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猫的退行性关节病相关疼痛:我们能做些什么来提高患者舒适度?

DJD-associated pain in cats: what can we do to promote patient comfort?

作者信息

Lascelles B Duncan X, Robertson Sheilah A

机构信息

Comparative Pain Research Laboratory & Surgery Section, Department of Clinical Studies, North Carolina State University College of Veterinary Medicine, Raleigh, NC 27606, USA.

出版信息

J Feline Med Surg. 2010 Mar;12(3):200-12. doi: 10.1016/j.jfms.2010.01.003.

Abstract

PRACTICAL RELEVANCE

Degenerative joint disease (DJD) has a high prevalence in domestic cats and can be associated with pain. This pain should be addressed wherever possible.

AUDIENCE

All practitioners are faced with cats that are mobility impaired due to DJD-associated pain.

PATIENT GROUP

Cats of all ages and breeds, and either sex, can experience DJD-associated discomfort.

CLINICAL CHALLENGES

Recognizing DJD and assessing DJD-associated pain in cats is a challenge. Owner observations of activity and behavior, careful observation and a logical and thorough orthopedic evaluation are key. Current understanding of the etiology of feline DJD and the mechanisms of DJD-associated pain is incomplete, making the rational choice of treatments a further challenge.

EVIDENCE BASE

Evidence is emerging on the prevalence of feline DJD, and on how to assess the associated pain and mobility impairment. There is a lack of information on the etiology of feline DJD and a relative lack of data on the efficacy of putative treatments.

摘要

实际意义

退行性关节病(DJD)在家猫中患病率很高,且可能与疼痛有关。只要有可能,就应解决这种疼痛问题。

目标受众

所有从业者都会遇到因DJD相关疼痛而行动不便的猫。

患者群体

所有年龄、品种及性别的猫都可能经历与DJD相关的不适。

临床挑战

识别猫的DJD并评估与DJD相关的疼痛是一项挑战。主人对活动和行为的观察、仔细观察以及合乎逻辑且全面的骨科评估是关键。目前对猫DJD病因以及DJD相关疼痛机制的理解尚不完整,这使得合理选择治疗方法成为进一步的挑战。

证据基础

关于猫DJD患病率以及如何评估相关疼痛和行动障碍的证据正在不断涌现。关于猫DJD病因的信息匮乏,关于假定治疗方法疗效的数据也相对较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2fc/10829163/1f2f94af454b/10.1016_j.jfms.2010.01.003-fig7.jpg

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