評估單獨使用Xylazine或Dexmedetomidine於白鼻心之作用與 ...
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Bartram DH, Diamond MJ, Tute AS, Trafford AW, Jones RS. Use of medetomidine and butorphanol for sedation in dogs. J Small Anim Pract 35: 495-498, 1994. 10.
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標題: 評估單獨使用Xylazine或Dexmedetomidine於白鼻心之作用與Atipamezole之翻轉效果EvaluationoftheEffectsofXylazineorDexmedetomidineandtheReversalEffectsofAtipamezoleinFormosanGem-facedCivet(Pagumalarvatataivana)
作者: 楊崇君Yang,Chung-Chun
關鍵字: FormosanGem-facedCivet;白鼻心;sedation;dexmedetomidine;xylazine;atipamezole;鎮靜;dexmedetomidine;xylazine;atipamezole
出版社: 獸醫學系暨研究所
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摘要: 白鼻心生性容易緊張,若感受到威脅時,常會表現出攻擊行為。
因其四肢粗壯具有利爪且咬合力大,因此常成為臨床診療上之阻礙,若進行需碰觸到白鼻心的檢查,對醫療人員具有一定程度之風險,因此選擇適當的鎮靜劑能使醫療處理的過程更為順利,且同時減少動物緊迫,使得雙方皆能獲得最大的安全。
Xylazine(XYL)和dexmedetomidine(DEX)皆為α2腎上腺素性受體致效劑的一種,這類的鎮靜安神藥物時常用來做為誘導鎮靜,並有止痛作用,皆有拮抗劑可迅速反轉鎮靜之效果可使動物迅速恢復。
XYL在過去廣泛地被獸醫應用在各種不同的物種作為鎮靜和止痛之用,相關研究甚多;DEX則為一具有高度選擇性和特異性的α2腎上腺素性受體致效劑,近年來在臨床上常被應用於犬貓。
有關白鼻心麻醉的研究很少,本研究探討單獨使用兩種不同的α2腎上腺素性受體致效劑對白鼻心之鎮靜作用和止痛效果,以及使用atipamezole(ATI)反轉DEX之效果。
本研究共使用18隻白鼻心進行實驗,選擇的劑量組分別為每公斤體重2、4和8mg的XYL,以及0.01、0.02和0.04mg的DEX,於後肢肌肉注射實驗藥物後分別監控其基礎生理值以及各項反射的強弱並予以紀錄。
結果顯示僅有DEX0.02和DEX0.04mg/kg這兩組劑量組能使全數(6/6)白鼻心成功進入鎮靜狀態,而進入鎮靜期的時間於六組之間皆沒有顯著差異;鎮靜持續時間則隨劑量之提高而延長,且各劑量組之心搏和呼吸速率皆會下降,體溫則隨鎮靜時間之延長而逐漸降低。
在XYL和DEX的比較上,DEX較能使白鼻心維持穩定的鎮靜狀態。
探討拮抗劑效果的實驗先以每公斤體重0.04mg的DEX鎮靜白鼻心後,於實驗的第30分鐘三組再分別肌肉注射saline0.04ml/kg、ATI0.04mg/kg及ATI0.2mg/kg,三組白鼻心分別於注射後77.5、28.5及7分鐘恢復,顯示不論是注射低劑量或高劑量之ATI,皆能顯著使白鼻心之恢復時間縮短,而較高之劑量則更能縮短恢復時間,有助於於臨床診療結束時使動物快速恢復正常。
綜合上述,我們知道DEX相較於XYL有更穩定的鎮靜效果,而使用DEX0.02mg/kg或0.04mg/kg時可以成功地使白鼻心進入鎮靜狀態,當臨床上需要對白鼻心進行鎮靜檢查時,可以評估所需鎮靜時間的長短來選擇不同的劑量,而於醫療處理結束後可給予ATI結束鎮靜,使動物迅速恢復正常。
Formosangem-facedcivet(Pagumalarvatataivana)hasthenatureofbeingtenseandispronetobeaggressiveundermenace.Theattackbehaviorcouldmakeaclinicalcruxforthepractitionerifphysicalexaminationisintended.Tostrikeforamutualbeneficialresolutiononbothsidesoftheanimalandstaff,administrationofappropriatesedativeswillensureanuneventfulprocedure.Xylazine(XYL)anddexmedetomidine(DEX)areα2adrenergicagonists,whichareusedforinductionfortheirsedativeandanalgesicandantagonistsareavailabletoreversetheeffectandspeedtherecovery.XYLwascommonlyusedforitssedativeandanalgesicinvarietiesofspecies,whichrelatedstudiesaremany.DEXisahighlyselectiveandspecificα2adrenergicagonistanditsclinicaluseindogsandcatsismoreofteninrecentyears.Yet,studiesofanestheticsinFormosangem-facedcivetsarerarelydocumented.Thisstudyisintendedtoobservethesedativeandanalgesiceffectsofthesoleadministrationoftwodifferentα2adrenergicagonists,respectively,informosangem-facedcivetsandtheeffectofatipamezole(ATI)toreversedexmedetomidine.Theexperimentgroupwasformedwith18formosangem-facedcivets.ThetreatedgroupofXYLwasatdosesof2,4and8mg/kgandsowasthetreatedgroupofDEXatdosesof0.01,0.02and0.04mg/kgviatherouteofintramuscularinjectiononthehindlimb.Thevitalsandintensityofthereflexweremonitoredandrecorded.AstheresultspresentedthegroupsofDEX0.02andDEX0.04mg/kgweretheonlytwodosagesthatmadethewholenumberofthetreatedanimals(6/6)onsetsteadysedationandnoobviousdifferencewasnotedinthesesixgroups.Theperiodofsedationsustainedlongerathigherdoses;theheartrateandrespiratoryrateweredecreasedandthebodytemperaturedeclinedgraduallyoversedation.ComparingXYLandDEX,thelaterprovedtomaintainasteadysedationbetterinformosangem-facedcivets.Inthestudyofantagonistreversal,0.04mg/kgofDEXwasadministeredtoreachthesedation,andthreegroupsoftestinganimalsweretreatedwithIMinjectionof0.04ml/kgofsaline,0.04mg/kgofATIand0.2mg/kgofATI,30minutesafterthetreatment,respectively.Thetreatedanimalsrecoveredin77.5,28.5and7minutesaftertheinjection,whichrevealedthatATIdramaticallyspeededtherecoveryandthehigherdosecontributedtothelesstime,whichadvantagestheclinicalpractice.Inconclusion,DEXprovidedmorestablesedativeeffectsthanXYLandtheadministrationof0.02or0.04mg/kgofDEXsucceededtoachievesuchgoaluneventfullyinformosangem-facedcivets.Previousassessmentofthetimeneededforproceduresdeterminedwhatdoseistobeadministeredwhensedationisconsideredforclinicalexaminationofformosangem-facedcivets.Aftertheprocedure,theanimalscanberestoredtotheirnormalpresedationdemeanoureffectivelyandreliablywithadministrationofATI.
URI: http://hdl.handle.net/11455/13095
其他識別: U0005-2907201110561600
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