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临床医生对牛疼痛及镇痛药物使用的态度:十年后的现状如何?

Clinician attitudes to pain and use of analgesia in cattle: where are we 10 years on?

作者信息

Remnant John G, Tremlett Alex, Huxley Jon N, Hudson Chris D

机构信息

School of Veterinary Medicine and Science, University of Nottingham, Loughborough, UK.

Goulburn Valley Equine Hospital, Congupna, Victoria, Australia.

出版信息

Vet Rec. 2017 Oct 14;181(15):400. doi: 10.1136/vr.104428. Epub 2017 Aug 16.

DOI:10.1136/vr.104428
PMID:28814534
Abstract

Pain in cattle can arise though disease or injury or may result from veterinary or husbandry procedures. Controlling pain is important to safeguard animal welfare. Previous studies indicated that the use of analgesics in cattle has lagged behind use in companion animals. Over the last decade, more analgesic products have become available for use in cattle and there have been increased efforts to communicate the importance and benefits of analgesia. A questionnaire (based on that used in a similar study published in 2006) was sent to UK cattle practitioners asking them to score pain severity for several conditions of cattle and asking about their attitudes towards and use of analgesic medicines. A total of 242 surveys were returned. Male clinicians and those graduating before 1990 scored pain severity significantly lower and were significantly less likely to use NSAIDs. Generally, use of NSAIDs was more common for conditions assigned higher pain scores. However, uptake of NSAID use was much lower for a number of routine procedures in calves than would be expected from the pain scores they were assigned. A need remains to increase use of analgesic products, especially NSAIDs in calves, in line with best practice recommendations.

摘要

牛的疼痛可能由疾病或损伤引起,也可能是兽医或饲养管理操作的结果。控制疼痛对于保障动物福利至关重要。先前的研究表明,牛使用镇痛药的情况落后于伴侣动物。在过去十年中,有更多的镇痛产品可用于牛,并且人们加大了力度宣传镇痛的重要性和益处。向英国的牛医从业者发送了一份调查问卷(基于2006年发表的一项类似研究中使用的问卷),要求他们对牛的几种病症的疼痛严重程度进行评分,并询问他们对镇痛药的态度和使用情况。共收到242份回复。男性临床医生以及1990年之前毕业的医生对疼痛严重程度的评分显著较低,且使用非甾体抗炎药的可能性也显著较小。一般来说,对于疼痛评分较高的病症,使用非甾体抗炎药更为普遍。然而,对于犊牛的一些常规操作,非甾体抗炎药的使用量远低于根据所评定的疼痛评分所预期的用量。仍有必要按照最佳实践建议,增加镇痛产品的使用,尤其是在犊牛中使用非甾体抗炎药。

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