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Erschienen in: Archives of Gynecology and Obstetrics 3/2012

01.09.2012 | Maternal-Fetal Medicine

Effect of epidural block on 24-hour urine protein in pregnant rat models with preeclampsia

verfasst von: You-jing Dong, Lin-lin Gao

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2012

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Abstract

Objective

To investigate the effects of epidural block on 24-hour urine protein in rat with preeclampsia (PE).

Methods

Thirty healthy pregnant Wistar rats were randomly divided into three groups (each group with 10 rats). From the 14th day of pregnancy, the rats in Group A were given subcutaneous normal saline (0.5 ml) every day in a total of 7 days; the rats in Group B were given subcutaneous l-nitroarginomethyl ester (l-NAME) (50 mg) every day in a total of 7 days; and the rats in Group C both were given subcutaneous l-NAME (50 mg) every day and underwent epidural block with 25 μl of 0.125 % bupivacaine twice every day all in a total of 7 days. The 24-hour urine protein and systolic blood pressure on the 13th and 20th day of pregnancy were measured.

Results

On the 13th day of pregnancy, there was no statistical significant difference in 24-hour urine protein and systolic blood pressure between the three groups (P > 0.05). On the 20th day of pregnancy, 24-hour urine protein and systolic blood pressure all were higher in Group B and C than in Group A (P < 0.01 and P < 0.05)) and all were lower in Group C than in Group B (P < 0.01 and P < 0.05).

Conclusion

Epidural block can decrease 24-hour urine protein and systolic blood pressure in pregnant rat models with PE. This study provides a potential strategy for treatment of PE.
Literatur
1.
Zurück zum Zitat Lin Q, Ye T (2011) Treatment for hypertension during gestation period. Chin J Pract Gynecol Obstet 27:881–882 Lin Q, Ye T (2011) Treatment for hypertension during gestation period. Chin J Pract Gynecol Obstet 27:881–882
2.
Zurück zum Zitat Todd MM, Brown DL (1999) Regional anesthesia and postoperative pain management: long-term benefits from a short-term intervention. Anesthesiology 91:1–2PubMedCrossRef Todd MM, Brown DL (1999) Regional anesthesia and postoperative pain management: long-term benefits from a short-term intervention. Anesthesiology 91:1–2PubMedCrossRef
3.
Zurück zum Zitat Schobel HP, Fischer T, Heuszer K, Geiger H, Schmieder RE (1996) Preeclampsia—a state of sympathetic overactivity. N Engl J Med 335:1480–1485PubMedCrossRef Schobel HP, Fischer T, Heuszer K, Geiger H, Schmieder RE (1996) Preeclampsia—a state of sympathetic overactivity. N Engl J Med 335:1480–1485PubMedCrossRef
4.
Zurück zum Zitat Molnar M, Suto T, Toth T, Hertelendy F (1994) Pro1onged blockade of nitrie oxide synthesis ingravid rats produce sustained hypertension, Proteinuria,thrombocytopenia,and intrauterine growth retardation. Am J obstet Gynecol 170:1458–1466PubMed Molnar M, Suto T, Toth T, Hertelendy F (1994) Pro1onged blockade of nitrie oxide synthesis ingravid rats produce sustained hypertension, Proteinuria,thrombocytopenia,and intrauterine growth retardation. Am J obstet Gynecol 170:1458–1466PubMed
5.
Zurück zum Zitat Mohiar M, Hertelendy F (1992) N-nitrie-l-arginine, an inhibitor of nitric ox-ide synthesis, increases blood pressure in rats and reverses the pregnancy-induced refractoriness to vasopressor agents. Am J Obstet Gynecol 166:1560–1567 Mohiar M, Hertelendy F (1992) N-nitrie-l-arginine, an inhibitor of nitric ox-ide synthesis, increases blood pressure in rats and reverses the pregnancy-induced refractoriness to vasopressor agents. Am J Obstet Gynecol 166:1560–1567
6.
Zurück zum Zitat Olson GL, Saade GR, Buhimschi I, Chwalisz K, Garfield RE (1999) The effect of an endothelin antagist on blood pressure in a rat model of preeclampsia. Am J Obstet Gynecol 181:638–641PubMedCrossRef Olson GL, Saade GR, Buhimschi I, Chwalisz K, Garfield RE (1999) The effect of an endothelin antagist on blood pressure in a rat model of preeclampsia. Am J Obstet Gynecol 181:638–641PubMedCrossRef
7.
Zurück zum Zitat Khatun S, Kanayama N, Sato E, Belayet HM, Kobayashi T, Terao T (1998) Eclamptic plasma stimulates norepinephrine release in cultured sympathetic nerve. Hypertension 31:1343–1349PubMedCrossRef Khatun S, Kanayama N, Sato E, Belayet HM, Kobayashi T, Terao T (1998) Eclamptic plasma stimulates norepinephrine release in cultured sympathetic nerve. Hypertension 31:1343–1349PubMedCrossRef
8.
Zurück zum Zitat Frank SI, El-Rahmany HK, Tran KM, Vu B, Raja SN (2000) Comparison of lower extremity cutaneous temperature changes in patients receiving lumber sympathetic ganglion blocks versus epidural anesthesia. J Clin Anesth 12:525–530PubMedCrossRef Frank SI, El-Rahmany HK, Tran KM, Vu B, Raja SN (2000) Comparison of lower extremity cutaneous temperature changes in patients receiving lumber sympathetic ganglion blocks versus epidural anesthesia. J Clin Anesth 12:525–530PubMedCrossRef
9.
Zurück zum Zitat Dong Y, Wang Y, Cui J (2000) Effects of subarachnoid block on plasma nitric oxide level in the patients with pregnancy-induced hypertension. Chin J Anesthesiol 20:92–94 Dong Y, Wang Y, Cui J (2000) Effects of subarachnoid block on plasma nitric oxide level in the patients with pregnancy-induced hypertension. Chin J Anesthesiol 20:92–94
10.
Zurück zum Zitat Saito S, Shiozaki A, Nakashima A, Sakai M, Sasaki Y (2007) The role of the immune system in preeclampsia. Mol Aspects Med 28:192–209PubMedCrossRef Saito S, Shiozaki A, Nakashima A, Sakai M, Sasaki Y (2007) The role of the immune system in preeclampsia. Mol Aspects Med 28:192–209PubMedCrossRef
11.
Zurück zum Zitat Procopio MA, Rassias AJ, Deleo JA, Pahl J, Hildebrandt L, Yeager MP (2001) The in vivo effects of general and epidural anesthesia on human immune function. Anesth Analg 93:460–465PubMed Procopio MA, Rassias AJ, Deleo JA, Pahl J, Hildebrandt L, Yeager MP (2001) The in vivo effects of general and epidural anesthesia on human immune function. Anesth Analg 93:460–465PubMed
12.
Zurück zum Zitat Murayi P, Joris J, Lamy M (1999) General anesthesia vs perimedullary anesthesia. Rev Med Liege 54:588–592PubMed Murayi P, Joris J, Lamy M (1999) General anesthesia vs perimedullary anesthesia. Rev Med Liege 54:588–592PubMed
Metadaten
Titel
Effect of epidural block on 24-hour urine protein in pregnant rat models with preeclampsia
verfasst von
You-jing Dong
Lin-lin Gao
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 3/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2354-y

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