奥马哈系统联合通腑逐瘀汤对行颅内血肿清除术患者自我效能及神经功能影响分析

Analysis of effects of Omaha system combined with Tongfu Zhuyu decoction on self-efficacy and neurological function in patients undergoing intracranial hematoma clearance surgery

目的 研究奥马哈系统联合通腑逐瘀汤对行颅内血肿清除术患者自我效能及神经功能影响分析。方法 回顾性分析2020年1月—2021年6月时间段河南省中医院神经外科采用奥马哈系统联合通腑逐瘀汤的70例行颅内血肿清除术的脑出血患者,作为本次研究对象,纳入观察组,与2018年6月—2019年12月期间未进行奥马哈系统(采用干预措施)行颅内血肿清除术的脑出血患者,抽取70例,作为研究对象,纳入对照组,进行对比分析。根据自我效能(GSES)量表,评定两组患者干预前后自我管理能力,包括:疾病、用药、康复;根据QL-30生活质量评定量表,对比两组患者干预前后的生活质量,包括:躯体功能、心理功能、社会功能;基于S100β蛋白(S100β)、神经元特异性烯醇化酶(NES)等指标,对比两组干预前后神经功能水平。对比两组并发症发生数据,包括:恶心、头晕、再出血。结果 干预前两组患者的心理功能、社会功能等QL-30量表数据无差异(P>0.05);干预后观察组患者的心理功能、社会功能等QL-30量表数据较对照组优,组间有差异(P<0.05)。干预前两组患者的用药、康复等GSES量表数据无差异(P>0.05);干预后观察组患者的用药、康复等GSES量表数据较对照组优,组间有差异(P<0.05)。干预前两组S100β、NES水平无差异(P>0.05),干预后观察组S100β、NES水平低于对照组,组间有差异(P<0.05)。观察组头晕、再出血等并发症数据较对照组低,组间有差异(P<0.05)。结论 对行颅内血肿清除术治疗的脑出血患者采用奥马哈系统联合通腑逐瘀汤进行干预,提升了患者的自我管理能力,改善了患者的生活质量及神经功能,值得临床上借鉴。

Objective To study the effect of Omaha system combined with Tongfu Zhuyu decoction on self-efficacy and neurological function in patients undergoing intracranial hematoma clearance surgery.Methods Retrospective analysis was made on 70 patients with cerebral hemorrhage who were treated with Omaha system combined with Tongfu Zhuyu decoction in our neurosurgery department from January 2020 to June 2021.As the research object,they were included in the observation group.From June 2018 to December 2019,70 patients with cerebral hemorrhage who were not treated with Omaha system(using intervention measures)for intracranial hematoma removal were selected as the research object and included in the control group,Comparative analysis was conducted.Based on the Self Efficacy Scale(GSES),the self-management abilities of two groups of patients before and after intervention were evaluated,including disease,medication,and rehabilitation.According to the QL-30 Quality of Life Assessment Scale,the quality of life of two groups of patients before and after intervention were evaluated,including physical function,psychological function,and social function;based on S100βProtein(S100β),neuron specific enolase(NES)and other indicators neurological function levels were compared between the two groups before and after intervention.The incidence data of complications between two groups,including nausea,dizziness,and rebleeding.Results Before the intervention,there was no difference in QL-30 scale data such as psychological function and social function between the two groups of patients(P>0.05);After intervention,the QL-30 scale data of psychological function and social function in the observation group were better than those in the control group,with differences between the groups(P<0.05).There was no difference in the GSES scale data of medication and rehabilitation between the two groups of patients before intervention(P>0.05);after intervention,the GSES scale data of medication and rehabilitation in the observation group were better than those of the control group,with differences between the groups(P<0.05).There was no difference in S100βand NES levels of two groups before intervention(P>0.05),The level of S100βNES in the observation group after intervention was lower than that of the control group,and there was a difference between the groups(P<0.05).The data on complications such as dizziness and rebleeding in the observation group were lower than those of the control group,and there were differences between the groups(P<0.05).Conclusion The use of Omaha system combined with Tongfu Zhuyu decoction for intervention in patients with cerebral hemorrhage undergoing intracranial hematoma clearance surgery has improved their self-management ability,quality of life and neurological function,which is worthy of clinical reference.