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注射用罗贝考昔治疗犬软组织手术相关疼痛的有效性和安全性。

Efficacy and Safety of Injectable Robenacoxib for the Treatment of Pain Associated With Soft Tissue Surgery in Dogs.

作者信息

Friton G, Thompson C, Karadzovska D, King S, King J N

机构信息

Companion Animal Development, Elanco Animal Health Inc, Basel, Switzerland.

Companion Animal Development, Elanco Animal Health Inc, Greenfield, IN.

出版信息

J Vet Intern Med. 2017 May;31(3):832-841. doi: 10.1111/jvim.14698.

Abstract

BACKGROUND

Nonsteroidal anti-inflammatory drugs (NSAIDs) are used routinely to control pain and inflammation after surgery in dogs. Robenacoxib is a cyclooxygenase-2 selective NSAID.

HYPOTHESIS/OBJECTIVE: Assess the clinical efficacy and safety of an injectable formulation of robenacoxib in dogs undergoing surgery.

ANIMALS

Three hundred and seventeen client-owned dogs (N = 159 robenacoxib or N = 158 placebo).

METHODS

In this prospective, multicenter, randomized, masked, placebo-controlled, parallel-group study, dogs received a SC injection of either robenacoxib, at a target dose of 2.0 mg/kg, or placebo once prior to surgery and for 2 additional days postoperatively. Pain assessments were performed using the short form of the Glasgow Composite Measure Pain Scale (CMPS-SF). The primary efficacy variable was treatment success/failure, with failure defined as the need for rescue therapy to control pain or withdrawal of the dog from the study due to an adverse event.

RESULTS

Significantly (P = .006) more dogs administered robenacoxib were considered treatment successes (108 of 151, 73.7%) compared to dogs given placebo (85 of 152, 58.1%). Total pain scores (P < .01), pain at the surgery sites (response to touch, P < .01), and posture/activity (P < .05) were significantly improved at 3, 5, and 8 hours postextubation in dogs receiving robenacoxib versus placebo.

CONCLUSIONS AND CLINICAL IMPORTANCE

Robenacoxib administered by SC injection prior to surgery and for 2 additional days postoperatively was effective and well tolerated in the control of postoperative pain and inflammation associated with soft tissue surgery in dogs.

摘要

背景

非甾体抗炎药(NSAIDs)常用于控制犬类手术后的疼痛和炎症。罗贝考昔是一种环氧化酶-2选择性NSAIDs。

假设/目的:评估注射用罗贝考昔对接受手术的犬类的临床疗效和安全性。

动物

317只客户拥有的犬(罗贝考昔组N = 159只,安慰剂组N = 158只)。

方法

在这项前瞻性、多中心、随机、双盲、安慰剂对照、平行组研究中,犬在手术前接受一次皮下注射罗贝考昔(目标剂量2.0mg/kg)或安慰剂,并在术后额外注射2天。使用格拉斯哥综合疼痛量表简表(CMPS-SF)进行疼痛评估。主要疗效变量为治疗成功/失败,失败定义为因控制疼痛需要进行挽救治疗或因不良事件使犬退出研究。

结果

与接受安慰剂的犬(152只中的85只,58.1%)相比,接受罗贝考昔治疗的犬被认为治疗成功的比例显著更高(151只中的108只,73.7%)(P = 0.006)。与安慰剂相比,接受罗贝考昔的犬在拔管后3、5和8小时的总疼痛评分(P < 0.01)、手术部位疼痛(对触摸的反应,P < 0.01)和姿势/活动(P < 0.05)均有显著改善。

结论及临床意义

术前及术后额外2天皮下注射罗贝考昔在控制犬软组织手术后的疼痛和炎症方面有效且耐受性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff51/5435044/39b68a5b0791/JVIM-31-832-g001.jpg

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