Erman M K, Welch C A, Mandel M R
Am J Psychiatry. 1979 Oct;136(10):1317-9. doi: 10.1176/ajp.136.10.1317.
The authors compared the treatment outcomes and ECT energy requirements of 10 patients treated with the Muller unilateral placement method (secondary electrode in the frontal position) with those of 10 matched patients treated with the unilateral placement described by d'Elia (secondary electrode lateral to the vertex). Both groups showed a similar dramatic clinical improvement after ECT; however, the mean watt seconds required for the Muller method was nearly four times that for the d'Elia procedure. The treating physicians reported that the patients treated by the d'Elia method had fewer anterograde and retrograde memory disturbances and that they were alert and oriented sooner after ECT.
作者比较了采用穆勒单侧放置法（额部放置辅助电极）治疗的10例患者与采用德利亚描述的单侧放置法（头顶外侧放置辅助电极）治疗的10例匹配患者的治疗效果和电休克治疗（ECT）能量需求。两组患者在ECT治疗后均显示出相似的显著临床改善；然而，穆勒方法所需的平均瓦特秒数几乎是德利亚方法的四倍。治疗医生报告称，采用德利亚方法治疗的患者顺行性和逆行性记忆障碍较少，并且在ECT治疗后更快恢复清醒和定向。
