接受电抽搐治疗的双相情感障碍患者的临床特征和结局：来自印度北部的一项研究。
Clinical profile and outcome of bipolar disorder patients receiving electroconvulsive therapy: a study from north India.
机构信息
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Indian J Psychiatry. 2012 Jan;54(1):41-7. doi: 10.4103/0019-5545.94644.
BACKGROUND
Although electroconvulsive therapy (ECT) is used quite frequently among the bipolar patients in developing countries, very little data are available with regard to its effectiveness from the developing countries.
AIM
A retrospective case note review was carried out of bipolar disorder patients who were given ECT.
MATERIALS AND METHODS
Details of demographic and clinical profile, indications for ECT, response patterns, adverse effects, etc. were recorded.
RESULTS
Among all the patients who received ECT, 18% were diagnosed to have bipolar disorder. ECT was administered most commonly for mania with psychotic symptoms, followed by severe depression with psychotic symptoms. Comorbid physical problems were seen in many patients. Nearly 90% of patients in both the subgroups showed more than 50% response (based on reduction in the standardized rating scales) with ECT. Few patients (22%) reported some kind of side effects.
CONCLUSIONS
ECT is useful in the management of acute phase of mania and depression.
背景
电抽搐疗法（ECT）在发展中国家的双相情感障碍患者中被广泛应用，但关于其疗效的数据却很少。
目的
对接受 ECT 的双相情感障碍患者进行回顾性病历审查。
材料与方法
记录人口统计学和临床特征、ECT 适应证、反应模式、不良反应等详细信息。
结果
在接受 ECT 的所有患者中，18%被诊断为双相情感障碍。ECT 最常用于伴有精神病症状的躁狂症，其次是伴有精神病症状的严重抑郁症。许多患者存在合并躯体问题。近 90%的两个亚组患者的 ECT 治疗后反应超过 50%（基于标准化评定量表的减少）。少数患者（22%）报告了某种不良反应。
结论
ECT 对治疗躁狂症和抑郁症的急性期是有用的。
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