摘要
对131次无痉挛电休克治疗(ECT)进行分组对照研究,发现除适当的肌肉松弛剂(司可林)、麻醉药量和通电量外,通电时机是影响治疗成败的关键。当去极化成束肌颤在四肢远端结束时,是通电治疗的最佳时刻。
Objective:To study the factors affecting the efficacy of modified electroconvulsivc therapy(ECT).Method:Thirty two patients who received ECT treatment one hundred and thirty one times were classified as responders and non-responders according to criteria set by the author.The response was correlated with seven technical variables.Results:The timing of passing electric current was the only significant factor.It was optimal when the muscle fibrillations disappeared at the extremities.Discussion:Accurate timing of passing electric current improves the efficacy of ECT treatment.Good reference points include disappearance of muscle fibrilations or 60 to 80 seconds after administration of scoline.
出处
《临床精神医学杂志》
1997年第1期22-23,共2页
Journal of Clinical Psychiatry