Farnworth Mj, Adams Nj, Keown Aj, Waran Nk, Stafford Kj
a Department of Natural Sciences , Unitec Institute of Technology , Private Bag 92025, Auckland 1025 , New Zealand.
N Z Vet J. 2014 May;62(3):117-22. doi: 10.1080/00480169.2013.852447. Epub 2013 Dec 3.
To compare the use and provision of analgesia to cats undergoing gonadectomy by a sample of veterinarians in New Zealand, Australia and the United Kingdom (UK).
Small animal veterinarians' views and practices on provision of analgesia to cats at three different time phases (pre/intra-operatively, post-operatively and post-discharge) were gathered using an on-line questionnaire. Respondents were also asked to state the pharmacological agent(s) used and the dosage rate(s). Differences in provision of analgesia were assessed relative to the respondent using binary logistic regression. The effects of gender of the patient and time of provision were explored using McNewar's Test and Cochran's Q, respectively. Differences between drug types used amongst countries were tested using χ(2) analysis.
There were 717 responses to the survey. Of these 249 (34.7%) were from New Zealand, 269 (37.5%) were from the UK and 199 (27.8%) from Australia. The prevalence of analgesia provision declined across the three different time phases for spaying and castration (both p<0.001). Provision of analgesia for castration was less than for spaying at each of the pre/intra-operative (p=0.002), post-operative (p<0.001) and after discharge (p<0.001) phases. Post-operative provision of analgesia following both castration (p<0.001) and spaying (p<0.001) differed amongst countries of practice. Veterinarians in Australia and New Zealand were more likely to provide post-operative analgesia for both castration and spaying than those from the UK (p<0.001). Veterinarians from the UK more commonly used non-steroidal anti-inflammatory drugs (NSAID) in the pre/intra-operative phase (p<0.001) than veterinarians from either New Zealand or Australia.
Contemporary use of analgesics for cats appears focused on provision at clinic and may not address the effects of surgery beyond the first 24 hours. The UK, Australia and New Zealand clearly differ in the types of analgesia administered, possibly reflecting differing professional considerations of the risks associated with the use of NSAID. In the interests of animal welfare, pain relief should perhaps be provided or offered more frequently for owner administration.
比较新西兰、澳大利亚和英国的一组兽医对接受性腺切除术的猫使用和提供镇痛的情况。
通过在线问卷收集小动物兽医在三个不同时间段（术前/术中、术后和出院后）对猫提供镇痛的观点和做法。还要求受访者说明所使用的药物和剂量率。使用二元逻辑回归评估镇痛提供方面相对于受访者的差异。分别使用麦克内马尔检验和 Cochr an Q检验探讨患者性别和提供时间的影响。使用χ(2)分析检验各国之间使用的药物类型差异。
该调查共收到717份回复。其中249份（34.7%）来自新西兰，269份（37.5%）来自英国，199份（27.8%）来自澳大利亚。在绝育和去势的三个不同时间段，镇痛提供的普及率均下降（均p<0.001）。在术前/术中（p=0.002）、术后（p<0.001）和出院后（p<0.001）各阶段，去势的镇痛提供均少于绝育。在阉割（p<0.001）和绝育（p<0.001）后的术后镇痛提供在不同执业国家之间存在差异。澳大利亚和新西兰的兽医比英国的兽医更有可能为阉割和绝育提供术后镇痛（p<0.
