电疗法在耐火和超耐火状态的成年人的:一个范围审查
Marjorie Jia Yi Ong1,2, Vanessa Lin Lin Lee3, Sze Lynn Teo1,2
1Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Neurocritical care
|May 20, 2024
概括
电疗法 (ECT) 可能有助于治疗耐火状态 (RSE) 和超耐火状态 (SRSE). 在对28名患者的综述中,71%的患者表现出改善,但需要更多的研究.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 精神病学是一个精神病学.
背景情况:
- 耐火状态 (RSE) 和超耐火状态 (SRSE) 是严重的神经紧急情况.
- 电疗法 (ECT) 已被探索为这些疾病的潜在治疗方法.
研究的目的:
- 进行关于使用ECT用于RSE和SRSE的文献范围审查.
- 评估ECT在治疗这些复杂发作障碍方面的有效性和安全性.
主要方法:
- 使用Ovid MEDLINE和Scopus数据库进行了全面的文献搜索.
- 文章是根据预先定义的包含和排除标准来选择的,以确保相关性.
主要成果:
- 该审查确定了五个追溯病例系列,涉及28名成年患者,他们因RSE或SRSE而接受ECT治疗.
- 71%的患者 (20/28) 显示出临床改善,7%的患者完全停止了发作.
- 14%的患者报告了不良反应,主要是认知障碍;39%的患者死于与ECT无关的原因.
结论:
- 目前的证据 (Level 4,GRADE low) 表明,ECT可能是RSE和SRSE的可行选择.
- 关于ECT的临床决策应考虑到由于证据的局限性而导致的个体患者因素.
- 需要进一步进行高质量的研究,包括前性受控研究,以建立最佳的ECT协议并确认其有效性和安全性.
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