与单独局部麻醉相比,多模式镇痛在减轻绵羊去势后疼痛方面的优势:一种多参数方法。
Benefits of a multimodal analgesia compared to local anesthesia alone to alleviate pain following castration in sheep: a multiparametric approach.
机构信息
Université Clermont Auvergne, INRA, VetAgro Sup, UMR Herbivores, 63122Saint-Genès-Champanelle, France.
出版信息
Animal. 2019 Sep;13(9):2034-2043. doi: 10.1017/S1751731119000314. Epub 2019 Feb 27.
Castration of male ruminants is a common livestock management practice, but induces pain. However, little is known about the effectiveness of multimodal analgesia compared to local anesthesia (LA) alone in reducing pain associated with burdizzo castration in sheep. This study aimed to monitor the pain response induced by castration in sheep and to assess the efficacy of analgesia strategies. Twenty-four 12-month-old male Texel sheep were burdizzo-castrated after administration of physiological serum (Burd), local anesthetic (Burd+LA) or LA plus non-steroidal anti-inflammatory drug (Burd+LA+NSAID). Sheep responses were monitored using behavioral and physiological indices of pain. Sampling occurred from 24 h pre-castration to 78 h post-castration, split into four periods based on the duration of analgesia: P0 (T-24 to T-1 h), P1 (T0 to T+2 h), P2 (T+3 to T+32 h) and P3 (T+36 to T+78 h). Behavioral indices were attention and head position, ear position, position of the eyelid, other facial expression, standing/lying postures, postures of the legs, clinical signs and abnormal activities. Physiological indices consisted in indicators of inflammation (haptoglobin, serum amyloid A (SAA), body temperature), hypothalamo-pituitary-adrenal axis (cortisol, non-esterified fatty acids, glucose), autonomous nervous system (heart rate variability (HRV)) and oxidative stress. The variables contributing most to discrimination of the period×treatment groups were analyzed by factorial discrimination analysis. Pre-castration (P0), there was no significant difference between treatments for all indicators (P > 0.05). Post-castration, eight indicators varied significantly according to period and treatment: cortisol, clinical signs, ratio of low frequency/high frequency (LF/HF) bands of the HRV, attention and head position, SAA, haptoglobin, body temperature and glucose. The treatment×periods groups were well discriminated by the 23 indicators. Burd in P0, Burd+LA in P0 and Burd+LA+NSAID in P0, P1 and P2 had low values for all indicators, likely reflecting absence of pain and discomfort. Burd in P1 and P2 and Burd+LA in P2 showed clinical signs and reduced attention, high LF/HF and high cortisol levels, reflecting acute pain. Burd and Burd+LA in P3 had high temperature, high haptoglobin, high glucose and high SAA, but no response from other pathways. These results suggest that (i) behavioral signs of pain were apparent up to 32 h post-castration, (ii) LA was partially effective, but only during its time of action (2 h) and (iii). multimodal analgesia (LA and NSAID) was effective for up to 3 days post-castration. These findings, and especially those related to sheep behavior, can help veterinarians and farmers better detect pain and refine their pain alleviation methods.
雄性反刍动物的去势是常见的家畜管理措施,但会引起疼痛。然而,与局部麻醉(LA)相比,关于多模式镇痛在减少羊的 burdizzo 去势相关疼痛的有效性知之甚少。本研究旨在监测羊去势引起的疼痛反应,并评估镇痛策略的效果。24 只 12 月龄的 Texel 公绵羊在给予生理血清(Burd)、局部麻醉剂(Burd+LA)或 LA 加非甾体抗炎药(Burd+LA+NSAID)后接受 burdizzo 去势。使用疼痛的行为和生理指标监测绵羊的反应。采样从去势前 24 小时到去势后 78 小时进行,根据镇痛持续时间分为四个时期:P0(T-24 至 T-1 小时)、P1(T0 至 T+2 小时)、P2(T+3 至 T+32 小时)和 P3(T+36 至 T+78 小时)。行为指标包括注意力和头部位置、耳朵位置、眼睑位置、其他面部表情、站立/躺着姿势、腿部姿势、临床症状和异常活动。生理指标包括炎症指标(触珠蛋白、血清淀粉样蛋白 A(SAA)、体温)、下丘脑-垂体-肾上腺轴(皮质醇、非酯化脂肪酸、血糖)、自主神经系统(心率变异性(HRV))和氧化应激。通过因子判别分析对导致时期×处理组差异最大的变量进行分析。去势前(P0),所有指标在处理之间均无显著差异(P>0.05)。去势后,有 8 个指标根据时期和处理而显著变化:皮质醇、临床症状、HRV 的低频/高频(LF/HF)比值、注意力和头部位置、SAA、触珠蛋白、体温和血糖。处理×时期组通过 23 个指标得到很好的区分。P0 时的 Burd、P0 时的 Burd+LA 和 P0、P1 和 P2 时的 Burd+LA+NSAID 的所有指标值均较低,可能反映了没有疼痛和不适。P1 和 P2 时的 Burd 和 P2 时的 Burd+LA 出现了临床症状和注意力下降、LF/HF 升高和皮质醇水平升高,反映出急性疼痛。P3 时的 Burd 和 Burd+LA 出现了体温升高、触珠蛋白、血糖和 SAA 升高,但其他途径没有反应。这些结果表明:(i)去势后 32 小时内出现疼痛的行为迹象;(ii)LA 仅在其作用时间(2 小时)内部分有效;(iii)多模式镇痛(LA 和 NSAID)在去势后 3 天内有效。这些发现,尤其是与绵羊行为相关的发现,可以帮助兽医和农民更好地检测疼痛并改进他们的疼痛缓解方法。