The Clinical Observation Of Qingyitang Enema Combined With ERCP In The Treatment Of Acute Biliary Pancreatitis Of Liver And Gallbladder Damp-heat Type

Objective:In the context of endoscopic ERCP interventional surgery for the treatment of acute biliary pancreatitis,to study the clinical efficacy of traditional Chinese medicine enema combined with ERCP endoscopic intervention for acute biliary pancreatitis,to explore whether the treatment of integrated traditional Chinese and Western medicine is better than Conventional Western medicine endoscopic treatment,provides new treatment ideas for clinicians in the treatment of acute biliary pancreatitis.Methods:Sixty patients with acute hepatobiliary damp-heat biliary pancreatitis who met the inclusion criteria in the hepatobiliary surgery of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from March to February 2018,2017 were selected.Patients were divided into experimental group and control group by random number table method,30 cases in each group.The control group received ERCP endoscopic intervention and conventional banned diet,anti-infection,acid suppression,inhibition of pancreatic secretion and activity,maintenance of water and electrolyte balance and nutritional support.The experimental group was treated with traditional Chinese medicine decoction and Qingyi Decoction on the basis of routine Western medicine treatment in the control group.Total treatment for 9 days.The clinical comprehensive efficacy,TCM syndrome scores and abdominal CT grading were compared before and after treatment.The changes of blood amylase and urinary amylase before and after treatment were compared between the two groups.The changes of white blood cell count before and after treatment were compared.Perform statistical analysis on relevant data.Results:1.General information There was no significant difference in age and gender distribution between the two groups(p>0.05),which was comparable;2.Clinical comprehensive efficacy evaluation The overall cure rate of the experimental group + significant efficiency was 96.7% higher than that of the control group 73.3(p<0.05).The difference was statistically significant(p < 0.05).3.Comparison of TCM syndrome points There was no significant difference in the scores of TCM syndromes between the two groups before treatment(p>0.05),which was comparable.After treatment,the TCM syndrome scores of the two groups were significantly decreased.The experimental group had fever in the main symptoms,upper abdominal tenderness,and time.The improvement in bloating was better than that in the control group(p<0.05),and the difference was statistically significant.4.Abdominal CT classification It is known that there is no significant difference between the two groups before CT treatment(p>0.05),and there is significant improvement after treatment,but there is no statistically significant difference after treatment(p>0.05).5.Laboratory indicators here was no significant difference between the experimental group and the control group on the day of white blood cell count and blood urease amylase on the day of admission(p>0.05),which was comparable.After treatment,the white blood cell count and blood urease amylase decreased significantly in both groups.However,the decreasing trend of leukocyte and hematuria amylase in the experimental group was more significant,and there was statistical difference between the two groups after treatment(p<0.01).The recovery time of hematuria and amylase in the two groups was significantly shorter than that in the control group.And the difference was statistically significant(p<0.01).Conclusion:Compared with simple endoscopic ERCP intervention,traditional Chinese medicine decoction combined with ERCP treatment of hepatobiliary damp-heat type acute biliary pancreatitis can better promote the regression of inflammation,improve clinical symptoms and TCM syndromes,and improve clinical efficacy.