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卡洛芬与哌替啶作为猫术后镇痛药的比较。

Comparison of carprofen and pethidine as postoperative analgesics in the cat.

作者信息

Balmer T V, Irvine D, Jones R S, Roberts M J, Slingsby L, Taylor P M, Waterman A E, Waters C

机构信息

Grampian Pharmaceuticals, Leyland.

出版信息

J Small Anim Pract. 1998 Apr;39(4):158-64. doi: 10.1111/j.1748-5827.1998.tb03623.x.

Abstract

The postoperative analgesia and sedation in cats given carprofen (4.0 mg/kg bodyweight by subcutaneous injection preoperatively) was compared to that in cats given pethidine (3.3 mg/kg bodyweight by intramuscular injection postoperatively) in a controlled, randomised, blinded, multicentre clinical trial. Further dosing with the particular analgesic was allowed if a cat was exhibiting unacceptable pain. In total, 57 carprofen cases and 59 pethidine cases were evaluated. Significantly fewer cats in the carprofen group required additional doses of analgesic, and mean pain scores were significantly lower from four hours after ovariohysterectomy, and at 18 to 24 hours after castration, compared to the pethidine group. In conclusion, carprofen provided as good a level of postoperative analgesia as pethidine, but of a longer duration (at least 24 hours) and was well tolerated. It thus provides an option for 'pre-emptive analgesia' in cats about to undergo surgery.

摘要

在一项对照、随机、双盲、多中心临床试验中,对术前皮下注射卡洛芬(4.0毫克/千克体重)的猫与术后肌肉注射哌替啶(3.3毫克/千克体重)的猫的术后镇痛和镇静情况进行了比较。如果猫表现出无法接受的疼痛,则允许进一步使用特定的镇痛药。总共评估了57例卡洛芬病例和59例哌替啶病例。与哌替啶组相比,卡洛芬组需要额外镇痛剂量的猫明显更少,并且在卵巢子宫切除术后4小时以及去势术后18至24小时,平均疼痛评分显著更低。总之,卡洛芬提供的术后镇痛水平与哌替啶相当,但持续时间更长(至少24小时),并且耐受性良好。因此,它为即将接受手术的猫提供了一种“超前镇痛”的选择。

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