Jiang Z N
Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1989 Apr;22(2):66-8, 125.
Almost half a century has elapsed since the initial application of ECT in psychiatric clinic. It is currently, debatable whether or not ECT in still applicable in schizophrenia, though its effects for manic-depressive disorders is well established. The authors summarized their experiences in evaluating 300 cases, one half use antipsychotic drugs alone and the other half use drugs with ECT it was found that combined therapy favors both groups of patients with aggressiveness or excitement and group with negativism or catatonia as compared in a duration of 2 weeks, whereas patients with hallucinations of suicidal attempts also benefited in 4 weeks' term. On the contrary the combined therapy in the long run is of no value in patients with delusion.
自ECT首次应用于精神科临床以来,已过去近半个世纪。目前,ECT是否仍适用于精神分裂症存在争议,尽管其对躁狂抑郁症的疗效已得到充分证实。作者总结了他们评估300例患者的经验,其中一半仅使用抗精神病药物,另一半使用药物联合ECT。结果发现,与单独使用抗精神病药物相比,在为期2周的治疗中,联合治疗对有攻击性或兴奋症状的两组患者以及有消极症状或紧张症的患者更为有利,而有幻觉或自杀企图的患者在4周的疗程中也有所受益。相反,从长远来看,联合治疗对妄想症患者没有价值。