畜牧兽医学报 ›› 2025, Vol. 56 ›› Issue (8): 4065-4073.doi: 10.11843/j.issn.0366-6964.2025.08.043

• 临床兽医 • 上一篇    下一篇

猫牙周炎相关口腔菌群分析及防治效果观察

张昕钰(), 戴鹏秀, 张帆, 张欣珂*()   

  1. 西北农林科技大学动物医学院,杨凌 712100
  • 收稿日期:2024-08-17 出版日期:2025-08-23 发布日期:2025-08-28
  • 通讯作者: 张欣珂 E-mail:y136092639@163.com;zxk19830521@163.com
  • 作者简介:张昕钰(1996-),女,硕士,主要从事兽医研究,E-mail:y136092639@163.com

The Relationship between Cat Periodontal Disease and Oral Flora and Its Prevention and Treatment

ZHANG Xinyu(), DAI Pengxiu, ZHANG Fan, ZHANG Xinke*()   

  1. College of Veterinary Medicine, Northwest A&F University, Yangling 712100, China
  • Received:2024-08-17 Online:2025-08-23 Published:2025-08-28
  • Contact: ZHANG Xinke E-mail:y136092639@163.com;zxk19830521@163.com

摘要:

牙周炎是指由牙菌斑引起的一系列侵害牙周组织及其支持结构的炎性病变统称,是猫常见的慢性、非传染性疾病。目前国内对猫牙周炎的研究相对不足,缺乏科学的防治手段。本研究采集健康猫和牙周炎患猫口腔内不同区域的样品,进行微生物种属鉴定和药敏试验,为临床治疗提供用药建议。通过评估常用抗菌剂在手术洁牙后的抑菌效果,为猫牙周炎治疗和家庭口腔护理提供理论依据。结果表明,所有受试猫龈下微生物种类丰富度高于牙齿表面,牙周炎患猫口腔内微生物种类丰富度高于健康猫。相较于牙齿表面,卟啉单胞菌属和密螺旋体属在龈下占比更高,二者作为潜在的病原微生物,推测其可能是牙周炎的关键致病因素。药敏结果显示,牙周炎患猫口腔微生物群对恩诺沙星的敏感性较高,对甲硝唑的敏感性较差。再分别从以抗菌肽、葡萄糖酸氯己定和银离子为主要成分的三种口腔护理产品中,葡萄糖酸氯己定和银离子抑菌效果较为理想,但葡萄糖酸氯己定味苦,对于猫的适口性差,建议作为术中口腔抗菌剂使用。结果提示,卟啉单胞菌属和密螺旋体属可能是猫牙周炎的主要致病菌;临床上可使用恩诺沙星作为猫牙周炎的经验性辅助治疗药物,建议在超声洁治术的术中和术后分别使用葡萄糖酸氯己定和银离子作为口腔局部用药。

关键词: 猫, 牙周炎, 菌群鉴定, 药敏试验

Abstract:

Periodontitis refers to a series of inflammatory lesions caused by dental plaque that damage the periodontal tissue and its supporting structures. It is a common chronic, non-communicable disease in feline. At present, the research on cat periodontitis in China is relatively insufficient, and there is a lack of scientific prevention and control methods. In this study, samples from different areas of the oral cavity of healthy cats and cats with periodontitis were collected, and microbial species identification and antimicrobial susceptibility tests were carried out to provide medication recommendations for clinical treatment.The bacteriostatic effect of commonly used antibacterial agents after surgical cleaning was evaluated in order to provide a theoretical basis for the treatment of periodontitis in cats and home oral care. The results showed that, in all cats tested, Subgingival microbial species abundance is higher than supragingival ones. The abundance of oral microbial species in cats with periodontitis is higher than that in healthy cats. Porphyromonas and Treponema are higher in subgingival than supragingival. As potential pathogenic microorganisms, it is speculated that they may be the key pathogenic factors of periodontitis. Results showed that the oral microbiota of cats with periodontitis was more sensitive to Enrofloxacin and less sensitive to Metronidazole. In three oral care products with the antimicrobial peptides, the chlorhexidine gluconate and the silver ion as the main components respectively, the chlorhexidine gluconate and the silver ion have better bacteriostatic effect. But the chlorhexidine gluconate tastes bitter and has poor palatability for cats.It is recommended to be used as an oral antiseptic in surgery. In summary, Porphyromonas and Treponema may be the main pathogens of feline periodontitis. Enrofloxacin can be used as an empirical adjunctive therapy for feline periodontitis. It is recommended to use the Chlorhexidine gluconate in ultrasonic scaling, and to use the Silver ions after surgery.

Key words: feline, periodontitis, microbial species identification, antimicrobial susceptibility test

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