Effects of ketamine on cardiovascular system and cognitive function in patients with depression receiving MECT
10.3969/j.issn.1006-5725.2017.16.016
- VernacularTitle:氯胺酮麻醉的改良性电抽搐治疗对抑郁症患者心血管系统及认知功能的影响
- Author:
Ripeng LI
;
Hongbo HE
;
Yuping NING
;
Chunping ZHANG
;
Miaoling JIANG
;
Xiong. HUANG
- Keywords:
ketamine;
depression;
MECT;
MAP;
cognitive function
- From:
The Journal of Practical Medicine
2017;33(16):2670-2673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of ketamine and propofol on cardiovascular system and cognitive function in the patients with depression during the modified electroconvulsive therapy (MECT). Methods A total of 60 patients with depression treated by MECT were randomly divided into 2 groups. Induced anesthesia with ketamine and propofol were performed respectively during MECT. The course of treatment was 8 times. The mean arterial pressure(MAP)was recorded before therapy and at 5 min after MECT.Depression and the cognitive function were evaluated by using the Hamilton Depression Scale(HAMD)and the Wisconsin Card Sorting Test(WCST)before treatment and 1 day after treatment. Results There was no significant difference in MAP between the two groups after MECT(P > 0.05). The HAMD scores of the two groups were lower than those before treatment(P<0.05). In the total number of errors and the number of random errors,there was no significant difference between two groups (P > 0.05). But in completing classification of WCST ,the ketamine group was better than the propofol group(P<0.05). Conclusion Propofol has no obvious influence on the cognition function and little influence on MAP,so it could be the first choice of anaesthetic for the induction of MECT.
