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镇静或全身麻醉对自然发生肘关节骨关节炎犬的肘关节测角法及胸肢周径测量的影响。

Effect of sedation or general anesthesia on elbow goniometry and thoracic limb circumference measurements in dogs with naturally occurring elbow osteoarthritis.

作者信息

Clarke Emily, Aulakh Karanvir S, Hudson Caleb, Barnes Katherine, Gines J Alberto, Liu Chin-Chi, Aulakh Harmeet K

机构信息

School of Veterinary Medicine, Louisiana State University, Baton Rouge, Louisiana.

Gulf Coast Veterinary Specialists, Houston, Texas.

出版信息

Vet Surg. 2020 Oct;49(7):1428-1436. doi: 10.1111/vsu.13499. Epub 2020 Aug 11.

Abstract

OBJECTIVE

To evaluate the effect of sedation or general anesthesia (GA) on elbow goniometry and thoracic limb circumference (TLC) measurements in dogs with elbow osteoarthritis (OA).

STUDY DESIGN

Prospective study.

ANIMALS

Twenty-four client-owned dogs with radiographically confirmed elbow OA.

METHODS

Elbow goniometry and TLC measurements were made before and after either sedation or GA by using a hand-held goniometer and spring tension measuring tape, respectively. Observers were not allowed to review their pre-sedation or pre-GA measurements at the time of obtaining measurements on dogs under sedation or GA. Mixed analysis of variance models were used to compare elbow goniometry and TLC measurements before and after sedation or GA.

RESULTS

Eleven and thirteen dogs were included in the sedation and GA groups, respectively. Mean elbow flexion decreased by 5° and 3° and mean elbow extension increased by 6° and 2° under sedation and GA, respectively. Total range of motion increased by 11° under sedation and by 5° under GA. Each of these changes was statistically significant (P < .05) except elbow extension under GA (P = .129). Sedation and GA did not influence TLC measurements (P > .05).

CONCLUSION

Sedation or GA led to slight and similar increase in elbow flexion and extension but did not influence TLC measurements in dogs with elbow OA.

CLINICAL SIGNIFICANCE

Sedation or GA can cause slight alterations to goniometric measurements in canine elbows with OA. The protocols used in this study for sedation and GA seem interchangeably acceptable for goniometry and TLC measurements in dogs with elbow OA.

摘要

目的

评估镇静或全身麻醉(GA)对患有肘骨关节炎(OA)的犬只肘部测角法及前肢周长(TLC)测量的影响。

研究设计

前瞻性研究。

动物

24只经X光检查确诊为肘OA的客户自养犬。

方法

分别使用手持测角仪和弹簧张力卷尺在镇静或GA前后进行肘部测角法及TLC测量。在对处于镇静或GA状态的犬只进行测量时,观察者不得查看其镇静前或GA前的测量结果。采用方差分析混合模型比较镇静或GA前后的肘部测角法及TLC测量结果。

结果

镇静组和GA组分别纳入11只和13只犬。在镇静和GA状态下,平均肘部屈曲分别减少5°和3°,平均肘部伸展分别增加6°和2°;总活动范围在镇静状态下增加11°,在GA状态下增加5°。除GA状态下的肘部伸展(P = 0.129)外,这些变化均具有统计学意义(P < 0.05)。镇静和GA均未影响TLC测量结果(P > 0.05)。

结论

镇静或GA导致患有肘OA的犬只肘部屈曲和伸展出现轻微且相似的增加,但未影响TLC测量结果。

临床意义

镇静或GA会使患有OA的犬只肘部测角测量结果产生轻微改变。本研究中使用的镇静和GA方案在患有肘OA的犬只的测角法及TLC测量中似乎均可交替使用。

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