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评价使用甲磺酸右美托咪定-丙泊酚-卡洛芬-氟烷对犬进行全身麻醉后泪液的产生。

Evaluation of aqueous tear production in dogs after general anaesthesia with medetomidine-propofol-carprofen-halothane.

机构信息

Department of Surgery, Ophthalmology and Obstetrics Unit, Faculty of Veterinary Medicine, Clinic of Companion Animal, Aristotle University of Thessaloniki, Thessaloniki 54627, Greece.

出版信息

Vet Rec. 2013 Aug 10;173(6):142. doi: 10.1136/vr.101231. Epub 2013 Jul 6.

Abstract

The influence of an anaesthetic protocol, which included medetomidine, propofol, carprofen and halothane on tear production in the dog. There are no previous studies on the effects of this combination on tear production in dogs or in any other species. The present study included 39 dogs, which underwent non-ophthalmic surgery in our clinic. Preanaesthetically, all dogs had normal tear production (18.62±3.65 mm/minute) as this was recorded with Schirmer tear test I (STT I) and the ophthalmologic examination did not reveal anything abnormal. Tear production readings were recorded before the administration of premedication, at the end of anaesthesia, one hour and two hours postanaesthesia. No reverse agent was administrated. At the end of anaesthesia (right eye (oculus dexter, OD) P<0.0005, left eye (oculus sinister, OS) P<0.0005), as well as one hour postanaesthesia (OD P=0.020, OS P=0.001) there was a statistically significant reduction in tear production, which returned to normal values two hours postanaesthesia, regardless of the duration of the operation. This anaesthetic combination resulted in a decrease in tear production and, therefore, the use of tear substitute treatment in dogs undergoing anaesthesia with this protocol (combination) from the time the sedative is given until at least two hours after the end of anaesthesia is highly recommended.

摘要

一种包含甲磺酸右美托咪定、丙泊酚、卡洛芬和氟烷的麻醉方案对犬泪液分泌的影响。目前尚无关于该组合对犬或其他任何物种泪液分泌影响的研究。本研究纳入了 39 只在我院接受非眼科手术的犬。术前,所有犬的泪液分泌均正常(18.62±3.65mm/min),这是通过 Schirmer 泪液测试 I(STT I)记录的,且眼科检查未发现任何异常。在给予术前用药前、麻醉结束时、麻醉后 1 小时和 2 小时记录泪液分泌读数。未给予逆转剂。麻醉结束时(右眼(oculus dexter,OD)P<0.0005,左眼(oculus sinister,OS)P<0.0005),以及麻醉后 1 小时(OD P=0.020,OS P=0.001),泪液分泌有统计学意义的减少,并在麻醉后 2 小时恢复正常,无论手术持续时间如何。这种麻醉方案会导致泪液分泌减少,因此,强烈建议在使用该方案(组合)对犬进行麻醉时,从给予镇静剂开始,至少在麻醉结束后 2 小时内使用泪液替代治疗。

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