Hordyńska Ewa, Palińska Danuta, Sobów Tomasz
I Klinika Psychiatryczna AM w Łodzi.
Psychiatr Pol. 2002 Nov-Dec;36(6 Suppl):157-66.
In this paper we discuss seven cases of major depression in elderly (age > 60) treated with ECT. Six suffered from unipolar disorder and one from bipolar; four of them had psychotic features. In all patients at least some improvement was gained. Memory impairment appeared in two patients, however in one case no abnormalities in neuropsychological tests were found; in the second patient memory impairment, which could have been seen before treatment, became slightly more pronounced. In one patient after injection used for anaesthesia convulsion (type grand mal) occurred, but when the medicine was changed all ECT sessions were successful without any side effects. In three patients ECT had been successfully used before and was still efficient during our study. In other three patients ECT as prevention is still being used. Our first experience with ECT in elderly patients is highly encouraging, especially after careful selection of patients.
在本文中，我们讨论了7例接受电休克治疗（ECT）的老年（年龄>60岁）重度抑郁症患者。其中6例患有单相障碍，1例患有双相障碍；4例有精神病性症状。所有患者均至少有一定程度的改善。2例患者出现记忆障碍，然而其中1例在神经心理学测试中未发现异常；另1例患者在治疗前就存在的记忆障碍变得稍微更加明显。1例患者在用于麻醉的注射后发生惊厥（大发作型），但更换药物后所有ECT治疗均成功且无任何副作用。3例患者以前曾成功使用过ECT，在我们的研究期间仍然有效。另外3例患者仍在使用ECT作为预防措施。我们对老年患者进行ECT的首次经验非常令人鼓舞，尤其是在仔细选择患者之后。
