Influence of Different Anesthesia Methods on Patients Undergoing Incarcerated Femoral Hernia Repair Surgery

ZHOU Chenyu; GAO Zhenying; CAO Chunmei

doi:10.14033/j.cnki.cfmr.2024.32.003

Abstract：Objective:To investigate the influence of different anesthesia methods on elderly patients undergoing incarcerated femoral hernia repair surgery.Method:A total of 102 elderly patients with incarcerated femoral hernia treated in Nantong Tongzhou District Hospital of Traditional Chinese Medicine from January 2021 to January 2024 were selected.They were randomly divided into continuous epidural anesthesia(CEA)group and spinal anesthesia(SA)group according to envelope drawing method,with 51 cases in each group.CEA group was given CEA,SA group was given SA.Stress reaction intraoperative and 1 h after surgery,C-reactive protein(CRP)and white blood cell count(WBC)24 h,48 h after surgery,pain degree at 24 h,48 h and 72 h after surgery,time index,complications and treatment cost were compared between the two groups.Result:The levels of blood glucose and cortisol in CEA group were significantly lower than those in SA group during surgery and 1 h after surgery,the differences were statistically significant(P＜0.05).At 24 h and 48 h after surgery,CRP level in CEA group was lower than that in SA group,and WBC in CEA group was lower than that in SA group 48 h after surgery,the differences were statistically significant(P＜0.05).Visual analogue scale(VAS)scores at 24 h,48 h and 72 h after surgery in CEA group were significantly lower than those in SA group,and the time of getting out of bed,intestinal function recovery time and hospital stay were significantly shorter than those in SA group,the differences were statistically significant(P＜0.05).The incidence of complications in CEA group was significantly lower than that in SA group,the differences were statistically significant(P＜0.05).The anesthesia cost and total treatment cost of CEA were higher than those of SA group,and the drug cost was lower than that of SA group,the differences were statistically significant(P＜0.05).Conclusion:CEA is superior to SA in postoperative pain management,recovery time and complication incidence in elderly incarcerated femoral hernia repair surgery,but the treatment cost is slightly higher.Patients should choose the anesthesia method according to the specific situation,which is helpful to optimize the postoperative recovery effect and control medical costs.