on the preventive and protective effects of intraspinal injection of ropivacaine on renal injury in preeclampsia women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) All women participating in the study signed an informed consent form. The age is between 25 and 35 years old; 2) Single pregnancy and primipara; 3) Gestational week > 37 weeks and fetal head position; 4) Pre-eclampsia: a) Mild preeclampsia: after 20 weeks of pregnancy, blood pressure >= 140/90mmHg; proteinuria: >= 300 mg/24h, protein/creatinine >= 0.3,random urine protein is more than 1+; it may be accompanied by upper abdominal discomfort, headache and other symptoms. b) Severe preeclampsia: Blood pressure >= 160/110mmHg; Proteinuria: >= 2000 mg/24h, serum creatinine >= 106µmol/L, random urine protein quantitative 2+; ALT or AST >= 1 times the normal value, jaundice; platelets < 100 x 10^9/L; microblood tube disease hemolysis LDH is elevated; persistent headache or other brain or visual disorders; persistent upper abdominal pain; 5) Those who have signed the informed consent.
Exclusion criteria
Exclusion criteria: 1) Originally suffering from medical and surgical complications: diabetes, chronic hypertension, heart/coronary artery disease, kidney disease, liver disease, anemia and other blood diseases, tumors, inflammation or immune diseases; 2) History of blood transfusion or blood therapy; 3) Obstetric complications such as abruption of placenta and placenta previa; 4) History of recurrent miscarriage; 5) Have a long-term history of opioid use; 6) Pregnant women with a history of headache or other neurological diseases or contraindications for intraspinal delivery analgesia; 7) Those who have difficulty in spinal canal puncture.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood urea nitrogen;Serum creatinin; | — |
Secondary
| Measure | Time frame |
|---|---|
| 24 h urine protein;Placental tissue marker molecule; | — |
Countries
China
Contacts
Department of Anesthesiology, Obstetrics and Gynecology Hospital of Fudan University