布比卡因、氯胺酮及布比卡因-氯胺酮硬膜外麻醉在母犬卵巢子宫切除术中的应用

A. Zaifada, S. Muhammad, Z. B. Yusuf, E. Abidoye, A. Z. Hassan
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引用次数: 0

摘要

本研究分析布比卡因、氯胺酮及布比卡因-氯胺酮联合应用于卵巢子宫切除术母狗的镇痛效果,确定合适的局部麻醉方式。在卡杜纳州扎里亚及其周边地区,为这项实验采购了15只健康的母狗,年龄8-12个月,体重10 - 15公斤。这些动物被分为A、B和C三组,经过筛选并让它们适应新环境。用药前给予0.02 mg/kg硫酸阿托品和1mg/kg噻嗪。A组患者硬膜外注射0.5%盐酸布比卡因(1 mg/kg), B组患者硬膜外注射盐酸氯胺酮(2 mg/kg) 50 mg/ml, C组患者硬膜外注射布比卡因与氯胺酮联合(0.5mg/kg和1 mg/kg)。测定镇痛指标为括约肌松弛时间、动作开始时间、镇痛持续时间和肌肉松弛持续时间。在每只实验动物开始镇痛时进行标准的卵巢子宫切除术,平均持续45分钟。布比卡因组雌犬的括约肌松弛时间(73±18.0秒)较其他组明显延长。氯胺酮反应时间最短(15±3.0秒),几乎立即见效。仅氯胺酮组镇痛时间最短(3±1.0 min)。氯胺酮与布比卡因联用镇痛时间更长(121±7.0 min),肌肉明显松弛(110±20.0 min)。布比卡因与氯胺酮联用的镇痛效果优于布比卡因或氯胺酮单用硬膜外注射,足以用于犬卵巢子宫切除等疼痛性手术。
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Bupivacaine, Ketamine And Bupivacaine – Ketamine Epidural Anaesthesia In Bitches Undergoing Ovariohysterectomy
This research was conducted to analyze the analgesic effects of bupivacaine, ketamine and bupivacaine–ketamine combination on bitches undergoing ovariohysterectomy, and determine a suitable regional anaesthesia. Fifteen (15) apparently healthy bitches, aged 8-12 months and weighing 10 – 15kg were procured within and around Zaria, Kaduna State for this experiment. The animals were grouped into three (3), A, B and C, screened and allowed to acclimatize to the new environment. Premedication was instituted with 0.02 mg/kg atropine sulphate and 1mg/kg Xylazine. Group A was administered an epidural injection of 0.5 % bupivacaine hydrochloride at 1 mg/kg, Group B was administered an epidural injection of 50 mg/ml ketamine hydrochloride at 2 mg/kg and Group C was administered an epidural injection of bupivacaine and ketamine combination at 0.5mg/kg and 1 mg/kg respectively. Analgesic indices determined were time to sphincter relaxation, the onset of action, duration of analgesia and duration of muscle relaxation. A standard ovariohysterectomy procedure was carried out at the onset of analgesia on each experimental animal, lasting an average of 45 minutes. Bitches in the bupivacaine group took a longer time (73 ± 18.0 secs) to sphincter relaxation which was significantly different from the other groups. Ketamine took the shortest amount of time (15 ± 3.0 secs) which was almost immediate. The onset of analgesia was the shortest (3 ± 1.0 mins) in group B with ketamine only. The combination of ketamine and bupivacaine produced a longer duration (121 ± 7.0 mins) of analgesia and significant muscle relaxation (110 ± 20.0 mins). The combination of bupivacaine and ketamine produced superior analgesic effects than those of bupivacaine or ketamine alone used for epidural injection, and sufficient for painful surgeries such as ovariohysterectomy in dogs.
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