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目的探讨改良电休克治疗(MECT)中影响脑电抽搐时间的因素。方法回顾性分析2011年10月-2011年12月经MECT的111例精神障碍患者的临床资料,利用Pearson相关分析方法进行统计,分析异丙酚用量、性别、设定电量、动态阻抗等因素对脑电抽搐时间的影响。结果男性异丙酚用量平均值大于女性。女性的年龄、能量设定百分比、静态阻抗、动态阻抗均大于男性。与抽搐发作时间相关的因素是年龄、设定能量百分比。异丙酚剂量与脑电抽搐时间无相关。以脑电抽搐时间≥25 s为判定标准,男性的反应率高于女性。结论行MECT时,需考虑患者年龄对发作时间的影响,异丙酚可安全用于MECT中。
Objective To explore the factors influencing the time of electroencephalogram twitch in modified electroshock therapy (MECT). Methods The clinical data of 111 patients with mental disorders who underwent MECT from October 2011 to December 2011 were analyzed retrospectively. Pearson correlation analysis was used to analyze the effects of propofol dosage, sex, power setting, dynamic impedance and other factors on brain The impact of twitch time. Results The average dosage of male propofol was higher than that of female. Women’s age, energy set percentage, static impedance, dynamic impedance are greater than men. The factors associated with the onset of seizures are age and the percentage of energy set. There was no correlation between propofol dose and time of electroencephalogram twitch. EEG seizures ≥ 25 s as the criterion, the response rate of men than women. Conclusion MECT, the need to consider the patient’s age on the impact of the attack time, propofol can be safely used in MECT.