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伊丽莎白项圈和伤口保护束腹对接受卵巢子宫切除术的猫的疼痛和不适程度的影响。

Effects of Elizabethan Collar and Wound Protection Corset on Pain and Discomfort Levels in Cats Undergoing Ovariohysterectomy.

作者信息

Isil Ayhan, Yanmaz Latif Emrah

机构信息

Department of Surgery, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, Turkey.

出版信息

Vet Med Sci. 2025 Jan;11(1):e70180. doi: 10.1002/vms3.70180.

Abstract

OBJECTIVE

To compare the impacts of Elizabethan collar (EC) and wound protection corset (WPC) on pain and discomfort levels in cats following ovariohysterectomy.

STUDY DESIGN

Prospective, randomized controlled clinical trial.

ANIMALS

Twenty-six healthy female cats.

METHODS

Animals were randomly assigned to two groups after midline celiotomy: One group wore an EC (n = 13), and the other wore a WPC (n = 13). Pain was evaluated using the Composite Measure Pain Scale-Feline (CMPS-F) and the Multidimensional Pain Scale (MCPS) at intervals of 6, 12, 24, 48, 72 and 96 h, with the requirement for rescue analgesia recorded. Discomfort was assessed through cortisol levels, behavioural observations and the frequency of misbehaviours.

RESULTS

No significant differences were observed between groups at all time intervals for CMPS-F and MCPS (p < 0.05). Rescue analgesic administration was similar between the groups, with 16 administrations in the WPC group and 17 in the EC group (p = 0.88). Cortisol levels also showed no significant difference between groups (WPC: 0.05 [0.05-0.3] vs. EC: 0.05 [0.05-0.8]; p = 0.09). Behavioural observations revealed significant differences in misbehaviours, with 10 out of 13 cats in the EC group attempting to remove their collars or exhibiting head shaking (p < 0.01), whereas no misbehaviours were noted in the WPC group.

CONCLUSION

Both EC and WPC provided comparable pain management; however, the significant misbehaviours associated with EC use suggest increased discomfort level.

CLINICAL SIGNIFICANCE

The WPC may offer a more comfortable recovery experience for cats following ovariohysterectomy, warranting further investigation.

摘要

目的

比较伊丽莎白项圈(EC)和伤口保护束腹带(WPC)对猫卵巢子宫切除术后疼痛和不适程度的影响。

研究设计

前瞻性随机对照临床试验。

动物

26只健康雌性猫。

方法

在中线剖腹术后,将动物随机分为两组:一组佩戴EC(n = 13),另一组佩戴WPC(n = 13)。分别在术后6、12、24、48、72和96小时,使用复合疼痛测量量表-猫用版(CMPS-F)和多维疼痛量表(MCPS)评估疼痛情况,并记录使用急救镇痛剂的情况。通过皮质醇水平、行为观察和不当行为频率评估不适程度。

结果

在所有时间间隔内,两组的CMPS-F和MCPS评分均无显著差异(p < 0.05)。两组的急救镇痛剂使用情况相似,WPC组16次,EC组17次(p = 0.88)。两组的皮质醇水平也无显著差异(WPC组:0.05 [0.05 - 0.3] vs. EC组:0.05 [0.05 - 0.8];p = 0.09)。行为观察显示,不当行为存在显著差异,EC组13只猫中有10只试图摘掉项圈或摇头(p < 0.01),而WPC组未观察到不当行为。

结论

EC和WPC在疼痛管理方面效果相当;然而,与使用EC相关的明显不当行为表明不适程度增加。

临床意义

WPC可能为卵巢子宫切除术后的猫提供更舒适的恢复体验,值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab10/11720731/9a118a57bc51/VMS3-11-e70180-g001.jpg

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