CN106806374A - A composition for preventing and treating perinatal ruminant ketosis and fatty liver disease - Google Patents
A composition for preventing and treating perinatal ruminant ketosis and fatty liver disease Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及预防和治疗围产期反刍动物疾病领域,具体涉及一种预防和治疗围产期反刍动物酮病和脂肪肝病的组合物。The invention relates to the field of preventing and treating perinatal ruminant diseases, in particular to a composition for preventing and treating perinatal ruminant ketosis and fatty liver disease.
背景技术Background technique
在奶牛产犊后,由于产奶量急剧增加,能量,尤其是对葡萄糖需要不断增加,而由日粮提供的用以合成葡萄糖的过瘤胃碳水化合物远远不足,引起血糖下降,机体糖的异生机制启动,体蛋白被动用,体脂肪被脂解,而导致酮病或亚临床酮病和脂肪肝病的发生。After calving, due to the sharp increase in milk production, the need for energy, especially for glucose, continues to increase, while the rumen-passing carbohydrates provided by the diet for the synthesis of glucose are far from sufficient, resulting in a drop in blood sugar and changes in sugar in the body. The biogenesis mechanism is activated, body protein is used, and body fat is lipolyzed, leading to ketosis or subclinical ketosis and fatty liver disease.
酮病是奶牛糖类和脂肪代谢紊乱,导致在血液中积累大量酮体(包括β-羟基丁酸(BHBA)、乙酰乙酸和丙酮,主要是β-羟基丁酸),由尿液、乳汁和呼出气体排出,并以低血糖为特征的一种能量代谢失调性疾病(孙斌等,1999;Gruffat D.et al,1996;Goff JP andHorst RL,1997;Hocquette JF and Bauchart D,1999)。此病是奶牛常见的一种严重的营养代谢病,多发于产犊后10-60天。酮病虽然能够治愈,但酮病会使乳牛的泌乳量下降、乳质量降低、繁殖率降低以及引起生殖系统疾病和内分泌紊乱等多种疾病,增加了治疗费用,给奶牛养殖业造成了严重经济损失。Ketosis is a disorder of sugar and fat metabolism in dairy cows, resulting in the accumulation of large amounts of ketone bodies (including β-hydroxybutyric acid (BHBA), acetoacetate and acetone, mainly β-hydroxybutyric acid) in the blood, which are produced by urine, milk and Exhaled gas is expelled and is characterized by hypoglycemia as a disorder of energy metabolism (Sun Bin et al., 1999; Gruffat D. et al, 1996; Goff JP and Horst RL, 1997; Hocquette JF and Bauchart D, 1999). This disease is a common serious nutritional metabolic disease in dairy cows, and it mostly occurs 10-60 days after calving. Although ketosis can be cured, ketosis will reduce milk production, milk quality, and reproductive rate of dairy cows, and cause reproductive system diseases and endocrine disorders and other diseases, which will increase the cost of treatment and cause serious economic losses to the dairy industry. loss.
脂肪肝病是酮病的继发现象,是一种营养代谢病,是围产期牛糖代谢失衡后,体脂肪被脂解后产生大量游离脂肪酸(非酯化脂肪酸)到达肝脏后来不及运输到其他组织或氧化掉,大量堆积在肝脏中而产生脂肪肝病。Fatty liver disease is a secondary phenomenon of ketosis and a nutritional metabolic disease. After the perinatal glucose metabolism is unbalanced, body fat is lipolyzed to produce a large amount of free fatty acids (non-esterified fatty acids) that cannot be transported to other organs after reaching the liver. The tissues may be oxidized and accumulate in the liver in large quantities, resulting in fatty liver disease.
胆碱是机体必需的一种营养素,其不是酶系统的一部分,反刍动物从日粮中获取的胆碱在瘤胃内会被快速降解,已被证实可能仅有不到3%的胆碱,包括由瘤胃原虫产生、日粮中获取或者单独添加的未被保护的胆碱(氯化胆碱)能够进入到小肠被吸收。Choline is an essential nutrient for the body. It is not part of the enzyme system. Choline obtained from the diet of ruminants will be rapidly degraded in the rumen. It has been proven that there may be less than 3% choline, including Unprotected choline (choline chloride) produced by rumen protozoa, obtained in the diet or added alone can enter the small intestine and be absorbed.
烟酸又称尼克酸(nicotinic acid),属B族维生素,是具有烟酸生物活性的吡啶3-羧酸衍生物的总称。在动物体内,烟酸易转变成具有生物活性的烟酰胺,后者是两个重要辅酶烟酰胺腺嘌呤二核苷酸(NAD+)和烟酰胺腺嘌呤二核苷酸磷酸(NADP+)的组成成分。Nicotinic acid, also known as nicotinic acid, belongs to the B vitamins and is a general term for pyridine 3-carboxylic acid derivatives with niacin biological activity. In animals, niacin is easily converted to the biologically active nicotinamide, which is a component of two important coenzymes, nicotinamide adenine dinucleotide (NAD+) and nicotinamide adenine dinucleotide phosphate (NADP+) .
目前奶牛发生酮病时通常只能采用静脉注射葡萄糖的办法治疗,通常要连续给奶牛注射5天,很不方便。而对这一疾病的预防没有有效办法,用葡萄糖直接添加到日粮中不能预防奶牛酮病,因为葡萄糖直接加入日粮中在瘤胃中会被瘤胃微生物破坏,不能通过瘤胃。葡萄糖需要用能在瘤胃中不被降解的物质加以保护,才能通过瘤胃发挥作用。At present, ketosis in dairy cows usually can only be treated by intravenous injection of glucose, which usually needs to be injected continuously for 5 days, which is very inconvenient. However, there is no effective way to prevent this disease. Adding glucose directly to the diet cannot prevent cow ketosis, because glucose directly added to the diet will be destroyed by rumen microorganisms in the rumen and cannot pass through the rumen. Glucose needs to be protected with substances that cannot be degraded in the rumen in order to be effective through the rumen.
通过引入过瘤胃保护技术(简称过瘤胃技术)可以对上述酮病和脂肪肝病给予缓解,具体地是利用物理或化学的方法把一些容易被瘤胃微生物破坏的营养物质保护起来使之不被瘤胃微生物分解,到达皱胃和肠道中再崩解释放出来,被反刍动物利用。The above-mentioned ketosis and fatty liver disease can be alleviated by introducing rumen-passing protection technology (referred to as rumen-passing technology), specifically using physical or chemical methods to protect some nutrients that are easily destroyed by rumen microorganisms from being destroyed by rumen microorganisms Decompose, reach the abomasum and intestinal tract, disintegrate and release, and be used by ruminants.
公开于该背景技术部分的信息仅仅旨在增加对本发明的总体背景的理解,而不应当被视为承认或以任何形式暗示该信息构成已为本领域一般技术人员所公知的现有技术。The information disclosed in this Background section is only for enhancing the understanding of the general background of the present invention and should not be taken as an acknowledgment or any form of suggestion that the information constitutes the prior art that is already known to those skilled in the art.
发明内容Contents of the invention
本发明的目的在于提供一种生物学效价较高的预防和治疗围产期反刍动物酮病和脂肪肝病的组合物,从而更有效的提高围产期反刍动物酮病和脂肪肝病的预防和治疗效果,降低产后失重的发生,提高情期受胎率,提高产奶量。The object of the present invention is to provide a composition with higher biological potency for preventing and treating perinatal ruminant ketosis and fatty liver disease, thereby more effectively improving the prevention and treatment of perinatal ruminant ketosis and fatty liver disease. The therapeutic effect can reduce the occurrence of postpartum weightlessness, increase the conception rate during estrus, and increase milk production.
为实现上述目的,本发明提供了一种预防和治疗反刍动物酮病的组合物,所述组合物包括过瘤胃保护葡萄糖,还包括过瘤胃保护胆碱和/或过瘤胃保护烟酸。To achieve the above object, the present invention provides a composition for preventing and treating ketosis in ruminants, the composition includes rumen-passing protected glucose, rumen-passing protected choline and/or rumen-passing protected niacin.
本发明还提供了一种预防和治疗反刍动物酮病的组合物,所述过瘤胃保护烟酸被替代为过瘤胃保护烟酰胺。The present invention also provides a composition for preventing and treating ketosis in ruminants, wherein the rumen-protected niacin is replaced by rumen-protected nicotinamide.
优选地,上述技术方案中,所述过瘤胃保护葡萄糖中所包含的葡萄糖质量百分比在35%以上,过瘤胃保护胆碱中所包含的胆碱的质量百分比在20%以上,过瘤胃保护烟酸中所包含的烟酸的质量百分比为35%以上。Preferably, in the above technical scheme, the mass percentage of glucose contained in the rumen-passing protection glucose is more than 35%, the mass percentage of choline contained in the rumen-passing protection choline is more than 20%, and the rumen-passing protection niacin The mass percentage of the niacin contained in it is more than 35%.
优选地,上述技术方案中,所述反刍动物包括奶牛,肉牛和羊。Preferably, in the above technical solution, the ruminants include dairy cows, beef cattle and sheep.
优选地,上述技术方案中,所述过瘤胃保护胆碱包括过瘤胃保护氯化胆碱。Preferably, in the above technical solution, the rumen-passing protected choline includes rumen-passing protected choline chloride.
优选地,上述技术方案中,所述过瘤胃保护葡萄糖和过瘤胃保护胆碱的质量比为150-600:10-100。Preferably, in the above technical solution, the mass ratio of the rumen-passed glucose to the rumen-protected choline is 150-600:10-100.
优选地,上述技术方案中,所述过瘤胃保护葡萄糖和过瘤胃保护烟酸的质量比为150-600:2-20。Preferably, in the above technical solution, the mass ratio of the rumen-passing protected glucose to rumen-passed niacin is 150-600:2-20.
优选地,上述技术方案中,所述过瘤胃保护葡萄糖,过瘤胃保护胆碱和过瘤胃保护烟酸的质量比为150-600:10-100:2-20。Preferably, in the above technical solution, the mass ratio of the rumen-protected glucose, rumen-protected choline and rumen-protected niacin is 150-600:10-100:2-20.
优选地,上述技术方案中,所述过瘤胃保护葡萄糖,过瘤胃保护胆碱和过瘤胃保护烟酸的质量比为180-500:20-90:4-15。Preferably, in the above technical solution, the mass ratio of the rumen-protected glucose, rumen-protected choline and rumen-protected niacin is 180-500:20-90:4-15.
本发明还提供了一种预防和治疗反刍动物酮病的组合物,所述过瘤胃保护葡萄糖被替代为过瘤胃保护双糖和/或多糖,其中所述双糖为除红糖以外的其他蔗糖、麦芽糖、乳糖等,多糖为淀粉等。The present invention also provides a composition for preventing and treating ketosis in ruminants, wherein the rumen-passing protected glucose is replaced by rumen-passing protected disaccharides and/or polysaccharides, wherein the disaccharides are sucrose other than brown sugar, Maltose, lactose, etc., polysaccharides are starch, etc.
与现有技术相比,本发明具有如下有益效果:这三种过瘤胃保护物质组合结合奶牛围产期的代谢机理,把影响奶牛脂肪肝病和酮病的主要营养因素:葡萄糖、胆碱、烟酸,进行过瘤胃保护处理,提高其生物学效价;提高了对奶牛围产期酮病和脂肪肝病的预防和治疗效果,降低奶牛酮病发病率50%以上,降低奶牛脂肪肝病发病率30%以上;降低产后失重的发生;提高繁殖率40%以上;并且能够提高高产奶牛产奶量3-5kg,最高提高到8kg以上,提高乳蛋白率0.2个百分点,提高乳脂率0.2-0.4个百分点,效果显著,对我国奶牛业健康、可持续发展意义重大。Compared with the prior art, the present invention has the following beneficial effects: the combination of these three rumen-passing protective substances combines the metabolic mechanism of dairy cows during the perinatal period, and the main nutritional factors that affect dairy cow fatty liver disease and ketosis: glucose, choline, tobacco It has been treated with rumen protection to increase its biological potency; it has improved the effect of prevention and treatment of peripartum ketosis and fatty liver disease in dairy cows, reduced the incidence of ketosis in dairy cows by more than 50%, and reduced the incidence of fatty liver disease in dairy cows by 30% % or more; reduce the occurrence of postpartum weightlessness; increase the reproductive rate by more than 40%; and can increase the milk production of high-yield dairy cows by 3-5kg, the highest increase to more than 8kg, increase the milk protein rate by 0.2 percentage points, and increase the milk fat rate by 0.2-0.4 percentage points , the effect is remarkable, and it is of great significance to the healthy and sustainable development of my country's dairy industry.
具体地,通过使用本申请所限定的组合物使得反刍动物肝脏中也不再产生丙酮、乙酰乙酸和β-羟丁酸等产物进入血液中,而血液中原有的丙酮、乙酰乙酸和β-羟丁酸等也在体内迅速代谢,不再产生酮病。Specifically, by using the composition defined in this application, products such as acetone, acetoacetate and β-hydroxybutyric acid are no longer produced in the liver of ruminants and enter the blood, while the original acetone, acetoacetate and β-hydroxybutyrate in the blood Butyric acid, etc. are also rapidly metabolized in the body, and ketosis is no longer produced.
组合物中的葡萄糖经过瘤胃保护后能有效地通过瘤胃,阻断围产期牛糖代谢失衡引起的糖的异生机制,使体蛋白不再动用,体脂肪不再脂解;烟酸经过瘤胃保护后进入机体组织,由于烟酸有抗脂解作用,与过瘤胃保护葡萄糖配合使用抗脂解作用更强,使体脂肪不再动用,不会产生大量的游离脂肪酸,这样肝组织沉积的脂肪酸不再增加;胆碱经过瘤胃保护后进入肝脏,合成磷脂酰胆碱,与甘油三酯等组成极低密度脂蛋白,把肝脏中的脂肪运出肝脏,到各组织利用,不再发生脂肪肝病。The glucose in the composition can effectively pass through the rumen after being protected by the rumen, blocking the mechanism of sugar heterogenesis caused by the imbalance of glucose metabolism in the perinatal period, so that the body protein is no longer used, and the body fat is no longer lipolysis; niacin passes through the rumen After protection, it enters the body tissue. Because niacin has anti-lipolysis effect, it has a stronger anti-lipolysis effect when used in conjunction with rumen-passing glucose protection, so that body fat will no longer be used, and a large amount of free fatty acids will not be produced. In this way, fatty acids deposited in liver tissue No more increase; choline enters the liver after being protected by the rumen, synthesizes phosphatidylcholine, and forms very low-density lipoprotein with triglycerides, transports the fat in the liver out of the liver, and uses it in various tissues, and fatty liver disease will no longer occur .
并且,当使用本申请所限定的组合物,使得反刍动物体内蛋白质的糖异生被阻断后,体蛋白和体脂肪的降解会有所改善,从而改善了使得由于体蛋白的动用,体脂肪的脂解导致产后失重,体重逐渐恢复正常。And, when the composition defined in the application is used, after the gluconeogenesis of protein in ruminants is blocked, the degradation of body protein and body fat will be improved, thereby improving the mobilization of body protein and body fat. The lipolysis leads to postpartum weight loss, and the body weight gradually returns to normal.
进而,在蛋白质糖异生被阻止后,改善了在蛋白质糖异生的过程中,由于氨基酸的转氨基作用所产生的大量的氨导致血氨浓度升高,产生大量尿素氮引起的情期受胎率的降低的现象。当添加过瘤胃保护胆碱后,体内的30%蛋氨酸不用被用来合成胆碱,大量用于合成乳蛋白,产奶量会提高。Furthermore, after protein gluconeogenesis is prevented, it improves the process of protein gluconeogenesis, due to the large amount of ammonia produced by the transamination of amino acids, which leads to the increase of blood ammonia concentration and the production of a large amount of urea nitrogen. rate of decrease. After adding rumen-protected choline, 30% of the methionine in the body is not used to synthesize choline, but a large amount is used to synthesize milk protein, and the milk production will increase.
具体实施方式detailed description
下面对本发明的具体实施方式进行详细描述,但应当理解本发明的保护范围并不受具体实施方式的限制。Specific embodiments of the present invention are described in detail below, but it should be understood that the protection scope of the present invention is not limited by the specific embodiments.
以下组合物所使用的过瘤胃产品由北京亚禾营养高新技术有限责任公司生产,过瘤胃率不低于90%,小肠释放率不低于90%,其中过瘤胃保护葡萄糖中所包含的葡萄糖质量百分比为35%,过瘤胃保护氯化胆碱中所包含的氯化胆碱的质量百分比为20%,过瘤胃保护烟酸中所包含的烟酸的质量百分比为35%。The rumen-passing products used in the following compositions are produced by Beijing Yahe Nutrition High-tech Co., Ltd., the rumen-passing rate is not less than 90%, and the small intestine release rate is not less than 90%, among which the rumen-passing protects the quality of glucose contained in the glucose The percentage is 35%, the mass percentage of the choline chloride contained in the rumen-passed protected choline chloride is 20%, and the mass percentage of the niacin contained in the rumen-passed niacin is 35%.
组合物combination
组合物1:过瘤胃保护葡萄糖400克、过瘤胃保护氯化胆碱25克和过瘤胃保护烟酸5克组成组合物。Composition 1: 400 grams of rumen-protected glucose, 25 grams of rumen-protected choline chloride and 5 grams of rumen-protected niacin.
组合物2:过瘤胃保护葡萄糖300克、过瘤胃保护氯化胆碱60克和过瘤胃保护烟酸5克组成组合物。Composition 2: 300 grams of rumen-protected glucose, 60 grams of rumen-protected choline chloride and 5 grams of rumen-protected niacin.
组合物3:过瘤胃保护葡萄糖200克、过瘤胃保护氯化胆碱80克和过瘤胃保护烟酸8克组成组合物。Composition 3: 200 grams of rumen-protected glucose, 80 grams of rumen-protected choline chloride and 8 grams of rumen-protected niacin constitute the composition.
实施方式Implementation
1、实验动物及分组1. Experimental animals and grouping
在集约化千头牧场,按照年龄、体况、胎次相近的原则,选择预产期相近的健康奶牛28头,其中实验组21头,分为I组,II组,III组,每组7头,对照组7头;实验组对照组奶牛产前产后均按照NRC饲养标准正常饲喂。In the intensive 1,000-head pasture, according to the principle of similar age, body condition, and parity, 28 healthy dairy cows with similar expected delivery dates were selected, including 21 cows in the experimental group, divided into groups I, II, and III, with 7 cows in each group. There were 7 cows in the control group; the cows in the experimental group and the control group were fed normally according to the NRC feeding standard before and after delivery.
2、具体喂服情况:2. Specific feeding situation:
I组,II组,III组奶牛分别喂服上述组合物1,组合物2,组合物3,具体地,待实验组奶牛分娩后0d至21天同一时间点每天喂服上述相应组合物,喂服的计量分别为430克/头·天、365克/头·天、288克/头·天,对照组奶牛不做任何处理。Group I, Group II, and Group III cows were fed with the above-mentioned composition 1, composition 2, and composition 3 respectively. Specifically, the cows in the experimental group were fed with the above-mentioned corresponding composition every day at the same time point from 0d to 21 days after delivery. The doses were 430 g/head·day, 365 g/head·day, and 288 g/head·day respectively, and the cows in the control group did not receive any treatment.
3、样本采集3. Sample collection
3.1泌乳性能3.1 Lactation performance
实验组和对照组分别于分娩后14d,21d及45d的平均泌乳量,记录产奶量和乳指标。The experimental group and the control group recorded the average milk production and milk index at 14d, 21d and 45d after delivery respectively.
3.2血液指标3.2 Blood indicators
实验组和对照组分别于分娩后产前1周,产犊当日,产后1,产后2周采集尾根静脉血10ml,室温3000rpm/min离心10min分离血清,-20℃冻存待检。其中0d、1d、2d是先采血后饲喂。In the experimental group and the control group, 10ml of tail root venous blood was collected 1 week before delivery, on the day of calving, 1 week after delivery, and 2 weeks after delivery, and centrifuged at room temperature 3000rpm/min for 10min to separate serum, which was frozen at -20°C for testing. Among them, 0d, 1d, and 2d are fed after blood collection.
4、指标检测:4. Index detection:
乳指标:使用乳品分析仪Milk Indicators: Using a Dairy Analyzer
血液生化:使用半自动生化分析仪检测β-羟丁酸(BHBA)、游离脂肪酸(NEFA)、血糖(GLU)、血钙(Ga)的浓度。Blood biochemistry: Use a semi-automatic biochemical analyzer to detect the concentrations of β-hydroxybutyric acid (BHBA), free fatty acids (NEFA), blood glucose (GLU), and blood calcium (Ga).
5、数据处理:5. Data processing:
使用spss19.0数据处理软件进行数据分析,结果以“平均值±标准差”表示;并且统计产后7d、14d、21d内28头实验牛酮病的发病情况。The spss19.0 data processing software was used for data analysis, and the results were expressed as "mean ± standard deviation"; and the incidence of ketosis in 28 experimental cattle within 7 days, 14 days and 21 days after delivery was counted.
6、实验结果6. Experimental results
II组和III组实验结果相差不大,现将I组、II组实验结果列举如下:The experimental results of Group II and Group III are not much different, and the experimental results of Group I and Group II are listed as follows:
对奶牛生产性能的影响见表1:The impact on the production performance of dairy cows is shown in Table 1:
表1对奶牛生产性能的影响Table 1 Effects on the performance of dairy cows
同列无字母或数据肩标相同字母表示差异不显著(P>0.05),不同小写字母表示差异显著(P<0.05),不同大写字母表示差异极显著(P<0.01)。下表同。There is no letter in the same column or the same letter on the data shoulder indicates no significant difference (P>0.05), different lowercase letters indicate significant difference (P<0.05), different uppercase letters indicate extremely significant difference (P<0.01). The table below is the same.
对奶牛血液生化指标的影响见表2The impact on the blood biochemical indicators of dairy cows is shown in Table 2
表2 RPC对奶牛血液生化指标的影响Table 2 Effect of RPC on blood biochemical indexes of dairy cows
表3奶牛产后酮体检测结果Table 3 Test results of postpartum ketone bodies in dairy cows
从以上各指标分析结果可以看出,数据分析中衡量酮病的BHBA、NEFA、GLU这几个重要指标都不同程度出现了差异性,奶牛产后酮体检测结果不同组的发病率也存在差异,这说明本发明组合物对奶牛酮病、脂肪肝病是有预防和治疗作用,并且本发明的组合物对血糖、血钙、等指标具有快速调控作用,维持血糖浓度,可以降低产后酮病发生率,保障机体正常功能;该组合物还可以控制血液BHBA、NEFA浓度,长期有效控制奶牛能量代谢负平衡状态;并且通过添加本发明组合物后,与对照组相比,奶牛的产奶量,乳脂率,乳蛋白率,乳糖率与对照组有不同程度的提高,从而在一定程度上增加了产牛的产奶量,提高了产奶性能。From the analysis results of the above indicators, it can be seen that the important indicators of BHBA, NEFA, and GLU to measure ketosis in the data analysis show differences to varying degrees, and the incidence rates of different groups of postpartum ketone body test results of dairy cows are also different. This shows that the composition of the present invention has preventive and therapeutic effects on dairy cow ketosis and fatty liver disease, and the composition of the present invention has a rapid regulation effect on blood sugar, blood calcium, and other indicators, maintains blood sugar concentration, and can reduce the incidence of postpartum ketosis , to ensure the normal function of the body; the composition can also control blood BHBA and NEFA concentrations, and effectively control the negative energy metabolism state of dairy cows for a long time; and after adding the composition of the present invention, compared with the control group, the milk production, milk fat Rate, milk protein rate, lactose rate have different degrees of improvement compared with the control group, thereby increasing the milk production of cows to a certain extent, and improving milk production performance.
前述对本发明的具体示例性实施方案的描述是为了说明和例证的目的。这些描述并非想将本发明限定为所公开的精确形式,并且很显然,根据上述教导,可以进行很多改变和变化。对示例性实施例进行选择和描述的目的在于解释本发明的特定原理及其实际应用,从而使得本领域的技术人员能够实现并利用本发明的各种不同的示例性实施方案以及各种不同的选择和改变。本发明的范围意在由权利要求书及其等同形式所限定。The foregoing descriptions of specific exemplary embodiments of the present invention have been presented for purposes of illustration and description. These descriptions are not intended to limit the invention to the precise form disclosed, and obviously many modifications and variations are possible in light of the above teaching. The exemplary embodiments were chosen and described in order to explain the specific principles of the invention and its practical application, thereby enabling others skilled in the art to make and use various exemplary embodiments of the invention, as well as various Choose and change. It is intended that the scope of the invention be defined by the claims and their equivalents.
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CN112107629B (en) * | 2020-08-31 | 2022-03-11 | 吉林大学 | Health powder for preventing and treating liver injury of dairy cow with ketosis in perinatal period |
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