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局部麻醉剂和非甾体抗炎药对奶牛犊牛热烙铁去角疼痛反应的影响。

Effects of local anesthetic and a nonsteroidal antiinflammatory drug on pain responses of dairy calves to hot-iron dehorning.

作者信息

Stewart M, Stookey J M, Stafford K J, Tucker C B, Rogers A R, Dowling S K, Verkerk G A, Schaefer A L, Webster J R

机构信息

AgResearch Ltd, Private Bag 3123, Hamilton 3240, New Zealand.

出版信息

J Dairy Sci. 2009 Apr;92(4):1512-9. doi: 10.3168/jds.2008-1578.

DOI:10.3168/jds.2008-1578
PMID:19307632
Abstract

This study examined the effects of a nonsteroidal antiinflammatory agent (NSAID) on physiological responses of calves immediately after hot-iron dehorning (DH) and during the time that local anesthetic (LA) wears off (2 to 3 h) after this procedure. Forty-six calves (33 +/- 0.3 d of age) were randomly assigned to 6 treatments: hot-iron DH versus sham DH with either no pain mitigation, LA alone, or LA with NSAID (i.v. Meloxicam). Eye temperature (measured using infrared thermography) was recorded every 5 min for 3 h after treatments. Heart rate (HR) and heart rate variability (HRV) were recorded continuously; for analysis of HRV, short segments of 512 interbeat intervals were examined. After DH without LA or NSAID, HR increased by 35 +/- 3.0 beats/min in the first 5 min and remained elevated above baseline for 3 h. The HRV around the time of DH did not differ between treatments; however, the root mean square of successive differences decreased from 68 to 41 +/- 12.6 ms immediately following DH without pain relief, suggesting a decrease in vagal tone at this time. Between 2 and 3 h following DH with LA, there was a decrease in eye temperature (-0.6 +/- 0.1 degrees C), an increase in HR (8 +/- 3.0 beats per min) and changes in HRV. Changes in HRV at this time included a decreased high-frequency power and an increase in the low-frequency power and low-frequency/high-frequency ratio, indicating a change in sympatho-vagal balance. The changes in eye temperature, HR, and HRV between 2 and 3 h following DH with LA indicated the onset of pain coinciding with the time that the LA effects wear off. In addition, this study demonstrated that the combination of LA and NSAID mitigated the onset of pain responses when the LA wanes.

摘要

本研究考察了一种非甾体抗炎药(NSAID)对犊牛在热烙铁去角术(DH)后即刻以及该操作后局部麻醉剂(LA)作用消退期(2至3小时)生理反应的影响。46头犊牛(33±0.3日龄)被随机分为6组处理:热烙铁去角术与假去角术,分别采用无疼痛缓解措施、单独使用局部麻醉剂或局部麻醉剂联合NSAID(静脉注射美洛昔康)。处理后每5分钟记录一次眼温(使用红外热成像测量),持续3小时。连续记录心率(HR)和心率变异性(HRV);对于HRV分析,检查512个心动周期间期的短片段。在未使用局部麻醉剂和NSAID的去角术后,HR在最初5分钟内增加了35±3.0次/分钟,并在3小时内一直高于基线水平。去角术前后各处理组的HRV无差异;然而,在未进行疼痛缓解的去角术后,连续差值的均方根立即从68降至41±12.6毫秒,表明此时迷走神经张力降低。在使用局部麻醉剂的去角术后2至3小时之间,眼温下降(-0.6±0.1℃),HR增加(8±3.0次/分钟),HRV发生变化。此时HRV的变化包括高频功率降低、低频功率和低频/高频比值增加,表明交感-迷走神经平衡发生改变。使用局部麻醉剂的去角术后2至3小时之间眼温、HR和HRV的变化表明疼痛的发作与局部麻醉剂作用消退的时间一致。此外,本研究表明,局部麻醉剂和NSAID联合使用可减轻局部麻醉剂作用减弱时疼痛反应的发作。

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