上海交通大学学报(医学版)

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改良电抽搐治疗的麻醉研究进展

贾玉萍,蒋江灵,肖文斌,李春波   

  1. 上海交通大学医学院附属精神卫生中心,上海 200030
  • 出版日期:2020-05-27 发布日期:2020-05-27
  • 通讯作者: 李春波,电子信箱:licb@smhc.org.cn。
  • 作者简介:贾玉萍 (1966—),女,主任医师,学士;电子信箱:jiayuping66@sina.com。
  • 基金资助:
    上海市卫生和计划生育委员会科研项目(201740042)。

Advances in anesthesia research of modified electroconvulsive therapy

JIA Yu-ping, JIANG Jiang-ling, XIAO Wen-bin, LI Chun-bo   

  1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Online:2020-05-27 Published:2020-05-27
  • Contact: LI Chun-bo, E-mail: chunbo_li@163.com.
  • Supported by:
    Scientific Research Project of Shanghai Municipal Health and Family Planning Commission (201740042).

摘要: 改良电抽搐治疗(modified electroconvulsive therapy, MECT)是目前精神科广泛应用的一种快速、有效的物理治疗方法。该治疗的麻醉目标是使患者镇静、肌肉松弛,并在治疗过程中维持其血液动力学稳定,同时避免因麻醉过深导致的大脑皮层放电受抑而影响治疗效果。目前 MECT 的麻醉药物包括肌肉松弛剂、静脉麻醉药、吸入麻醉药、镇痛药物等,但缺乏最佳的麻醉诱导配伍方式。该综述探讨了近年来上述药物在 MECT 中的应用及配伍进展,以期为 MECT 的最佳麻醉诱导方案提供参考。

关键词: 改良电抽搐治疗, 麻醉诱导, 配伍

Abstract: Modified electroconvulsive therapy (MECT) is a fast and effective physical therapy method currently widely used in psychiatry. The anesthesia target of this treatment is to calm the patients, relax the muscles and maintain stability in histodynamics during treatment, meanwhile avoiding affecting efficacy, because too deep anesthesia can inhibit discharge of the cerebral cortex. However, current anesthetic drugs in MECT, including muscle relaxants, intravenous anaesthetics, inhalation anaesthetics, analgesics, etc., lack the best compatibility of anesthesia induction. This review discusses the application and compatibility of these drugs in MECT in recent years, in order to provide reference for the best anesthesia induction protocol for MECT.

Key words: modified electroconvulsive therapy (MECT), anesthesia induction, compatibility