Enns M
Department of Psychiatry, University of Manitoba, Winnipeg.
Can J Psychiatry. 1991 Jun;36(5):344-8. doi: 10.1177/070674379103600505.
The traditional view is that the elicitation of a series of generalized cerebral seizures is the essential requirement for efficacious electroconvulsive therapy (ECT). This theory is the basis of many recent recommendations that the minimum electrical dose required to elicit generalized seizures should be used. Evidence challenging this theory is reviewed, which suggests a role for supra-threshold electrical stimulation in ECT. Hypotheses to explain these findings are examined, and recommendations are made.
传统观点认为，引发一系列全身性癫痫发作是有效的电休克疗法（ECT）的基本要求。这一理论是近期许多建议的基础，即应使用引发全身性癫痫发作所需的最小电剂量。本文回顾了对这一理论提出挑战的证据，这些证据表明阈上电刺激在ECT中发挥作用。文中对解释这些发现的假说进行了探讨，并提出了建议。
