【摘要】 目的:探讨抑郁症患者电抽搐治疗(electroconvulsivetherapy,ECT)的远期疗效与是否伴有妄想的关系。方法:上海市精神卫生中心符合中国精神疾病诊断和分类手册第2版修订版抑郁症诊断标准的患者40例,其中有妄想者25例(妄想组,其中1例随访中脱失,纳入分析24例),无妄想者15例非妄想组,两组()患者在ECT治疗后的第6和第12个月进行随访研究。结果:在ECT治疗后的第6和第12个月,妄想组的复发率(12%和21%低于非妄想组53%和73%,差异有显著性χ2=2.720,3.696;)()(P=0.013,0.002)。结论:抑郁症患者的ECT术后复发与其是否伴发妄想内容有关,其总复发率稍高于预期值。更多还原

【Abstract】 AIM:To investigate whether the long term effect of electroconvulsive therapy(ECT) for depressive patients is related with the presence of delusions.<METHODS:Forty patients were diagnosed as having depression according to the diagnostic criteria of Chinese Classification of Mental Disorder 2nd edition(CCMD 2),including 25 of delusion(delusion group,24 cases were enrolled and one cases missed) and 15 of non delusion(non delusion group).The patients received follow up 6 and 12 months after ECT.<RESULTS:Six and twelve months after ECT,the relapse rate were 12% and 21% in the delusion group respectively,significantly lower than those in the non delusion group(53% and 73% )(χ 2=2.720,3.696,P=0.013, 0.002).<CONCLUSION:Post ECT relapse in depressive patients is related with the contents of complicated delusion,and the relapse rate is a little higher than the anticipated value.更多还原