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雌性豚鼠手术疼痛模型中疼痛评估技术与镇痛效果的评估

Evaluation of Pain Assessment Techniques and Analgesia Efficacy in a Female Guinea Pig () Model of Surgical Pain.

作者信息

Oliver Vanessa L, Athavale Stephanie, Simon Katherine E, Kendall Lon V, Nemzek Jean A, Lofgren Jennifer L

机构信息

Unit for Laboratory Animal Medicine, University of Michigan, Ann Arbor, Michigan.

Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado.

出版信息

J Am Assoc Lab Anim Sci. 2017 Jul 1;56(4):425-435.

Abstract

Guinea pigs (Cavia porcellus) are a frequently used species in research, often involving potentially painful procedures. Therefore, evidence-based recommendations regarding analgesia are critically needed to optimize their wellbeing. Our laboratory examined the efficacy of carprofen and extended-release (ER) buprenorphine, alone and as a multimodal combination, for relieving postsurgical pain in guinea pigs. Animals were assessed by using evoked (mechanical hypersensitivity), nonevoked (video ethogram, cageside ethogram, time-to-consumption test), and clinical (weight loss) measurements for 96 h during baseline, anesthesia-analgesia, and hysterectomy conditions. In addition, ER buprenorphine was evaluated pharmacologically. Guinea pigs treated with a single analgesic showed increased mechanical sensitivity for at least 96 h and indices of pain according to the video ethogram for as long as 8 h, compared with levels recorded during anesthesia-analgesia. In contrast, animals given both analgesics demonstrated increased mechanical sensitivity and behavioral evidence of pain for only 2 h after surgery compared with anesthesia-analgesia. The cageside ethogram and time-to-consumption tests failed to identify differences between conditions or treatment groups, highlighting the difficulty of identifying pain in guinea pigs without remote observation. Guinea pigs treated with multimodal analgesia or ER buprenorphine lost at least 10% of their baseline weights, whereas weight loss in carprofen animals was significantly lower (3%). Plasma levels for ER buprenorphine exceeded 0.9 ng/mL from 8 to 96 h after injection. Of the 3 analgesia regimens evaluated, multimodal analgesia provided the most effective pain control in guinea pigs. However the weight loss in the ER buprenorphine-treated animals may need to be considered during analgesia selection.

摘要

豚鼠(Cavia porcellus)是研究中常用的物种,研究常常涉及可能引起疼痛的操作。因此,迫切需要基于证据的镇痛建议,以优化它们的健康状况。我们实验室研究了卡洛芬和缓释丁丙诺啡单独使用以及作为多模式组合使用时,对缓解豚鼠术后疼痛的效果。在基线、麻醉镇痛和子宫切除条件下,通过诱发(机械性超敏反应)、非诱发(视频行为记录、笼旁行为记录、进食时间测试)和临床(体重减轻)测量对动物进行了96小时的评估。此外,还对缓释丁丙诺啡进行了药理学评估。与麻醉镇痛期间记录的水平相比,用单一镇痛药治疗的豚鼠机械敏感性至少增加了96小时,根据视频行为记录的疼痛指标长达8小时。相比之下,与麻醉镇痛相比,同时给予两种镇痛药的动物术后仅2小时就表现出机械敏感性增加和疼痛的行为证据。笼旁行为记录和进食时间测试未能识别不同条件或治疗组之间的差异,这突出了在没有远程观察的情况下识别豚鼠疼痛的困难。接受多模式镇痛或缓释丁丙诺啡治疗的豚鼠体重至少减轻了基线体重的10%,而卡洛芬治疗组的体重减轻明显较低(3%)。注射后8至96小时,缓释丁丙诺啡的血浆水平超过0.9 ng/mL。在所评估的三种镇痛方案中,多模式镇痛在豚鼠中提供了最有效的疼痛控制。然而,在选择镇痛方法时,可能需要考虑接受缓释丁丙诺啡治疗的动物的体重减轻情况。

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