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| MECT联合利培酮治疗木僵12个月的精神分裂症患者一例 |
| A case report of schizophrenia with a 12-month stupor:successful treatment by risperdal? and modified electroconvulsive therapy. |
| 投稿时间：2021-09-07 修订日期：2021-11-05 |
| DOI： |
| 中文关键词: 长时间木僵 精神分裂症 改良电休克治疗 利培酮 |
| 英文关键词:Prolonged catatonic stupor Schizophrenia Modified electroconvulsive therapy Risperidone |
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| 中文摘要: |
| 改良电休克治疗是紧张性木僵木僵患者的首选治疗手段之一，而第二代抗精神病药物是否用于木僵的治疗目前还存在争议。本文报告一例52岁女性精神分裂症患者，病程10余年，木僵12个月，采用改良电休克治疗联合小剂量利培酮治疗后，患者木僵逐渐消失，功能逐渐恢复，且病情一直稳定。该病例提示电休克联合利培酮方案能够使长时间木僵患者达到临床痊愈，并有效控制精神病性症状。现基于此案例展开讨论，以期为临床工作提供参考和经验。 |
| 英文摘要: |
| Modified electroconvulsive therapy is a first-line treatment for catatonic stupor,?but it is still controversial whether the second generation of antipsychotic drugs can be used for the stupor. We present a case of a 52-year-old woman of schizophrenia with a 12-month stupor. After a course of modified electroconvulsive therapy combined with risperidone oral solution, the patient gradually became active and functionally recovered, and has been stable. This case suggests that electroconvulsive therapy combined with risperidone can achieve clinical recovery in patients with prolonged stiffness and effectively control psychotic symptoms. This case is now discussed in order to provide reference and experience for clinical work. |
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