Objective: To analyze the effects of combined spinal-epidural anesthesia and epidural anesthesia in patients undergoing appendicitis surgery. Methods: Seventy-eight patients who underwent surgical treatment for appendicitis from February 2022 to February 2025 were selected as samples and randomly divided into two groups. The study group received combined spinal-epidural anesthesia, while the control group received epidural anesthesia. Anesthesia indicators, vital signs, and complication indicators were compared between the two groups. Results: The onset time of anesthesia in the study group was shorter than that in the control group, the visual analog scale (VAS) score was lower than that in the control group, and the highest plane of anesthesia block was lower than that in the control group (P < 0.05). At 15 minutes after anesthesia induction and at the end of surgery, the heart rate (HR), mean arterial pressure (MAP), and blood oxygen saturation (SPO2) in the study group were significantly different from those in the control group (P < 0.05). The complication rate in the study group was lower than that in the control group (P < 0.05). Conclusion: Combined spinal-epidural anesthesia for appendicitis surgery can reduce the impact of anesthesia on vital signs, shorten the onset time of anesthesia, and is highly effective and feasible.
Zhang D, Zhang M, 2023, Comparison of the Effects of Propofol Intravenous Anesthesia and Sevoflurane Inhalation Anesthesia in Children with Acute Appendicitis. Guizhou Medical Journal, 47(6): 930–931.
Li Y, Lin H, Jiang Y, Shao S, 2023, The Effectiveness of the Analgesia Index in Assessing Pain During General Anesthesia for Laparoscopic Appendectomy. Shanghai Medical Journal, 46(3): 144–148.
Liu J, Huang W, Wang Z, et al., 2019, The Effectiveness of the Analgesia-Noxious Stimulation Index in Assessing Pain Stimulation During Laparoscopic Surgery Under Total Intravenous Anesthesia. The Journal of Practical Medicine, 35(3): 403–406, 411.
Li Y, Deng L, Hu Y, Zhang Y, 2020, The Effectiveness of Surgical Plethysmographic Index, Pupil Diameter, and Analgesia Index in Predicting Pain During Laparoscopic Appendectomy. Journal of Clinical Anesthesiology, 36(4): 359–363.
Wei Y, 2024, Study on the Effect of Different Doses of Ropivacaine for Combined Spinal-Epidural Anesthesia in Patients Undergoing Appendectomy. Chinese Scientific Journal Database (Abstract Edition) Medicine and Health, 2024(1): 40–43.
Wu Z, Lin D, 2024, Exploring the Application Effect of Sevoflurane Combined with Propofol Anesthesia in Laparoscopic Surgery for Appendicitis in Middle-Aged and Elderly Patients. Northern Pharmacology, 21(2): 76–78.
Peng Y, 2023, Analysis and Discussion on the Application Effect of Combined Spinal-Epidural Anesthesia and Epidural Anesthesia in Appendectomy. Chinese Scientific Journal Database (Full Text Edition) Medicine and Health, 2023(2): 42–44.
Liu S, 2023, Analysis of the Effect of Butorphanol Applied Intraoperatively in Patients Undergoing Laparoscopic Appendectomy to Prevent Hyperalgesia After Remifentanil Anesthesia. Chinese Journal of Modern Drug Application, 17(11): 111–113.
Yin S, 2021, Observation on the Application Effect of Combined Spinal-Epidural Anesthesia and Epidural Anesthesia in Appendectomy. Chinese Scientific Journal Database (Full Text Edition) Medicine and Health, 2021(5): 29, 33.
Huang J, 2022, Exploration of the Optimal Concentration of Ropivacaine for Combined Spinal-Epidural Anesthesia in Appendectomy. Primary Medical Forum, 26(7): 67–69.