Mechri Anwar, Zaafrane Hana, Khalifa Monia Hadj, Toumi Samir, Zaafrane Férid, Gaha Lotfi
Service de Psychiatrie, CHU Fattouma Bourguiba de Monastir, Monastir, Tunisie.
Service de d'Anesthésie Réanimation, CHU Fattouma Bourguiba de Monastir, Monastir, Tunisie.
Pan Afr Med J. 2018 Jan 4;29:6. doi: 10.11604/pamj.2018.29.6.11887. eCollection 2018.
This study aimed to describe the practice of electroconvulsivotherapy (ECT) at the University Hospital of Monastir (Tunisia). We conducted a retrospective study of all patients treated by ECT at the University Hospital of Monastir between 2002 and 2013. 80 patients were enrolled in the study (60 men and 20 women, with an average age of 42.1±15.7 years), accounting for 1.4% of all patients hospitalized in Psychiatry Department during the study period. The total number of ECT sessions was 784. In 50% of patients, the primary diagnosis was a major isolated or recurring depressive disorder. The majority of patients (78.8%) had undergone only one ECT session, with an average number of sessions of 8.1 ± 4.9. The most used anesthetic product was the propofol (97.4%). In 71% of cases the energy delivered was between 40 and 80 joules and it was positively correlated with patients' age. The average duration of the motor seizure was 22.3 ± 7.2 seconds and it was negatively correlated with patients' age. The highest response rate was found in depression scores (64.3%). Immediate adverse effects occurred in 51.2% of patients. Finally, 20% of patients continued to undergo maintenance ECT sessions on a weekly or a biweekly basis. The practice of ECT at the University Hospital of Monastir has been little developed in terms of number of patients and ECT sessions. Efforts should be made to promote the use of this method.
本研究旨在描述突尼斯莫纳斯提尔大学医院的电休克治疗（ECT）实践情况。我们对2002年至2013年间在莫纳斯提尔大学医院接受ECT治疗的所有患者进行了一项回顾性研究。80名患者纳入研究（60名男性和20名女性，平均年龄42.1±15.7岁），占研究期间精神科住院患者总数的1.4%。ECT治疗总次数为784次。50%的患者主要诊断为重度单相或复发性抑郁症。大多数患者（78.8%）仅接受过一次ECT治疗，平均治疗次数为8.1±4.9次。最常用的麻醉药物是丙泊酚（97.4%）。71%的病例中给予的能量在40至80焦耳之间，且与患者年龄呈正相关。运动性癫痫发作的平均持续时间为22.3±7.2秒，与患者年龄呈负相关。抑郁评分的缓解率最高（64.3%）。51.2%的患者出现即刻不良反应。最后，20%的患者继续每周或每两周接受维持性ECT治疗。莫纳斯提尔大学医院的ECT实践在患者数量和ECT治疗次数方面发展较少。应努力推广该方法的使用。
