住院男性精神疾病患者行电休克治疗后发热的状况及影响因素分析  

Analysis of status and influencing factors after electroconvulsive therapy in hospitalized male patients with mental illness

作　　者：李春月 李艳蓉[1] LI Chunyue;LI Yanrong(The Sixth Hospital of Peking University,Institute of Mental Health of Peking University,Beijing 100191,China)

机构地区：[1]北京大学第六医院北京大学精神卫生研究所,北京100191

出　　处：《医学研究与教育》2018年第3期26-29,64,共5页Medical Research and Education

摘　　要：目的分析住院男性精神疾病患者行无抽搐电休克治疗后发热的发生状况、特点及影响因素。方法采用自制问卷收集资料,回顾性分析北京市某精神疾病专科医院231例接受无抽搐电休克治疗的精神疾病患者的发热状况、特点及其影响因素。结果 231例患者中,有34例(14.72%)在治疗后出现了发热,共发热53次,低热19次(35.85%),中度发热23次(43.40%),高热11次(20.75%)。发热患者与未发热患者比较,年龄(t=4.007,P<0.01)和病程(P=0.016)两个变量差异均具有统计学意义,不同年龄段进行比较差异具有统计学意义(χ2=20.992,P<0.01)。结论无抽搐电休克治疗后部分患者会出现发热的情况,且多为一过性发热,以低热和中度发热为主,年龄小、病程短的患者更易发热。Objective To investigate the incidence and influencing factors of fever after modified electroconvulsive therapy in male psychiatric patients. Methods Data of 231 patients with mental disorders who had received and completed modified electroconvulsive therapy in a mental hospital in Beijing, and then gathered data using a self-made date collection table. Results Among the 231 patients, 34 patients had fever （14.72%） after electroconvulsive therapy. Those 34 patients had fever for 53 times in total, low-grade 19 times （35.85%）, moderate fever 23 times （43.40%）, high fever 11 times （20.75%）. After comparing between febrile patients and the non-febrile patients, it found that difference between two variables of age （ t=4.007, P 〈0.01） and course of disease （ P =0.016） were statistically significant, and there were statistical differences between different age groups （ χ 2= 20.992, P 〈0.01）. Conclusion Fever will occur in some patients after modified electroconvulsive therapy, especially in patients with small age and short course of disease, and most of them are transient fever, mainly low-fever and moderate fever.

关 键 词：精神疾病 无抽搐电休克 发热 

分 类 号：R74[医药卫生—神经病学与精神病学]