滴定法在改良电休克复苏期不良反应的初步分析

Preliminary Analysis of Adverse Reactions of Modified Electric Convulsive Therapy Recovery in Titration

目的探讨滴定法在改良电休克复苏期中对不良反应的影响。方法选择住院精神病患者54例,静推丙泊酚1.5毫克/公斤,氯化琥珀胆碱0.8毫克/公斤,行电休克治疗,记录患者注射痛、头痛、周身肌肉疼痛、咳嗽、恶心呕吐、寒战、谵妄躁动及苏醒时间、呼吸恢复时间指标。结果注射痛48例,占57.8%、头痛7例占8.4%、肌肉疼痛5例,占6.0%、咳嗽2例占2.4%、恶心呕吐3例占3.6%、寒战3例,占3.6%、谵妄躁动17例,占20.4%,自主呼吸恢复时间(4.44±1.08)min,苏醒时间(8.29±1.58)min。结论滴定法在改良电休克复苏期不良反应低且安全,基层医院值得推广应用。

Objective To investigate the influence of adverse reactions of modified electric convulsive therapy recovery in titration.Methods 54 hospitalized psychotics who intravenously administered propofol 1.5 mg/kg, succinylcholine 0.8 mg/kg, after electric convulsive therapy, injection pain, headache, muscle pain, cough, nausea, vomiting, chills, delirium agitation, awakening time, breathing recovery time of patients were recorded. Results 48 cases for injection pain（57.8%）, 7 cases for headache（8.4%）, 5 cases for muscle pain（6.0%）, 2 cases for cough（2.4%）, 3 cases for nausea and vomiting（3.6%）, 3 cases for chills（3.6%）, 17 cases for delirium agitation（20.4%）,spontaneous breathing recovery time（4.44 ±1.08） min, wake up of time（8.29 ±1.58） min. Conclusion Adverse reactions of modified electric convulsive therapy recovery in titration was low and safe, it is worthy to be widely applied in basic hospitals.