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.
2018, Vol. 15 
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