Clinical Efficacy of Endoscopic Retrograde Cholangiopancreatography Combined With Traditional Chinese Medicine Comprehensive Nursing in the Treatment of Biliary Tract Complications After Liver Transplantation.

OBJECTIVE

This study explored the clinical efficacy of endoscopic retrograde cholangiopancreatography (ERCP) combined with traditional Chinese medicine (TCM) comprehensive nursing in treating biliary tract complications (BTCs) after liver transplantation (LT).

MATERIALS AND

METHODS

A total of 124 patients with BTCs after LT were screened and randomly divided into a control group and an experimental group. Both groups of patients underwent ERCP treatment and patients in the control group received conventional nursing, and those in the experimental group received TCM comprehensive nursing on top of the control group. The clinical efficacy after 1 month of intervention was recorded. Before intervention and 1 month after intervention, fasting venous blood was collected to detect the levels of hepatic function indicators alanine aminotransferase (ALT) and aspartate aminotransferase (AST). The negative emotions of the patients were evaluated by using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS), and the quality-of-life scores were determined by using the Quality-of-Life Scale. Postintervention complications, such as pancreatitis, hyperamylasemia, and reflux cholangitis, were recorded.

RESULTS

The total effective rate in the experimental group (90.32%) was higher than that in the control group (72.58%). ALT, AST, SAS, and SDS scores of the 2 groups after treatment were lower than before treatment, and the scores of quality of life were higher. Greater improvements were observed in the experimental group. The complication rate of the experimental group (3.23%) was lower than that of the control group (22.58%) (P<0.05).

CONCLUSION

ERCP combined with TCM comprehensive nursing for patients with BTCs after LT can effectively reduce anxiety and depression, improve the quality of life, and reduce the incidence of complications.