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比较一线抗癫痫药物对特发性癫痫犬步态的影响。

Comparing the effects of first-line antiepileptic drugs on the gait of dogs with idiopathic epilepsy.

作者信息

Suiter E J, Packer R M A, Volk H A

机构信息

Department of Clinical Science and Services, Royal Veterinary College, Hatfield, Hertfordshire, UK.

出版信息

Vet Rec. 2016 Jun 25;178(26):652. doi: 10.1136/vr.103736. Epub 2016 Jun 14.

Abstract

Idiopathic epilepsy (IE) is a common chronic neurological disease of the dog. Previous studies of anti-epileptic drug (AED) treatment have indicated that acceptable AED adverse effects are as important to owners as reductions in seizure frequency. AEDs in both dogs and human beings are frequently associated with the adverse-effect ataxia. The aim of this study was to compare ataxia levels in dogs with IE treated chronically with phenobarbitone or imepitoin, the two currently available first-line AED treatments. The gait of 6 imepitoin-treated dogs, 8 phenobarbitone-treated dogs and 10 age-matched healthy control dogs were compared. Fifty strides from a walking gait were analysed for each dog, quantifying ataxia via the variability in six established gait parameters. Three variables differed significantly between groups: lateral distance between (i) pelvic paw placements, (ii) thoracic paw placements and (iii) stance time, which were significantly more variable in the phenobarbitone-treated dogs than imepitoin-treated or control dogs. These results indicate that dogs treated with phenobarbitone experience ataxia compared with controls and imepitoin-treated dogs. Conversely, there was no difference between imepitoin-treated dogs and controls. These results along with further research are needed to quantify AEDs adverse effects, to help vets and owners make more informed drug-choices.

摘要

特发性癫痫(IE)是犬类常见的慢性神经疾病。先前关于抗癫痫药物(AED)治疗的研究表明,可接受的AED不良反应对犬主来说与癫痫发作频率降低同样重要。犬类和人类使用的AED都经常与不良反应共济失调相关。本研究的目的是比较长期接受苯巴比妥或咪吡托英治疗的IE犬的共济失调水平,这两种药物是目前可用的一线AED治疗药物。比较了6只接受咪吡托英治疗的犬、8只接受苯巴比妥治疗的犬和10只年龄匹配的健康对照犬的步态。对每只犬行走步态中的50步进行分析,通过六个既定步态参数的变异性来量化共济失调。三组之间有三个变量存在显著差异:(i)骨盆爪放置、(ii)胸部爪放置和(iii)站立时间之间的横向距离,在接受苯巴比妥治疗的犬中,这些变量的变异性明显高于接受咪吡托英治疗的犬或对照犬。这些结果表明,与对照犬和接受咪吡托英治疗的犬相比,接受苯巴比妥治疗的犬会出现共济失调。相反,接受咪吡托英治疗的犬与对照犬之间没有差异。需要这些结果以及进一步的研究来量化AED的不良反应,以帮助兽医和犬主做出更明智的药物选择。

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