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本文引用的文献

1
Polymorphism of the brain-derived neurotrophic factor and dynamics of the seizure threshold of electroconvulsive therapy.脑源性神经营养因子多态性与电惊厥治疗癫痫发作阈值的动态变化。
Eur Arch Psychiatry Clin Neurosci. 2017 Dec;267(8):787-794. doi: 10.1007/s00406-016-0744-z. Epub 2016 Oct 27.
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Default mode network coherence in treatment-resistant major depressive disorder during electroconvulsive therapy.电休克治疗期间难治性重度抑郁症的默认模式网络连贯性
J Affect Disord. 2016 Nov 15;205:130-137. doi: 10.1016/j.jad.2016.06.059. Epub 2016 Jun 27.
3
Increased serum brain-derived neurotrophic factor levels following electroconvulsive therapy or antipsychotic treatment in patients with schizophrenia.精神分裂症患者接受电休克治疗或抗精神病药物治疗后血清脑源性神经营养因子水平升高。
Eur Psychiatry. 2016 Aug;36:23-8. doi: 10.1016/j.eurpsy.2016.03.005. Epub 2016 Jun 13.
4
Remission of depression following electroconvulsive therapy (ECT) is associated with higher levels of brain-derived neurotrophic factor (BDNF).电休克疗法(ECT)后抑郁症的缓解与脑源性神经营养因子(BDNF)水平升高有关。
Brain Res Bull. 2016 Mar;121:263-9. doi: 10.1016/j.brainresbull.2016.02.013. Epub 2016 Feb 15.
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Effects of Electroconvulsive Therapy on Some Inflammatory Factors in Patients With Treatment-Resistant Schizophrenia.电休克治疗对难治性精神分裂症患者某些炎症因子的影响
J ECT. 2016 Sep;32(3):174-9. doi: 10.1097/YCT.0000000000000303.
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Pharmacogenetics of clozapine response and induced weight gain: A comprehensive review and meta-analysis.氯氮平反应及所致体重增加的药物遗传学:一项全面综述与荟萃分析
Eur Neuropsychopharmacol. 2016 Feb;26(2):163-185. doi: 10.1016/j.euroneuro.2015.12.035. Epub 2015 Dec 29.
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Peripheral brain-derived neurotrophic factor (BDNF) as a biomarker in bipolar disorder: a meta-analysis of 52 studies.外周脑源性神经营养因子(BDNF)作为双相情感障碍的生物标志物:52项研究的荟萃分析
BMC Med. 2015 Nov 30;13:289. doi: 10.1186/s12916-015-0529-7.
8
Antidepressant Effects of Electroconvulsive Therapy Correlate With Subgenual Anterior Cingulate Activity and Connectivity in Depression.电休克治疗的抗抑郁作用与抑郁症患者膝下前扣带回的活动及连接性相关。
Medicine (Baltimore). 2015 Nov;94(45):e2033. doi: 10.1097/MD.0000000000002033.
9
Brain-Derived Neurotrophic Factor and Antidepressive Effect of Electroconvulsive Therapy: Systematic Review and Meta-Analyses of the Preclinical and Clinical Literature.脑源性神经营养因子与电休克治疗的抗抑郁作用:临床前和临床文献的系统评价与荟萃分析
PLoS One. 2015 Nov 3;10(11):e0141564. doi: 10.1371/journal.pone.0141564. eCollection 2015.
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Autobiographical memory dysfunctions in depressive disorders.抑郁障碍中的自传体记忆功能障碍。
Psychiatry Clin Neurosci. 2016 Feb;70(2):100-8. doi: 10.1111/pcn.12370. Epub 2015 Nov 29.

电休克治疗疗效的潜在机制

Potential Mechanisms Underlying the Therapeutic Effects of Electroconvulsive Therapy.

作者信息

Jiang Jiangling, Wang Jijun, Li Chunbo

机构信息

Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.

Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders, Ministry of Education, Shanghai Jiao Tong University, Shanghai, 200030, China.

出版信息

Neurosci Bull. 2017 Jun;33(3):339-347. doi: 10.1007/s12264-016-0094-x. Epub 2016 Dec 28.

DOI:10.1007/s12264-016-0094-x
PMID:28032314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5567510/
Abstract

In spite of the extensive application of electroconvulsive therapy (ECT), how it works remains unclear. So far, researchers have made great efforts in figuring out the mechanisms underlying the effect of ECT treatment via determining the levels of neurotransmitters and cytokines and using genetic and epigenetic tools, as well as structural and functional neuroimaging. To help address this question and provide implications for future research, relevant clinical trials and animal experiments are reviewed.

摘要

尽管电休克疗法(ECT)已被广泛应用,但其作用机制仍不清楚。到目前为止,研究人员通过测定神经递质和细胞因子水平、使用基因和表观遗传工具以及结构和功能神经成像等方法,在弄清楚ECT治疗效果的潜在机制方面付出了巨大努力。为了帮助解决这个问题并为未来研究提供启示,本文对相关的临床试验和动物实验进行了综述。