Eficacia de la terapia electroconvulsiva más psicofármacos y psicofármacos solos en esquizofrénicos
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Determinar a través de un análisis comparativo realizado en pacientes esquizofrénicos, la eficacia de la terapia electroconvulsiva más psicofármacos en relación al uso solamente de psicofármacos. La metodología de la investigación es de tipo descriptiva, cuantitativa, retrospectiva, con uso de la observación directa de las historias clínicas de los pacientes esquizofrénicos, cuyos resultados evidenciaron que: el 60% de los pacientes fueron masculinos, 75% de varones fueron menores de 40 años, diagnosticados con esquizofrenia paranoide, con estadía hospitalaria de hasta 80 días, de los cuales hasta 60 días solo recibieron el tratamiento con psicofármacos, mientras que de 20 a 30 días recibieron el tratamiento combinado con TEC en 8 sesiones, indicándose la refractariedad en el tratamiento y como efecto la confusión; las dos terceras partes de las mujeres fueron diagnosticadas con esquizofrenia paranoide, con edades entre 21 a 40 años de edad, con una estadía hospitalaria de 60 a 80 días con el tratamiento de los psicofármacos y de 31 a 40 días con el tratamiento combinado con TEC, en ocho sesiones, indicándose la refractariedad en el tratamiento y como efecto la confusión. En conclusión, la terapia electroconvulsiva permitió que los pacientes con esquizofrenia minimicen el tiempo de estadía hospitalaria, significando que el incremento de la estadía hospitalaria obedeció a no haber aplicado desde un principio la TEC.
To determine, through a comparative analysis performed in schizophrenic patients, the efficacy of electroconvulsive therapy plus psychotropic drugs in relation to the use of only psychotropic drugs. The research methodology is descriptive, quantitative, retrospective, with the use of direct observation of the clinical histories of schizophrenic patients, whose results showed that: 60% of the patients were male, 75% were male 40 years, diagnosed with paranoid schizophrenia, with hospital stay of up to 80 days, of which up to 60 days only received treatment with psychotropic drugs, while 20 to 30 days received the combined treatment with ECT in 8 sessions, indicating the refractoriness in the treatment and as effect the confusion; two thirds of the women were diagnosed with paranoid schizophrenia, aged between 21 to 40 years of age, with a hospital stay of 60 to 80 days with the treatment of the piscofármacos and 31 to 40 days with the combined treatment with TEC , in eight sessions, indicating the refractoriness in the treatment and as an effect the confusion. In conclusion, electroconvulsive therapy allowed patients with schizophrenia to minimize the length of hospital stay, meaning that the increase in hospital stay was due to not having applied ECT from the beginning.
To determine, through a comparative analysis performed in schizophrenic patients, the efficacy of electroconvulsive therapy plus psychotropic drugs in relation to the use of only psychotropic drugs. The research methodology is descriptive, quantitative, retrospective, with the use of direct observation of the clinical histories of schizophrenic patients, whose results showed that: 60% of the patients were male, 75% were male 40 years, diagnosed with paranoid schizophrenia, with hospital stay of up to 80 days, of which up to 60 days only received treatment with psychotropic drugs, while 20 to 30 days received the combined treatment with ECT in 8 sessions, indicating the refractoriness in the treatment and as effect the confusion; two thirds of the women were diagnosed with paranoid schizophrenia, aged between 21 to 40 years of age, with a hospital stay of 60 to 80 days with the treatment of the piscofármacos and 31 to 40 days with the combined treatment with TEC , in eight sessions, indicating the refractoriness in the treatment and as an effect the confusion. In conclusion, electroconvulsive therapy allowed patients with schizophrenia to minimize the length of hospital stay, meaning that the increase in hospital stay was due to not having applied ECT from the beginning.
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Esquizofrenia, Terapia electroconvulsiva, Psicofármacos, Epidemiología decriptiva, Estudios retrospectivos, Instituto de Neurociencias, Cantón Guayaquil, Ecuador