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远侧指间关节腔内麻醉后马蹄的机械性伤害感受评估

Mechanical nociceptive assessment of the equine hoof following distal interphalangeal joint intra-articular anesthesia.

作者信息

Malacarne Bruno D, Cota Leticia O, Neto Antônio C P, Paz Cahuê F R, Dias Lucas A, Corrêa Mayara G, Carvalho Armando M, Faleiros Rafael R, Xavier Andressa B S

机构信息

Equinova Research Group -Department of Veterinary Clinics and Surgery, School of Veterinary, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Centro Universitário INTA-Uninta, Sobral, Ceará, Brazil.

出版信息

PeerJ. 2020 Aug 11;8:e9469. doi: 10.7717/peerj.9469. eCollection 2020.

Abstract

BACKGROUND

With the hypothesis that equine dorsal lamellar tissue can be desensitized by anesthesia injection into distal interphalangeal joint (DIPJ), the objective was to assess the mechanical nociceptive threshold of hoof dorsal lamellae following intra-articular (IA) administration of lidocaine into this joint.

METHODS

The DIPJ of the forelimbs of six adult healthy horses were injected with either 5 mL of lidocaine, or 5 mL of lactated Ringer's solution. Treatments were randomly distributed, with each forelimb undergoing a single treatment. The hooves were evaluated pre- and post-injection at pre-selected times over 4 h, using a pressure algometry model. Mechanical nociceptive thresholds (MNTs) were recorded for the sole (dorsal, palmarolateral, and palmaromedial regions), coronary band (medial, lateral, and dorsal regions), heel bulbs (medial and lateral), and dorsal lamellar region (2 cm and 4 cm distal to the coronary band). The MNT means were compared over time using the Friedman test and between treatments using the Wilcoxon signed-rank test, with values of  < 0.05 considered statistically significant.

RESULTS

There were no differences between treatments for any region of the hoof during the evaluation period. However, MNT values indicating analgesia were recorded in the dorsal lamellar region in 50% of hooves following adminstration of lidocaine into the DIPJ.

CONCLUSION

The administration of 5 mL of lidocaine into the DIPJ does not significantly increase the mechanical nociceptive threshold of the equine hoof.

摘要

背景

基于马的背侧蹄叶组织可通过向远侧指间关节(DIPJ)注射麻醉剂实现脱敏的假设,本研究旨在评估向该关节腔内注射利多卡因后蹄背侧蹄叶的机械性伤害感受阈值。

方法

对6匹成年健康马的前肢DIPJ分别注射5 mL利多卡因或5 mL乳酸林格氏液。治疗方法随机分配,每只前肢接受单次治疗。在注射前和注射后4小时内的预先选定时间,使用压力测痛模型对蹄部进行评估。记录蹄底(背侧、掌外侧和掌内侧区域)、冠状带(内侧、外侧和背侧区域)、蹄踵球(内侧和外侧)以及背侧蹄叶区域(冠状带远侧2 cm和4 cm处)的机械性伤害感受阈值(MNT)。使用Friedman检验比较不同时间点的MNT平均值,使用Wilcoxon符号秩检验比较不同治疗组之间的MNT平均值,P < 0.05被认为具有统计学意义。

结果

在评估期间,蹄部任何区域的治疗组之间均无差异。然而,在向DIPJ注射利多卡因后,50%的蹄的背侧蹄叶区域记录到了表明镇痛的MNT值。

结论

向DIPJ注射5 mL利多卡因并未显著提高马蹄的机械性伤害感受阈值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c6/7427544/56984f6ab90b/peerj-08-9469-g001.jpg

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