II (p=0.041). Accordingly, while the rate of timely uterine involution was 60% in Group I, this rate decreased to 40% in Group II. In conclusion, future studies that address the limitations of our study may provide important contributions to the clinical evaluation of our research results.

Anahtar Kelimeler

• Acupuncture
• Cow
• Retentio secundinarum
• Torsio uteri
• Uterine involution

İneklerde İntra-Partum Torsiyo Uteriye Bağlı Güç Doğum Olgularında Akupunktur Tedavisinin Retensiyo Sekundinarum ve Uterus İnvolüsyonu Üzerine Etkilerinin Araştırılması

Öz

Bu çalışmanın amacını, torsiyo uteri (TU)’ye bağlı güç doğumlu ineklerde, standart bir akupunktur protokolünün, retorsiyon sonrası, retensiyo sekundinarum (RS) ve uterus involüsyonuna etkilerini araştırmaktı. TU tanısı konmuş inekler rastgele iki gruba ayrıldı. Birinci gruptaki 45 hayvana retorsiyon öncesi, doğuma yardım amacıyla geliştirilmiş olan, standart akupunktur tedavi protokolü uygulandı. Akupunktur iğnelerinin punksiyonlarında, yüz buluşma noktası (BAI HUI), mesane (BI) 28, 31, 32, 33, 34 ve dört özel nokta kullanıldı. Akupunktur iğneleri, buzağı çıkışının sonlanması veya fötal ekstraksiyona kadar yerinde bırakıldı. Karşılaştırmanın yapılacağı, ikinci gruptaki TU’lu hayvanlarda (n=46) ise, akupunktur uygulanmadı. TU’lu tüm hayvanlarda, uygun retorsiyon yöntemi kullanılarak uterustaki burulma düzeltildi. Sayısal olarak, akupunktur protokolü TU’ya bağlı RS riskini %26.4 oranında azaltmasına rağmen istatistiki açıdan önemsizdi (p=0.272). Aynı şekilde TU’lu hayvanlarda post partum uterusun zamanında involüsyonuna akupunkturun katkısı sayısal değerlerle açık olarak görülebildi. Uterusun zamanında invole olması ve hafif uterus sorunlu hayvanlar açısından akupunkturun katkısı, II. gruptaki hayvanlara göre, istatistiki olarak da önemliydi (p=0.041). Buna göre, Grup I'de uterus involüsyonun zamanında gerçekleşme oranı %60 iken, Grup II’de bu oran %40’a düşmüştü. Sonuç olarak; çalışmamızdaki limitasyonların giderilebildiği gelecekteki çalışmalar, araştırma sonuçlarımızın kliniksel değerlendirilmesine önemli katkılar sağlayabilecektir.

Anahtar Kelimeler

• Akapunktur
• İnek
• Retensiyo sekundinarum
• Torsiyo uteri
• Uterus involüsyonu

Kaynakça

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