König P, Angelberger-Spitaler H, Conca A, Schneider H J
Abteilung Psychiatrie I, Landes-Nervenkrankenhaus Valduna.
Wien Klin Wochenschr. 1991;103(7):201-6.
We report on 120 psychiatric in-patients who underwent electroconvulsive therapy (ECT) during 1980-1987. The patients were hospitalized in a regional psychiatric hospital, main indications for ECT being "neuroleptic treatment resistance" (44%) and "catatonia/stupor". Between 1980 and 1987 on average 0.7% (2.75%-0.1%) of admissions were treated by means of a course of less than 10 ECT sessions (62%) or less than 15 sessions (25%), 4% patients requiring 20 ECT sessions or even more. In over half of the patients bilateral electrode placement was chosen out of therapeutic considerations. Naturally, ECT was carried out under specialist anaesthesia and muscular relaxation. For drug-resistant patients average doses as needed before ECT are presented. 83% of patients showed remissions. Under strict indications ECT is still rated as a valuable treatment technique for a sub-group of psychotic in-patients.
我们报告了1980年至1987年间接受电休克治疗（ECT）的120名精神科住院患者。这些患者在一家地区精神病医院住院，ECT的主要适应证为“抗精神病药物治疗抵抗”（44%）和“紧张症/木僵”。1980年至1987年间，平均0.7%（2.75%-0.1%）的入院患者接受了少于10次ECT治疗（62%）或少于15次治疗（25%），4%的患者需要20次或更多次ECT治疗。出于治疗考虑，超过半数的患者选择了双侧电极放置。当然，ECT是在专业麻醉和肌肉松弛下进行的。文中给出了耐药患者在ECT前按需使用的平均剂量。83%的患者病情缓解。在严格的适应证下，ECT对一部分精神病住院患者而言仍是一种有价值的治疗技术。
