Gazdag Gábor
Szt. László Kórház, Pszichiátriai és Addiktológiai Ambulancia, 1097 Budapest, Gyáli út 5-7.
Ideggyogy Sz. 2003 Nov 20;56(11-12):370-5.
Personnel and technical conditions for ECT (electroconvulsive therapy) is legally determined. In this article the author reviews studies focused on the technical questions of ECT. After the comparison of the unilateral and bilateral electrode placement an analysis is given on the physical properties of the stimulus used to elicit seizures. After discussing the questions of dose, wave-form frequency and polarity, the anatomical and physiological factors of impedance are evaluated. The author then discuss gender, age and encephalopathy as factors influencing seizure threshold. The connection between symmetry, regularity, and postictal suppression registered on the EEG and efficacy is observed. The EEG and EMG concordance is supposed to be connected also with the efficacy. In the discussion the author gives recommendations based on the literature.
电休克治疗（ECT）的人员和技术条件有法律规定。本文作者回顾了聚焦于ECT技术问题的研究。在比较单侧和双侧电极放置后，对用于引发癫痫发作的刺激的物理特性进行了分析。在讨论剂量、波形频率和极性问题后，评估了阻抗的解剖学和生理学因素。作者接着讨论了性别、年龄和脑病作为影响癫痫发作阈值的因素。观察到脑电图（EEG）上记录的对称性、规律性和发作后抑制与疗效之间的联系。EEG和肌电图（EMG）的一致性也被认为与疗效有关。在讨论中，作者根据文献给出了建议。
