Tancer M E, Golden R N, Ekstrom R D, Evans D L
National Institute of Mental Health, Rockville, Maryland.
Hosp Community Psychiatry. 1989 Jan;40(1):64-8. doi: 10.1176/ps.40.1.64.
The use of electroconvulsive therapy (ECT) at a university teaching hospital in 1970 and in 1980-81 was reviewed. The percentage of psychiatric patients who received ECT declined modestly over the period, from 4.4 percent to 2.9 percent, despite compelling evidence of its safety and efficacy. Its use as a first-line treatment appeared to drop markedly in 1980-81, however, as indicated by a significantly longer mean period of hospitalization before administration of ECT. Overall length of hospitalization was significantly longer for patients who received ECT in 1980-81. These patients were also more likely to have had previous psychiatric admissions, suggesting they may have been more seriously ill. The findings are compared with use of ECT in other settings.
对一所大学教学医院在1970年以及1980 - 1981年期间使用电休克疗法（ECT）的情况进行了回顾。在此期间，接受ECT治疗的精神科患者比例略有下降，从4.4%降至2.9%，尽管有确凿证据表明其安全性和有效性。然而，1980 - 1981年期间，ECT作为一线治疗方法的使用似乎显著减少，这表现为在进行ECT治疗前平均住院时间明显延长。1980 - 1981年接受ECT治疗的患者总体住院时间显著更长。这些患者也更有可能曾有过精神科住院史，这表明他们可能病情更严重。研究结果与ECT在其他环境中的使用情况进行了比较。
