American journal of translational research · 2021
The choice of anesthesia for acute abdomen surgery patients and its influence on gastrointestinal function recovery.
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Han Qian, Wu Shuishui, Chen Haijun, Wang Lei, Zhang Chuansuo
Аннотация
OBJECTIVE: To study the clinical anesthesia options for patients undergoing acute abdomen surgery and its effect on the recovery of patients' gastrointestinal function.
METHODS: 120 patients who underwent abdomen surgery in our hospital from January 2018 to January 2019 were recruited as the research cohort and placed into group A (n=40) or group B (n=80) according to different anesthesia method each underwent. Group A was administered combined spinal-epidural anesthesia, and group B was administered general anesthesia with tracheal intubation. The anesthesia-related time indicators, the postoperative analgesia, the complication rates (CR), the gastric function indicators, and the gastrointestinal function recovery times were compared between the two groups.
RESULTS: Group A's anesthesia-related time indicators were significantly lower than group B's (P<0.001). The visual analogue scale (VAS) postoperative pain score in group A was (2.21±0.41), which was observably lower than the corresponding score in group B (P<0.001). There was no significant difference in the CR between the two groups (7.5% vs 17.5%) (P>0.05). The motilin and ghrelin levels in group A were significantly higher than they were in group B (P<0.05). The gastrointestinal function recovery time in group A was notably less than it was in group B (P<0.05).
CONCLUSION: Spinal-epidural anesthesia is a preferred technique because of its strengths in gastric function and operation success rates by taking patients' actual situations into consideration.
METHODS: 120 patients who underwent abdomen surgery in our hospital from January 2018 to January 2019 were recruited as the research cohort and placed into group A (n=40) or group B (n=80) according to different anesthesia method each underwent. Group A was administered combined spinal-epidural anesthesia, and group B was administered general anesthesia with tracheal intubation. The anesthesia-related time indicators, the postoperative analgesia, the complication rates (CR), the gastric function indicators, and the gastrointestinal function recovery times were compared between the two groups.
RESULTS: Group A's anesthesia-related time indicators were significantly lower than group B's (P<0.001). The visual analogue scale (VAS) postoperative pain score in group A was (2.21±0.41), which was observably lower than the corresponding score in group B (P<0.001). There was no significant difference in the CR between the two groups (7.5% vs 17.5%) (P>0.05). The motilin and ghrelin levels in group A were significantly higher than they were in group B (P<0.05). The gastrointestinal function recovery time in group A was notably less than it was in group B (P<0.05).
CONCLUSION: Spinal-epidural anesthesia is a preferred technique because of its strengths in gastric function and operation success rates by taking patients' actual situations into consideration.