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盐酸氢吗啡酮与新型缓释氢吗啡酮对清醒健康犬动脉血气值影响的比较。

A comparison of the effects of hydromorphone HCl and a novel extended release hydromorphone on arterial blood gas values in conscious healthy dogs.

机构信息

Department of Surgical Sciences, University of Wisconsin, Madison, WI 53706, USA.

出版信息

Res Vet Sci. 2010 Feb;88(1):154-8. doi: 10.1016/j.rvsc.2009.07.008. Epub 2009 Aug 18.

Abstract

The purpose of this study was to evaluate arterial blood gases in dogs that were given hydromorphone or extended release liposome-encapsulated hydromorphone (LEH). Dogs were randomly administered LEH, n=6, (2.0 mg kg(-1)), hydromorphone, n=6, (0.2 mg kg(-1)) or a placebo of blank liposomes, n=3, subcutaneously on separate occasions. Arterial blood samples were drawn at serial time points over a 6-h time period for blood gas analysis. There was no change from baseline values in P(a)CO(2), P(a)O(2), (HCO(3)-), pH, and SBEc in the dogs that received the placebo. Administration of hydromorphone resulted in significant increases in P(a)CO(2) (maximum (mean+SD] 44.4+1.1mm of Hg) and significant decreases in P(a)O(2) (minimum (mean+SD) 82.4+4.7 mm of Hg) and pH (minimum (mean+SD) 7.31+0.01) compared with baseline. Administration of LEH resulted in significant increases in P(a)CO(2) (maximum (mean+SD) 44.6+0.9 mm of Hg) and significant decreases in P(a)O(2) (minimum (mean+SD) 84.8+2.6mm of Hg) and pH (minimum (mean+SD) 7.34+0.02) compared with baseline. There was no significant difference between these two groups at any time point. The changes observed in P(a)CO(2), P(a)O(2), and pH, however, were within clinically acceptable limits for healthy dogs. LEH was determined to cause moderate changes in arterial blood gas values similar to those caused by hydromorphone.

摘要

本研究旨在评估给予氢吗啡酮或长时释药型脂质体包封氢吗啡酮(LEH)的犬的动脉血气。将 LEH(2.0mg/kg)、氢吗啡酮(0.2mg/kg)或空白脂质体安慰剂(n=3)分别皮下给予犬,在 6 小时时间内采集动脉血样进行血气分析。接受安慰剂的犬的 P(a)CO2、P(a)O2、(HCO3-)、pH 和 SBEc 与基线值无变化。给予氢吗啡酮后,P(a)CO2(最大值[均值+SD]44.4+1.1mmHg)和 P(a)O2(最小值[均值+SD]82.4+4.7mmHg)和 pH(最小值[均值+SD]7.31+0.01)显著升高,与基线相比。给予 LEH 后,P(a)CO2(最大值[均值+SD]44.6+0.9mmHg)和 P(a)O2(最小值[均值+SD]84.8+2.6mmHg)和 pH(最小值[均值+SD]7.34+0.02)显著降低,与基线相比。两组在任何时间点均无显著差异。然而,P(a)CO2、P(a)O2 和 pH 的变化在健康犬的临床可接受范围内。LEH 被确定为引起动脉血气值的中度变化,与氢吗啡酮引起的变化相似。

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