改良电休克治疗全身麻醉的体会

Experience in modified electroconvulsive treatment of general anesthesia

目的：总结改良电休克全身麻醉下行的治疗特点,使电休克治疗的范围不断扩大和舒适,减轻患者治疗时的痛苦和恐惧心理。方法：患者在进入手术室后先静注阿托品0.5mg,10分钟后使用丙泊酚1.5~2mg/kg静脉推注,患者入睡后琥珀胆碱0.75~1mg/Kg,同时辅助呼吸。结果：与传统电休克治疗相比,该方法起效快,苏醒迅速,醒后无不适反应。结论：该方法副作用显著降低,对认知功能无明显影响,是一种值得推广的方法。

Objective：To summary the electroconvulsive treatment characteristics of general anesthesia in order to expand the scope and comfort of electric shock treatment,and reduce the pain and fear of patients. Methods：Patients in the operation roomwere firstly intravenously injected atropine 0.5mg,were secondly intravenously injected propofol 1.5~2mg/kg after 10 minutes,were intravenously injected succinylcholine 0.75~1mg/kg after sleep,and at the same time patients were given assisted respiration.Results： Compared with traditional electric shock treatment,the method has advantages of fast,waking up quickly and waking up without discomfort reaction. Conclusion： It is a recommendable method that the side effects are significantly reduced and cognitive function had no significant effect.