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单侧电惊厥治疗的评估(一项双盲研究)

EVALUTION OF UNILATERAL ELECTRO-CONVULSIVE THERAPY (A double blind study).

机构信息

Classified Specialist (Psychiatry), Command Hospital Lucknow, India.

出版信息

Indian J Psychiatry. 1980 Apr;22(2):185-94.

PMID:22058461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3013311/
Abstract

A double blind study of one hundred twenty patients ( ninety schizophrenics and thirty depressives )-who were divided equally into three groups, who received either (a) bilateral ECT or (b) unilateral application of electrodes on non-dominant hemisphere or (c) unilateral on dominant hemisphere was conducted. The three groups were compared regarding efficacy of the therapy, effects on memory, speed of recovery from each shock session and lastly changes in the electro-encephalogram.It was found that all the three techniques were more or less equal in therapeutic efficacy. There was no significant difference between them in the speed of recovery, nor in the EEG changes. Only difference was that in the field of memory, unilateral non-dominant group showed significant improvement in the 'immediate verbal recall' component of memory in particular. Results have been discussed in view of the current literature on the subject.

摘要

对120名患者(90名精神分裂症患者和30名抑郁症患者)进行了一项双盲研究,这些患者被平均分为三组,分别接受:(a) 双侧电休克治疗(ECT);(b) 在非优势半球单侧放置电极;(c) 在优势半球单侧放置电极。对三组患者在治疗效果、对记忆的影响、每次电击治疗后的恢复速度以及最后脑电图的变化方面进行了比较。结果发现,这三种技术在治疗效果上大致相同。它们在恢复速度和脑电图变化方面没有显著差异。唯一的区别在于记忆方面,非优势半球单侧治疗组在记忆的“即时言语回忆”部分尤其有显著改善。结合该主题的现有文献对结果进行了讨论。

相似文献

1
EVALUTION OF UNILATERAL ELECTRO-CONVULSIVE THERAPY (A double blind study).单侧电惊厥治疗的评估(一项双盲研究)
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2
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2
Electroconvulsive therapy for treatment-resistant schizophrenia.电休克治疗难治性精神分裂症
Cochrane Database Syst Rev. 2019 Mar 19;3(3):CD011847. doi: 10.1002/14651858.CD011847.pub2.

本文引用的文献

1
CLINICAL EVALUATION OF UNILATERAL EST.
Am J Psychiatry. 1965 May;121:1087-90. doi: 10.1176/ajp.121.11.1087.
2
Unilateral electro-convulsive therapy.单侧电休克治疗
Postgrad Med J. 1962 Aug;38(442):451-9. doi: 10.1136/pgmj.38.442.451.
3
An inventory for measuring depression.一份用于测量抑郁的量表。
Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004.
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Unilateral electro-convulsive therapy.单侧电休克治疗
J Ment Sci. 1958 Jan;104(434):221-7. doi: 10.1192/bjp.104.434.221.
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Electrically produced unilateral convulsions; a new method of electrocerebrotherapy.电致单侧惊厥;一种新的脑电疗法
Dis Nerv Syst. 1952 Dec;13(12):368-9.
6
The effects of dominant and nondominant unilateral ECT as compared to bilateral ECT.与双侧电休克治疗相比,单侧优势侧和非优势侧电休克治疗的效果。
Am J Psychiatry. 1967 Oct;124(4):483-90. doi: 10.1176/ajp.124.4.483.
7
Cerebral dominance: temporary disruption of verbal memory by unilateral electroconvulsive shock treatment.大脑优势:单侧电休克治疗对言语记忆的短暂干扰。
J Comp Physiol Psychol. 1965 Dec;60(3):368-72. doi: 10.1037/h0022555.
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Memory and electroconvulsive therapy.记忆与电休克治疗
Am J Psychiatry. 1965 Nov;122(5):546-54. doi: 10.1176/ajp.122.5.546.
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The clinical evaluation of unilateral electroconvulsive therapy.单侧电休克治疗的临床评估
Br J Psychiatry. 1968 Apr;114(509):459-63. doi: 10.1192/bjp.114.509.459.
10
Bilateral and unilateral ECT: follow-up study and critique.
Am J Psychiatry. 1970 Dec;127(6):737-45. doi: 10.1176/ajp.127.6.737.