Abstract:

Objective To investigate the anesthetic eff ect and adverse reactions of ropivacaine combined with sufentanil in mixed hemorrhoid surgery. Method Eighty patients with mixed hemorrhoids who were admitted to Chang'an Xin'an Hospital in Dongguan City from January 2021 to December 2023 and required elective surgery were selected. They were randomly divided into an observation group and a control group, with 40 patients in each group. All patients underwent stapled hemorrhoidectomy and external hemorrhoidectomy. The control group was anesthetized with ropivacaine, while the observation group was anesthetized with ropivacaine combined with ropivacaine. The postoperative period was continuously monitored for one week. Compare the anesthesia eff ects, anesthesia blockade, postoperative anal contraction recovery, and adverse reactions between two groups of study subjects. Result There was no signifi cant diff erence in the levels of vital signs between the two groups of patients at T0 and T3 (P ＞ 0.05). The heart rate, systolic blood pressure, and diastolic blood pressure levels of the observation group patients decreased at T1 compared to T0, while there was no signifi cant diff erence in vital sign indicators between T1 and T0. The heart rate, systolic blood pressure, and diastolic blood pressure of the control group decreased on average at T1 and T2 compared to T0. The vital sign indicators of the observation group were higher than those of the control group at T1 and T2, and the diff erences were signifi cant (P ＜ 0.05). The maintenance time of sensation and motor block in the observation group was shorter than that in the control group, and the diff erences were signifi cant (P ＜ 0.05). There was no signifi cant diff erence in the onset time of sensation and motor block between the two groups of patients (P ＞ 0.05). The incidence of adverse reactions in the observation group was signifi cantly lower than that in the control group, and one week after surgery, the recovery rate of anal

contraction in the observation group (92.50%) was signifi cantly higher than that in the control group (75.00%), with a signifi cant diff erence (χ2=4.500, P=0.034). Conclusion For patients undergoing surgery for mixed hemorrhoids, the combination of ropivacaine and sufentanil anesthesia during the surgery can achieve good anesthesia eff ects, shorten anesthesia movement and block time, improve postoperative anal contraction recovery rate, and have a low incidence of adverse reactions compared to simple ropivacaine anesthesia.

Key words: Mixed hemorrhoids, Ropivacaine, Sufentanil, Anesthesia eff ect, Recovery of anal contraction, Adverse reactions