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静脉注射乙酰丙嗪和四种剂量右美托咪定对驴的镇静和机械性抗伤害感受作用的比较。

Comparison of sedation and mechanical antinociception induced by intravenous administration of acepromazine and four dose rates of dexmedetomidine in donkeys.

作者信息

Lizarraga Ignacio, Castillo-Alcala Fernanda, Robinson Lauren S

机构信息

Department of Biomedical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.

Department of Biomedical Sciences, Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis.

出版信息

Vet Anaesth Analg. 2017 May;44(3):509-517. doi: 10.1016/j.vaa.2016.08.003. Epub 2017 Jan 11.

Abstract

OBJECTIVE

To assess and compare the sedative and antinociceptive effects of four dosages of dexmedetomidine in donkeys.

STUDY DESIGN

Randomized, controlled, crossover, Latin-square, blinded study.

ANIMALS

Six healthy, castrated, adult, standard donkeys.

METHODS

Dexmedetomidine (2, 3, 4 and 5 μg kg; D2, D3, D4 and D5), acepromazine (0.1 mg kg) and saline were administered intravenously to each donkey and a 1 week interval was allowed between successive trials on each animal. Sedation scores (SS) and head heights above ground (HHAG) were used to assess sedation and mechanical nociceptive threshold (MNT) testing to assess antinociception over 120 minutes post-treatment. Areas under the curve (AUC) for 0-30, 30-60 and 60-120 minutes were computed to compare the effect of treatments.

RESULTS

SS-AUC values were larger for D4 and D5, and SS-AUC values were larger for D5 than for saline. All dexmedetomidine treatments produced lower HHAG-AUC and HHAG-AUC values, and acepromazine produced lower HHAG AUC values than did saline. For MNT, D3, D4 and D5 increased AUC and AUC values compared with saline and also AUC values compared with D2 and acepromazine. Smaller MNT-AUC values were obtained with D2 than with D4 and D5, with D3 than with D5, and with acepromazine than with D4 and D5.

CONCLUSIONS AND CLINICAL RELEVANCE

Dexmedetomidine induced sedation and dosage-dependent mechanical antinociception. Larger dexmedetomidine dose rates were required to induce antinociception than sedation. Furthermore, the antinociception induced by dexmedetomidine was of shorter duration than its sedation. For minor painful procedures on standing donkeys, D5 may be clinically useful to provide sedation and analgesia.

摘要

目的

评估并比较四种剂量右美托咪定对驴的镇静和抗伤害感受作用。

研究设计

随机、对照、交叉、拉丁方、双盲研究。

动物

六只健康、去势的成年标准驴。

方法

分别给每头驴静脉注射右美托咪定(2、3、4和5μg/kg;D2、D3、D4和D5)、乙酰丙嗪(0.1mg/kg)和生理盐水,每只动物连续试验之间间隔1周。使用镇静评分(SS)和地面以上头部高度(HHAG)评估镇静情况,通过机械伤害感受阈值(MNT)测试评估治疗后120分钟内的抗伤害感受。计算0 - 30、30 - 60和60 - 120分钟的曲线下面积(AUC)以比较各治疗的效果。

结果

D4和D5的SS - AUC值更大,且D5的SS - AUC值大于生理盐水。所有右美托咪定治疗组的HHAG - AUC和HHAG - AUC值均较低,乙酰丙嗪的HHAG - AUC值低于生理盐水。对于MNT,与生理盐水相比,D3、D4和D5增加了AUC和AUC值,与D2和乙酰丙嗪相比也增加了AUC值。D2的MNT - AUC值小于D4和D5,D3小于D5,乙酰丙嗪小于D4和D5。

结论及临床意义

右美托咪定可诱导镇静和剂量依赖性机械性抗伤害感受。诱导抗伤害感受所需的右美托咪定剂量率大于镇静所需剂量率。此外,右美托咪定诱导的抗伤害感受持续时间短于其镇静作用。对于站立驴的轻微疼痛操作,D5在提供镇静和镇痛方面可能具有临床实用性。

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