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[电休克治疗——对儿童和青少年精神分裂症患者有益且耐受性良好的治疗方法]

[Electroconvulsive Therapy - A beneficial and well tolerated therapy in children and adolescents with schizophrenia].

作者信息

Weirich Steffen, Reinhardt Martin, Buchmann Johannes, Dück Alexander, Höppner Jacqueline, Hofmockel Rainer, Grözinger Michael, Häßler Frank

机构信息

Klinik für Psychiatrie, Neurologie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter der Universitätsmedizin Rostock.

Helios Kliniken Schwerin GmbH, Carl-F.-Flemming-Klinik, Klinik für Gerontopsychiatrie und -psychotherapie.

出版信息

Fortschr Neurol Psychiatr. 2020 Aug;88(8):495-499. doi: 10.1055/a-0921-6792. Epub 2020 May 11.

DOI:10.1055/a-0921-6792
PMID:32392585
Abstract

We report four cases of 12- to 17-year-old patients with schizophrenia, two of them suffering from catatonia, which were treated by ECT. Under a combined treatment with either ziprasidone or clozapine, and electroconvulsive therapy (ECT), they improved markedly. Severity and course of acute schizophrenia were evaluated by the Brief Psychiatric rating Scale (BPRS), severity and course of catatonia were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This article underlines the benefit, the safety and the tolerability of ECT in younger patients with schizophrenic disorders.

摘要

我们报告了4例年龄在12至17岁的精神分裂症患者,其中2例患有紧张症,接受了电休克治疗(ECT)。在联合使用齐拉西酮或氯氮平以及电惊厥治疗(ECT)的情况下,他们有显著改善。急性精神分裂症的严重程度和病程通过简明精神病评定量表(BPRS)进行评估,紧张症的严重程度和病程则使用布什-弗朗西斯紧张症评定量表(BFCRS)进行评估。本文强调了ECT在较年轻的精神分裂症患者中的益处、安全性和耐受性。

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引用本文的文献

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Use of ECT for Children With and Without Catatonia: A Single-Site Retrospective Analysis.电抽搐治疗儿童伴有和不伴有紧张症:单中心回顾性分析。
J ECT. 2024 Sep 1;40(3):154-161. doi: 10.1097/YCT.0000000000000993. Epub 2024 Jan 24.
2
Electroconvulsive therapy in children and adolescents in Europe-a systematic review of the literature complemented by expert information and guideline recommendations.欧洲儿童和青少年电抽搐治疗-文献系统评价,辅以专家信息和指南建议。
Eur Child Adolesc Psychiatry. 2024 Oct;33(10):3389-3403. doi: 10.1007/s00787-023-02248-y. Epub 2023 Jul 17.