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马行非腹部手术时全身麻醉的胃肠影响:关注临床参数和超声图像。

Gastrointestinal effects of general anaesthesia in horses undergoing non abdominal surgery: focus on the clinical parameters and ultrasonographic images.

机构信息

Equine Clinic, Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liège, B 41, Avenue de Cureghem, 5D, Quartier Vallée 2, 4000 Liège, Belgium; FARAH, Research Center of the Faculty of Veterinary Medicine of Liège, Belgium.

Equine Clinic, Department of Companion Animals and Equids, Faculty of Veterinary Medicine, University of Liège, B 41, Avenue de Cureghem, 5D, Quartier Vallée 2, 4000 Liège, Belgium; FARAH, Research Center of the Faculty of Veterinary Medicine of Liège, Belgium.

出版信息

Res Vet Sci. 2019 Jun;124:123-128. doi: 10.1016/j.rvsc.2019.03.011. Epub 2019 Mar 13.

Abstract

The ultrasonographic images of the gastrointestinal tract in horses can be influenced by fasting and sedation but the proper effect of general anaesthesia (GA) on them has not been determined yet. This study aimed to evaluate the effects of GA on ultrasonographic images of the gastrointestinal tract in horses and to compare these effects with a clinical evaluation. Twenty horses undergoing non-abdominal surgeries were evaluated by ultrasonography before and 4 times within 24 h after GA. Each ultrasonographic exam focused on the stomach, the duodenum and on 5 locations on the jejunum. The four-quadrant auscultation and the postoperative faecal output were also recorded. Pre and post anaesthetic values were compared using linear mixed effects models. None of the horses presented colic signs or reduced faecal output. During the first 2 post anaesthetic evaluations, the gut sounds were significantly decreased and, when taking all jejunal locations together, the jejunal diameter and visualisation frequency significantly increased. No intestinal loop appeared thickened and most of their diameters remained within the normal range. Our results suggest that the effects of GA on the ultrasonographic images of the small intestine are mild and of short duration and can therefore be differentiated from a pathological process.

摘要

马的胃肠道超声图像可能会受到禁食和镇静的影响,但全身麻醉(GA)对其的具体影响尚未确定。本研究旨在评估 GA 对马的胃肠道超声图像的影响,并将这些影响与临床评估进行比较。20 匹接受非腹部手术的马在 GA 前和 GA 后 24 小时内进行了 4 次超声检查。每次超声检查都集中在胃、十二指肠和空肠的 5 个部位。还记录了四个象限听诊和术后粪便排出量。使用线性混合效应模型比较麻醉前后的值。没有一匹马出现腹痛或粪便排出量减少的症状。在麻醉后的前两次评估中,肠鸣音明显减弱,当将所有空肠部位放在一起时,空肠直径和可视化频率明显增加。没有肠袢变厚,它们的大部分直径仍在正常范围内。我们的结果表明,GA 对小肠超声图像的影响是轻微的且持续时间短,因此可以与病理过程区分开来。

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