Ishimoto Y, Imakura A, Nakayama H
Department of Neuropsychiatry, University of Tokushima School of Medicine, Japan.
J Med Invest. 2000 Aug;47(3-4):123-7.
In Western nations the effect of ECT has been re-evaluated since the 1970s, while reports on ECT are few in Japan.
The sample included 3,067 patients admitted to Tokushima University Hospital between 1975 and 1997. Hospital charts were reviewed retrospectively for ECT.
ECT was carried out on 6.03% of all subjects; 11.97% of patients with schizophrenia, 4.88% with manic depressive psychosis, 7.44% with atypical psychosis and 3.27% with psychogenic reactions. The remission rate from ECT was 68.11% of all subjects; 59.85% with schizophrenia, 100% with manic depressive psychosis, 100% with atypical psychosis and 92.0% with psychogenic reactions. Patients averaged 10.26 treatments. ECT had been administered mainly to patients who had responded poorly to pharmacotherapy and to patients who required rapid improvement of life-threatening symptoms. ECT was highly effective for symptoms as excitement, suicidal tendencies and stupor. Side effects were claimed by 36.77% of patients.
ECT is suggested to be a useful therapeutic modality in current psychiatric practice.
自20世纪70年代以来，西方国家对电休克疗法（ECT）的效果进行了重新评估，而在日本，关于ECT的报道很少。
样本包括1975年至1997年间入住德岛大学医院的3067名患者。对医院病历进行回顾性分析以了解ECT情况。
所有受试者中6.03%接受了ECT治疗；精神分裂症患者中11.97%、躁狂抑郁症患者中4.88%、非典型精神病患者中7.44%以及心因性反应患者中3.27%接受了ECT治疗。ECT治疗的缓解率在所有受试者中为68.11%；精神分裂症患者中为59.85%、躁狂抑郁症患者中为100%、非典型精神病患者中为100%、心因性反应患者中为92.0%。患者平均接受10.26次治疗。ECT主要用于对药物治疗反应不佳的患者以及需要迅速改善危及生命症状的患者。ECT对兴奋、自杀倾向和木僵等症状非常有效。36.77%的患者声称有副作用。
在当前的精神科实践中，ECT被认为是一种有用的治疗方式。
