Observation On The Effect Of Tongyi Lidan Decoction Combined With Meridian-Pressing Instrument On Patients With Biliary Pancreatitis After ERCP Operation Treatment

ObjectiveBy observing the effect of Tongyi Lidan Decoction combined with meridian-pressing instrument on the patients with biliary pancreatitis after.endoscopic retrograde cholangiopancreatography(ERCP)operation treatment,explore the mechanism and clinical application value of Tongyi Lidan Decoction and meridian-pressing instrument to provide new ideas for the extended treatment of the patients with biliary pancreatitis after ERCP operation treatment.MethodsSixty patients with acute biliary pancreatitis(ABP)of liver-biliary damp-heat syndrome were randomly divided into the control group and the treatment group of 30 cases each after ERCP operation treatment.After ERCP operation treatment,the control group was treated with western medicine routine treatment,and the treatment group was given oral Tongyi Lidan Decoction combined with meridian-pressing instrument on that basis.The scores of abdominal pain,abdominal distension,upper abdominal tenderness,intestinal peristalsis,nausea and vomiting,fever,the level of serum white blood cell count(WBC),serum hypersensitive C-reactive protein(hs-CRP),serum total bilirubin(TBIL),serum alanine aminotransferase(ALT),serum y-glutamyl transpeptidase(GGT)and serum amylase(AMY)before and after treatment of two groups were observed.And the comprehensive efficacy of the disease of two groups was evaluated.Results(1)The scores of the abdominal pain,abdominal distension,upper abdominal tenderness,intestinal peristalsis,nausea and vomiting and fever of the two groups on day 5 after ERCP operation treatment were significantly lower than that before treatment(P<0.05),and the scores of the abdominal pain,abdominal distension and intestinal peristalsis of the treatment group on day 5 after ERCP operation treatment were more significantly decreased than that of the control group(P<0.05),but there were no significant differences in the scores of upper abdominal tenderness,nausea and vomiting and fever between the two groups on day 5 after ERCP operation treatment(P>0.05).(2)The levels of serum WBC,serum hs-CRP,serum TBIL,serum ALT,serum GGT and serum AMY of the two groups on day 5 after ERCP operation treatment were significantly lower than that before treatment(P<0.01),and the levels of serum WBC,serum TBIL,serum ALT and serum AMY of the treatment group on day 5 after ERCP operation treatment were more significantly decreased than that of the control group(P<0.05),but there were no significant differences in the the levels of serum hs-CRP and serum GGT between the two groups on day 5 after ERCP operation treatment(P>0.05).(3)The comprehensive efficacy of the disease of the treatment group was significantly better than that of the control group(P＜0.05).ConclusionTreating the patients with the biliary pancreatitis of liver-biliary damp-heat syndrome with oral Tongyi Lidan Decoction combined with meridian-pressing instrument after ERCP operation treatment is helpful to promote the elimination of pancreatic inflammation and the recovery of digestive tract function,and then significantly improve the clinical signs and symptoms,and improve the treatment effect after ERCP operation treatment.