MECT治疗精神分裂症谵妄患者的临床观察

Clinical observation of delirium induced by modified electric convulsive therapy for treating patients with schizophrenia

目的:观察MECT治疗精神分裂症谵妄患者的临床特征。方法:采用回顾性分析的方法,总结MECT治疗时发生过谵妄的75例精神分裂症患者的临床特征及应对措施。结果:MECT术后谵妄急性发作,症状波动性明显,意识障碍是其核心表现,具有持续时间较短,伴不同程度的注意障碍,定向力障碍和行为障碍等特征。结论:MECT治疗精神分裂症谵妄患者的临床特征为发作时间短及不同程度的意识障碍,治疗时需有相对应的有效措施。

Objective：To observe clinical features of delirium induced by modified electric convulsive therapy （ MECT ） for treating patients with schizophrenia. Methods：Using a retrospective analysis method, the clinical features and corresponding measures of delirium induced by MECT for 75 schizophrenic cases were summarized. Results：The onset of MECT postoperative delirium was a-cute, and its symptoms were undulatory and the core symptom was clouding of consciousness. It also had the characteristics of short du-ration, some extents of attention disorders, disorientation and behavior disorders, and so on. Conclusions：The clinical features of de-lirium induced by MECT for treating the patients with schizophrenia are short onset time and some extents of attention disorders, and it is need to take the effective measures when implementing MECT.