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电抽搐治疗在孕妇中的应用。

Electroconvulsive therapy in pregnant patients.

机构信息

Gaziantep University, Faculty of Medicine, Department of Psychiatry, Gaziantep, Turkey.

出版信息

Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):636-9. doi: 10.1016/j.genhosppsych.2013.06.008. Epub 2013 Jul 26.

Abstract

OBJECTIVES

In this study, the aim was to evaluate the clinical characteristics of patients that received electroconvulsive therapy (ECT) during pregnancy due to psychiatric disorders, evaluate the safety and efficacy of ECT in pregnant women, and evaluate the overall status of mothers and babies during the postpartum period.

METHODS

The study included 33 patients who were admitted as inpatients with the indication of ECT due to pregnancy and concurrent psychiatric disorders.

RESULTS

Upon ECT administration, a complete response to treatment was seen in 84.21% of patients with major depression (n=16), a partial response to treatment in 15.78% of patients (n=3), a complete response to treatment in 91.66% of patients with bipolar disorder (n=11), a partial response to treatment in 8.33% of the patients(n=1), and a full response to treatment in 50% of patients with schizophrenia (n=1) and a partial response to treatment in 50% of patients with schizophrenia (n=1) were obtained. We had after birth information of 27 infants from total 33. It was learned that two of them had disease, one was stillbirth and 24 of them did not have any health problems.

CONCLUSIONS

ECT administration during pregnancy to treat psychiatric disorders was found to be an effective treatment method. No risk of preterm birth in mothers treated with ECT during pregnancy was detected.

摘要

目的

本研究旨在评估因精神疾病在孕期接受电抽搐治疗(ECT)的患者的临床特征,评估ECT 对孕妇的安全性和有效性,并评估产后母亲和婴儿的整体状况。

方法

该研究纳入了 33 名因妊娠合并精神疾病而入院行 ECT 治疗的患者。

结果

在 ECT 治疗后,16 例重度抑郁症患者中有 84.21%完全缓解,3 例部分缓解,11 例双相情感障碍患者中有 91.66%完全缓解,1 例部分缓解,1 例精神分裂症患者完全缓解,50%部分缓解。我们从 33 例中获得了 27 名婴儿的产后信息。其中 2 名婴儿患病,1 名死产,24 名婴儿无任何健康问题。

结论

ECT 治疗孕期精神疾病是一种有效的治疗方法。在孕期接受 ECT 治疗的母亲中未发现早产风险。

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