电抽搐治疗伴紧张症的青少年：疗效与伦理。
Electroconvulsive therapy in adolescents with the catatonia syndrome: efficacy and ethics.
机构信息
Department of Child and Adolescent Psychiatry, Université Pierre et Marie Curie, APHP, Hôpital Pitié-Salpêtrière, CNRS UMR 7222, Institut de Systemes Intelligents et Robotiques Paris, France.
出版信息
J ECT. 2010 Dec;26(4):259-65. doi: 10.1097/YCT.0b013e3181fb3924.
OBJECTIVES
In child and adolescent psychiatry, catatonia is infrequent, but it is one of the most severe syndromes, characterized by the coexistence of psychic and motor symptoms. In this report, we explore the therapeutic experience with electroconvulsive therapy (ECT) in adolescents with catatonia.
METHODS
We review the literature (1985-2009) to clarify issues related to the use of ECT in child and adolescent patients with catatonia.
RESULTS
Electroconvulsive therapy is used as second-line management after high-dose benzodiazepine trials. Electroconvulsive therapy is an effective, safe, and useful procedure in the treatment of catatonic youngsters as reported in 59 patients. Ethical issues regarding the use of ECT are analyzed and their implications briefly discussed in the light of general medical ethics.
CONCLUSIONS
Electroconvulsive therapy is a safe and effective treatment for catatonia in children and adolescents.
目的
在儿童和青少年精神病学中，紧张症并不常见，但它是最严重的综合征之一，其特征是精神和运动症状同时存在。在本报告中，我们探讨了电休克疗法（ECT）在紧张症青少年患者中的治疗经验。
方法
我们回顾了文献（1985-2009 年），以阐明与儿童和青少年紧张症患者使用 ECT 相关的问题。
结果
在尝试大剂量苯二氮䓬类药物后，电休克疗法被用作二线治疗。电休克疗法是一种有效、安全且有用的治疗方法，在 59 例紧张症青少年患者中得到了报告。本文分析了使用 ECT 的伦理问题，并根据一般医学伦理学简要讨论了其影响。
结论
电休克疗法是治疗儿童和青少年紧张症的一种安全有效的方法。
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