Investigation On The Regularity Of Feline Urolithiasis In Some Areas Of Beijing And Analysis On The Effect Of Prevention And Treatment

With the rapid increase in the number of companion pets,especially cats,the health problems of pet cats have also attracted more and more attention.Due to the lack of animal owners’ breeding experience and the choice of unreasonable breeding methods,the number of feline urolithiasis is increasing year by year,and it has become one of the most common feline diseases in clinic.Previous studies on urolithiasis mostly focused on epidemiology,pathogenesis and stone composition analysis.In recent years,domestic scholars have made certain research on the treatment methods of urolithiasis.However,due to the complex etiology,the research reports on the specific efficacy of treatment options for different types of urolithiasis are extremely rare,and it is necessary to carry out an in-depth study.From January 1,2021 to December 31,2022,the cases of feline urolithiasis treated in 10 medical institutions in Beijing were statistically analyzed,and the incidence pattern of feline urolithiasis in this area was summarized.Sixty cats with non-obstructive urolithiasis were divided into three groups: symptomatic conventional therapy,conventional therapy + Niaoshijing and conventional therapy + Niaoshijing + Lelebao.During the treatment,the clinical symptoms,related blood indexes and clinical efficacy of each treatment group were recorded and statistically analyzed,and the therapeutic effects of the three groups were compared to provide theoretical reference for clinical treatment of non-obstructive urolithiasis.78 cases of obstructive type were divided into four groups: catheterization,catheterization + Lelebao,surgery and surgery + Lelebao.During the treatment,the related blood indexes,treatment cycle,postoperative complications,treatment effect and recurrence after 90 days of each treatment group were recorded and statistically analyzed to find out a good treatment method,and to provide strong theoretical support for the effective treatment of cat obstructive urolithiasis in clinical practice.Twenty-four cats who underwent surgery were divided into two groups.The related blood indexes,urine indexes and recurrence were compared between the prescription diet group and the non-prescription diet group 90 days after surgery to evaluate the effect of prescription diet on preventing recurrence,and to provide effective guidance for the prevention and control of cat urolithiasis after surgery.Among 267 feline urolithiasis cases,162 cases were non-obstructive type and 105 cases were obstructive type,accounting for 60.7% and 39.3%,respectively.Male(59.6%)had higher incidence than female(40.4%).The onset age was mainly between 3 and 4 years old(36.3%).The prevalence was higher in British shorthair cats(34.8%)and Chinese country cats(31.5%).Most of the tumors were located in the bladder(67.4%).The main clinical manifestations were hematuria(70.4%)and urinary occlusion(39.3%).The main stone composition was magnesium ammonium phosphate(57%)and calcium oxalate(25%).The treatment results showed that for the treatment of non-obstructive urolithiasis,the basic symptomatic treatment had no obvious therapeutic effect,and the combined use of Niaoshijing and Niaoshijing + Lelebao could effectively relieve the clinical symptoms and improve the curative effect.For the treatment of obstructive urolithiasis,conventional catheterization and surgical treatment can obtain good therapeutic effect,and the effect of surgical treatment is the best.The combination of Lelebao can not effectively improve the curative effect,but can accelerate the postoperative recovery and reduce the incidence of complications.The results showed that the prescription diet had the function of acidifying and diluting urine,and could effectively prevent the recurrence of magnesium ammonium phosphate and calcium oxalate stones after operation.