狗乳房切除术的外科手术期疼痛管理:叙述性综述
Giada Giambrone1, Giuseppe Catone1, Gabriele Marino1
1Department of Veterinary Sciences, University of Messina, Via G. Palatucci, 98168 Messina, Italy.
Animals : an open access journal from MDPI
|May 14, 2025
概括
狗乳房切除术的有效疼痛管理涉及多模式止痛策略. 与阿片类药物或局部阻断剂相结合的预防性药物,如 meloxicam 显著减少疼痛和需要救援止痛药.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 乳腺瘤是成年雌性狗中最常见的瘤.
- 狗的乳腺切除手术通常会导致中度至严重的疼痛.
- 有效的术后疼痛管理对于狗的福利至关重要.
研究的目的:
- 审查接受乳腺切除术的狗的术后疼痛的止痛技术.
- 评估各种止痛方案的疗效.
- 为了确定最佳的策略,以控制疼痛在狗乳房切除术.
主要方法:
- 从2001年1月到2025年1月进行的关于狗乳房切除和止痛的文献搜索.
- 对预防性止痛,阿片类药物节约技术和局部麻醉方法研究的综述.
- 分析多模式止痛方案,包括NSAIDs, gabapentin,特拉马多尔,美沙,胺,利多卡因和区域阻断.
主要成果:
- 预防性梅洛西卡姆可以减少术后心血管变化,而不会影响功能.
- 梅洛西卡姆/加巴丁或罗贝纳可西布的组合减少了对救援阿片类药物的需求.
- 甲提供了优越的疼痛控制,特别是当在手术前或手术期间使用时.
- 局部透,瘤麻醉,外周,副脊椎和TAP阻塞是有效的.
- 透皮贴片和电可以提供长时间的止痛,并减少救援止痛的需求.
结论:
- 多模式止痛方案对于有效的疼痛管理在犬乳房切除术是必不可少的.
- 优化术后疼痛控制可以最大限度地减少对救援阿片类药物的需求.
- 系统和区域技术的结合为接受乳腺切除术的狗提供了最好的疼痛缓解.
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