Effects of General Anesthesia Combined with Epidural Block Anesthesia on Stress Response and Postoperative Recovery of Patients Undergoing Ab-dominal Surgery
Objective To explore the value of general anesthesia combined with epidural block anesthesia(EB)in ab-dominal surgery.Methods The clinical data of 100 patients with abdominal surgery admitted to Jinan Shizhong Dis-trict People's Hospital from January 2022 to December 2023 were retrospectively selected and divided into two groups according to different anesthesia methods,with 50 cases in each group.The control group was treated with general an-esthesia,and the observation group was treated with EB anesthesia.The hemodynamics,stress response,postoperative recovery,pain score,cognitive function and adverse reactions were compared between the two groups.Results The heart rate and mean arterial pressure during skin incision and suture incision in the observation group were(80.85±7.76)times/min,(70.23±6.12)times/min,(95.48±9.35)mmHg,(86.24±7.75)mmHg,respectively,which were lower than those in the control group(87.42±7.81)times/min,(75.12±6.32)times/min,(108.62±9.58)mmHg,(91.86±7.63)mmHg,and the differences were statistically significant(t=4.220,3.930,6.941,3.654,all P<0.05).The postoperative stress response indexes of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The postoperative recovery of the observation group were better than that of the control group,and the differences were statistically significant(all P<0.05).The pain scores at 6 h and 12 h after op-eration in the observation group were lower than those in the control group,and the cognitive function scores at 24 h after operation were higher than those in the control group,the differences were statistically significant(all P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion General anes-thesia combined with EB anesthesia is more valuable in abdominal surgery,which can better stabilize heart rate and blood pressure,shorten the recovery time of postoperative patients,reduce postoperative pain score,and do not in-crease the risk of adverse reactions.
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