丙泊酚复合氯化琥珀胆碱静脉麻醉在无抽搐电休克治疗中的临床效果分析

Clinical analysis of propofol combined with succinylcholine chloride intravenous anesthesia in electroconvulsive therapy without convulsions

目的探究丙泊酚复合氯化琥珀胆碱静脉麻醉在无抽搐电休克治疗中的临床效果。方法收集本院治疗的150例患有精神分裂症的患者,对其进行无抽搐电休克(MECT)的治疗方式,行2.0mg/kg丙泊酚复合1.0mg/kg氯化琥珀胆碱麻醉,分别观察患者的心率、血压、意识消失时间、血氧分压、自行行走时间、自主呼吸恢复时间等情况。结果患者意识消失的时间为(36.36±8.36)min,自主呼吸恢复时间为(5.36±1.57)min,苏醒后自行行走的时间为(26.33±10.24)min,所有患者的治疗前后的血压、心率以及血压分压具有较大的差异,差异有统计学意义(P<0.05)。结论对无抽搐电休克治疗状态下的精神分裂症患者使用丙泊酚复合氯化琥珀胆碱静脉麻醉治疗,在一定程度上能有效减轻患者的痛苦感,提升治疗效果。

Objective:To investigate the clinical effect of propofol combined with succinylcholine chloride intravenous anesthesia in electroconvulsive therapy without convulsions.Methods:150 patients with schizophrenia treated in our hospital were treated with MECT methods.2.0mg/kg propofol combined with 1.0 mg/kg succinylcholine chloride were anesthetized.Results:The time of consciousness disappearance was(36.36±8.36)minutes,and the time of recovery of spontaneous respiration was(5.36±1.57)minutes,the time of self-walking after waking up was(26.33±10.24)minutes,and there were significant differences in blood pressure,heart rate and blood pressure partial pressure before and after treatment in all patients(P<0.05).Conclusion:Propofol combined with succinylcholine chloride intravenous anesthesia can effectively alleviate the pain and improve the therapeutic effect of schizophrenia without convulsion electric shock.