Comparative study of conscious sedation and intravenous anesthesia used to endoscopic retrograde cholangio pancreatiography in treatment of extrahepatic bile duct stones
10.3760/cma.j.issn.1673-4904.2014.06.014
- VernacularTitle:清醒镇静与静脉麻醉在内窥镜逆行胰胆管造影术治疗肝外胆管结石中的比较研究
- Author:
Hui HU
;
Xubin JING
;
Xiyan ZOU
;
Jinxiong WU
- Publication Type:Journal Article
- Keywords:
Gallstones;
Conscious sedation;
Anesthesia;
Endoscopes
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(6):37-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effectiveness of conscious sedation and intravenous anesthesia used to endoscopic retrograde cholangio pancreatiography (ERCP) in treatment of extrahepatic bile duct stones.Methods A total of 100 cases of extrahepatic bile duct stones patients in treatment of ERCP were encoded by the group order,50 cases of odd used intravenous anesthesia (intravenous anesthesia group),intravenous injection of propofol; 50 cases of even used conscious sedation (conscious sedation group),muscle injection of diazepam and pethidine.Intraoperative reaction (extubation behavior,own postural changes),changes in vital signs,operating time,the success rate of stone and complication were observed in two groups.Results The incidence of intraoperative extubation behavior and own postural changes in conscious sedation group were significantly higher than those in intravenous anesthesia group [24％ (12/50) vs.2％ (1/50),18％ (9/50) vs.0],and the differences were statistically significant (P ＜ 0.01).The heart rate and mean artery pressure in two groups were decreased at 5 minutes after administration than that before operation,and the difference was statistically significant (P ＜ 0.05),but there was no statistical significance at 10 min after entering the mirror and postoperative awake compared with before operation (P ＞ 0.05).Pulse oxygen saturation between two groups had no statistical significance (P ＞0.05).The success rate of stone in two groups were 98％ (49/50).Operating time in intravenous anesthesia group was obviously shorter than that in conscious sedation group [(38.2 ± 6.3) min vs.(49.1 ± 9.9) min] (P ＜ 0.01).The complications between two groups had no statistical significance (P ＞ 0.05).Conclusion Conscious sedation and intravenous anesthesia can be used to ERCP in treatment of extrahepatic bile duct stones,but intravenous anesthesia can obviously reduce patients discomfort,shorten the operation time.
