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难治性抑郁症患者的开放性对照研究:电休克疗法——异氟烷麻醉疗法(初步报告)

Open comparative study with treatment-refractory depressed patients: electroconvulsive therapy--anesthetic therapy with isoflurane (preliminary report).

作者信息

Carl C, Engelhardt W, Teichmann G, Fuchs G

机构信息

Department of Psychiatry, University of Würzburg, FRG.

出版信息

Pharmacopsychiatry. 1988 Nov;21(6):432-3. doi: 10.1055/s-2007-1017040.

DOI:10.1055/s-2007-1017040
PMID:3244786
Abstract

Isoflurane is the only routine volatile anesthetic which leads to a burst-suppression EEG in nontoxic concentrations and for which no memory impairments can be expected subsequent to anesthesia. After electrically induced spike-wave activity in electroconvulsive therapy (ECT), a brief period of a very flat EEG can be observed. This phenomenon may be closely related to the therapeutic effects of ECT. The results which have been achieved up to now in comparing ECT to anesthetic therapy with isoflurane, without seizures being induced, are presented.

摘要

异氟烷是唯一一种在无毒浓度下可导致爆发抑制脑电图的常规挥发性麻醉剂,且预计麻醉后不会出现记忆障碍。在电休克治疗(ECT)中电诱导产生棘波-慢波活动后,可观察到脑电图出现一段短暂的极平状态。这种现象可能与ECT的治疗效果密切相关。本文介绍了目前在不诱发癫痫发作的情况下,将ECT与异氟烷麻醉治疗进行比较所取得的结果。

相似文献

1
Open comparative study with treatment-refractory depressed patients: electroconvulsive therapy--anesthetic therapy with isoflurane (preliminary report).难治性抑郁症患者的开放性对照研究:电休克疗法——异氟烷麻醉疗法(初步报告)
Pharmacopsychiatry. 1988 Nov;21(6):432-3. doi: 10.1055/s-2007-1017040.
2
Intra-individual open comparison of burst-suppression-isoflurane-anaesthesia versus electroconvulsive therapy in the treatment of severe depression.在重度抑郁症治疗中,爆发抑制-异氟烷麻醉与电休克治疗的个体内开放比较
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Rapid psychotherapeutic effects of anesthesia with isoflurane (ES narcotherapy) in treatment-refractory depressed patients.异氟烷麻醉(ES 麻醉疗法)对难治性抑郁症患者的快速心理治疗效果。
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Isoflurane narcotherapy in depressive patients refractory to conventional antidepressant drug treatment. A double-blind comparison with electroconvulsive treatment.异氟烷麻醉疗法用于对传统抗抑郁药物治疗无效的抑郁症患者。与电休克治疗的双盲比较。
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The influence of concomitant antidepressant medication on safety, tolerability and clinical effectiveness of electroconvulsive therapy.抗抑郁药物联用对电休克治疗安全性、耐受性及临床疗效的影响。
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Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy.发作后抑制与双侧正弦和脉冲波电休克治疗中抑郁症的治疗效果相关。
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Serum brain-derived neurotrophic factor (BDNF) is not associated with response to electroconvulsive therapy (ECT): a pilot study in drug resistant depressed patients.血清脑源性神经营养因子(BDNF)与电休克治疗(ECT)的反应无关:一项针对耐药性抑郁症患者的初步研究。
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The effects of age and sex on electroconvulsive therapy using remifentanil as the sole anesthetic agent.年龄和性别对使用瑞芬太尼作为唯一麻醉剂的电休克治疗的影响。
J ECT. 2008 Sep;24(3):232-5. doi: 10.1097/YCT.0b013e3181617260.

引用本文的文献

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Clin Neurophysiol. 2022 Oct;142:125-132. doi: 10.1016/j.clinph.2022.07.493. Epub 2022 Jul 30.
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Lack of antidepressant effects of burst-suppressing isoflurane anesthesia in adult male Wistar outbred rats subjected to chronic mild stress.慢性轻度应激成年雄性 Wistar 远交系大鼠中爆发抑制异氟醚麻醉缺乏抗抑郁作用。
PLoS One. 2020 Jun 24;15(6):e0235046. doi: 10.1371/journal.pone.0235046. eCollection 2020.
3
Isoflurane produces antidepressant effects inducing BDNF-TrkB signaling in CUMS mice.
异氟烷通过诱导 CUMS 小鼠 BDNF-TrkB 信号产生抗抑郁作用。
Psychopharmacology (Berl). 2019 Nov;236(11):3301-3315. doi: 10.1007/s00213-019-05287-z. Epub 2019 Jun 13.
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Propofol for Treatment-Resistant Depression: A Pilot Study.丙泊酚治疗抵抗性抑郁症:一项初步研究。
Int J Neuropsychopharmacol. 2018 Dec 1;21(12):1079-1089. doi: 10.1093/ijnp/pyy085.
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Isoflurane but Not Halothane Prevents and Reverses Helpless Behavior: A Role for EEG Burst Suppression?异氟烷而非氟烷可预防和逆转无助行为:是否与脑电爆发抑制有关?
Int J Neuropsychopharmacol. 2018 Aug 1;21(8):777-785. doi: 10.1093/ijnp/pyy029.
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Leukocyte Gene Expression in Patients with Medication Refractory Depression before and after Treatment with ECT or Isoflurane Anesthesia: A Pilot Study.电休克治疗或异氟烷麻醉前后药物难治性抑郁症患者的白细胞基因表达:一项初步研究
Depress Res Treat. 2014;2014:582380. doi: 10.1155/2014/582380. Epub 2014 Apr 13.
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Antidepressant and neurocognitive effects of isoflurane anesthesia versus electroconvulsive therapy in refractory depression.异氟醚麻醉与电惊厥疗法治疗难治性抑郁症的抗抑郁和神经认知效果。
PLoS One. 2013 Jul 26;8(7):e69809. doi: 10.1371/journal.pone.0069809. Print 2013.