[早期使用电休克治疗是否会缩短重度抑郁发作的住院时间？]
[Does early use of ECT reduce the hospital stay period in major depressive episodes?].
作者信息
Schwerthöffer Dirk, Wolf Florian, Pitschel-Walz Gabi, Bäuml Josef
机构信息
Klinik und Poliklinik für Psychiatrie und Psychotherapie der TU München.
出版信息
Psychiatr Prax. 2011 Feb;38(2):77-81. doi: 10.1055/s-0030-1248600. Epub 2010 Oct 22.
OBJECTIVE
ECT is an effective and safe therapy with fast response for depressive disorders. Nevertheless it's mostly used for therapy resistance. In antidepressive treatments fast response may be related with antidepressive efficacy. We studied, if earlier ECT could result in a shorter hospital stay period after the treatment.
METHODS
The hospital stay period after ECT and CGI-changes of 34 depressed patients with immediate ECT were compared to those of 19 patients, who had to wait for this treatment while being treated conservatively in another psychiatric hospital without ECT-possibility.
RESULTS
Patients with early ECT could be dismitted from hospital at a mean of 57 days after the first ECT, patients who had to wait for this treatment at a mean of 100 days after the first ECT. CGI-changes were similar in both groups.
CONCLUSIONS
Early use of ECT may reduce hospital stay periods in depressed patients.
目的
ECT是一种治疗抑郁症有效且安全的疗法，起效迅速。然而，它主要用于治疗抵抗性抑郁症。在抗抑郁治疗中，快速起效可能与抗抑郁疗效相关。我们研究了早期进行ECT治疗是否会缩短治疗后的住院时间。
方法
将34例接受即刻ECT治疗的抑郁症患者ECT治疗后的住院时间及临床总体印象量表（CGI）变化，与19例在另一家无法进行ECT治疗的精神病医院接受保守治疗、等待ECT治疗的患者进行比较。
结果
早期接受ECT治疗的患者在首次ECT治疗后平均57天出院，而等待ECT治疗的患者在首次ECT治疗后平均100天出院。两组的CGI变化相似。
结论
早期使用ECT可能会缩短抑郁症患者的住院时间。
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