电治疗后的长期痴呆风险:一个GRADE评估的系统审查和元分析
Omar Kassar1, Hamdy A Makhlouf2, Mohamed Ezzat M Mansour3
1Faculty of Medicine, Alexanderia University, Alexandria, Egypt.
International psychogeriatrics
|November 1, 2025
概括
在患有情感障碍的患者中,电疗法 (ECT) 不会增加痴呆风险. 然而,ECT与老年人痴呆症风险较低有关,这表明长期的认知安全性.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 老年学是指老年学的学科.
背景情况:
- 电疗法 (ECT) 是对严重精神疾病的高度有效治疗方法.
- 电感疗法的不足来源于耻辱和对认知副作用的担忧.
- 这项研究系统地审查了ECT暴露和痴呆风险.
研究的目的:
- 进行第一个关于ECT与痴呆风险之间的关联的系统审查和元分析.
- 综合当前关于ECT后长期认知结果的证据.
主要方法:
- 包括六项观察性队列研究,涉及286,995名患者 (9,124名暴露于ECT).
- 采用随机效应模型将调整后的危险比率组合在一起.
- 随访时间在4.9-16.9年之间,平均基线年龄为~51岁.
主要成果:
- 在ECT和整体痴呆风险之间没有发现显著的关联 (HR=0.98,P=0.83).
- 在老年人 (>50岁) 中,ECT与明显较低的痴呆风险相关 (HR=0.78,P<0.001).
- 对整体风险的证据确定性非常低,对老年人来说是中等的.
结论:
- 在患有情感障碍的患者中,ECT与痴呆的风险增加无关.
- 在老年人中,ECT可能与痴呆症风险降低有关.
- 需要进一步的研究与混调整来证实研究结果.
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