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首页> 外文期刊>The journal of ECT >Bifrontal Electroconvulsive Therapy in the Elderly: A 2-Year Retrospective.
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Bifrontal Electroconvulsive Therapy in the Elderly: A 2-Year Retrospective.

机译：老年人双额电惊厥疗法：两年回顾展。

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OBJECTIVES:: We sought to examine the clinical effect of bifrontal (BF) electroconvulsive therapy (ECT) in depressed patients aged 65 years and older. METHODS:: A retrospective chart review of all patients who received BF ECT for a depressive disorder between January 2000 and December 2002 was made. RESULTS:: Fourteen patients, with a mean age of 73.9 years, received BF ECT. Nine had unipolar and 5 had bipolar depression. Twelve patients (86%) responded unequivocally after a mean of 8.5 treatments. Five (35%) experienced cognitive side effects. Ninety-two percent of patients were discharged on lithium (0.6 mmol/L) with 86% also receiving antidepressants or antipsychotics. Only 1 patient relapsed, the remainder remaining well at follow-up after a mean of 18.7 months. CONCLUSION:: BF ECT was found to be clinically effective and associated with cognitive side effects in elderly patients who were experiencing a depressive episode of either unipolar or bipolar origin.
机译：目的：我们试图检查双侧（BF）电抽搐治疗（ECT）在65岁及以上的抑郁症患者中的临床效果。方法：对2000年1月至2002年12月期间因抑郁症接受BF ECT治疗的所有患者进行回顾性图表回顾。结果：14例平均年龄为73.9岁的患者接受了BF ECT。 9例患有单相抑郁，5例患有双相抑郁。平均进行8.5次治疗后，有12名患者（86％）明确反应。五（35％）人经历了认知副作用。 92％的患者使用锂（0.6 mmol / L）出院，其中86％的患者还接受抗抑郁药或抗精神病药治疗。仅1例患者复发，其余患者平均随访18.7个月后仍保持良好状态。结论：对于患有单极性或双极性抑郁发作的老年患者，BF ECT被发现具有临床疗效并与认知副作用相关。

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