123例癫痫性精神障碍所致暴力行为的护理

癫痫性精神障碍患者发生暴力行为的机率很高，且手段残忍，难以防范，时常造成病人及其有关人员的伤害，给精神科临床护理工作带来很大的困难。我院10年共收治癫病性精神障碍患者169例，其中发生暴力行为者123例，占72．7％，现将护理体会报导如下。1临床资料1．1一般资料男性92例，女性引例；年龄6一历岁，平均28．3112，0岁；其中农民59例；工人39例；干部5例；无职业20例；轻度智能低下者16例，中度智能低下者6例，重度智能低下者9例。1．2临床表现1．2．1癫病发作类型全面性发作叨例；部分性发作8例，不能分类者24例。1．2．2癫病性精神…     

单双侧无抽搐电休克治疗精神分裂症在治疗指标及血清肌酸磷酸激酶（CPK）上的差异

目的 :比较单双侧无抽搐电休克治疗精神分裂症患者时在抽搐时间和抽搐后能量指数及血清肌酸磷酸激酶 (CPK)方面的差异。方法 :入组患者 6 0例 ,每例做 8次无抽搐电休克治疗 ,30例前 4次作双侧 ,后 4次做单侧治疗 ,另 30例行相反程序 ,治疗指标由电休克机自动测定 ;治疗前和治疗后分别测血清CPK一次。结果 :双侧组患者在抽搐时间上明显长于单侧组 (t=17 17,P <0 0 0 1)在抽搐后能量指数上亦明显高于单侧组 (t=11 5 3,P <0 0 0 1) ;治疗前后单双侧组比较血清CPK无显著性差异。结论 :表明双侧无抽搐电休克比单侧有更明显的神经生理影响 ,即双侧比单侧有更强烈、更广泛的脑内异常放电 ;但单双侧无抽搐电休克对血清CPK的影响并无显著性差异。     

The influence of modified electroco nvulsive therapy on serum interleukin-6in schizophrenic patients

INTRODUCTIONRecentlythestudyonthefunctionofcytokineinschizophreniaincreased．Somestudiesreportedthatthemajortranquilizermightrealizeitseffectsoncytokinethroughinhibitionofinterleukin－６（IL－６andrealizeitsimmuneinhibitionfunction犤１犦．Livingqualityofschizophrenicpatientsislow犤２犦，modifiedelectroconvulsivetherapycanameioratetheirlivingqualityeffectively．ButtherewerefewresearchesotheinfluenceofMECTonIL－６．ThisexperimentaimedtoexplorethinfluenceofMECTonserumIL－６inschizophre…     

无抽搐电休克对精神分裂症患者血清白介素6的影响

AIM: To explore the influence of modified electroconvulsive therapy on seruminterleukin-6 in schizophrenic patients. METHOD: Testing changed serumIL-6 in 60 cases treated with MECT and 60 control cases treated with clozapinetherapy by ELISA method. RESULTS: Serum H-6 level before treatment ofboth groups was positive related to SAPS; serum IL-6level wasn' trelated toBPRS total score, factor score and SANS total fractions. IL-6 level of clozapinetherapy group decrease apparently after treatment, and IL-6 level was appar-ently positive related to anxious depressed factor of BPR S; but there was noapparent difference in IL-6 level of MECT group between before and aftertreatment. CONCLUSION: To schizophrenic patients, closapine can take ef-fects of immune inhibit through inhibiting serum H-6; MECT emay have differentmechanism.