尼泊尔兽医对动物疼痛的临床管理的当前做法

S. Shrestha, M. Shah
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摘要

回顾性研究的目的是了解动物术后和非手术疼痛管理的最新临床实践趋势。研究对象包括尼泊尔奇旺、加德满都、拉利特普尔和卡斯基地区的政府医院、私人诊所和从事动物节育项目的组织。总体而言,2017年和2018年,分别有1177和1084只动物接受了镇痛药。分类上,81%的病例接受了软组织手术,镇痛药的处方为1-5天。然而,5%和1%的骨科和眼科病例使用止痛药治疗1-8天。其余13%的杂类患者接受1-7天的镇痛治疗。在镇痛方面,美洛昔康是首选的非甾体类抗炎药(98%),其次是曲马多(9%)和盐酸利多卡因(8%)。曲马多(9%)和盐酸木多卡因(8%)用于严重创伤病例,而酮咯酸(5%)用于骨科病例。只有18%的兽医患者接受了先发制人的镇痛药。大多数医院、诊所和组织没有进行疼痛评分。正确的疼痛评估和评分是处方正确的镇痛药,有效治疗动物疼痛的必要条件。
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Current practices of Nepalese veterinarians for the clinical management of pain in animals
The retrospective study was performed to know the trend of recent clinical practices for managing the post-surgical and non-surgical pain in animals. The study included government hospitals, private clinics, organizations working on animal birth control program of Chitwan, Kathmandu, Lalitpur, and Kaski districts of Nepal. Overall, 1,177 and 1,084 animals received analgesics in 2017 and 2018, respectively. Categorically, 81% of cases underwent for soft tissue surgeries, and analgesics were prescribed variably for 1–5 days. However, 5% and 1% were orthopedic and ophthalmic cases that were treated with analgesics for 1–8 days. Remaining, 13% cases that were grouped into miscellaneous type received analgesics for 1–7 days For analgesia, meloxicam was the most preferred non-steroidal anti-inflammatory drug (98%) followed by tramadol (9%), and lignocaine-HCl (8%). Tramadol (9%) and lignocaine-HCl (8%) were prescribed particularly in severely traumatized cases whereas ketorolac (5%) were used in orthopedic cases. Only 18% veterinary patients received preemptive analgesics. Most of the hospitals, clinics and organizations did not perform pain scoring. Proper pain assessment and their scoring are imperative for prescribing the right analgesic for the effective treatment of pain in animals.
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