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咪达唑仑、右美托咪定及其与乙酰丙嗪联合应用对犬眼内压(IOP)、泪液分泌和瞳孔直径的影响。

Effects of Medetomidine, Dexmedetomidine and their combination with Acepromazine on the intraocular pressure (IOP), tear secretion and pupil diameter in dogs.

机构信息

Graduate of Doctor of Veterinary Medicine, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

出版信息

Vet Med Sci. 2021 Jul;7(4):1090-1095. doi: 10.1002/vms3.467. Epub 2021 Mar 10.

Abstract

BACKGROUND

A great number of sedatives and anaesthetics have been used to perform surgeries or routine ophthalmologic examinations in animals and sometimes the combination of these medicines has more suitable effects than each one alone.

OBJECTIVES

This paper aims to explore the main effects of Medetomidine + Acepromazine, Dexmedetomidine + Acepromazine on intraocular pressure, tear secretion and pupil diameter.

METHODS

To accomplish the aforementioned aim, 32 adult dogs (aged one-to-three-years-old) were clinically examined. Dogs were divided into four groups consisting of group DA, Dexmedetomidine (5 µg/kg) + Acepromazine (0.05 mg/kg); Group D, Dexmedetomidine (5 µg/kg); Group M, Medetomidine (10 µg/kg); Group MA, Medetomidine (10 µg/kg) + Acepromazine (0.05 mg/kg). The ocular factors including tear production, pupil diameter and intraocular pressure of both right and left eyes were first measured and then recorded in each dog at time T (-15 min). Afterwards, the drugs were administered intramuscularly, based on which the ocular factors were re-measured at T (+5 min), T (+15 min) and T (+20 min). All four groups showed a reduction in intraocular pressure, which was significant in DA, D and M groups.

RESULTS

Furthermore, there was a fluctuation in the amount of tear secretion in DA and D groups (increase and then decrease), as well as a significant reduction in M and MA groups. Decreasing in pupil diameter also occurred in all four groups, but the reduction was significant only in DA and MA groups.

CONCLUSION

According to the results obtained, as the changes caused by the systemic administration of the above drug compounds did not exceed the physiological range, it can be concluded that these combinations could be utilized as suitable sedatives or pre-anaesthetic compounds in the eye surgeries.

摘要

背景

在动物中进行手术或常规眼科检查时,已经使用了大量的镇静剂和麻醉剂,有时这些药物的组合比单独使用效果更好。

目的

本文旨在探讨美托咪定+乙酰丙嗪、右美托咪定+乙酰丙嗪对眼压、泪液分泌和瞳孔直径的主要影响。

方法

为了实现上述目的,对 32 只成年犬(1 至 3 岁)进行了临床检查。将犬分为四组,即 DA 组(右美托咪定 5μg/kg+乙酰丙嗪 0.05mg/kg)、D 组(右美托咪定 5μg/kg)、M 组(咪达唑仑 10μg/kg)和 MA 组(咪达唑仑 10μg/kg+乙酰丙嗪 0.05mg/kg)。首先测量每组左右眼的泪液分泌、瞳孔直径和眼压等眼部因素,并在 T(-15 分钟)时记录每个犬的眼部因素。然后,根据时间 T(+5 分钟)、T(+15 分钟)和 T(+20 分钟)测量并记录各组犬的眼部因素。四组犬的眼压均有下降,DA、D 和 M 组下降有统计学意义。

结果

此外,DA 和 D 组的泪液分泌量波动(先增加后减少),M 和 MA 组的泪液分泌量显著减少。四组犬的瞳孔直径均有缩小,但只有 DA 和 MA 组的缩小有统计学意义。

结论

根据所得结果,由于上述药物混合物全身给药引起的变化未超过生理范围,因此可以得出结论,这些组合可用作眼部手术中的合适镇静剂或麻醉前药物。

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