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监测电休克治疗发作的持续时间:“袖带”法与脑电图法的比较

Monitoring the duration of electroconvulsive therapy seizures: 'cuff' and EEG methods compared.

作者信息

Fink M, Johnson L

出版信息

Arch Gen Psychiatry. 1982 Oct;39(10):1189-91. doi: 10.1001/archpsyc.1982.04290100055009.

DOI:10.1001/archpsyc.1982.04290100055009
PMID:7125848
Abstract

Seizure durations in electroconvulsive therapy (ECT) were determined by both EEG and BP cuff methods in 20 patients receiving 225 seizures. The estimates were highly correlated, with cuff estimates 10% shorter than those by EEG. Routine monitoring of seizure duration by the BP cuff method is recommended, particularly in unilateral ECT. Monitoring seizure time should resolve controversies over the efficacy of different forms of ECT, as well as improve clinical practice where disturbing reports of missed seizures are now documented.

摘要

在接受225次癫痫发作治疗的20名患者中,通过脑电图(EEG)和血压袖带法测定了电休克治疗(ECT)中的癫痫发作持续时间。两种方法的估计结果高度相关,血压袖带法的估计值比脑电图法短10%。建议采用血压袖带法常规监测癫痫发作持续时间,尤其是在单侧ECT中。监测癫痫发作时间应能解决关于不同形式ECT疗效的争议,并改善目前有漏诊癫痫发作令人不安报告的临床实践。

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引用本文的文献

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PLoS One. 2016 Oct 21;11(10):e0165392. doi: 10.1371/journal.pone.0165392. eCollection 2016.
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Indian J Psychiatry. 1993 Jan;35(1):43-7.
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Seizure duration estimates from single channel EEG record: a methodological report.单通道 EEG 记录的癫痫持续时间估计:方法报告。
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Limitations of motor seizure monitoring in ect.运动性癫痫发作监测的局限性
Indian J Psychiatry. 1998 Jan;40(1):55-9.
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