Narchal Shalini, Harris Anthony Wf, Allen Bruce
Staff Specialist, Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, and; Department of Psychiatry, Westmead Hospital, Westmead, NSW, Australia.
Professor of Psychiatry, Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, and; Department of Psychiatry, Westmead Hospital, Westmead, NSW, and; Brain Dynamics Centre, Westmead Millennium Institute for Medical Research, Westmead, NSW, Australia.
Australas Psychiatry. 2018 Aug;26(4):394-397. doi: 10.1177/1039856218765898. Epub 2018 Apr 3.
To compare clinical outcomes and adverse effects between Bitemporal (BT) and Right Unilateral Ultrabrief (RUL(UB)) electroconvulsive therapy (ECT) in an elderly population.
Patients over the age of 65 years admitted to a tertiary referral hospital over a seven month period requiring ECT received RUL(UB) ECT. They were compared with those who received BT ECT over these and the preceding seven months.
Twenty-three patients entered the study. No significant differences was observed between the groups in demographic and clinical characteristics or clinical improvement. However, patients who received BT ECT were significantly more likely to be confused post treatment compared with the RUL(UB) group.
This pilot study found RUL(UB) ECT to be an effective treatment in elderly patients. These patients also suffered significantly less confusion than patients who received BT ECT.
比较双侧颞部（BT）和右侧单侧超短程（RUL(UB)）电休克治疗（ECT）在老年人群中的临床疗效和不良反应。
在一家三级转诊医院，7个月内入院且需要接受ECT治疗的65岁以上患者接受了RUL(UB) ECT治疗。将他们与在这7个月以及之前7个月接受BT ECT治疗的患者进行比较。
23名患者进入研究。两组在人口统计学和临床特征或临床改善方面未观察到显著差异。然而，与RUL(UB)组相比，接受BT ECT治疗的患者治疗后出现意识模糊的可能性显著更高。
这项初步研究发现RUL(UB) ECT对老年患者是一种有效的治疗方法。这些患者出现意识模糊的情况也明显少于接受BT ECT治疗的患者。
