老年患者右侧单侧超短程电休克治疗与双侧电休克治疗的比较：一项初步自然观察性研究。

A comparison between Right Unilateral Ultrabrief electroconvulsive therapy and bilateral electroconvulsive therapy in the elderly: a pilot naturalistic observational study.

作者信息

Narchal Shalini, Harris Anthony Wf, Allen Bruce

机构信息

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.

出版信息

Australas Psychiatry. 2018 Aug;26(4):394-397. doi: 10.1177/1039856218765898. Epub 2018 Apr 3.

DOI:10.1177/1039856218765898

PMID:29609474

Abstract

OBJECTIVES

To compare clinical outcomes and adverse effects between Bitemporal (BT) and Right Unilateral Ultrabrief (RUL(UB)) electroconvulsive therapy (ECT) in an elderly population.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要