Clutton R Eddie
Easter Bush Veterinary Centre, University of Edinburgh, Easter Bush, Roslin, Midlothian EH25 9RG, Scotland, UK.
Vet Clin North Am Equine Pract. 2010 Dec;26(3):493-514. doi: 10.1016/j.cveq.2010.07.002.
Opioid analgesics have been the foundation of human pain management for centuries, and their value in animals has increased since it was proposed that it is the veterinarian's duty to alleviate pain whenever it may occur. Compared with other domesticated species, the horse has benefitted less from the increased understanding of opioid pharmacology in animals, because early literature was overlooked and later work, which examined adverse side effects rather than analgesia, concluded that analgesic and excitatory doses were irreconcilably close. More recent studies have indicated a widening role for opioid analgesics in equine pain management, and radioligand studies have revealed a basis for the equine response pattern to opioid analgesics.
几个世纪以来,阿片类镇痛药一直是人类疼痛管理的基础,自从有人提出兽医有责任在任何可能出现疼痛的情况下减轻疼痛以来,它们在动物身上的价值也有所增加。与其他家养动物相比,马从对动物阿片类药物药理学的深入了解中获益较少,因为早期文献被忽视了,而后来研究不良副作用而非镇痛效果的研究得出结论,镇痛剂量和兴奋剂量非常接近,无法调和。最近的研究表明,阿片类镇痛药在马的疼痛管理中发挥着越来越广泛的作用,放射性配体研究揭示了马对阿片类镇痛药反应模式的基础。