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对影响犬股骨头和颈部切除术后活动能力恢复的围手术期因素的研究贡献:30只犬的临床研究

Contribution to the Study of Perioperative Factors Affecting the Restoration of Dog's Mobility after Femoral Head and Neck Excision: A Clinical Study in 30 Dogs.

作者信息

Krystalli Androniki, Sideri Aikaterini, Kazakos George M, Anatolitou Anthi, Prassinos Nikitas N

机构信息

Surgery & Obstetrics Unit, Companion Animal Clinic, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University, 54627 Thessaloniki, Greece.

Clinic of Surgery, Faculty of Veterinary Science, School of Health Sciences, University of Thessaly, 43100 Karditsa, Greece.

出版信息

Animals (Basel). 2023 Jul 13;13(14):2295. doi: 10.3390/ani13142295.


DOI:10.3390/ani13142295
PMID:37508072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10376395/
Abstract

This study aimed to compare postoperative analgesia and the time of limb weight bearing induced by the intraoperative administration of a local anesthetic at the site of the femoral head and neck excision (FHNE) in dogs, with and without the administration of preoperative epidural anesthesia. Additionally, the impact of postoperative opioid drug administration on weight-bearing time was examined. This randomized, blinded, prospective clinical study included 30 client-owned dogs. The dogs were randomly divided into three groups (A, B, C), each further divided into two subgroups (A1, A2, B1, B2, C1, C2). Group A received epidural anesthesia and ropivacaine at the ostectomy site, Group B received only ropivacaine, and Group C served as the control group. Subgroup 1 received a non-steroidal anti-inflammatory drug postoperatively, while Subgroup 2 had tramadol added to their regimen. Pain assessment was conducted using the University of Melbourne Pain Scale (UMPS) and an algometer. The study concluded that multimodal analgesia, utilizing all the aforementioned analgesic techniques, resulted in faster limb weight bearing for dogs undergoing FHNE.

摘要

本研究旨在比较在犬股骨头和颈部切除(FHNE)部位术中给予局部麻醉剂,在有或没有术前硬膜外麻醉的情况下,术后镇痛效果以及肢体负重时间。此外,还研究了术后给予阿片类药物对负重时间的影响。这项随机、双盲、前瞻性临床研究纳入了30只客户拥有的犬。这些犬被随机分为三组(A、B、C),每组再进一步分为两个亚组(A1、A2、B1、B2、C1、C2)。A组在截骨部位接受硬膜外麻醉和罗哌卡因,B组仅接受罗哌卡因,C组作为对照组。亚组1术后接受非甾体抗炎药,而亚组2在其治疗方案中添加了曲马多。使用墨尔本大学疼痛量表(UMPS)和痛觉计进行疼痛评估。研究得出结论,采用上述所有镇痛技术的多模式镇痛,可使接受FHNE的犬更快实现肢体负重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/2c06fe3100ff/animals-13-02295-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/6be323a3ae7c/animals-13-02295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/3c66bdfc5f5b/animals-13-02295-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/4d6f4beea9aa/animals-13-02295-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/4fd3473336c5/animals-13-02295-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/7c8f5b831795/animals-13-02295-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/2c06fe3100ff/animals-13-02295-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/6be323a3ae7c/animals-13-02295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/3c66bdfc5f5b/animals-13-02295-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/4d6f4beea9aa/animals-13-02295-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/4fd3473336c5/animals-13-02295-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/7c8f5b831795/animals-13-02295-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee1/10376395/2c06fe3100ff/animals-13-02295-g006.jpg

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引用本文的文献

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Fibrotic Contracture of the Infraspinatus Muscle with or without Contracture of the Teres Minor Muscle: A Retrospective Study in Eight Dogs.

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本文引用的文献

[1]
Preliminary evaluation of the effects of grapiprant compared with carprofen on acute pain and inflammation following ovariohysterectomy in dogs.

Am J Vet Res. 2022-5-28

[2]
Epidural anesthesia in dogs undergoing hindlimb orthopedic surgery: effects of two injection sites.

J Vet Med Sci. 2022-3-30

[3]
Measurement of ground reaction forces in cats 1 year after femoral head and neck ostectomy.

J Feline Med Surg. 2021-4

[4]
Cryotherapy Improves Limb Use But Delays Normothermia Early After Stifle Joint Surgery in Dogs.

Front Vet Sci. 2020-7-3

[5]
Mechanical quantitative sensory testing in cavalier King Charles spaniels with and without syringomyelia.

BMC Vet Res. 2020-3-20

[6]
Comparison of perioperative analgesia using the infiltration of the surgical site with ropivacaine alone and in combination with meloxicam in cats undergoing ovariohysterectomy.

BMC Vet Res. 2020-3-16

[7]
The effect of spontaneous osteoarthritis on conditioned pain modulation in the canine model.

Sci Rep. 2020-2-3

[8]
Local and regional anaesthesia in dogs and cats: Overview of concepts and drugs (Part 1).

Vet Med Sci. 2020-5

[9]
A review of ophthalmic local and regional anesthesia in dogs and cats.

Vet Anaesth Analg. 2019-1

[10]
Lack of effectiveness of tramadol hydrochloride for the treatment of pain and joint dysfunction in dogs with chronic osteoarthritis.

J Am Vet Med Assoc. 2018-2-15

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