Levy Yael, Austin Marie-Paule, Halliday Graeme
St John of God Hospital, Burwood, NSW, Australia.
Australas Psychiatry. 2012 Oct;20(5):429-32. doi: 10.1177/1039856212458979. Epub 2012 Sep 26.
To describe the use of ultra-brief electroconvulsive therapy (ECT) in three postnatal women with severe, treatment resistant depression. The indications and evidence for the use of ECT in the treatment of postnatal depression are discussed.
We present a case series and review relevant literature.
Three patients with severe episodes of depression postnatally, not responding to medication, presented to a private mother-baby inpatient unit. All three patients had significant suicidal ideation and two underwent involuntary treatment in public hospitals during the course of their presenting illnesses. They were treated with right unilateral ultra-brief ECT and a range of medications. All women began to respond within 3-6 treatments and no significant cognitive side effects were observed.
Our findings suggest that right unilateral ultra-brief ECT is a useful treatment modality for severe and treatment resistant depression in the postnatal period. ECT is a useful option in women who have experienced significant medication side effects, or for those whose severity of illness necessitates rapid symptom resolution. Ultra-brief ECT caused minimal clinically observable side effects, which may assist mothers to resume care of their infants more rapidly.
描述超短程电休克治疗（ECT）在三名患有严重难治性产后抑郁症妇女中的应用情况。并讨论ECT用于治疗产后抑郁症的适应症及相关证据。
我们呈现了一个病例系列并回顾了相关文献。
三名产后严重抑郁发作且药物治疗无效的患者入住了一家私立母婴住院病房。所有三名患者均有明显的自杀意念，其中两名在患病期间在公立医院接受了非自愿治疗。她们接受了右侧单侧超短程ECT及一系列药物治疗。所有女性在接受3 - 6次治疗后开始有反应，且未观察到明显的认知副作用。
我们的研究结果表明，右侧单侧超短程ECT是治疗产后严重难治性抑郁症的一种有效治疗方式。对于经历过明显药物副作用的女性，或者病情严重需要快速缓解症状的女性，ECT是一个有用的选择。超短程ECT引起的临床可观察到的副作用最小，这可能有助于母亲更快地恢复对婴儿的照料。
