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美洛昔康与酮洛芬对患有疼痛性急性运动障碍猫的临床评估

Clinical evaluation of meloxicam versus ketoprofen in cats suffering from painful acute locomotor disorders.

作者信息

Morton Carolyn M, Grant Debbie, Johnston Laura, Letellier Ingrid M, Narbe Ruediger

机构信息

University of Edinburgh, Easter Bush, Midlothian, UK.

出版信息

J Feline Med Surg. 2011 Apr;13(4):237-43. doi: 10.1016/j.jfms.2010.09.018. Epub 2011 Feb 26.

Abstract

The aim of this study was to evaluate the efficacy and palatability of meloxicam 0.5mg/ml oral suspension, compared to ketoprofen tablets in cats suffering from painful acute locomotor disorders. This single blinded, positively-controlled, randomised, multicentre trial involved 121 client owned cats. Cats received either meloxicam (0.5mg/ml oral suspension) at 0.1mg/kg on day 1 followed by 0.05mg/kg q 24h on days 2-5, or ketoprofen 5mg tablets at 1.0mg/kg q 24h for 5 days. The efficacy of the two treatments was assessed subjectively by clinicians on day 6 using a clinical sum score (CSS). Palatability and accuracy of dosing were also assessed. The baseline CSS was not significantly different between the groups, and after 5 days of treatment the CSS had decreased to a similar extent, reflecting a reduction in pain. There were no significant differences between the CSS of each group at day 6. Both treatments were well tolerated. Meloxicam was significantly more palatable than ketoprofen, and allowed for more accurate dosing. Meloxicam and ketoprofen are a safe and efficacious treatment for acute locomotor disorders in cats. Meloxicam (Metacam) may be associated with superior compliance in clinical practice due to the higher palatability, which results in better ease of administration.

摘要

本研究的目的是评估0.5mg/ml美洛昔康口服混悬液与酮洛芬片剂相比,对患有疼痛性急性运动障碍的猫的疗效和适口性。这项单盲、阳性对照、随机、多中心试验纳入了121只宠物猫。猫只在第1天接受0.1mg/kg的美洛昔康(0.5mg/ml口服混悬液),随后在第2 - 5天每天接受0.05mg/kg;或接受5mg的酮洛芬片剂,每天1.0mg/kg,持续5天。临床医生在第6天使用临床综合评分(CSS)主观评估两种治疗方法的疗效。还评估了适口性和给药准确性。两组之间的基线CSS无显著差异,治疗5天后CSS下降程度相似,反映出疼痛减轻。第6天每组的CSS之间无显著差异。两种治疗方法耐受性良好。美洛昔康的适口性明显优于酮洛芬,且给药更准确。美洛昔康和酮洛芬是治疗猫急性运动障碍的安全有效方法。由于美洛昔康(美他康)适口性更高,在临床实践中可能具有更好的依从性,从而使给药更方便。

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