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盐酸哌替啶骶管硬膜外给药对母马的镇痛、血流动力学及呼吸效应

Analgesic, hemodynamic, and respiratory effects induced by caudal epidural administration of meperidine hydrochloride in mares.

作者信息

Skarda R T, Muir W W

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus 43210-1089, USA.

出版信息

Am J Vet Res. 2001 Jul;62(7):1001-7. doi: 10.2460/ajvr.2001.62.1001.

Abstract

OBJECTIVE

To determine the analgesic, hemodynamic, and respiratory effects induced by caudal epidural administration of meperidine hydrochloride in mares.

ANIMALS

7 healthy mares.

PROCEDURE

Each mare received meperidine (5%; 0.8 mg/kg of body weight) or saline (0.9% NaCl) solution via caudal epidural injection on 2 occasions. At least 2 weeks elapsed between treatments. Degree of analgesia in response to noxious electrical, thermal, and skin and muscle prick stimuli was determined before and for 5 hours after treatment. In addition, cardiovascular and respiratory variables were measured and degree of sedation (head position) and ataxia (pelvic limb position) evaluated.

RESULTS

Caudal epidural administration of meperidine induced bilateral analgesia extending from the. coccygeal to S1 dermatomes in standing mares; degree of sedation and ataxia was minimal. Mean (+/- SD) onset of analgesia was 12 +/- 4 minutes after meperidine administration, and duration of analgesia ranged from 240 minutes to the entire 300-minute testing period. Heart and respiratory rates, rectal temperature, arterial blood pressures, Hct, PaO2, PaCO2, pHa, total solids and bicarbonate concentrations, and base excess were not significantly different from baseline values after caudal epidural administration of either meperidine or saline solution.

CONCLUSIONS AND CLINICAL RELEVANCE

Caudal epidural administration of meperidine induced prolonged perineal analgesia in healthy mares. Degree of sedation and ataxia was minimal, and adverse cardiorespiratory effects were not detected. Meperidine may be a useful agent for induction of caudal epidural analgesia in mares undergoing prolonged diagnostic, obstetric, or surgical procedures in the anal and perineal regions.

摘要

目的

确定在母马中经尾骶硬膜外给予盐酸哌替啶所产生的镇痛、血流动力学及呼吸效应。

动物

7匹健康母马。

步骤

每匹母马分2次经尾骶硬膜外注射接受哌替啶(5%;0.8mg/kg体重)或生理盐水(0.9%氯化钠)溶液。两次治疗间隔至少2周。在治疗前及治疗后5小时测定对有害电刺激、热刺激以及皮肤和肌肉针刺刺激的镇痛程度。此外,测量心血管和呼吸变量,并评估镇静程度(头部位置)和共济失调程度(后肢位置)。

结果

在站立母马中,经尾骶硬膜外给予哌替啶可诱导双侧镇痛,范围从尾骨至S1皮节;镇静和共济失调程度轻微。哌替啶给药后平均(±标准差)镇痛起效时间为12±4分钟,镇痛持续时间为240分钟至整个300分钟测试期。在经尾骶硬膜外给予哌替啶或生理盐水溶液后,心率、呼吸频率、直肠温度、动脉血压、血细胞比容、动脉血氧分压、动脉血二氧化碳分压、动脉血pH值、总固体和碳酸氢盐浓度以及碱剩余与基线值无显著差异。

结论及临床意义

在健康母马中,经尾骶硬膜外给予哌替啶可诱导长时间的会阴镇痛。镇静和共济失调程度轻微,未检测到不良心肺效应。对于在肛门和会阴区域接受长时间诊断、产科或外科手术的母马,哌替啶可能是诱导尾骶硬膜外镇痛的有效药物。

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