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甲氧氟烷和氟烷麻醉后给予犬氧吗啡酮-乙酰丙嗪和哌替啶-乙酰丙嗪的镇痛及行为反应

Analgesia and behavioral responses of dogs given oxymorphone-acepromazine and meperidine-acepromazine after methoxyflurane and halothane anesthesia.

作者信息

Sawyer D C, Rech R H, Adams T, Durham R A, Richter M A, Striler E L

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824-1316.

出版信息

Am J Vet Res. 1992 Aug;53(8):1361-8.

PMID:1510312
Abstract

This study was designed to test analgesia, duration, and cardiovascular changes induced by meperidine (MEP) and oxymorphone (OXY) following methoxyflurane (MOF) and halothane (HAL) anesthesia. Eight healthy dogs were given atropine and acepromazine, and anesthesia was induced with thiamylal and maintained with 1.5 minimal alveolar concentration of MOF or HAL for 1 hour during controlled ventilation. Eight treatments were given with each anesthetic: 3 with MEP (0.5, 1.0, and 2.0 mg/kg, IV), 3 with oxymorphone (OXY; 0.05, 0.1, and 0.2 mg/kg, IV), and 2 placebos with sterile water. Test drugs were given at the end of anesthesia when early signs of recovery were evident. Minimal threshold stimulus/response nociception was assessed by use of an inflatable soft plastic colonic balloon. Blood pressures and pulse rate were measured with a noninvasive monitor. Meperidine and OXY were found to be effective analgesics and could be reversed with naloxone. Intravenous administration of 2.0 mg of MEP/kg provided analgesia for 36 +/- 6 minutes and 39 +/- 15 minutes after MOF and HAL, respectively. In contrast, OXY was effective at all 3 doses with effects of IV administration of 0.2 mg of OXY/kg lasting 154 +/- 13 minutes and 152 +/- 12 minutes, after MOF and HAL, respectively. Analgesia could not be demonstrated after anesthesia for acepromazine, MOF, or HAL. Blood pressure was not changed by either anesthetic nor was it influenced by MEP or OXY. Pulse rate was significantly depressed by the higher doses of OXY following HAL, but was not changed by MEP following either anesthetic.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究旨在测试在甲氧氟烷(MOF)和氟烷(HAL)麻醉后,哌替啶(MEP)和羟吗啡酮(OXY)引起的镇痛效果、持续时间及心血管变化。8只健康犬给予阿托品和乙酰丙嗪,硫喷妥钠诱导麻醉,在控制通气期间用1.5最低肺泡浓度的MOF或HAL维持麻醉1小时。每种麻醉剂进行8种处理:3种用MEP(0.5、1.0和2.0mg/kg,静脉注射),3种用羟吗啡酮(OXY;0.05、0.1和0.2mg/kg,静脉注射),2种用无菌水作为安慰剂。在麻醉结束且出现明显恢复早期迹象时给予测试药物。使用可充气的软塑料结肠球囊评估最小阈值刺激/反应痛觉。用无创监测仪测量血压和脉搏率。发现哌替啶和OXY是有效的镇痛药,且可用纳洛酮逆转。静脉注射2.0mg MEP/kg在MOF和HAL麻醉后分别提供36±6分钟和39±15分钟的镇痛效果。相比之下,OXY在所有3个剂量下均有效,静脉注射0.2mg OXY/kg在MOF和HAL麻醉后分别持续154±13分钟和152±12分钟。乙酰丙嗪、MOF或HAL麻醉后未显示镇痛效果。两种麻醉剂均未改变血压,MEP或OXY也未对其产生影响。HAL麻醉后较高剂量的OXY使脉搏率显著降低,但两种麻醉后MEP均未改变脉搏率。(摘要截短至250字)

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