摘要
目的了解改良电抽搐治疗(MECT)在住院老年精神病患者中的应用情况及相关影响因素,为对其进行MECT提供参考。方法采用回顾性分析方法,从本院电子病历数据库调取2016年在老年精神科病房住院的患者病历共403例,收集患者的社会人口学及临床资料,研究MECT在老年精神病患者中的使用率,采用单因素及多因素方法探索其相关因素。结果 MECT治疗在住院老年精神病患者中的使用率为25.6%。多因素分析显示,60岁≤年龄<65岁(OR=0.433)、不合并心脏病(OR=0.362)、有自杀风险(OR=2.980)、诊断为情感障碍(OR=14.265)和精神分裂症(OR=17.260)的住院老年精神病患者更倾向于合并使用MECT。MECT组患者住院天数更少(OR=0.882),住院费用高于非MECT组(OR=5.157)。结论 MECT在精神专科医院老年患者中使用率较高,但年龄大、有心脏疾病及器质性精神障碍的老年患者应谨慎使用。
Objective To understand the application of MECT in elderly patients with psychiatric disorders and the independent correlative factors,and to provide evidence for clinical treatment. Methods A retrospective analysis method was used to collect 403 medical records of patients hospitalized in the geriatric mental ward in 2016 from the electronic medical records database of the hospital,and the social demographic and clinical data of the patients were extracted. The frequency of MECT in elderly patients with mental illness was studied,and univariate and multivariate analyses were conducted to examine the correlates of usage of MECT.Results The rate of MECT usage was 25. 6% in elderly patients. Multivariate analysis showed that MECT use was independently associated with 60≤age 65（ OR = 0. 433）,lack of cardiac disorders（ OR = 0. 362）,higher risk of suicide（ OR = 2. 980）,and diagnosis of mood disorders（ OR = 14. 265） and schizophrenia（ OR = 17. 260）. The MECT group had shorter length of hospitalization（ OR = 0. 882）,and higher hospitalization costs（ OR = 5. 157）. Conclusion Use of MECT is common in elderly patients with psychiatric disorders. However,it should be used with caution in the patients with older age,heart disease and organic mental disorders.
作者
张新乔
项玉涛
王刚
张庆娥
李晓虹
Zhang Xinqiao;Xiang Yutao;Wang Gang;Zhang Qing＇e;Li Xiaohong(Beijing Anding Hospital Ajfiliated to Capital Medical University, Beijing 100088, China;Faculty of Health Sciences, University of Macao , Macao China)
出处
《四川精神卫生》
2018年第2期148-151,共4页
Sichuan Mental Health
关键词
MECT
老年
住院患者
精神障碍
治疗
相关因素
多因素分析
MECT
Old age
Inpatient
Psychiatric disorders
Therapy
Associated factors
Multifaetor analysis
