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使用阿法沙龙-咪达唑仑-吗啡-七氟醚方案对卵巢子宫切除母犬血液学和生化指标的影响

Changes in Hematological and Biochemical Profiles in Ovariohysterectomized Bitches Using an Alfaxalone-Midazolam-Morphine-Sevoflurane Protocol.

作者信息

Rubio Mónica, Satué Katiuska, Carrillo José María, Hernández Guerra Ángel, Cuervo Belén, Chicharro Deborah, Damiá Elena, Del Romero Ayla, Sopena Joaquín

机构信息

Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, CEU-Cardenal Herrera University, 46115 Valencia, Spain.

出版信息

Animals (Basel). 2022 Apr 2;12(7):914. doi: 10.3390/ani12070914.

Abstract

The aim of this study was to monitor hematochemical changes during and after OHE in bitches. Twenty-four females were anesthetized with alfaxalone, midazolam, morphine and sevoflurane. Blood samples were taken before anesthesia (T0), at 30 (T1), and 60 min (T2), at 3 (T3), 6 (T4), 12 (T5), and 24 h (T6), and at 3 (T7) and 7 days (T8) from the start of surgery. Red blood cells (RBC) and packed cell volume (PCV) decreased significantly from T1 to T5 and hemoglobin (HB) concentration from T4 to T6. Both the white blood cell (WBC) and neutrophil (NFS) count increased significantly from T3 to T6, monocyte (MON) from T2 to T5, and eosinophil (EOS) at T5. Platelet (PLT) and plateletcrit (PCT) significantly decreased at T5 and increased from T6 to T8; platelet distribution width (PDW) increased significantly from T3 to T6. Creatine kinase (CK) activity increased significantly from T5 to T7. Glucose (GLU) concentrations increased significantly at T2 and P from T2 to T3. TG levels decreased from T2 to T4 and blood urea nitrogen (BUN) levels from T1 to T7, subsequently increasing until T8. Changes possibly resulting from stress and surgical trauma, as well as hemodilution and splenic storage, are due to anesthesia and surgery. In healthy bitches, these changes tend to gradually stabilize after the ending of OHE. A post-operative follow-up is essential to detect possible post-operative complications.

摘要

本研究的目的是监测母犬卵巢子宫切除术(OHE)期间及术后的血液生化变化。24只雌性犬使用阿法沙龙、咪达唑仑、吗啡和七氟醚进行麻醉。在麻醉前(T0)、30分钟(T1)、60分钟(T2)、3小时(T3)、6小时(T4)、12小时(T5)、24小时(T6)以及手术开始后3天(T7)和7天(T8)采集血样。红细胞(RBC)和红细胞压积(PCV)从T1到T5显著降低,血红蛋白(HB)浓度从T4到T6显著降低。白细胞(WBC)和中性粒细胞(NFS)计数从T3到T6显著增加,单核细胞(MON)从T2到T5显著增加,嗜酸性粒细胞(EOS)在T5时显著增加。血小板(PLT)和血小板压积(PCT)在T5时显著降低,从T6到T8升高;血小板分布宽度(PDW)从T3到T6显著增加。肌酸激酶(CK)活性从T5到T7显著增加。葡萄糖(GLU)浓度在T2时显著升高,从T2到T3时P显著升高。甘油三酯(TG)水平从T2到T4降低,血尿素氮(BUN)水平从T1到T7降低,随后一直升高至T8。这些变化可能是由应激、手术创伤以及血液稀释和脾脏储存引起的,与麻醉和手术有关。在健康母犬中,这些变化在卵巢子宫切除术后往往会逐渐稳定。术后随访对于检测可能的术后并发症至关重要。

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