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利多卡因或吗啡硬膜外给药用于兔后肢骨科手术镇痛效果的比较。

Comparison of analgesia provided by lidocaine or morphine delivered epidurally in rabbits undergoing hindlimb orthopedic surgery.

作者信息

Antończyk A, Liszka B, Skrzypczak P, Kiełbowicz Z

机构信息

Department of Surgery, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, pl. Grunwaldzki 51, 50-366 Wrocław, Poland.

出版信息

Pol J Vet Sci. 2019 Mar;22(1):31-35. doi: 10.24425/pjvs.2018.125604.

Abstract

The aim of the study was to compare anaesthesia protocol utilizing combination ketamine/ medetomidine with epidural lidocaine or morphine to orthopaedic surgery in rabbits. All rabbits received intramuscularly medetomidine (0.5 mg/kg) and ketamine (20 mg/kg). In group L (n=13) epidural injection was performed with lidocaine (3 mg/kg) and in group M (n=13) with morphine (0.1 mg/kg) diluted with sterile saline to 0.6 ml. Rabbits underwent bilateral mosaicplasty surgery. Heart rate (HR), systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MAP), arte- rial oxygen saturation (SpO2) and respiratory rate (RR) were measured every 5 minute during surgical procedure. Duration of sensory blockade was measured based on toe pinch reflex and recorded. Hemodynamic parameters were comparable at baseline in both groups. We did not observe significant differences in HR, RR, SBP, DBP, MAP between group L and M. Intragroup statistical analysis revealed differences at different time points in group M in terms of HR, SBP, DBP, MAP. In rabbits in group M blood pressure dropped while HR increased over time. In both groups a decrease in SpO2 was observed. Mean duration of loss of the toe pinch reflex was similar between group L and M, and amounted to 72.79±34.48 and 82.80±17.85 minutes, respectively.

摘要

本研究的目的是比较氯胺酮/美托咪定联合使用与硬膜外利多卡因或吗啡用于兔骨科手术的麻醉方案。所有兔子均肌肉注射美托咪定(0.5毫克/千克)和氯胺酮(20毫克/千克)。L组(n = 13)用利多卡因(3毫克/千克)进行硬膜外注射,M组(n = 13)用吗啡(0.1毫克/千克)用无菌生理盐水稀释至0.6毫升进行硬膜外注射。兔子接受双侧嵌体成形术手术。在手术过程中,每隔5分钟测量心率(HR)、收缩压(SBP)、舒张压(DBP)和平均动脉压(MAP)、动脉血氧饱和度(SpO2)和呼吸频率(RR)。根据脚趾夹捏反射测量并记录感觉阻滞的持续时间。两组在基线时的血流动力学参数具有可比性。我们未观察到L组和M组在HR、RR、SBP、DBP、MAP方面存在显著差异。组内统计分析显示,M组在不同时间点的HR、SBP、DBP、MAP方面存在差异。M组兔子的血压随时间下降而心率升高。两组均观察到SpO2下降。L组和M组脚趾夹捏反射消失的平均持续时间相似,分别为72.79±34.48分钟和82.80±17.85分钟。

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