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[老年患者电休克治疗的问题——其可能的应用、必要性、适应证标准、方法及有效性]

[Problems of electroconvulsive treatment in advanced age--its possible applications and necessities, indications criteria, method and effectiveness].

作者信息

Ende W, Poppe W

机构信息

Nervenklinik Hochweitzschen.

出版信息

Psychiatr Prax. 1989 Jul;16(4):151-8.

PMID:2772083
Abstract

After a critical discussion with antiquated and actual problems to the electroconvulsive therapy the problem-important peculiarities of progress and treatment of the psychosis in the higher age are exhibited. In search of satisfactoring solutions we used Dexamethazon as a supplemental premedication in the electroconvulsive therapy and by this way we found out a remarkable minimize of complications which allowed to put in more frequently the electroconvulsive therapy during the psychosis in the higher age. This leads to a general optimation of prognosis of the late psychical diseases. Beside the method itself the urgency of indications and exclusion of standards are described in the same way, also there are shown the few complications in comparison with the successes of therapy of 2010 electricalconvulsive therapies from 433 patients.

摘要

在对电休克治疗的过时及实际问题进行批判性讨论后,阐述了老年精神病进展和治疗的重要问题特点。为寻求令人满意的解决方案,我们在电休克治疗中使用地塞米松作为补充性术前用药,通过这种方式我们发现并发症显著减少,这使得在老年精神病发作期间能够更频繁地进行电休克治疗。这导致晚期精神疾病的总体预后得到优化。除了方法本身,还同样描述了适应症的紧迫性和标准的排除,与433例患者2010次电休克治疗的成功相比,也显示了少数并发症。

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