加深麻醉对改善MECT后谵妄的作用

EFFECT OF DEEPENING ANESTHESIA ON IMPROVING DELIRIUM AFTER MECT

目的:将不同麻醉深度下进行无抽搐电休克治疗(MECT)后的谵妄发生率进行对比研究,探讨加深麻醉对改善MECT后谵妄的作用。方法:将2017-09~2018-12期间,在内蒙古精神卫生中心接受MECT治疗并符合入组标准的116例精神分裂症病人随机分为A、B两组,在治疗中分别给予1.2mg/kg和1.6mg/kg的丙泊酚进行麻醉,对治疗后谵妄发生率进行对比分析。结果:B组谵妄发生率明显低于A组(P<0.05)。结论:适当增加麻醉深度在同等条件下可以有效降低MECT治疗后谵妄的发生。

Objective:The incidences of delirium after modified electroconvulsive therapy(MECT)under different anesthesia depths were compared,and the effect of deepening anesthesia on improving delirium after MECT were explored.Methods:During September 2017 to December 2018,116 schizophrenia patients who were received MECT in Inner Mongolia Mental Health Center and met the requirement for research were randomized into too groups:group A and group B.The patients in group A were anesthetized by intravenous injection of propofol at a dose of 1.2 mg/kg,and the patients in Group B were anesthetized by intravenous injection of propofol at a dose of 1.6 mg/kg.Finally,we compared and analyzed the incidences rate of delirium after MECT in two groups.Results:The incidence rate of delirium in group B was obviously lower than that in group A( P < 0.05 ).Conclusion:With the same conditions,appropriately deepening the depth of anesthesia can effectively reduce the incidence of delirium after MECT.