[应用非侵入性脑部刺激技术治疗精神疾病的策略]。

Q3 Medicine
H X Wang, X L Liu
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引用次数: 0

摘要

随着科学技术、医学科学和生物工程技术的不断发展,电、磁、声、光等多种神经调控技术在精神疾病治疗领域迅速崛起。如何针对不同精神疾病及其临床特征选择合适的无创脑刺激技术,正成为临床上的一个现实难题。本文通过阐述精神疾病复杂的发病机制和现有治疗方法对精神疾病的局限性,结合不同神经调控技术的特点,提出了联合无创脑刺激干预精神疾病的新策略:以不诱发癫痫的高强度全脑刺激作为精神疾病的基本治疗手段,以特定靶点/脑区为优势应用低强度刺激来调节残余症状或/和单一症状,对于难治性和急性精神疾病,首选 ECT/MECT 快速控制症状;不同的无创脑刺激技术可与药物和心理治疗相结合,为该领域的未来发展提供新思路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Strategies for applying noninvasive brain stimulation techniques to treat psychiatric disorders].

With the continuous development of science and technology, medical science, and bioengineering technology, various neuromodulation techniques, such as electrical, magnetic, acoustic, and optical modalities, are rapidly emerging in the therapeutic regime of psychiatric disorders. How to choose the appropriate noninvasive brain stimulation techniques for different psychiatric disorders and their clinical features is becoming a practical dilemma in clinical setting. In this paper, by describing the complex pathogenesis of psychiatric disorders and the limitations of existing therapeutic approaches on psychiatric disorders, combining with the characteristics of different neuromodulation techniques, we propose a new strategy of combined noninvasive brain stimulation to intervene in psychiatric disorders: high-intensity stimulation modulating the whole brain without inducing epilepsy should be as the basic treatment of psychiatric disorders, applying low-intensity stimulation with the advantage of specific targets/brain regions to modulate the residual symptoms or/and single symptom, and for refractory and acute psychiatric disorders, ECT/MECT is preferred for rapid symptom control; different noninvasive brain stimulation techniques can be combined with pharmacological and psychotherapeutic treatments, which will provide a new idea for the future development of this field.

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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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