探讨焦虑对犬疼痛评分的影响。

Investigating the effect of anxiety on pain scores in dogs.

机构信息

Small Animal Hospital, University of Glasgow, Glasgow, UK.

出版信息

Vet Anaesth Analg. 2022 Jan;49(1):135-142. doi: 10.1016/j.vaa.2021.07.005. Epub 2021 Nov 10.

DOI:10.1016/j.vaa.2021.07.005

PMID:34876383

Abstract

OBJECTIVE

To investigate the relationship between anxiety and pain scores using the Glasgow Composite Measure Pain Scale-Short Form (CMPS-SF) in dogs.

STUDY

Prospective observational study.

ANIMALS

A group of 18 dogs undergoing surgical management of stifle disease.

METHODS

Preoperatively dogs were scored using the CMPS-SF, the anxiety behaviour-based Reactivity Evaluation Form (REF), a Visual Analogue Scale (VAS) for anxiety and a sedation score. Assessments of pain, anxiety and sedation were repeated approximately 2-6 hours postoperatively. Dogs were divided into groups based on preoperative REF ('Low REF' and 'High REF'), and VAS scores ('Low VAS' and 'High VAS'). Scores (CMPS-SF, REF, VAS and sedation) were compared between groups using Mann-Whitney U tests. Preoperative and postoperative CMPS-SF, REF and VAS scores were compared using Wilcoxon signed-rank tests. Relationships between anxiety and CMPS-SF scores were assessed using a Spearman rank correlation coefficient. Scores are presented as median (range). A p value of < 0.05 was considered significant.

RESULTS

When divided based on REF, CMPS-SF scores did not differ between groups preoperatively [Low REF: 2 (0-3), High REF: 2 (1-3); p = 0.509] or postoperatively [Low REF: 3 (2-5), High REF: 3 (2-5); p = 0.624]. When divided based on VAS, CMPS-SF scores did not differ between groups preoperatively [Low VAS: 2 (0-2), High VAS: 2 (1-3); p = 0.215] or postoperatively [Low VAS: 3 (2-5), High VAS: 3 (2-5); p = 1]. Postoperative REF [pre: 4.5 (2-8), post: 5 (4-10); p = 0.0105] and CMPS-SF scores [pre: 2 (0-3), post: 3 (2-5); p = 0.0318] increased significantly compared with preoperative scores.

CONCLUSIONS AND CLINICAL RELEVANCE

No apparent relationship exists between baseline anxiety levels and CMPS-SF scores. Understanding the influence of anxiety when using the CMPS-SF is important when assessing pain in dogs. Anxiety and pain may increase postoperatively in dogs undergoing orthopaedic surgery.

摘要

目的

使用格拉斯哥复合疼痛量表-短表（CMPS-SF）调查犬的焦虑评分与疼痛评分之间的关系。

研究设计

前瞻性观察性研究。

动物

一群 18 只患有膝关节疾病的手术治疗犬。

方法

术前使用 CMPS-SF、基于焦虑行为的反应性评估表（REF）、焦虑视觉模拟量表（VAS）和镇静评分对犬进行评分。大约术后 2-6 小时重复评估疼痛、焦虑和镇静。根据术前 REF（“低 REF”和“高 REF”）和 VAS 评分（“低 VAS”和“高 VAS”）将犬分为组。使用曼-惠特尼 U 检验比较组间 CMPS-SF、REF、VAS 和镇静评分。使用 Wilcoxon 符号秩检验比较术前和术后 CMPS-SF、REF 和 VAS 评分。使用 Spearman 秩相关系数评估焦虑与 CMPS-SF 评分之间的关系。评分表示为中位数（范围）。p 值<0.05 为差异有统计学意义。

结果

基于 REF 分组时，术前 CMPS-SF 评分在两组间无差异[低 REF：2（0-3），高 REF：2（1-3）；p=0.509]或术后[低 REF：3（2-5），高 REF：3（2-5）；p=0.624]。基于 VAS 分组时，术前 CMPS-SF 评分在两组间无差异[低 VAS：2（0-2），高 VAS：2（1-3）；p=0.215]或术后[低 VAS：3（2-5），高 VAS：3（2-5）；p=1]。术后 REF[术前：4.5（2-8），术后：5（4-10）；p=0.0105]和 CMPS-SF 评分[术前：2（0-3），术后：3（2-5）；p=0.0318]与术前评分相比显著增加。