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氮哌酮-右美托咪定-布托啡诺-氯胺酮与氮哌酮-替来他明-唑拉西泮用于仔猪麻醉的比较。

Comparison of azaperone-detomidine-butorphanol-ketamine and azaperone-tiletamine-zolazepam for anaesthesia in piglets.

作者信息

Heinonen Mari L, Raekallio Marja R, Oliviero Claudio, Ahokas Sanna, Peltoniemi Olli A T

机构信息

Department of Production Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Finland.

出版信息

Vet Anaesth Analg. 2009 Mar;36(2):151-7. doi: 10.1111/j.1467-2995.2008.00443.x.

Abstract

OBJECTIVE

To investigate a combination of azaperone, detomidine, butorphanol and ketamine (DBK) in pigs and to compare it with the combination of azaperone, tiletamine and zolazepam (TZ).

STUDY DESIGN

Prospective, randomized, blinded, cross-over study.

ANIMALS

Twelve clinically healthy crossbred pigs aged about 2 months and weighing 16-25 kg.

METHODS

Pigs were pre-medicated with azaperone (4 mg kg(-1)). Ten minutes later anaesthesia was induced with intramuscular DBK (detomidine 0.08 mg kg(-1), butorphanol 0.2 mg kg(-1), ketamine 10 mg kg(-1)) or TZ (tiletamine and zolazepam 5 mg kg(-1)). The pigs were positioned in dorsal recumbency. Heart and respiratory rates, posture, anaesthesia score, PaO(2), PaCO(2), pH and bicarbonate concentration were measured. t-test was used to compare the areas under time-anaesthesia index curve (AUC(anindex)) between treatments. Data concerning heart and respiratory rates, PaO(2), PaCO(2) and anaesthesia score were analysed with anova for repeated measurements. Wilcoxon signed rank test was used for the data concerning the duration of sedation and anaesthesia.

RESULTS

The sedation, analgesia and anaesthesia lasted longer after DBK than TZ. The AUC(anscore) were 863 +/- 423 and 452 +/- 274 for DBK and TZ, respectively (p = 0.002). The duration of surgical anaesthesia lasted a median of 35 minutes (0-105 minutes) after DBK and a median of 15 minutes (0-35 minutes) after TZ (p = 0.05). Four pigs after DBK and six after TZ did not achieve the plane of surgical anaesthesia. The heart rate was lower after DBK than after TZ. Both treatments had similar effects on the other parameters measured.

CONCLUSIONS

At the doses used DBK was more effective than TZ for anaesthesia in pigs under field conditions.

CLINICAL RELEVANCE

The combinations can be used for sedation and minor field surgery in pigs. The doses and drugs chosen were insufficient to produce a reliable surgical plane of anaesthesia in these young pigs.

摘要

目的

研究氮哌酮、地托咪定、布托啡诺和氯胺酮(DBK)联合用药对猪的效果,并与氮哌酮、替来他明和唑拉西泮(TZ)联合用药进行比较。

研究设计

前瞻性、随机、双盲、交叉研究。

动物

12头临床健康的杂交猪,年龄约2个月,体重16 - 25千克。

方法

猪用氮哌酮(4毫克/千克)进行术前用药。10分钟后,分别通过肌肉注射DBK(地托咪定0.08毫克/千克、布托啡诺0.2毫克/千克、氯胺酮10毫克/千克)或TZ(替来他明和唑拉西泮5毫克/千克)诱导麻醉。猪取仰卧位。测量心率、呼吸频率、姿势、麻醉评分、动脉血氧分压(PaO₂)、动脉血二氧化碳分压(PaCO₂)、pH值和碳酸氢盐浓度。采用t检验比较不同处理组间麻醉指数时间曲线下面积(AUC(anindex))。对心率、呼吸频率、PaO₂、PaCO₂和麻醉评分数据进行重复测量方差分析。对镇静和麻醉持续时间的数据采用Wilcoxon符号秩检验。

结果

DBK组的镇静、镇痛和麻醉持续时间比TZ组更长。DBK组和TZ组的AUC(anscore)分别为863±423和452±274(p = 0.002)。DBK组手术麻醉持续时间中位数为35分钟(0 - 105分钟),TZ组为15分钟(0 - 35分钟)(p = 0.05)。DBK组有4头猪、TZ组有6头猪未达到手术麻醉平面。DBK组心率低于TZ组。两种处理对其他测量参数的影响相似。

结论

在现场条件下,所用剂量的DBK对猪麻醉比TZ更有效。

临床意义

这些联合用药可用于猪的镇静和小型现场手术。所选剂量和药物不足以在这些幼猪中产生可靠的手术麻醉平面。

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