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巴西兽医对犬猫围手术期镇痛药使用的当前态度。

Current attitudes regarding the use of perioperative analgesics in dogs and cats by Brazilian veterinarians.

作者信息

Lorena Sílvia E R S, Luna Stelio P L, Lascelles B Duncan X, Corrente José E

机构信息

Department of Veterinary Surgery and Anesthesiology, Faculty of Veterinary Medicine and Animal Science, UNESP - Univ Estadual Paulista, Botucatu, SP, Brazil.

出版信息

Vet Anaesth Analg. 2014 Jan;41(1):82-9. doi: 10.1111/vaa.12104.

Abstract

OBJECTIVE

To correlate the demographic data of Brazilian veterinarians with their use of, attitudes towards, knowledge of and preference for continuing education regarding use of analgesics in small animal practice.

STUDY DESIGN

Prospective survey.

METHODS

The questionnaire was composed of sections pertaining to demographics, personal data, use of analgesics in general and specific procedures, analgesia used, and attitudes towards the assessment and relief of pain. The descriptive statistics with frequency analysis was performed using sas for Windows 9.1.3. Chi-square for simple comparisons test was used.

RESULTS

Questionnaires were obtained from 1298 small animal veterinarians. Women and younger graduates attributed higher pain scores than men and older graduates but the frequency and duration of analgesic treatment did not differ between genders. The most commonly used opioids were tramadol (79%) and morphine (51%). NSAIDs of choice were meloxicam (81%) and ketoprofen (70%). Cats received lower pain scores for laparotomy, orchiectomy and dental procedures than dogs. Practical experience (64%) and national (47%) and regional meetings (43%) were the main sources of information for identifying and treating pain in small animals.

CONCLUSIONS

Although the number of Brazilian veterinarians believed that their knowledge in the area was lower than in other countries, the focus in pain management was similar or higher than in other countries, showing a good attitude in pain relief in animals.

摘要

目的

将巴西兽医的人口统计学数据与其在小动物临床实践中使用镇痛药的情况、态度、知识及对继续教育的偏好进行关联。

研究设计

前瞻性调查。

方法

问卷由与人口统计学、个人数据、一般及特定程序中镇痛药的使用、所使用的镇痛方法以及对疼痛评估和缓解的态度等部分组成。使用Windows 9.1.3版的SAS软件进行频率分析的描述性统计。采用卡方检验进行简单比较。

结果

共获得1298名小动物兽医的问卷。女性和年轻毕业生给出的疼痛评分高于男性和年长毕业生,但镇痛治疗的频率和持续时间在性别之间并无差异。最常用的阿片类药物是曲马多(79%)和吗啡(51%)。首选的非甾体抗炎药是美洛昔康(81%)和酮洛芬(70%)。猫在剖腹术、睾丸切除术和牙科手术中的疼痛评分低于狗。实践经验(64%)以及全国性会议(47%)和地区性会议(43%)是识别和治疗小动物疼痛的主要信息来源。

结论

尽管巴西兽医认为他们在该领域的知识低于其他国家,但在疼痛管理方面的关注度与其他国家相似或更高,表明在缓解动物疼痛方面态度良好。

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