Conclusion Remifentanil combined with propofol could maintain haemodynamics stability during ERCP and cause less adverse reaction.It is a safe anesthesia selective mode to gerontal patient.

• 结论瑞芬太尼复合异丙酚能有效维持ERCP术中的血流动力学稳定，术后不良反应较少，容易苏醒，对老年患者为安全的麻醉选择方式。