Driessen Bernd, Bauquier Sébastien H, Zarucco Laura
Section of Emergency/Critical Care and Anesthesia, Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, 382 West Street Road, Kennett Square, Philadelphia, PA 19348, USA.
Vet Clin North Am Equine Pract. 2010 Aug;26(2):315-37. doi: 10.1016/j.cveq.2010.04.002. Epub 2010 Jun 11.
Managing pain in horses afflicted by chronic laminitis is one of the greatest challenges in equine clinical practice because it is the dreadful suffering of the animals that most often forces the veterinarian to end the battle with this disease. The purpose of this review is to summarize our current understanding of the complex mechanisms involved in generating and amplifying pain in animals with laminitis and, based on this information, to propose a modified approach to pain therapy. Furthermore, a recently developed pain scoring technique is presented that may help better quantify pain and the monitoring of responses to analgesic treatment in horses with laminitis.
对患有慢性蹄叶炎的马匹进行疼痛管理是马临床实践中最大的挑战之一，因为动物的极度痛苦常常迫使兽医终止与这种疾病的斗争。本综述的目的是总结我们目前对蹄叶炎动物疼痛产生和放大的复杂机制的理解，并基于这些信息提出一种改良的疼痛治疗方法。此外，还介绍了一种最近开发的疼痛评分技术，该技术可能有助于更好地量化疼痛，并监测蹄叶炎马匹对镇痛治疗的反应。
