Greenberg L, Fink M
Department of Psychiatry, Veterans Administration Medical Center, Northport, New York.
Clin Geriatr Med. 1992 May;8(2):349-54.
The use of ECT has had a resurgence in the past decade as the promise of more effective and specific pharmacotherapy has been unfulfilled. This has been especially true in the elderly in whom ECT has been frequently demonstrated to be a safe and effective intervention. The decision to use ECT in an elderly patient is a complex one, based on the patient's illness, risks of the treatment compared with alternate or no treatment, and patient and family wishes. The list of dogmatic "absolute contraindications" for ECT has been replaced with a pragmatic philosophy looking at risk/benefit ratios. Such an attitude can only serve to enhance the quality of care clinicians provide their patients.
在过去十年中，随着更有效、更具针对性的药物治疗的前景未能实现，电休克疗法（ECT）的使用再度兴起。在老年人中尤其如此，电休克疗法经常被证明是一种安全有效的干预措施。对于老年患者而言，是否采用电休克疗法是一个复杂的决定，这取决于患者的病情、与替代治疗或不治疗相比的治疗风险，以及患者和家属的意愿。电休克疗法教条式的“绝对禁忌症”清单已被审视风险/收益比的务实理念所取代。这样的态度只会有助于提高临床医生为患者提供的护理质量。
