改良电休克治疗对抑郁症患者延迟回忆能力治疗效果的影响及相关因素分析  

Factors affecting and improving electric shock treatment for depression in patients with delayed recall ability therapeutic effect analysis

作　　者：张耀文[1] 张曼[1] 杨和增[1] 王荣业[1] 

机构地区：[1]深圳市心理卫生中心深圳市康宁医院,深圳508020

出　　处：《国际精神病学杂志》2015年第4期26-29,共4页Journal Of International Psychiatry

摘　　要：目的分析并探讨改良电休克治疗对抑郁症患者延迟回忆能力治疗效果的影响及相关因素分析。方法选取2012年03月~2015年03月在我院接受治疗的抑郁症患者120例,随机分为观察组与对照组,每组60例。两组患者均给予常规的抗抑郁药物治疗,在此基础上,观察组给予改良电休克进行治疗。结果观察组治疗前CAVLT评分为（7.46±2.75）分,HAMD评分为（22.35±3.34）分,观察组治疗后为CAVLT评分为（4.32±2.12）分,HAMD评分为（8.63±2.42）分。对照组治疗前CAVLT评分为（7.53±2.75）分,HAMD评分为（22.84±3.74）分治,观察组治疗后为CAVLT评分为（7.13±2.12）分,HAMD评分为（15.23±2.96）分。两组患者治疗后HAMD评分均有显著改善,但观察组更加明显,且观察组CAVLT评分明显下降。经统计学检验,差异具有统计学意义（P〈0.05）。改良电休克治疗抑郁症患者延迟回忆能力仅与治疗前延迟回忆分数有关,经统计学检验,差异具有统计学意义（r=0.788,P〈0.05）。结论改良电休克治疗抑郁症效果显著,但在一定程度上影响其延迟回忆能力,临床上治疗时应综合考虑患者抑郁程度等因素,慎重选择治疗方式。Objective To analyze and discuss improvement of electric shock treatment for depression in patients with delayed recall and related factors affecting the ability to analyze the therapeutic effect. Methods March 2012 March 2015 in our hospital for treatment of depression in 120 patients were randomly divided into observation group and control group 60 cases. All patients were treated with conventional antidepressant medication, on the ba- sis of observation group were given electric shock treatment improved. Results Before treatment CAVLT score was （7.46±2. 75） points, HAMD score was （22. 35±3.34） points, the observation group after treatment for CAVLT score was （4. 32±2. 12） points, HAMD score was （8.63±2. 42） points . The control group before treatment CAVLT rated （7. 53±2. 75） points, HAMD score was （ 22. 84±3.74） partition, after the observation group therapy for CAVLT rated （7. 13±2. 12） points, HAMD score was （ 15.23±2.96） points. After treatment HAMD scores were significantly improved, but more obvious observation group and the observation group CAVLT score decreased significantly. The statistical test, the difference was statistically significant （P〈0. 05）. Improved electric shock treatment of depression in patients with pre-treatment delayed recall ability delayed recall score only relevant, the statistical test, the difference was statistically significant （r= 0. 788, P〈0. 05）. Conclusion Modified electro- convulsive therapy in the treatment of depression effect is significant, but in a certain extent influence the capacity of delayed recall and clinical treatment should be considered in patients with depression and other factors, careful choice of treatment.

关 键 词：改良电休克治疗 抑郁症 延迟回忆能力 相关因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]