优势与非优势侧电休克治疗精神分裂症副反应比较

目的比较脑电图(EEG)、心电图(ECG)监护下优势侧与非优势侧电休克(ECT)治疗精神分裂症的副反应。方法符合CCMD-Ⅱ诊断标准精神分裂症60例，随机分为优势侧组和非优势侧组各30例，每例每周ECT3次，共9次。于疗前、第5、第9次ECT以副反应量表(TESs)、韦氏记忆量表(WMs)评分。于第1、5、9次ECT行EEG、ECG监护。结果非优势侧TESS评分与EEGα波慢化程度突出，两组ECG改变类似，影响记忆环节不同。结论非优势侧与优势侧ECT副反应稍有不同。

A COMPARATIVE STUDY OF SIDE EFFECTS OF NON-VERSUS DOMINANCE ECT ON SCHIZOPHRENICS WITHEEG AND ECG MONITORING

Objective:To compare the side effects of nonvers-versus dominance ECT on Schizophrenics with EEG and ECG monitoring. Methods:60 Schizophrenics without severe physical illness met with CCMD- Ⅱwent randomly into the two groups received the non-or dominance ECT accordingly,with 3 times ECT a week,given 9 times ECT totally,and were not exposed to any types of neuroleptics during the whole therapy periods.TESS and WMS were measured before the lst ECT and after the 5th and 9th ECT,and EEG/ECG monitoring were given during the lst、Sth and 9th ECT administered. Results:Side effects on EEG、ECG and WMS in both groups were comparable, and some item, such as headache、 nausea/vomiting or dizziness, of TESS in nondominance ECT group were scaled much highly than the dominance ECT signifficantly. Conclusion :Some side effects in the non-dominance ECT group were much severely than in the dominance ECT group significantly.