To explore the optimal anesthesia procedure for prolapse and hemorrhoids (PPH), so as to promote the rapid recovery of patients.

60 patients with PPH in the First Affiliated Hospital of Guangzhou Medical University from July 2019 to January 2020 were randomly divided into combined spinal epidural anesthesia (group A), laryngeal mask airway (LMA) with muscle relaxant (group B) and general anesthesia with non muscle relaxant laryngeal mask airway (group C), with 20 cases in each group. The perioperative anesthesia effects of the three groups were compared: the changes of blood pressure and heart rate before operation, during operation and at the end of operation, the operation time and the time of removing laryngeal mask in each group. Postoperative pain score and analgesic use rate at 2, 6, 12 and 24 h, and the incidence of postoperative urinary retention, hospital stay and postoperative sleeping were recorded.

The anesthetic effect in group B was significantly better than that in group A and group C (P<0.05). Postoperative analgesia scores of group B at 2, 6, 12 and 24 h were lower than those of group A and C (P<0.05). The incidence of urinary retention and the length of hospital stay in group B was significantly lower than that in group A and C. The sleep quality of group B was better than that of group A and group C (P<0.05).

Muscle relaxation LMA ventilation general anesthesia + perianal block is more suitable for PPH day surgery. The effect of anesthesia is excellent, which can reduce postoperative pain and reduce the incidence of urinary retention.