改良电痉挛治疗导致攻击行为的分析认定与防范

Analysis and precaution of aggressive behavior in MECT

目的探讨改良电痉挛治疗(MECT)精神障碍过程中攻击行为的发生及其认定和防范。方法对800例进行MECT的住院患者进行回顾性统计,了解不良反应情况。结果有33例(4.1%)患者在MECT治疗后的2 h内意识仍未完全恢复正常并出现攻击行为,造成了人身的伤害和财物破坏。结论 MECT治疗时,当电流刺激不足以引起大脑皮层痫性大发作样脑电变化、意识障碍尚未恢复正常时可能出现攻击行为。

Objective To study the occurrence and identification of aggressive behavior in MECT and its precaution. Method The clinical data of 800 patients treated by MECT in hospital within seven years were retrospectively analyzed. Results Of all these patients,33( 4. 1 %) who didn’t return conscious in two hours showed the impulsive behavior after treated by MECT. Conclusion The patients treated by MECT may show the impulsive behavior easily,when electrical brain stimulation is not enough to cause the cerebral change.