无抽搐电休克麻醉中出现室性心律失常的Logistic回归分析  

The logistic regression analysis of ventricular arrhythmia emerging during anesthesia for MECT

作　　者：赵洪祖[1] 杜好瑞[1] 崔二龙[1] 

机构地区：[1]新乡医学院第二附属医院ECT治疗室,河南新乡453002

出　　处：《中国民康医学》2013年第20期14-15,28,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨无抽搐电休克麻醉引发室性心律失常的影响因素。方法:对1 025例精神病患者行无抽搐电休克治疗麻醉时发生室性心律失常的病历资料进行回顾性分析。结果:无抽搐电休克麻醉时,随着患者年龄的增大发生室性心律失常的风险越大,应用丙泊酚麻醉发生室性心律失常的风险小于依托咪酯。经多因素Logistic回归分析,室性心律失常(Y)的回归方程Y=-1.576X2+2.722X6,χ2=18.522,P<0.01。结论:无抽搐电休克治疗麻醉时,患者年龄越大、BMI越大及应用依托咪酯麻醉是引发室性心律失常的高危因素。Objective：To explore the influencing factors inducing ventricular arrhythmia（VA） during anesthesia for modified electroconvulsive therapy （MECT）. Methods： Case histories of 1 025 schizophrenics who developed VA during anesthesia for MECT were retrospectively analyzed. Results： The older,the higher VA risk during anesthesia for MECT was;VA risk by propofol was less than by etomidate. Multifaetor logistic regression analyses showed that Y = - 1. 576X2 ＋ 2. 722X6 , X^2 = 18. 522, P 〈 0.01. Conclusion：High risk factors inducing VA during MECT anesthesia are the older, greater BMI and etomidate anesthesia.

关 键 词：无抽搐电休克 麻醉 室性心律失常 

分 类 号：R749.054[医药卫生—神经病学与精神病学]