Saidu Abubakar Mshelia, Bokko Paul B, Mohammed Abdullahi, Bukbuk David N, Igwenagu Ephraim
Department of Veterinary Surgery and Radiology, University of Maiduguri, Maiduguri, Borno State, Nigeria.
Department of Microbiology, University of Maiduguri, Maiduguri, Borno State, Nigeria.
Int J Vet Sci Med. 2016 Nov 30;4(1):23-26. doi: 10.1016/j.ijvsm.2016.10.008. eCollection 2016 Jun.
The utmost need for pragmatic combination of surgical sutures and local anaesthetic that would evoke minimal post-surgical stress response and allow uncomplicated healing is essential for successful surgeries. Fifteen Sahel goats were randomly allocated into three groups A, B and C to quantitatively assay (ELISA) serum cortisol profiles following rumenotomy, as markers of surgical stress. Diazepam at 0.2 mg/kg was administered intravenously to groups A and B with subsequent lidocaine HCl and bupivacaine inverted-L block respectively. Group C did not receive any treatment. Chromic catgut (CCG) and polyglycolic acid (PGA) sutures were used for rumen and abdominal muscles closure for groups A and B respectively and nylon for skin closure. Blood samples were taken at post anaesthetic induction (PAI) and post-surgery at 0, 5, 8, 24, 48 and 72 h. The Group A goats expressed serum cortisol that was significantly high 52.76 ± 6.12 ng/mL at 5 h post-surgery. At 8 h post-surgery serum cortisol for both groups A (72.53 ± 3.79 ng/mL) and B (61.59 ± 3.90 ng/mL) were at their peak. Serum cortisol levels compared to the baseline data were significantly different ( < 0.05) at 5, 24, and 48 h for the CCG goats. The serum cortisol levels at 72 h drastically decreased to 20.53 ± 8.74 ng/mL for groups A and 17.59 ± 2.45 ng/mL for group B and were not significantly different ( > 0.05). Cortisol responses unambiguously indicate that diazepam-bupivacaine induce less stress than Diazepam-lidocaine, hence a preferred anesthesia. Moreover, polyglycolic acid sutures are associated with less inflammatory reaction than chromic catgut.
手术缝线与局部麻醉剂的务实结合至关重要,这种结合能引发最小的术后应激反应并实现顺利愈合,这对成功的手术来说必不可少。将15只萨赫勒山羊随机分为A、B、C三组,在瘤胃切开术后通过定量分析(酶联免疫吸附测定法)血清皮质醇水平,作为手术应激的标志物。A组和B组分别静脉注射0.2mg/kg的地西泮,随后分别注射盐酸利多卡因和布比卡因进行倒L形阻滞。C组未接受任何治疗。A组和B组分别使用铬制肠线(CCG)和聚乙醇酸(PGA)缝线缝合瘤胃和腹部肌肉,皮肤缝合使用尼龙线。在麻醉诱导后(PAI)以及术后0、5、8、24、48和72小时采集血样。A组山羊在术后5小时血清皮质醇显著升高,达到52.76±6.12ng/mL。术后8小时,A组(72.53±3.79ng/mL)和B组(61.59±3.90ng/mL)的血清皮质醇均达到峰值。与基线数据相比,CCG山羊在术后5、24和48小时的血清皮质醇水平有显著差异(<0.05)。72小时时,A组血清皮质醇水平急剧降至20.53±8.74ng/mL,B组降至17.59±2.45ng/mL,差异无统计学意义(>0.05)。皮质醇反应明确表明,地西泮-布比卡因诱导的应激比地西泮-利多卡因少,因此是更优的麻醉方法。此外,聚乙醇酸缝线比铬制肠线引发的炎症反应更少。