CAJ | 학술논문

目的：探讨改良电痉挛治疗（ MECT）精神障碍过程中攻击行为的发生及其认定和防范。方法对800例进行MECT的住院患者进行回顾性统计，了解不良反应情况。结果有33例（4．1％）患者在MECT治疗后的2 h内意识仍未完全恢复正常并出现攻击行为，造成了人身的伤害和财物破坏。结论 MECT治疗时，当电流刺激不足以引起大脑皮层痫性大发作样脑电变化、意识障碍尚未恢复正常时可能出现攻击行为。
목적：탐토개량전경련치료（ MECT）정신장애과정중공격행위적발생급기인정화방범。방법대800례진행MECT적주원환자진행회고성통계，료해불량반응정황。결과유33례（4．1％）환자재MECT치료후적2 h내의식잉미완전회복정상병출현공격행위，조성료인신적상해화재물파배。결론 MECT치료시，당전류자격불족이인기대뇌피층간성대발작양뇌전변화、의식장애상미회복정상시가능출현공격행위。
Objective To study the occurrence and identification of aggressive behavior in MECT and its precaution.Method The clinical data of 800 patients treated by MECT in hospital within seven years were retrospectively analyzed.Results Of all these pa-tients,33(4.1%)who didn't return conscious in two hours showed the impulsive behavior after treated by MECT.Conclusion The pa-tients treated by MECT may show the impulsive behavior easily, when electrical brain stimulation is not enough to cause the cerebral change.