Ihezue H U, Ebigbo P O
Acta Psychiatr Scand. 1981 Apr;63(4):325-32. doi: 10.1111/j.1600-0447.1981.tb00681.x.
During the 12-month period, 1 January 1978 to 31 December 1978, 690 people received 4,194 electroconvulsive treatments at the Psychiatric Hospital, Enugu. The diagnostic classifications of patients receiving this form of treatment included severe psychotic depression (and masked depression), catatonic schizophrenia (with marked withdrawal, mutism, or excitement); mania which has become unresponsive to major tranquilizers, some selected cases of acute delirium and the collective group "puerperal psychosis". Bilateral ECT was generally used and the frequency of treatment was two ECT's per week. The method of anaesthesia used is described and mention is made of the few and mild complications which were encountered. ECT was found to have reduced the total duration of stay in hospital (for in-patients). Considering the acute shortage of specialized manpower in the field of psychiatry in Nigeria, a suggestion is made for the establishment of community based psychiatric centres where, among other forms of therapy, ECT could be given in appropriate cases, on out-patient basis. The wider use of this form of treatment in deserving cases in psychiatric hospitals is also recommended.
在1978年1月1日至1978年12月31日这12个月期间，690人在埃努古精神病院接受了4194次电休克治疗。接受这种治疗形式的患者的诊断分类包括重度精神病性抑郁（及隐匿性抑郁）、紧张型精神分裂症（伴有明显退缩、缄默或兴奋）；对大剂量镇静剂无反应的躁狂症、一些选定的急性谵妄病例以及“产褥期精神病”这一集合类别。一般采用双侧电休克治疗，治疗频率为每周两次。文中描述了所使用的麻醉方法，并提及了所遇到的少量轻微并发症。发现电休克治疗缩短了（住院患者的）总住院时间。鉴于尼日利亚精神病学领域专业人力严重短缺，建议建立以社区为基础的精神病中心，在那里，除其他治疗形式外，在适当情况下可对门诊患者进行电休克治疗。还建议在精神病院的合适病例中更广泛地使用这种治疗形式。
