Application of combined spinal-epidural anesthesia in surgical treatment for appendicitis

Abstract

Objective To evaluate the anesthetic effect and clincal value of combined spinal-epidural anesthesia (CSEA) for surgical treatment for appendicitis.Methods 80 ASA Ⅰ-Ⅱ patients with appendicitis were randomly divided into 2 groups by the SPSS based on stratified method,respectively being spinal-epidural anesthesia (CSEA) group and epidural anesthesia (EA).The anesthetic effect,duration of anesthetic induction,dosage of epidural medicine uses,and dosage of ephedrine were compared.Results As compared with EA,CSEA had a faster onset,better anesthetic effect (x2=10.85,P＜0.01),higher controllability,and fewer complications (P＜0.01),and quickly met the anesthetic requirements of appendectomy.Conclusions Use of combined spinal-epidural anesthesia in appendectomy is easier to operate,a reliable method of anesthesia,and worth popularizing. Key words: Combined spinal-epidural anesthesia; Epidural anesthesia; Appendectomy