研究无抽搐电休克治疗精神病患者的临床安全性  

Clinical Safety of Non-convulsive Electroconvulsive Therapy in Psychiatric Patients

作　　者：沈洁[1] SHEN Jie(Changshu Third People's Hospital,Suzhou,Jiangsu Province,215501 China)

机构地区：[1]常熟市第三人民医院,江苏苏州215501

出　　处：《系统医学》2024年第4期97-99,106,共4页Systems Medicine

摘　　要：目的 分析精神病患者实施无抽搐电休克治疗的价值。方法 选取2021年11月—2023年11月常熟市第三人民医院收治的120例精神病患者为研究对象,采用掷骰子法分为传统组、实践组,各60例。传统组行药物治疗,实践组辅以无抽搐电休克治疗。比较两组症状评分、认知功能、疗效。结果 治疗前,两组精神症状评分比较,差异无统计学意义(P>0.05)。治疗后,实践组精神症状评分低于传统组,差异有统计学意义(P<0.05)。治疗前,两组总应答数、错误应答数以及完成时间比较,差异无统计学意义(P>0.05)。治疗后,实践组总应答数、错误应答数低于传统组,完成时间短于传统组,差异有统计学意义(P均<0.05)。实践组有效率为96.67%,明显高于传统组的83.33%,差异有统计学意义(χ^(2)=5.926,P<0.05)。结论 无抽搐电休克治疗能减轻精神病相关症状,维持良好认知功能,有效性较高。Objective To analyze the value of non-convulsive electroconvulsive therapy in psychiatric patients.Methods A total of 120 psychiatric patients admitted to the Third People's Hospital of Changshu City from November 2021to November 2023 were selected as the research objects,they were divided into traditional group and practice group by dice playing method,with 60 cases in each group.The traditional group received drug treatment,and the practice group was supplemented with non-convulsive electroconvulsive therapy.Symptom score,cognitive function and curative effect were compared between the two groups.Results Before treatment,there was no significant difference in psychiatric symptom scores between the two groups(P>0.05).After treatment,the psychotic symptoms scores of the practice group were lower than those of the traditional group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in total responses,false responses and completion time between the two groups(P>0.05).After treatment,the total number of responses and the number of false responses in the practice group were lower than those in the traditional group,and the completion time was shorter,and the differences were statistically significant(all P<0.05).The effective rate of the practice group(96.67%) was significantly higher than that of the traditional group(83.33%),and the difference was statistically significant(χ^(2)=5.926,P<0.05).Conclusion Nonconvulsive electroconvulsive therapy can reduce psychosis related symptoms,maintain good cognitive function,and is highly effective.

关 键 词：精神病 不良反应 无抽搐电休克 认知功能 

分 类 号：R521[医药卫生—内科学]