摘要
在精神科的日常工作中，无抽搐电休克治疗（MECT）是一项有效，常用的措施，它是将麻醉技术应用于电休克技术的一种新型的治疗手段。MECT所涉及的麻醉技术和药物并不复杂，主要包括静脉麻醉药，肌松药，抗胆碱药，可能的麻醉性镇痛药和镇静药及必要的监护措施。由于精神科患者长期服用抗精神病药物，其与麻醉药之间的关系及相关的心律失常和禁食等问题引起了人们的关注。本文将从MECT的适应证、禁忌证。实施过程，特别是MECT中所涉及的麻醉药物及相关问题与应对措施进行综述。
During the daily work of psychiatric department, modified electroconvulsive therapy （MECT） is a common-used, effective treatment method, which involves anesthesia in the traditional ECT. The anesthetic technology and medicine are not complicated, mainly concluding intravenous anesthetics, neuromuscular blocking agents, anticholinergic drugs, narcotics, sedatives and necessary monitoring. Psychiatric patients usually need to take anti-psychotic agents for a long time, its interactions with anesthetics and related problems such as arrhythmia, fasting attracts clinicians＇ attention. This review discusses the indications, contraindications and the procedure of MECT, especially its involved anesthetics and associated problems.
出处
《麻醉与监护论坛》
2008年第2期115-118,共4页
Forum of Anesthesia and Monitoring
