无抽搐电休克治疗对记忆功能影响的研究进展  

Advances in Effect of Modified Electroconvulsive Therapy on Memory Function

作　　者：王曦[1] WANG Xi(Department of Psychiatry,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院精神科,重庆400016

出　　处：《实用临床医学（江西）》2018年第1期92-95,共4页Practical Clinical Medicine

摘　　要：无抽搐电休克(MECT)治疗是在通电治疗前,先注射静脉麻醉药和肌肉松弛剂,然后利用适量的电流刺激大脑,诱发大脑皮层癫痫样放电引起患者意识丧失而不引起肌肉抽搐从而治疗精神病的一种方法。MECT治疗不良反应不可避免,人们最关注是其对记忆力的影响。文章总结了电休克致记忆障碍的机制、MECT致记忆障碍的影响因素及MECT所致记忆障碍的预防及治疗。现普遍研究认为MECT治疗后有记忆功能损害,但短暂且可逆,并在恢复后较治疗前有所改善,可能与症状好转有关。Modified electroconvulsive therapy(MECT)is a method of treating mental illness.It induces epileptic discharge in cerebral cortex by using current stimulation to cause the loss of consciousness without muscle twitching.Intravenous anesthetics and muscle relaxants are needed before MECT.The biggest concern about adverse reactions of MECT is the effect on memory function.This paper summarizes the mechanisms,influencing factors,prevention and treatment of memory impairment caused by MECT.It is generally accepted that MECT\|induced memory impairment is temporary and reversible and MECT improves memory function after recovery.The memory improvement may be associated with the symptom amelioration.

关 键 词：无抽搐电休克 记忆功能 治疗 

分 类 号：R454.1[医药卫生—治疗学]