Royal (Dick) School of Veterinary Studies & The Roslin Institute, The University of Edinburgh, Easter Bush Campus, Roslin EH25 9RG, UK.
Res Vet Sci. 2013 Dec;95(3):1195-200. doi: 10.1016/j.rvsc.2013.07.001. Epub 2013 Aug 9.
Previous studies indicated that perioperative morphine improves recovery quality after general anaesthesia in horses. This clinical trial investigated whether this effect was dose-dependant. Twenty-six horses anaesthetised for surgery were block-randomised to receive one of two intraoperative morphine treatments: Treatment M1 consisted of a constant rate infusion (CRI) of morphine at 0.1mg/kg/h, begun after a loading dose (LD) of 0.15 mg/kg. Treatment M2 was a CRI of 0.2mg/kg/h preceded by an LD of 0.3mg/kg. During recovery, times at the first attempt and at achieving sternal recumbency and standing, and the total recovery duration were not different between groups. Total recovery quality score was not significantly different between groups. Scores for the "sternal phase" were higher (of poorer quality) for M2 but scores in both groups were low. Morphine doses of M2, which are greater than those described previously, do not appear to alter or improve the quality or duration of recovery in horses after surgical anaesthesia.
先前的研究表明,围手术期吗啡可改善马全身麻醉后的恢复质量。本临床试验研究了这种效果是否与剂量有关。26 匹接受手术麻醉的马被随机分组,接受两种术中吗啡治疗之一:M1 治疗组接受 0.1mg/kg/h 的持续输注(CRI),在 0.15mg/kg 的负荷剂量(LD)后开始。M2 治疗组在给予 0.3mg/kg 的 LD 后开始 0.2mg/kg/h 的 CRI。在恢复过程中,两组之间首次尝试达到胸骨横卧和站立的时间以及总恢复持续时间没有差异。总恢复质量评分在两组之间无显著差异。M2 组的“胸骨期”评分较高(质量较差),但两组的评分都较低。M2 组的吗啡剂量大于先前描述的剂量,但似乎并未改变或改善马全身麻醉后恢复的质量或持续时间。