Gazdag G, Kocsis N, Lipcsey A
Clinic of Addictology and Psychiatry, Szt. László Hospital, Budapest, Hungary.
J ECT. 2004 Mar;20(1):42-4. doi: 10.1097/00124509-200403000-00009.
In Hungary there has been no systematic evaluation of ECT use since 1992. Nine years ago, the legal regulation of ECT practice changed. Since 1994, the collaboration of a specialist in anesthesiology is a legal obligation. However, the introduction of the new antipsychotic and antidepressant drugs expanded the possibilities in psychopharmacological treatment. These events basically influenced ECT use. The aim of this study was to obtain an overview of ECT practice in Hungary after these changes.
A 13-item containing questionnaire was sent to all psychiatric departments.
All departments except 1 replied by mail, by phone, or by e-mail. Forty-three departments indicated the use of ECT, but in clinical practice only 34 departments applied ECT in 2002. The average number of treated inpatients was 9 on ECT using departments. Altogether 0,6% of all hospitalized psychiatric inpatients received ECT in 2002. The indication for ECT was schizophrenia in 55.6% of the patients and affective disorder in 40% of the cases. Mostly bitemporal electrode placement was used usually thrice weekly. Most commonly used sleep induction agents were thiopental and propofol.
The rate of ECT use in Hungary is significantly lower than in the United States, in the United Kingdom, or in the Scandinavian countries and similar than in Hong Kong. The indication of ECT was schizophrenia in 55.6% of the cases.
自1992年以来，匈牙利尚未对电休克治疗（ECT）的使用进行系统评估。九年前，ECT治疗的法律规定发生了变化。自1994年起，麻醉科专家参与协作成为法定义务。然而，新型抗精神病药物和抗抑郁药物的出现扩大了心理药物治疗的可能性。这些事件对ECT的使用产生了重大影响。本研究旨在了解这些变化后匈牙利ECT治疗的实际情况。
向所有精神科发送了一份包含13个条目的问卷。
除1个科室外，所有科室均通过邮件、电话或电子邮件进行了回复。43个科室表示使用ECT，但在临床实践中，2002年只有34个科室应用了ECT。使用ECT的科室中，接受治疗的住院患者平均人数为9人。2002年，所有住院精神科患者中共有0.6%接受了ECT治疗。ECT治疗的适应症中，55.6%的患者为精神分裂症，40%的患者为情感障碍。电极放置大多采用双侧颞部，通常每周三次。最常用的睡眠诱导剂是硫喷妥钠和丙泊酚。
匈牙利ECT的使用率显著低于美国、英国或斯堪的纳维亚国家，与中国香港地区相近。ECT治疗的适应症中，55.6%的病例为精神分裂症。
