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阿司匹林、卡洛芬、德拉考昔和美洛昔康对健康犬血小板功能及全身前列腺素浓度的影响。

Effects of aspirin, carprofen, deracoxib, and meloxicam on platelet function and systemic prostaglandin concentrations in healthy dogs.

作者信息

Blois Shauna L, Allen Dana G, Wood R Darren, Conlon Peter D

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.

出版信息

Am J Vet Res. 2010 Mar;71(3):349-58. doi: 10.2460/ajvr.71.3.349.

DOI:10.2460/ajvr.71.3.349
PMID:20187838
Abstract

OBJECTIVE

To determine effects of therapeutic dosages of aspirin, carprofen, deracoxib, and meloxicam on platelet function and systemic prostaglandin concentrations in healthy dogs.

ANIMALS

10 hound-crossbred dogs.

PROCEDURES

Aspirin (10 mg/kg, PO, q 12 h), carprofen (4.4 mg/kg, PO, q 24 h), deracoxib (2 mg/kg, PO, q 24 h), meloxicam (0.1 mg/kg, PO, q 24 h), and a placebo were administered for 7 days in a random order to each of 10 healthy dogs; there was a 21-day washout period between subsequent treatments. One-stage prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen concentration, and plasma concentrations of thromboxane (TX)B(2) and 6-keto prostaglandin (PG)F(1alpha) were measured before and after treatment administration. Platelet function was assessed by use of a platelet-function analyzer and aggregation.

RESULTS

Aspirin, carprofen, and meloxicam did not significantly affect platelet function. Deracoxib caused a mild decrease in platelet aggregation induced by 50microM ADP. Platelet number, Hct, PT, aPTT, and plasma TXB(2) and 6-keto PGF(1alpha) concentrations were unchanged after NSAID administration. Meloxicam administration resulted in a significant decrease in fibrinogen concentration, but results remained within the laboratory reference interval.

CONCLUSIONS AND CLINICAL RELEVANCE

Oral administration of commonly used NSAIDs at therapeutic dosages in healthy dogs did not alter plasma TXB(2) and 6-keto PGF(1alpha) concentrations. Deracoxib administration resulted in a minor abnormality in platelet aggregation. Anti-inflammatory doses of aspirin did not affect platelet function as measured by use of optical aggregometry and a platelet-function analyzer. Further evaluation of the effects of aspirin and cyclooxygenase-2-selective inhibitors on hemostasis should be performed.

摘要

目的

确定治疗剂量的阿司匹林、卡洛芬、德拉考昔和美洛昔康对健康犬血小板功能及全身前列腺素浓度的影响。

动物

10只杂交猎犬。

方法

将阿司匹林(10mg/kg,口服,每12小时1次)、卡洛芬(4.4mg/kg,口服,每24小时1次)、德拉考昔(2mg/kg,口服,每24小时1次)、美洛昔康(0.1mg/kg,口服,每24小时1次)和一种安慰剂以随机顺序给予10只健康犬,每只犬给药7天;后续治疗之间有21天的洗脱期。在给药前后测量一期凝血酶原时间(PT)、活化部分凝血活酶时间(aPTT)、纤维蛋白原浓度以及血栓素(TX)B2和6-酮前列腺素(PG)F1α的血浆浓度。使用血小板功能分析仪和聚集试验评估血小板功能。

结果

阿司匹林、卡洛芬和美洛昔康对血小板功能无显著影响。德拉考昔使50μM ADP诱导的血小板聚集轻度降低。非甾体抗炎药给药后血小板数量、血细胞比容、PT、aPTT以及血浆TXB2和6-酮PGF1α浓度未改变。美洛昔康给药导致纤维蛋白原浓度显著降低,但结果仍在实验室参考区间内。

结论及临床意义

在健康犬中以治疗剂量口服常用非甾体抗炎药未改变血浆TXB2和6-酮PGF1α浓度。德拉考昔给药导致血小板聚集出现轻微异常。通过光学聚集试验和血小板功能分析仪测量,抗炎剂量的阿司匹林不影响血小板功能。应进一步评估阿司匹林和环氧化酶-2选择性抑制剂对止血的影响。

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