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相关概念视频

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
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性电疗法:一种描述性队列研究

Gregg A Robbins-Welty1, Ryan D Slauer2, Madeline M Brown3

  • 1Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Journal of the Academy of Consultation-Liaison Psychiatry
|December 11, 2024
PubMed
概括

性电疗法 (PECT) 改善了严重医疗疾病患者的精神症状和生活质量. 这项研究强调了PECT.

关键词:
卡塔托尼亚 (catatonia) 是一个城市.电疗法是一种电疗法.这里是临终关怀医院.主要的神经认知障碍主要神经认知障碍抚慰性护理是一种缓解性护理.严重的精神疾病严重的精神疾病.

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科学领域:

  • 精神病学是一个精神病学.
  • 抚慰性护理是一种缓解性护理.
  • 老年病的医生 老年病的医生

背景情况:

  • 息治疗 (PC) 对影响生活质量 (QOL) 的严重医疗疾病患者至关重要.
  • 电疗法 (ECT) 是精神病的标准治疗方法,有时与严重的医疗疾病同时发生.
  • 在这种复杂的患者群体中,息性ECT (PECT) 的应用仍未得到充分研究.

研究的目的:

  • 追溯审查缓解性ECT (PECT) 的指示,结果和治疗方案.
  • 评估PECT在患有严重医疗疾病的患者中的有效性和安全性.
  • 确定可能受益于PECT的患者群体.

主要方法:

  • 进行了一项描述性的回顾性队列研究.
  • 包括的患者有ECT咨询和PC咨询或做不尝试复苏 (DNAR) 状态.
  • 数据是在2018年至2023年期间收集的.

主要成果:

  • 21名患者接受了PECT;31人符合纳入标准.
  • 常见的适应症包括白内障 (64.5%) 和耐治疗抑郁症 (35.5%).
  • 所有接受PECT治疗的21名患者都显示精神症状有所改善,5名 (23.8%) 患有死亡风险降低.
  • 最初被诊断患有主要神经认知障碍 (MNCD) 的5名患者在PECT治疗中得到改善,诊断被修改为与抑郁症相关的认知功能障碍.
  • 八名并发性MNCD患者显示蒙特利尔认知评估 (MoCA) 的平均改善为5分.

结论:

  • 对于患有严重医疗疾病的患者来说,PECT是有益的,改善了QOL并减少了痛苦.
  • 它在危及生命的精神疾病,患有耐药精神疾病的末期疾病以及对MNCD的诊断不确定性方面是有效的.
  • 咨询联络精神病学和息护理之间的跨专业合作对于最佳的患者管理至关重要.