Coffey C E, Weiner R D
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.
Hosp Community Psychiatry. 1990 May;41(5):515-21. doi: 10.1176/ps.41.5.515.
Electroconvulsive therapy (ECT) is a safe, rapidly acting, and very effective form of treatment for severe affective illness. In recent years the limitations of available psychopharmacotherapies and the pressures of cost containment appear to be encouraging the increasing use of ECT. The authors provide an overview of electroconvulsive therapy as a treatment modality, focusing on indications, contraindications, adverse effects, and contemporary ECT technique, including recent modifications in electrode placement, stimulus wave form, and dosage intensity. They urge that adequate training be provided for medical and nursing personnel who administer ECT and that facilities monitor practitioners' competence by specific privileging.
电休克疗法（ECT）是一种用于治疗严重情感障碍的安全、起效迅速且非常有效的治疗方法。近年来，现有心理药物治疗的局限性以及成本控制的压力似乎促使ECT的使用越来越多。作者概述了电休克疗法这种治疗方式，重点介绍了适应症、禁忌症、不良反应以及当代ECT技术，包括电极放置、刺激波形和剂量强度方面的最新改进。他们敦促为实施ECT的医护人员提供充分培训，并且各机构应通过特定的资格审查来监督从业者的能力。
