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[电休克治疗]

[Electroconvulsion therapy].

作者信息

Dols Annemiek, Stek Max L

机构信息

GGZ inGeest-Vrije Universiteit Medisch Centrum, afd. Ouderen, Amsterdam, The Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2009;153:A588.

PMID:19900318
Abstract

Electroconvulsion therapy (ECT) is the generation of an epileptic seizure by means of a brief pulse of electrical current under general anaesthesia and is used to treat psychiatric disorders. The principal indication for ECT is severe depression, with or without psychotic characteristics. ECT works quicker and is more effective than antidepressants and has a lower risk of side effects. The principle side effect is retrograde amnesia. ECT can be administered with unilateral or bilateral electrodes. In the Netherlands the unilateral electrode is used, as this probably gives rise to fewer cognitive side effects.

摘要

电休克疗法(ECT)是在全身麻醉下通过短暂的电流脉冲引发癫痫发作,用于治疗精神疾病。ECT的主要适应症是伴有或不伴有精神病特征的重度抑郁症。ECT起效比抗抑郁药更快且更有效,副作用风险更低。主要副作用是逆行性遗忘。ECT可使用单侧或双侧电极进行治疗。在荷兰使用单侧电极,因为这样可能会产生较少的认知副作用。

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