老年患者的尿:一个案例系列报告
Monica Parmar1, Timothy Lau2,3
1Faculty of Medicine, Department of Geriatric Psychiatry, University of Ottawa, Ottawa, ON, Canada. mparm027@uottawa.ca.
BMC geriatrics
|December 20, 2024
概括
电疗法 (ECT) 有效地治疗了老年患者的尿和抑郁症的尿. 这种方法解决了白内障症状和需要尿道导管治疗的需要,改善了患者的治疗结果.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经精神病学是一种神经精神病学.
- 卡塔托尼亚的医疗后果
背景情况:
- 卡塔托尼是老年人诊断不足的疾病,往往导致严重的医疗并发症,如尿路保留.
- 老年患者的尿需要长时间使用导管,增加感染,妄想和死亡的风险.
- 及时干预catatonia对于预防这些不良结果至关重要.
研究的目的:
- 为了描述老年人中与阴性相关的尿的临床病例.
- 评估电疗法 (ECT) 在缓解同时发生的尿,阴性和抑郁症状方面的疗效.
- 突出ECT作为治疗复杂老年神经精神疾病的潜力.
主要方法:
- 一个由四名老年患者 (66-84岁) 组成的病例系列,他们被诊断出患有重度抑郁症和白内障.
- 使用蒙哥马利-阿斯伯格抑郁症评分表 (MADRS) 和布什弗朗西斯卡塔托尼评分表 (BFCRS) 评估症状严重程度.
- 通过空虚后残留 (PVR) 膀体积来监测尿,在进行14-19次ECT疗程之前和之后进行.
主要成果:
- 所有患者都出现了严重的抑郁症 (MADRS 40-56) 和白内障,以及显著的尿留 (PVR 569-1400 mL).
- 在ECT后,白内障消失了,MADRS得分降至轻度/下值水平 (3-16),PVR体积显著减少 (6-75毫升).
- 尿和精神症状的同时解决,允许在没有尿导管的情况下排出尿液.
结论:
- 这一系列病例是首次报告老年患者使用ECT同时解决白色心脏病,抑郁症和尿.
- 及时识别和治疗通症可以减轻与老年人长时间使用导管相关的并发症.
- 需要进一步的研究来阐明ECT治疗这些多方面的疾病的重叠机制.
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