The choice of anesthesia for acute abdomen surgery patients and its influence on gastrointestinal function recovery.

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.