Analysis of the Effects of Combined Spinal-Epidural Anesthesia and Epidural Anesthesia in Appendicitis Surgery at Primary Hospitals

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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Abstract

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.

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