Shukla G D
Br J Psychiatry. 1981 Dec;139:569-71. doi: 10.1192/bjp.139.6.569.
This paper analyses the pattern of use of and the response to electroconvulsive therapy (ECT) in an Indian rural teaching general hospital between 1977 and 1980. ECT was used in 503 cases (14.3 per cent of 3,517). Three-quarters of the patients to whom it was given were schizophrenic, one-fifth depressed and 6 per cent suffering from post-partum psychosis. Though the treatment gave the best results in depression it was also effective in many schizophrenics and post-partum psychotics. The commonest side effect was memory impairment. Following unmodified ECT severe confusion and excitement were frequent, while thrombophlebitis, bronchospasm, prolonged apnoea and peripheral circulatory collapse occurred only with the modified technique. The usefulness of ECT in developing countries like India is highlighted.
本文分析了1977年至1980年间印度一家农村教学综合医院中电休克疗法（ECT）的使用模式及疗效。共503例患者接受了ECT治疗（占3517例患者的14.3%）。接受该治疗的患者中，四分之三为精神分裂症患者，五分之一为抑郁症患者，6%为产后精神病患者。尽管该疗法对抑郁症疗效最佳，但对许多精神分裂症患者和产后精神病患者也有效。最常见的副作用是记忆障碍。采用未改良的ECT时，严重的意识模糊和兴奋较为常见，而血栓性静脉炎、支气管痉挛、呼吸暂停延长和外周循环衰竭仅在改良技术下出现。文中强调了ECT在印度等发展中国家的实用性。
