优势与非优势侧电休克治疗精神分裂症副反应比较  

A COMPARATIVE STUDY OF SIDE EFFECTS OF NON-VERSUS DOMINANCE ECT ON SCHIZOPHRENICS WITH EEG AND ECG MONITORING

作　　者：何奇[1] 刘炳伦[2] 秦启亮[2] 谭明刚[2] 唐济生[2] 陈彦方[2] 韩云芳[3] 孙启忠[3] 

机构地区：[1]山东大学齐鲁医院神经内科 [2]山东省精神卫生中心 [3]泰安市精神卫生中心

出　　处：《山东医科大学学报》2001年第1期48-50,共3页Acta Academiae Medicinae Shandong

摘　　要：目的 :比较脑电图 (EEG)、心电图 (ECG)监护下优势侧与非优势侧电休克 (ECT)治疗精神分裂症的副反应。方法 :符合CCMD -Ⅱ诊断标准精神分裂症 60例 ,随机分为优势侧组和非优势侧组各 30例 ,每例每周ECT 3次 ,共 9次。于疗前、第 5、第 9次ECT以副反应量表 (TESS)、韦氏记忆量表 (WMS)评分。于第 1、5、9次ECT行EEG、ECG监护。结果 :非优势侧TESS评分与EEGα波慢化程度突出 ,两组ECG改变类似 ,影响记忆环节不同。结论 :非优势侧与优势侧ECT副反应稍有不同。Objective:To compare the side effects of nonvers versus dominance ECT on Schizophrenics with EEG and ECG monitoring. Methods:60 Schizophrenics without severe physical illness met with CCMD Ⅱ went randomly into the two groups received the non or dominance ECT accordingly,with 3 times ECT a week,given 9 times ECT totally,and were not exposed to any types of neuroleptics during the whole therapy periods.TESS and WMS were measured before the lst ECT and after the 5th and 9th ECT,and EEG/ECG monitoring were given during the 1st、5th and 9th ECT administered.Results:Side effects on EEG、ECG and WMS in both groups were comparable,and some item,such as headache、nausea/vomiting or dizziness,of TESS in nondominance ECT group were scaled much highly than the dominance ECT signifficantly.Conclusion:Some side effects in the non dominance ECT group were much severely than in the dominance ECT group significantly.

关 键 词：精神分裂症 副反应 电休克治疗 优势侧 非优势侧 

分 类 号：R749.305[医药卫生—神经病学与精神病学]