改良电极位置放置的无抽搐电休克治疗在精神障碍中应用的研究进展  

Research progress on modified electroconvulsive therapy with improved electrode placement in mental disorders

作　　者：蒋振虹 罗湘蓝 向桢玉 赵科[1] 史战明 余雪芹[1] Jiang Zhenhong;Luo Xianglan;Xiang Zhenyu;Zhao Ke;Shi Zhanming;Yu Xueqin(Department of Psychiatry,Chongqing Mental Health Center,Chongqing 401147,China;Department of Psychiatry,Chongqing Jiangbei Mental Health Center,Chongqing 401346,China)

机构地区：[1]重庆市精神卫生中心精神科,401147 [2]重庆市江北区精神卫生中心精神科,401346

出　　处：《神经疾病与精神卫生》2024年第12期901-904,共4页Journal of Neuroscience and Mental Health

摘　　要：无抽搐电休克治疗(MECT)是精神分裂症、抑郁症等常见精神疾病的主要治疗方法之一。由于MECT对患者认知有较大的不良影响,临床中一直尝试对MECT进行改良,其中改变电极放置位置是改良方向之一。本文综述了MECT改良电极位置放置的研究进展,特别关注了焦点电休克疗法、左前-右颞电休克治疗和左单侧刺激电休克治疗,这些改良治疗方式可保持MECT疗效的同时减少对患者认知的不良影响,从而促进精神疾病患者早日康复。Modified electroconvulsive therapy(MECT)is one of the main treatments for common mental disorders such as schizophrenia and depression.Due to greater adverse impact of MECT on patient's cognition,there have been attempts to improve MECT,in which changing the electrode placement is one of the improvement directions.This paper reviews the research progress on improved electrode placement in MECT,with special attention to focal electrically-administered seizure therapy,left anterior-right temporal electroconvulsive therapy and left unilateral electroconvulsive therapy.These modified treatment methods can maintain the efficacy of MECT while reducing adverse cognitive effects on patients,thereby promoting early recovery of patients with mental illness.

关 键 词：无抽搐电休克治疗 焦点电休克疗法 左前-右颞电休克治疗 左单侧刺激电休克治疗 综述 

分 类 号：R749.05[医药卫生—神经病学与精神病学]