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持续输注吗啡、布托啡诺、曲马多或美沙酮对脂多糖(LPS)诱导的马腕关节滑膜炎的生理和镇痛作用。

Physiological and analgesic effects of continuous-rate infusion of morphine, butorphanol, tramadol or methadone in horses with lipopolysaccharide (LPS)-induced carpal synovitis.

作者信息

Carregaro Adriano B, Freitas Gabrielle C, Ribeiro Martina H, Xavier Nathalia V, Dória Renata G S

机构信息

Department of Veterinary Medicine, University of São Paulo, Duque de Caxias Norte ave 225, Pirassununga, ZIP 13635-900, SP, Brazil.

College of Veterinary Medicine, Federal University of South Border, Realeza, PR, Brazil.

出版信息

BMC Vet Res. 2014 Dec 21;10:966. doi: 10.1186/s12917-014-0299-z.

Abstract

BACKGROUND

Continuous-rate infusion (CRI) of drugs results in more stable plasma drug concentrations than administration of intermittent boluses, thus providing greater stability of physiological parameters. The aim of this study was to evaluate the physiologic and analgesic effects of the administration of morphine, butorphanol, tramadol or methadone by CRI in horses with induced synovitis of the radiocarpal joint.

RESULTS

Increased values of cardiorespiratory parameters and body temperature were observed in all groups after initiation of opioid administration, and these increases were sustained throughout the CRI period. Morphine, butorphanol and methadone each caused a reduction in gut sounds, and this effect was greatest in animals that received morphine. Administration of morphine or methadone reduced the degree of lameness after the end of intravenous infusion. Administration of tramadol did not alter the degree of lameness in the animals.

CONCLUSIONS

CRI of morphine or methadone, but not butorphanol or tramadol, provided analgesia in horses with carpal synovitis. All of these opioids increased cardiovascular and respiratory parameters and reduced gut sounds during CRI.

摘要

背景

与间歇性推注给药相比,持续速率输注(CRI)药物可使血浆药物浓度更稳定,从而使生理参数更稳定。本研究的目的是评估通过持续速率输注对诱导腕关节滑膜炎的马匹给予吗啡、布托啡诺、曲马多或美沙酮的生理和镇痛效果。

结果

在开始给予阿片类药物后,所有组的心肺参数值和体温均升高,并且这些升高在持续速率输注期间持续存在。吗啡、布托啡诺和美沙酮均导致肠鸣音减少,在接受吗啡的动物中这种效应最为明显。静脉输注结束后,给予吗啡或美沙酮可减轻跛行程度。给予曲马多未改变动物的跛行程度。

结论

吗啡或美沙酮的持续速率输注可为患有腕关节滑膜炎的马匹提供镇痛作用,而布托啡诺或曲马多则不能。在持续速率输注期间,所有这些阿片类药物均会增加心血管和呼吸参数并减少肠鸣音。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/4297404/d21de85ba378/12917_2014_299_Fig1_HTML.jpg

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