SUNY Upstate Medical University, 4900 Broad Rd Syracuse, NY 13215 United States.
Dartmouth's Geisel School of Medicine, 36 Clinton Street, Concord, NH 03301, USA.
Clin Geriatr Med. 2020 May;36(2):265-279. doi: 10.1016/j.cger.2019.11.007. Epub 2019 Nov 15.
Electroconvulsive therapy (ECT) remains an important treatment of geriatric patients. ECT treats severe depression, mania, psychosis, catatonia, and comorbid depression and agitation in dementia. ECT also serves a crucial role in treating urgent illness requiring expedient recovery, such as catatonia, or in patients with severe suicidal ideation or intent. ECT is even more effective in the elderly than in mixed-age adult populations. ECT is a safe treatment option with few medical contraindications. Cognitive effects are largely transient, even in patients with preexisting cognitive impairment.
电抽搐治疗（ECT）仍然是老年患者的重要治疗方法。ECT 可治疗严重抑郁、躁狂、精神病、紧张症以及痴呆并发的抑郁和激越。ECT 在治疗需要迅速恢复的紧急疾病（如紧张症）或有严重自杀意念或企图的患者时也起着至关重要的作用。ECT 在老年人中的疗效甚至比混合年龄的成年人群中更为显著。ECT 是一种安全的治疗选择，禁忌症很少。认知影响在很大程度上是短暂的，即使在有认知障碍的患者中也是如此。
