无痛内镜下逆行胰胆管造影术在限定时间内选择性胆胰管插管的临床应用

Abstract
Figure/Table
References (22)
Related Citation (0)

Download: PDF (696 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the clinical application of selective bile pancreatic duct intubation in painless endoscopic retrograde cholangiopancreatography (ERCP) within limited time. Methods One hundred and twenty patients taking ERCP diagnosis and treatment in Xiangtan County People′s Hospital from February 2014 to January 2016 were selected. They were divided into control group and experimental group by random number table method with 60 cases in each group. The control group was given routine sedation and ERCP, while the experimental group was given intravenous general anesthesia and ERCP. Successful intubation time within limited time, operation time, hospitalization time, postoperative complications and SAS, SDS scores before and after treatment were compared between the two groups. Results Actual successful intubation time within the limited time of 5, 10, 20 min in the experiment group were significantly shorter than those in the control group (P ＜ 0.05); operation time and hospitalization time of the experiment group were significantly shorter than those of the control group (P ＜ 0.05); the complication rate of the experiment group was significantly lower than that of the control group (P ＜ 0.05). Before treatment, there was no difference in SAS and SDS scores between the two groups (P ＞ 0.05), while after treatment SAS and SDS scores in the experiment group were significantly lower than those before treatment (P ＜ 0.05). SDS score in the control group decreased after treatment (P ＜ 0.05), but SAS score had no difference before and after treatment (P ＞ 0.05). After treatment, SAS and SDS scores in the experimental group were lower than those in the control group (P ＜ 0.05). Conclusion The painless ERCP has superiority that can reduce intubation tube time and the total time of operation, reduce the incidence of postoperative complications, and it is worthy of clinical promotion and application.

Key words： Endoscopic retrograde cholangiopancreatography Intravenous general anesthesia Bile pancreatic duct intubation Postoperative complications

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZUO Xuhui1 XIAO Xiang2 RAO Huibo3

Cite this article:

ZUO Xuhui1 XIAO Xiang2 RAO Huibo3. Clinical application of selective bile pancreatic duct intubation in painless endoscopic retrograde cholangiopancreatography within limited time[J]. 中国医药导报, 2018, 15(35): 130-133.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I35/130

[1] 巢烨.护理干预在无痛内镜下行逆行胰胆管造影术中的作用[J].医学信息，2014，27（1）：327-327.
[2] 郭全周.长托宁与阿托品在无痛ERCP麻醉中的效果比较[J].贵阳医学院学报，2014，39（1）：109-110.
[3] 刘宇.不同手术入路的胆道金属支架置入治疗恶性阻塞性黄疸的临床研究[J].中国现代药物应用，2016，10（7）：88-90.
[4] 龙丰云，米智华，高巨，等.地佐辛复合丙泊酚用于内镜下逆行胰胆管造影术的效果评估[J].中国医师进修杂志，2014，37（32）：64-66.
[5] 张利，罗辉，张荣春，等.经内镜逆行胰胆管造影术诊治胰腺分裂症的临床价值[J].中华消化内镜杂志，2016，33（4）：244-246.
[6] 陈静，王品，王青，等.右美托咪定复合瑞芬太尼监护性麻醉在ERCP诊疗过程中的应用[J].淮海医药，2015，33（6）：591-592.
[7] 季方兵，黄礼兵，姚凤珍，等.右美托咪定复合丙泊酚在内镜逆行胰胆管造影手术麻醉中的临床应用效果[J].实用临床医药杂志，2013，17（19）：21-23.
[8] 郭全周.地佐辛与芬太尼联合靶控输注丙泊酚用于无痛ERCP的对比研究[J].蚌埠医学院学报，2014，39（11）：1538-1539.
[9] 杨柳，高帆.胆胰疾病无痛性ERCP术中全程护理干预的应用[J].中国煤炭工业医学杂志，2015，18（10）：1735-1739.
[10] 郭全周，苗振华，胡丽英，等.盐酸戊乙奎醚地佐辛丙泊酚联合用于无痛经内镜逆行胰胆管造影20例[J].医药导报，2014，33（1）：60-62.
[11] 郭全周，胡丽英.不同靶浓度丙泊酚复合地佐辛用于无痛经内镜逆行胰胆管造影术的对比研究[J].山西医药杂志，2015，44（8）：926-928.
[12] 顾政，朱家沂，成敏，等.瑞芬太尼联合右美托咪定用于老年患者无痛经内镜逆行性胆管造影术的镇痛效果及安全性分析[J].中国医药，2015，10（9）：1386-1389.
[13] 杨爱明.超声内镜与经内镜逆行胰胆管造影联合洽疗胆胰疾病[J] 临床肝胆病杂志，2018，34（3）：482-485.
[14] 张小斌，谭娜，周毅，等.胆管总管结石逆行胆胰管造影术后并发胰腺炎的相关因素分析[J].中国当代医药，2017，24（36）：30-32.
[15] 黄剑梅，杜国平.EST术后远期并发症及防治的研究进展[J].中国医学创新，2016，13（4）：142-145.
[16] 丁希伟，姚玉玲，吴寒，等.经内镜逆行胰胆管造影术在儿童胆胰疾病诊治中的应用价值[J].中华消化内镜杂志，2017，34（2）：99-103.
[17] 张艳，苏树英.胰管塑料支架在ERCP选择性胆管插管困难时的应用[J].深圳中西医结合杂志，2016，26（16）：104-106.
[18] 王昱良，郑永青，苏欢欢，等.不同辅助插管方案对逆行胰胆管造影插管困难患者再次插管成功率及术后并发症的影响[J].山西医药杂志，2016，45（1）：61-63.
[19] 王建荣，缪林，张秀华，等.胰管支架在内镜逆行胆胰管造影中的应用价值[J].临床消化病杂志，2015，27（6）：360-363.
[20] 李作安，张建民，钱长春，等.逆行胰胆管造影联合内镜与腹腔镜联合胆道镜治疗单纯胆总管结石的临床效果[J].中国医药导报，2016，13（28）：56-59.
[21] Ardengh JC，Lopes CV，Kemp R，et al. Different options of endosonography-guided biliary drainage after endoscopic retrograde cholangio-pancreatography failure [J]. World J Gastrointest Endosc，2018，10（5）：99-108.
[22] Moutinho-Ribeiro P，Peixoto A，Macedo G，et al. Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound：to be one traveler in converging roads [J]. GE Port J Gastroenterol，2018，25（3）：138-145.