Chanpattana Worrawat, Kojima Kasuki, Kramer Barry Alan, Intakorn Aim, Sasaki Satoshi, Kitphati Rungrueng
Department of Psychiatry, Bangkok Hospital, Bangkok, Thailand.
J ECT. 2005 Sep;21(3):139-44. doi: 10.1097/01.yct.0000169503.80981.c9.
We sought to determine the characteristics of electroconvulsive therapy (ECT) practice in Japan. Only by knowing practice patterns can standards of care be successfully developed and implemented.
From September 1, 2001, to August 31, 2003, a questionnaire was sent to 248 institutions.
A total of 100 institutions (40.3%) completed the questionnaire. ECT was available in 83 institutions. A total of 1,210 patients received 11,146 ECTs from 895 psychiatrists. Brief-pulse device was used in 21 institutions. EEG monitoring was used routinely in 15 institutions. Bilateral ECT was always used. Patients who received ECT were diagnosed schizophrenia (48.9%), major depression (37.4%), catatonia (6.8%), mania (4.4%), and dysthymia (0.8%). The majority of patients who received ECT were in the age group 45-64 years (40.4%) and 65 years and older (39.3%). A total of 670 patients received a total of 6364 unmodified ECT at 60 institutions. There were no ECT-related deaths during the survey.
ECT use in Japan is low. More than half of ECTs instituted were unmodified. The majority of patients who received ECT were diagnosed with schizophrenia and major depression.
我们试图确定日本电休克治疗（ECT）的实施特点。只有了解实施模式，才能成功制定和实施护理标准。
2001年9月1日至2003年8月31日，向248家机构发放了调查问卷。
共有100家机构（40.3%）完成了调查问卷。83家机构可提供ECT治疗。共有1210名患者接受了来自895名精神科医生实施的11146次ECT治疗。21家机构使用了短暂脉冲装置。15家机构常规使用脑电图监测。始终采用双侧ECT治疗。接受ECT治疗的患者被诊断为精神分裂症（48.9%）、重度抑郁症（37.4%）、紧张症（6.8%）、躁狂症（4.4%）和心境恶劣（0.8%）。接受ECT治疗的患者大多数年龄在45 - 64岁（40.4%）和65岁及以上（39.3%）。共有670名患者在60家机构接受了6364次非改良ECT治疗。调查期间无ECT相关死亡病例。
日本ECT的使用频率较低。超过一半的ECT治疗未进行改良。接受ECT治疗的患者大多数被诊断为精神分裂症和重度抑郁症。
