使用非侵入性客观压力平台步态分析评估颅交叉韧带手术后围手术期口服卡洛芬的疗效。
Assessing the efficacy of perioperative oral carprofen after cranial cruciate surgery using noninvasive, objective pressure platform gait analysis.
作者信息
Horstman Christopher L, Conzemius Michael G, Evans Richard, Gordon Wanda J
机构信息
Orthopedic Research Laboratory, Department of Veterinary Clinical Sciences, Iowa State University, Ames, IA, USA.
出版信息
Vet Surg. 2004 May-Jun;33(3):286-92. doi: 10.1111/j.1532-950x.2004.04042.x.
OBJECTIVE
To document, using pressure platform gait analysis, the effect of perioperative oral carprofen on limb function and pain after cranial cruciate ligament surgery in dogs.
STUDY DESIGN
Blinded, prospective clinical investigation.
ANIMALS
Twenty dogs with naturally occurring unilateral cranial cruciate disease.
PROCEDURE
Physiologic indices, subjective pain scoring, and pressure platform gait analyses were performed before and 24, 48, and 72 hours after surgery. Correlations were assessed between methods of evaluation and the data was compared across treatment groups.
RESULTS
No strong correlations were noted between physiologic data, subjective scoring systems, or gait analysis data at a walk or stance. Although average measures of limb function were nearly twice as large in dogs treated with carprofen, no significant differences between groups over time were identified. No significant differences were noted in any other measure of pain or limb function. Power analysis of peak vertical force at a walk indicated that significant difference would have been detected had the number of dogs in each group been increased to 35.
CONCLUSION
When limb function was assessed with pressure platform gait analysis no statistical difference was noted between groups with respect to PVF and VI at a walk or stance, although average ground reaction forces for dogs in the carprofen group were greater than the traditional pain management group at all time points.
CLINICAL RELEVANCE
Oral carprofen appears to provide some benefit for the treatment of postoperative orthopedic pain.
目的
使用压力平台步态分析记录围手术期口服卡洛芬对犬颅交叉韧带手术后肢体功能和疼痛的影响。
研究设计
盲法前瞻性临床研究。
动物
20只患有自然发生的单侧颅交叉疾病的犬。
程序
在手术前以及手术后24、48和72小时进行生理指标、主观疼痛评分和压力平台步态分析。评估评估方法之间的相关性,并比较各治疗组的数据。
结果
在行走或站立时,生理数据、主观评分系统或步态分析数据之间未发现强相关性。尽管接受卡洛芬治疗的犬的肢体功能平均测量值几乎是未治疗犬的两倍,但随时间推移两组之间未发现显著差异。在疼痛或肢体功能的任何其他测量中均未发现显著差异。对行走时垂直力峰值的功效分析表明,如果每组犬的数量增加到35只,将会检测到显著差异。
结论
当使用压力平台步态分析评估肢体功能时,在行走或站立时,两组之间在垂直力峰值(PVF)和垂直冲量(VI)方面未发现统计学差异,尽管在所有时间点,卡洛芬组犬的平均地面反作用力均大于传统疼痛管理组。
临床意义
口服卡洛芬似乎对术后骨科疼痛的治疗有一定益处。