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[抑郁症的电休克治疗]

[Electroconvulsive therapy of depressive disorders].

作者信息

Folkerts H

机构信息

Klinik für Psychiatrie und Psychotherapie, Reinhard-Nieter-Krankenhaus, Wilhelmshaven.

出版信息

Ther Umsch. 2000 Feb;57(2):90-4. doi: 10.1024/0040-5930.57.2.90.

DOI:10.1024/0040-5930.57.2.90
PMID:10730103
Abstract

Electroconvulsive therapy (ECT) is the most effective treatment in all types of major depression. On the other side ECT has long suffered from controversial public image, a reputation that has effectively removed it as treatment option for many patients. Today ECT is an effective and safe treatment for those with severe mental illness. Electroconvulsive therapy has undergone fundamental changes since its introduction 65 years ago. It is no longer a memory-modifying, fearsome treatment pictured in films. Anesthesia, controlled oxygenation, and muscle relaxation make the ECT so safe that the risks are less as those which accompany the use of several psychotropic drugs. Indeed, for the elderly, the systematic ill, and pregnant women, electroconvulsive therapy is a safer treatment for mental illness than any alternative.

摘要

电休克疗法(ECT)是各类重度抑郁症最有效的治疗方法。另一方面,ECT长期以来一直背负着有争议的公众形象,这种名声实际上已使它不再是许多患者的治疗选择。如今,ECT对于患有严重精神疾病的患者而言是一种有效且安全的治疗方法。自65年前问世以来,电休克疗法已经历了根本性的变革。它不再是电影中描绘的那种会改变记忆、令人恐惧的治疗方法。麻醉、可控的氧合作用和肌肉松弛使得ECT非常安全,其风险比使用几种精神药物所伴随的风险还要小。事实上,对于老年人、患有系统性疾病的人和孕妇来说,电休克疗法在治疗精神疾病方面比任何其他方法都更安全。

相似文献

1
[Electroconvulsive therapy of depressive disorders].[抑郁症的电休克治疗]
Ther Umsch. 2000 Feb;57(2):90-4. doi: 10.1024/0040-5930.57.2.90.
2
Rehospitalization rate after continued electroconvulsive therapy--a retrospective chart review of patients with severe depression.持续电休克治疗后的再住院率——对重度抑郁症患者的回顾性病历审查
Nord J Psychiatry. 2011 Feb;65(1):26-31. doi: 10.3109/08039488.2010.485327. Epub 2010 May 20.
3
Long-term weekly continuation electroconvulsive therapy: a case series.长期每周延续性电休克治疗:病例系列
J ECT. 2007 Dec;23(4):274-7. doi: 10.1097/YCT.0b013e3180dc9325.
4
The influence of concomitant neuroleptic medication on safety, tolerability and clinical effectiveness of electroconvulsive therapy.同时使用抗精神病药物对电休克治疗的安全性、耐受性及临床疗效的影响。
World J Biol Psychiatry. 2006;7(3):162-70. doi: 10.1080/15622970500395280.
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The decision to use ECT: for whom? When?使用电休克治疗的决策:针对何人?何时使用?
Mod Probl Pharmacopsychiatry. 1997;25:203-14. doi: 10.1159/000061669.
6
What we have learned about electroconvulsive therapy and its relevance for the practising psychiatrist.我们对电抽搐治疗的了解及其对执业精神科医生的相关性。
Can J Psychiatry. 2011 Jan;56(1):5-12. doi: 10.1177/070674371105600103.
7
Electroconvulsive therapy is equally effective in unipolar and bipolar depression.电抽搐治疗在单相和双相抑郁中同样有效。
Acta Psychiatr Scand. 2010 Jun;121(6):431-6. doi: 10.1111/j.1600-0447.2009.01493.x. Epub 2009 Nov 8.
8
Propofol and methohexital as anesthetic agents for electroconvulsive therapy: a randomized, double-blind comparison of electroconvulsive therapy seizure quality, therapeutic efficacy, and cognitive performance.丙泊酚和甲己炔巴比妥作为电休克治疗的麻醉剂:电休克治疗癫痫发作质量、治疗效果及认知表现的随机双盲比较
J ECT. 2007 Dec;23(4):239-43. doi: 10.1097/0b013e31814da971.
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Electroconvulsive therapy without consent from patients: one-year follow-up study.未经患者同意的电抽搐治疗:一年随访研究。
Asia Pac Psychiatry. 2014 Mar;6(1):83-90. doi: 10.1111/j.1758-5872.2012.00203.x. Epub 2012 Jul 18.
10
[Use of electroconvulsive therapy in the adolescent].[电休克治疗在青少年中的应用]
Encephale. 1997 Jul-Aug;23(4):308-11.

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