Marques Virgínia I, Cassu Renata N, Nascimento Felipe F, Tavares Rafaela C P, Crociolli Giulliane C, Guilhen Rafael C, Nicácio Gabriel M
Postgraduate Program in Animal Science, Oeste Paulista University, 19067-175 Presidente Prudente, SP, Brazil.
Postgraduate Program in Animal Science, Oeste Paulista University, 19067-175 Presidente Prudente, SP, Brazil ; Faculty of Veterinary Medicine, Oeste Paulista University, 19067-175 Presidente Prudente, SP, Brazil.
Evid Based Complement Alternat Med. 2015;2015:653270. doi: 10.1155/2015/653270. Epub 2015 Jun 11.
The aim of this study was to evaluate laser acupuncture as an adjuvant for postoperative pain management in cats. Twenty cats, undergoing ovariohysterectomy, were sedated with intramuscular (IM) ketamine (5 mg kg(-1)), midazolam (0.5 mg kg(-1)), and tramadol (2 mg kg(-1)). Prior to induction of anaesthesia, the subjects were randomly distributed into two groups of 10 cats: Laser: bilateral stomach 36 and spleen 6 acupoints were stimulated with infrared laser;
no acupuncture was applied. Anaesthesia was induced using intravenous propofol (4 mg kg(-1)) and maintained with isoflurane. Postoperative analgesia was evaluated by a blinded assessor for 24 h following extubation using the Dynamic Interactive Visual Analogue Scale and Multidimensional Composite Pain Scale. Rescue analgesia was provided with IM tramadol (2 mg kg(-1)), and the pain scores were reassessed 30 min after the rescue intervention. If the analgesia remained insufficient, meloxicam (0.2 mg kg(-1) IM, single dose) was administered. Data were analyzed using t-tests, the Mann-Whitney test, and the Friedman test (P < 0.05). The pain scores did not differ between groups. However, postoperative supplemental analgesia was required by significantly more cats in the CONTROL (5/10) compared with the Laser group (1/10) (P = 0.038). Laser acupuncture reduced postoperative analgesic requirements in cats undergoing ovariohysterectomy.
本研究的目的是评估激光针灸作为猫术后疼痛管理辅助手段的效果。二十只接受卵巢子宫切除术的猫,通过肌肉注射氯胺酮(5毫克/千克)、咪达唑仑(0.5毫克/千克)和曲马多(2毫克/千克)进行镇静。在诱导麻醉前,将受试者随机分为两组,每组10只猫:激光组:用红外激光刺激双侧胃36和脾6穴位;对照组:不进行针灸。使用静脉注射丙泊酚(4毫克/千克)诱导麻醉,并用异氟醚维持麻醉。拔管后,由一名不知情的评估者使用动态交互式视觉模拟量表和多维复合疼痛量表对术后镇痛进行24小时评估。通过肌肉注射曲马多(2毫克/千克)提供救援镇痛,并在救援干预后30分钟重新评估疼痛评分。如果镇痛仍然不足,则给予美洛昔康(0.2毫克/千克,肌肉注射,单次剂量)。使用t检验、曼-惠特尼检验和弗里德曼检验分析数据(P<0.05)。两组之间的疼痛评分没有差异。然而,与激光组(1/10)相比,对照组(5/10)中需要术后补充镇痛的猫明显更多(P=0.038)。激光针灸减少了接受卵巢子宫切除术的猫的术后镇痛需求。