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电疗法的神经精神病学副作用:一项回顾性研究

Ceyhan Oflezer¹, Özge Canbek², Zümrüt Ela Arslan Kaşdoğan¹

¹Department of Anesthesiology, University of Health Sciences, Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Türkiye.

Noro psikiyatri arsivi

|December 12, 2025

概括

电疗法 (ECT) 是有效的,但认知副作用是一个问题. 这项研究发现,大多数患者没有出现任何不良反应,频率在多次ECT疗程中下降,有助于临床医生的信心.

科学领域:

精神病学是一个精神病学.
神经科学是一个神经科学.

背景情况:

电疗法 (ECT) 是一种至关重要的精神病治疗方法,但其在全球的应用有限.
对临床医生进行ECT而言,认知副作用是一个重大问题,影响了患者和提供者的信心.
了解神经精神病学不良影响的频率对于优化ECT协议至关重要.

研究的目的:

评估在接受电治疗的患者中神经精神病学不良反应的频率.
评估ECT会话进展和不良影响发生之间的关系.

主要方法:

对2013年1月1日至2017年12月31日期间的2935名患者记录进行了回顾性分析.
收集的数据包括社会人口统计,诊断,ECT参数和记录的神经精神病学不良影响.

主要成果:

很大一部分患者没有经历神经精神病学不良反应,从一次治疗后的70.7%增加到十次治疗后的97.3%.
报告不良反应的患者之前的ECT疗程和住院时间更长.
随着ECT会话数量的增加,不良反应的频率下降.

结论:

大多数患者都能很好地忍受ECT,副作用很小或没有.
随着连续的ECT疗程,不良反应的频率下降表明,对ECT治疗的临床信心可能会增加.

关键词:

有不良影响的不良影响.有关认知性的认知.电疗法是一种电疗法.神经精神病学是一种神经精神病学.

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Electroconvulsive Therapy

Electroconvulsive Therapy

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...