Hick E M, Black J L
Mayo Clinic, Jacksonville, Florida, USA.
AANA J. 1999 Feb;67(1):87-92.
Electroconvulsive therapy (ECT) is an effective treatment for some types of depression and psychotic disorders. Although ECT is considered effective and relatively safe, the treatment team must know how to deal with adverse effects. The American Psychiatric Association recognizes no absolute contraindication except brain tumor with increased intracranial pressure. However, patients who have other medical problems are at risk of complications. Optimizing the safety and efficacy of treatment is a goal when providing ECT. Muscle relaxants, barbiturate anesthesia, anticholinergic agents, and oxygenation are used to reduce the risk of complications. The use of ECT requires a knowledge of the effect of anesthetic agents on seizure activity. This article reviews ECT, anesthesia for ECT, and the effect of propofol and methohexital on seizure duration and seizure efficacy.
电休克疗法（ECT）是治疗某些类型抑郁症和精神障碍的有效方法。尽管ECT被认为有效且相对安全，但治疗团队必须知道如何应对不良反应。美国精神病学协会认为除颅内压升高的脑肿瘤外没有绝对禁忌证。然而，患有其他疾病的患者有发生并发症的风险。在提供ECT时，优化治疗的安全性和有效性是一个目标。使用肌肉松弛剂、巴比妥类麻醉剂、抗胆碱能药物和给氧来降低并发症风险。ECT的使用需要了解麻醉剂对癫痫发作活动的影响。本文综述了ECT、ECT麻醉以及丙泊酚和甲己炔巴比妥对癫痫发作持续时间和癫痫发作疗效的影响。
