与和和电疗法有关的电解质障碍:系统性审查
Adam Gędek1,2, Michał Materna3, Paweł Majewski4
1Department of Pharmacology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, Poland.
在电疗法 (ECT) 期间,电解质干扰,特别是和不平衡,可能会发生. 谨慎的电解质管理对于安全有效的ECT治疗至关重要,特别是在水分和肌肉松剂选择方面.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床化学 临床化学
背景情况:
- 涉及和的电解质干扰与接受电疗法 (ECT) 的精神疾病患者有关.
- 了解这些干扰对于优化ECT期间患者护理至关重要.
研究的目的:
- 系统地审查有关电疗法 (ECT) 与电解质干扰之间的关系的现有数据,特别关注和.
- 总结ECT在患有先前或治疗后电解质异常的患者的安全性和有效性.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 包括的研究是临床报告,详细介绍了ECT前或之后患者的电解质障碍.
主要成果:
- 确定了9个病例报告和2个回顾性研究,记录了ECT周围的电解质异常.
- 在患有低血和高血的患者,包括老年人中,ECT已经证明了有效性和安全性.
- ECT后的电解质障碍不常见,其中基尼尔胆被认为是高胆的潜在原因.
结论:
- 电解质平衡是管理ECT的关键组成部分.
- 维持适当的水分是必要的,对于患有与有关的疾病的患者进行ECT.
- 应重新考虑在患有固定性疾病的患者中使用基尼尔胆,如卡塔托尼或神经乱性恶性综合征.
- 需要进一步研究以阐明电解质度对ECT参数和疗效的影响,并评估麻醉影响.
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