无抽搐电休克治疗期间心率血压观察及分析  

Observation and analysis of heart rate and blood pressure of using mect

作　　者：杨开波[1] 王彬[1] 

机构地区：[1]攀枝花市第三人民医院精神科,四川攀枝花617061

出　　处：《四川医学》2012年第4期664-665,共2页Sichuan Medical Journal

摘　　要：目的观察无抽搐电休克治疗[non-convulsive electric shock treatment,MECT]时麻醉药品及电刺激对患者心率及血压的影响。方法对69例接受MECT治疗的精神病患者,依次静脉注射阿托品,丙泊酚,琥珀酰胆碱。并分别记录静脉注射丙泊酚前、静脉注射丙泊酚后、琥珀酰胆碱后及电刺激后的心率和收缩压。静脉注射丙泊酚前的心率及血压作为基础与此后各时期心率及血压进行比较。结果注射丙泊酚后心率及血压下降(P<0.05)、注射琥珀酰胆碱后及电刺激后心率及血压上升(P<0.05)、电刺激后8min末心率及血压回复正常。结论注射琥珀酰胆碱后和电刺激后导致的心率加快、血压骤升。对年龄大或有潜在血管病变者风险较大、需要注意防止脑血管意外等的发生。Objective To observe the effect of narcotic drugs and electrical stimulations on heart rate and blood pressure in patients when using MECT.Methods 69 cases of mental patients using MECT were followed by intravenous atropine,propofol,succinylcholine.Then,record their heart rate,systolic blood pressure before intravenous injection of propofol,after intravenous injection of succinylcholine and the end of electrical stimulation respectively,and according to heart rate,systolic blood pressure before intravenous injection of propofol.compare with their heart rate,systolic blood pressure various periods afterwards.Results After the injection of propofol,their heart rate,blood pressure decreased（P0.05）.After the injection of succinylcholine and the end of electrical stimulation,their heart rate,blood pressure increased（P0.05）.8 minutes of the end of electrical stimulation,their heart rate,blood pressure returned to normal.Conclusion After the injection of succinylcholine and the end of electrical stimulation,patients＇ heart rate,blood pressure soared.For older or potentially higher risk of vascular lesions,doctors need to pay attention to prevent the occurrence of cerebrovascular accidents,etc.

关 键 词：MECT 麻醉药物 心率 血压 

分 类 号：R749[医药卫生—神经病学与精神病学]