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择期手术后皮下注射曲马多在缓解犬急性疼痛和炎症方面与静脉注射效果相同。

Subcutaneous administration of tramadol after elective surgery is as effective as intravenous administration in relieving acute pain and inflammation in dogs.

作者信息

Buhari Salisu, Hashim Kalthum, Yong Meng Goh, Mustapha Noordin Mohamed, Gan Siew Hua

机构信息

Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.

出版信息

ScientificWorldJournal. 2012;2012:564939. doi: 10.1100/2012/564939. Epub 2012 Jun 18.

DOI:10.1100/2012/564939
PMID:22778699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3385626/
Abstract

Subcutaneous (SC) administration of tramadol was compared with intravenous (IV) administration to evaluate analgesia following canine ovariohysterectomy (OHE). Healthy female dogs (n = 12) between 1 and 3 years of age (1.95 ± 0.65 years), weighing between 10.5 and 17.1 kg (13.12 ± 1.95 kg), were used. Pain was assessed at baseline before surgery and then hourly for 8 hr after surgery. Tramadol was administered both SC and IV at a dose of 3 mg/kg and provided significant postoperative analgesia, as indicated by analgesiometry, β-endorphin levels, and interleukin 6 (IL-6) levels. The respiratory rates and rectal temperatures remained normal and were not significantly different between or within the groups. A significant increase in heart rate was observed at 4 hr for dogs in both groups relative to the baseline, but there was no significant difference in heart rates between the groups at any time point. A significant decrease in mechanical pain threshold was observed within each group after surgery, but both groups responded similarly, suggesting that SC administration of tramadol is as effective as IV administration. Increased serum levels of both IL-6 and β-endorphin 3 hr postoperatively further indicate that both routes of administration achieve similar pain control. Thus, the relative analgesic efficacy of SC tramadol is comparable to that of IV administration and can be used to achieve similar effects for postsurgical pain management in dogs undergoing OHE.

摘要

将曲马多的皮下注射与静脉注射进行比较,以评估犬卵巢子宫切除术(OHE)后的镇痛效果。使用1至3岁(1.95±0.65岁)、体重在10.5至17.1千克(13.12±1.95千克)之间的健康雌性犬(n = 12)。在手术前的基线时评估疼痛,然后在手术后每小时评估一次,持续8小时。曲马多以3毫克/千克的剂量进行皮下和静脉注射,如通过痛觉测定、β-内啡肽水平和白细胞介素6(IL-6)水平所示,提供了显著的术后镇痛效果。呼吸频率和直肠温度保持正常,两组之间以及组内均无显著差异。两组犬在术后4小时相对于基线时观察到心率显著增加,但在任何时间点两组之间的心率均无显著差异。术后每组内机械性疼痛阈值均显著降低,但两组反应相似,表明曲马多皮下注射与静脉注射效果相同。术后3小时IL-6和β-内啡肽血清水平升高进一步表明两种给药途径均能实现相似的疼痛控制。因此,曲马多皮下注射的相对镇痛效果与静脉注射相当,可用于对接受OHE的犬进行术后疼痛管理并达到相似效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/3a776b641df2/TSWJ2012-564939.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/6947b3544ebf/TSWJ2012-564939.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/04d5c489946d/TSWJ2012-564939.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/897853cd6abc/TSWJ2012-564939.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/16c1d151ffd6/TSWJ2012-564939.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/3a776b641df2/TSWJ2012-564939.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/6947b3544ebf/TSWJ2012-564939.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/04d5c489946d/TSWJ2012-564939.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/897853cd6abc/TSWJ2012-564939.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/16c1d151ffd6/TSWJ2012-564939.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c38/3385626/3a776b641df2/TSWJ2012-564939.005.jpg

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