The restless leg syndromes is a common sensorimotor disorder of unknown cause affecting approximately 10% of the population. Different literature had different views on the association between neuraxial anesthesia and the occurrence of restless leg syndrome. Some reported that spinal anesthesia induced postoperative restless leg syndrome, but other studies showed that spinal and general anesthesia all two did not cause restless leg syndrome. A potential difference amongst these studies is that a big difference exists in surgical types. The investigators proposed that different types of surgery performed undergoing various anesthesia, and that there is a big difference in original pathophysiological condition. Therefore, the investigators hypothesized that pregnant women who have special physical states would have had an association between neuraxial anesthesia and restless leg syndrome in such patients who received selective cesarean section undergoing spinal or epidural anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
350
Procedures of spinal anesthesia with bupivacaine 0.5%, 10-15mg
Procedures of epidural anesthesia with ropivacaine 0.75%, 75-120mg
Nanjing Maternal and Child Health Care Hospital
Nanjing, Jiangsu, China
Occurrence of restless leg syndrome
Time frame: One day to one week after completion of cesarean
Intraoperative anesthetic effectiveness
The anesthetic efficacy of neuraxial anesthesia will be assessed with sensony and movement block means
Time frame: From the beginning of anesthesia (0 min) to completion of cesarean (45 min)
Postoperative analgesic effectiveness
This will be assessed with visual analog scale (VAS) of pain in a 0 to 10cm scoring bar
Time frame: From the initiation of analgesia (0 min) to 48 h after cesarean
Other postoperative side effects: hypotension, pruritus, nausea, vomiting, distal paraesthesia, dyskinesia in lower extremity
Time frame: From the completion of cesarean (1 day) to one week follow-up
Psychological state
This will be assessed with self anxiety and depression scales
Time frame: From one day to one week follow-up after cesarean
Infant weight
Time frame: Three min after cesarean section
One-min Apgar score
Time frame: One min after cesarean section
Five-min Apgar score
Time frame: Five min after cesarean section
Intraoperative vital signs
Time frame: From the beginning of cesarean (0 min) to completion of operation (45 min)
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