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单峰骆驼骶尾硬膜外注射罗米芬定、利多卡因及罗米芬定/利多卡因的镇静和抗伤害感受作用的比较研究

Comparative Study of the Sedative and Anti-nociceptive Effects of Sacrococcygeal Epidural Administration of Romifidine, Lidocaine, and Romifidine/Lidocaine in the Dromedary Camel.

作者信息

Marzok Mohamed, Almubarak Adel I, Abdel-Raheem Sherief M, El-Khodery Sabry, Shawaf Turke, Kandeel Mahmoud

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, King Faisal University, Al-Hofuf, Saudi Arabia.

Department of Surgery, Faculty of Veterinary Medicine, Kafr El Sheikh University, Kafr El Sheikh, Egypt.

出版信息

Front Vet Sci. 2022 Jun 27;9:891581. doi: 10.3389/fvets.2022.891581. eCollection 2022.

Abstract

In a randomized prospective study, comparative sedative and anti-nociceptive effects of epidural administration of romifidine (RO), lidocaine (LD), and a combination of romifidine-lidocaine (ROLD) in camel were evaluated. Eighteen healthy adult dromedary camels were assigned randomly to three treatment groups ( = 6), each receiving 50 μg/kg of RO, 0.30 mg/kg of LD, or a combination of both RO and LD. All treatments were expanded in 0.9% sterile normal saline solution to a final dose volume of 20 ml and administered directly into the sacrococcygeal space. After epidural injection of each treatment, the onset time, duration, anatomical extension of anti-nociception, and sedation were documented. Anti-nociception was tested at different areas using a pinprick test and artery forceps pinching at the perineum and inguinal area. RO and ROLD treatments resulted in mild to severe sedation and complete bilateral analgesia with loss of sensation in the tail, perineum, scrotum in males, vulva in females, the caudal aspect skin of the upper hind limb, and inguinal region (udder in females and the prepuce in males). The anatomic extent of anti-nociception reached the chest cranially and the footpad distally. Camels who received LD showed the shortest duration ( < 0.001) to the onset of perineal anti-nociception (3.67 ± 0.33 min) followed by those who received RO LD (4.00 ± 0.37 min) and RO (6.67 ± 0.33 min), respectively. RO and ROLD resulted in significantly ( < 0.001) longer periods of analgesia (158.33 ± 4.01 min and 165 ± 3.87 min, respectively) than LD (75.83 ± 3.27). An epidural RO and ROLD would appear to produce a very effective and acceptable anti-nociceptive effect in the perineal and inguinal regions of camels.

摘要

在一项随机前瞻性研究中,评估了在骆驼中硬膜外给予罗米非定(RO)、利多卡因(LD)以及罗米非定 - 利多卡因组合(ROLD)的镇静和抗伤害感受作用。18只健康成年单峰骆驼被随机分为三个治疗组(每组 = 6只),每组分别接受50μg/kg的RO、0.30mg/kg的LD或RO与LD的组合。所有治疗药物均用0.9%无菌生理盐水稀释至最终剂量体积20ml,并直接注入骶尾间隙。每次治疗硬膜外注射后,记录起效时间、持续时间、抗伤害感受的解剖范围以及镇静情况。使用针刺试验和动脉钳夹会阴部和腹股沟区域的方法在不同部位测试抗伤害感受。RO和ROLD治疗导致轻度至重度镇静以及完全双侧镇痛,尾巴、会阴部、雄性阴囊、雌性外阴、后肢上部尾侧皮肤和腹股沟区域(雌性乳房和雄性包皮)感觉丧失。抗伤害感受的解剖范围头端达胸部,远端至脚垫。接受LD的骆驼会阴部抗伤害感受起效时间最短(<0.001)(3.67±0.33分钟),其次是接受RO LD的骆驼(4.00±0.37分钟)和RO的骆驼(6.67±0.33分钟)。RO和ROLD产生的镇痛时间(分别为158.33±4.01分钟和165±3.87分钟)明显长于LD(75.83±3.27分钟)(<0.001)。硬膜外给予RO和ROLD在骆驼会阴部和腹股沟区域似乎能产生非常有效且可接受的抗伤害感受作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a482/9271924/2ddf3b9c30dd/fvets-09-891581-g0001.jpg

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