Can Fam Physician. 1984 Feb;30:391-4.
Electroconvulsive therapy (ECT) is becoming primarily a tool for treating major depressive illness, where there is substantial evidence for its success. The use of ECT to treat schizophrenia, mania and other conditions has markedly decreased, reflecting the development of effective drug treatment. Recommended indications for ECT are suicidal patients and those who refuse to eat or who are otherwise seriously disturbed or unmanageable. ECT is also indicated when chemotherapy has or is likely to fail or is contraindicated because of cardiac difficulties or pregnancy. ECT compares favorably with chemotherapy in terms of safety and effectiveness. The only absolute contraindication is raised intracranial pressure. Unilateral electrode placement using brief pulse current minimizes post treatment confusion and memory impairment.
电抽搐治疗（ECT）主要用于治疗重度抑郁症，大量证据表明其治疗效果显著。ECT 治疗精神分裂症、躁狂症和其他疾病的应用明显减少，这反映了有效的药物治疗的发展。ECT 的推荐适应症是有自杀倾向的患者和拒绝进食或其他严重紊乱或难以管理的患者。ECT 也适用于化疗失败或因心脏问题或怀孕而禁忌的情况。ECT 在安全性和有效性方面优于化疗。唯一的绝对禁忌证是颅内压升高。使用短脉冲电流进行单侧电极放置可最大程度减少治疗后意识混乱和记忆障碍。
