Mirra Alessandro, Spadavecchia Claudia, Bruckmaier Rupert, Gutzwiller Andreas, Casoni Daniela
Department of Clinical Veterinary Medicine, Anaesthesiology and Pain Therapy Section, Vetsuisse Faculty, University of Bern, Länggassstrasse 124, 3012 Bern, Switzerland.
Veterinary Physiology, Vetsuisse Faculty, University of Bern, Bremgartenstrasse 109a, 3012 Bern, Switzerland.
Physiol Behav. 2018 Feb 1;184:248-260. doi: 10.1016/j.physbeh.2017.11.031. Epub 2017 Dec 6.
Acute pain and peripheral sensitization development after cautery disbudding was investigated in 33 calves administered preventive multimodal analgesia. The animals were assigned randomly to three groups: 1) Group SH (Control), undergoing sham disbudding at 1 and 4weeks of age; 2) Group ED (Early Disbudding), undergoing disbudding at 1week of age and sham disbudding at 4weeks of age; 3) Group LD (Late Disbudding), undergoing sham disbudding at 1week of age and disbudding at 4weeks of age. Physiological parameters (heart rate, respiratory rate, rectal temperature, invasive blood pressure, cortisol, β-endorphin, interleukin-1β, interleukin-6, tumor necrosis factor-α and haptoglobin plasmatic concentration), local variables (tactile sensitivity score, pressure pain thresholds and horn temperature), behavior and pain scores [multidimensional pain scale and visual analogue scale (VAS)] were assessed at baseline and at several pre-determined time points until 24h after disbudding. Tactile sensitivity score significantly and equally increased in both groups ED and LD and pressure pain thresholds significantly decreased in group LD until 24h after disbudding compared to group SH. Pain and VAS scores significantly and equally increased in both groups ED and LD until 24h after disbudding compared to group SH. No significant differences in physiological parameters, behavior and horn temperature were detected among groups. The present study suggests that acute pain and peripheral sensitization develop and do not differ in calves disbudded at 1week and 4weeks of age. Moreover, the use of physiological and behavioral parameters as sole indicators of acute pain might lead to improper conclusions and should be reassessed.
在33头接受预防性多模式镇痛的小牛中,研究了烧灼去角术后急性疼痛和外周敏化的发展情况。将这些动物随机分为三组:1)SH组(对照组),在1周龄和4周龄时接受假去角手术;2)ED组(早期去角组),在1周龄时接受去角手术,在4周龄时接受假去角手术;3)LD组(晚期去角组),在1周龄时接受假去角手术,在4周龄时接受去角手术。在基线和几个预定时间点直至去角后24小时,评估生理参数(心率、呼吸频率、直肠温度、有创血压、皮质醇、β-内啡肽、白细胞介素-1β、白细胞介素-6、肿瘤坏死因子-α和血浆触珠蛋白浓度)、局部变量(触觉敏感性评分、压痛阈值和角温度)、行为和疼痛评分[多维度疼痛量表和视觉模拟量表(VAS)]。与SH组相比,ED组和LD组的触觉敏感性评分在去角后24小时内均显著且同等程度增加,LD组的压痛阈值在去角后24小时内显著降低。与SH组相比,ED组和LD组的疼痛和VAS评分在去角后24小时内均显著且同等程度增加。各组之间在生理参数、行为和角温度方面未检测到显著差异。本研究表明,1周龄和4周龄去角的小牛会出现急性疼痛和外周敏化,且两者无差异。此外,将生理和行为参数作为急性疼痛的唯一指标可能会导致错误结论,应重新评估。