利多卡因与美洛昔康和/或甲咪唑钠硬膜外联合应用对荷斯坦牛镇痛参数和健康状况的影响

Khosro Safari, A. Raisi, A. Zakian, A. Mohamadnia
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摘要

目的:比较奶牛硬膜外给药利多卡因、利多卡因-美洛昔康和利多卡因-甲硝唑钠后的镇痛质量、血液学参数和心律失常发生率。动物:15头3-5岁的成年荷斯坦奶牛被分成三组。设计:每头奶牛随机接受利多卡因(0.22 mg/kg)、利多卡因-美洛昔康(0.11 mg/kg ~ 0.25 mg/kg)或利多卡因-美罗昔康钠(0.11 mg/kg ~ 4mg /kg)硬膜外注射至第一尾骨间隙。程序-记录镇痛的开始和持续时间。记录0、5、15、30、45、60、90和120分钟时的心率、呼吸频率、直肠温度和瘤胃运动,0、60和120分钟时的心电图,0、30、60、90和120分钟时的尾静脉采血。检测心律失常是通过检查每60秒的心电图来完成的。结果:利多卡因-安咪唑组镇痛时间明显长于其他组(p < 0.05)。利多卡因组镇痛时间明显长于其他实验组(p < 0.05)。两组血液学指标变化无显著性差异,心律失常均为生理性(p < 0.05)。结论和临床意义-上述剂量可用于奶牛,无任何临床、心脏和血液副作用。利多卡因镇痛可靠;然而,作者不确定半剂量美洛昔康、Metamizole联合利多卡因注射后是否有足够的镇痛效果,因此,需要进一步的研究。
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Comparison of the Effect of Lidocaine in Combination to Meloxicam and/or Metamizole Sodium Epidurally on Analgesic Parameters, and Health Status of Holstein Cattle
Objective- This practice performed to compare the quality of analgesia, hematological parameters, and prevalence of cardiac dysrhythmias following epidural administration of lidocaine, lidocaine-meloxicam, and lidocaine-Metamizole sodium in cows. Animals- Fifteen adult Holstein cows aged between 3-5 years were assigned into three equal groups. Design- Each cow received the lidocaine (0.22 mg/kg), lidocaine-meloxicam (0.11 mg/kg – 0.25 mg/kg) or lidocaine-Metamizole sodium (0.11 mg/kg -4 mg/kg) randomly via epidural injection into first intercoccygeal space. Procedure- Analgesia onset and duration were recorded. Heart rate, respiratory rate, rectal temperature, and ruminal motility were also recorded at 0, 5, 15, 30, 45, 60, 90 and 120 minutes, Electrocardiograms at 0, 60 and 120 minutes and blood samples were collected through the caudal vein at 0, 30, 60, 90 and 120 minutes. Detection of arrhythmias was done by checking 60 seconds of each electrocardiogram.Results- analgesia onset in lidocaine-metamizole treatment was significantly longer than that of the other groups (p 0.05). Also, the duration of analgesia was significantly longer in lidocaine treatment compared to other experimental groups (p 0.05). Hematological parameters changes were not significantly different and all of the detected cardiac arrhythmias were physiologic among treatments (p > 0.05). Conclusions and Clinical Relevance- Aforementioned dosages could be used in cows without any clinical, cardiac, and hematological side effects. Lidocaine analgesia was reliable; however, the authors were not sure about adequate analgesia resulted after injection the half-dose of meloxicam and Metamizole in combination with lidocaine therefore, further studies should be done.
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