电休克治疗的麻醉管理研究进展

Progress of anesthesia management in electroconvulsive therapy

电休克疗法是广泛应用于抑郁症、双相情感障碍、精神分裂症和分裂情感性障碍等精神疾病的治疗方法。其疗效取决于是否产生足够的癫痫发作,然而,ECT常用的麻醉药物又会抑制惊厥的产生,也容易产生血流动力学波动。因此,需要麻醉医师充分了解麻醉药物与癫痫发作活动之间的相互作用,了解ECT产生的生理效应以及对这些效应的治疗。考虑到有大量严重心脑血管并发症的老年患者,对于ECT中麻醉用药方案的探索逐渐增多,有关各种药物对患者的益处和风险的研究也在不断进行。现对ECT的麻醉管理研究进展进行综述。

Electroconvulsive therapy(ECT)is widely used in the treatment of mental illnesses such as depression,bipolar disorder,schizophrenia and schizoaffective disorder.Its efficacy depends on whether sufficient seizures are produced.However,the anesthetic drugs commonly used in ECT can inhibit the production of convulsions and are prone to hemodynamic fluctuations.Therefore,it is necessary for anesthesiologists to fully understand the interaction between anesthetic drugs and seizure activity,understand the physiological effects of ECT and the treatment of these effects.Considering that there are a large number of elderly patients with severe cardiovascular and cerebrovascular complications,the exploration of anesthesia medication regimen in ECT is gradually increasing,and research on the benefits and risks of various drugs to patients is also ongoing.The research progress of ECT anesthesia management is reviewed.