首页|乌拉地尔联合常规麻醉在无抽搐电休克治疗中对精神障碍患者认知功能损害的分析

乌拉地尔联合常规麻醉在无抽搐电休克治疗中对精神障碍患者认知功能损害的分析

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目的 分析乌拉地尔联合常规麻醉在无抽搐电休克治疗中对精神障碍患者认知功能的损害。方法 选取2021年12月—2023年3月无锡市精神卫生中心收治的50例精神障碍患者作为研究对象,采用随机数字表法将患者分为对照组和观察组,每组25例。其中,对照组接受常规麻醉下的无抽搐电休克治疗(MECT),观察组接受乌拉地尔联合常规麻醉下的无抽搐电休克治疗。比较两组患者不同治疗时间点的心率(HR)、平均动脉压(MAP)变化。比较两组治疗效果和治疗前后认知功能。结果 治疗后,观察组在MECT后5min(T3)心率和平均动脉压均低于对照组,组间差异有统计学意义(P<0。05)。观察组治疗总有效率优于对照组,组间差异有统计学意义(P<0。05)。观察组认知功能整体优于对照组,组间差异有统计学意义(P<0。05)。结论 在无抽搐电休克治疗中应用乌拉地尔联合常规麻醉可以有效稳定患者HR和MAP水平,减轻对患者的认知功能损害。
Analysis of Cognitive Impairment of Combination of Urapidil and Routine Anesthesia for Patients with Mental Disorders during Non Convulsive Electroconvulsive Therapy
Objective To analyze impairment of cognitive function of combination of urapidil and routine anesthesia for patients with mental disorders during non convulsive electroconvulsive therapy.Methods The paper chose 50 patients with mental disorders in Wuxi City Mental Health Center from December 2021 to March 2023 as study subjects,and divided them into control group and observation group with random number table method,with 25 cases in each group.Control group was treated with non convulsive electroconvulsive therapy(MECT)under routine anesthesia,while observation group with combination of urapidil and MECT under routine anesthesia.Changes in heart rate(HR)and mean arterial pressure(MAP)were compared between two groups at different treatment time points.Curative effect and cognitive function before and after treatment was compared between two groups.Results After treatment,heart rate and mean arterial pressure of observation group was lower than control group at 5 minutes(T3)after MECT(P<0.05).Total effective rate of observation group was better than control group(P<0.05).The overall cognitive function of observation group was better than control group(P<0.05).Conclusion Urapidil combined with routine anesthesia can effectively stabilize levels of HR and MAP and reduce cognitive impairment of patients during non convulsive electroconvulsive therapy.

UladilNon convulsive electroconvulsive therapyMental disordersCognitive function

商芬、费海涛

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无锡市精神卫生中心 物理治疗中心,江苏 无锡 214200

乌拉地尔 无抽搐电休克治疗 精神障碍 认知功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(17)