改良电休克治疗精神分裂症的临床疗效。

IF 1 4区 医学 Q4 PSYCHIATRY
Hongbo Tao, Xuan Zhou, Yanqin Liu, Zhenlan Wang, Yunqin Liu, Zou Su, Qiuming Ji, Xianyun Yi, Xianghong Wu, Qing Zhou
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引用次数: 0

摘要

目的:探讨改良电痉挛疗法(MECT)治疗精神分裂症的临床疗效,为临床选择安全有效的治疗方案提供参考。方法:选取2019年1月至2020年12月武汉市武东医院精神病院收治的200例精神分裂症患者作为研究对象。根据随机数字表将患者分为观察组和对照组,每组各100例。对照组给予常规抗精神病药物(利培酮、阿立哌唑)治疗,观察组给予常规抗精神病药物(利培酮、阿立哌唑)联合MECT治疗。8周后比较两组患者的临床疗效、认知记忆功能及不良反应发生情况。结果:观察组临床总有效率为90%,高于对照组(74%),差异有统计学意义(p结论:MECT在精神分裂症患者中应用可产生良好的临床疗效,有利于改善和促进患者的记忆和认知功能。不良反应的发生可控,安全性理想,具有临床应用价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical effect of modified electroconvulsive therapy on schizophrenia.

Objective: To investigate the clinical efficacy of modified electroconvulsive therapy (MECT) in patients with schizophrenia and provide a reference for the selection of safe and effective treatment options in clinical practice.

Methods: A total of 200 patients with schizophrenia, who were admitted to Wuhan Wudong Hospital Psychiatric Hospital from January 2019 to December 2020, were selected as the study subjects. They were divided into an observation group and a control group (100 cases in each group) according to a random number table. The control group was treated with conventional antipsychotics (risperidone and aripiprazole), and the observation group was given conventional antipsychotics (risperidone and aripiprazole) with MECT. After 8 weeks, the clinical efficacy, cognitive and memory functions and the occurrence of adverse reactions between the two groups were compared.

Results: The total clinical effective rate of the observation group was 90%, which was higher than that of the control group (74%), and the difference was statistically significant (p<0.05). The Wisconsin Card Sorting Test results of the observation group were better than those of the control group, and the cognitive function of the observation group was better than that of the control group (p<0.05). The Wechsler Adult Intelligence Scale-Fourth Edition index of the observation group was higher than that of the control group, and the memory function of the observation group was better than that of the control group (p<0.05). The overall incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (p=0.001).

Conclusion: The application of MECT in patients with schizophrenia can produce a good clinical curative effect, which is beneficial to the improvement and promotion of memory and cognitive functions in patients. Since the occurrence of adverse reactions is controllable, and safety is ideal, MECT has value in clinical application.

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来源期刊
Rivista di psichiatria
Rivista di psichiatria 医学-精神病学
CiteScore
5.00
自引率
3.70%
发文量
31
审稿时长
6-12 weeks
期刊介绍: Gli interessi della rivista riguardano l’approfondimento delle interazioni tra mente e malattia, la validazione e la discussione dei nuovi strumenti e parametri di classificazione diagnostica, la verifica delle prospettive terapeutiche farmacologiche e non.
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