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[用于情绪障碍的磁刺激疗法]

[Magnetic Stimulation Therapy for Mood Disorder].

作者信息

Kito Shinsuke

机构信息

Department of Psychiatry and Advanced Medical Technology, National Center Hospital, National Center of Neurology and Psychiatry.

出版信息

Brain Nerve. 2017 Mar;69(3):239-246. doi: 10.11477/mf.1416200733.

DOI:10.11477/mf.1416200733
PMID:28270633
Abstract

In Japan, approximately one million patients currently receive medical treatment for mood disorders. However, there are only a few available treatments for patients with treatment-resistant depression or bipolar depression. Repetitive transcranial magnetic stimulation (rTMS), a neuromodulation technique, has proven to be effective for treatment-resistant depression, and also has a potential therapeutic efficacy in patients with bipolar depression who do not respond to medication. Magnetic seizure therapy (MST) is an experimental technique for introducing a seizure by using rTMS, which demonstrates a therapeutic efficacy similar to that of electroconvulsive therapy (ECT), but with fewer cognitive side effects.

摘要

在日本,目前约有100万患者接受情绪障碍的医学治疗。然而,对于难治性抑郁症或双相抑郁症患者,可用的治疗方法却很少。重复经颅磁刺激(rTMS)是一种神经调节技术,已被证明对难治性抑郁症有效,并且对药物治疗无反应的双相抑郁症患者也具有潜在的治疗效果。磁休克治疗(MST)是一种通过使用rTMS引发癫痫发作的实验技术,其显示出与电休克治疗(ECT)相似的治疗效果,但认知副作用较少。

相似文献

1
[Magnetic Stimulation Therapy for Mood Disorder].[用于情绪障碍的磁刺激疗法]
Brain Nerve. 2017 Mar;69(3):239-246. doi: 10.11477/mf.1416200733.
2
Magnetic seizure therapy (MST)--a safer method for evoking seizure activity than current therapy with a confirmed antidepressant efficacy.磁休克治疗(MST)——一种比目前治疗方法更安全的诱发癫痫活动的方法,且已证实具有抗抑郁疗效。
Neuro Endocrinol Lett. 2010;31(4):425-37.
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Neuromodulation Treatments for Geriatric Mood and Cognitive Disorders.老年情绪和认知障碍的神经调节治疗。
Am J Geriatr Psychiatry. 2016 Dec;24(12):1130-1141. doi: 10.1016/j.jagp.2016.08.014. Epub 2016 Sep 19.
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Repetitive transcranial magnetic stimulation as a neuropsychiatric tool: present status and future potential.重复经颅磁刺激作为一种神经精神科工具:现状与未来潜力。
J ECT. 1999 Mar;15(1):39-59.
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Bridging the skull: electroconvulsive therapy (ECT) and repetitive transcranial magnetic stimulation (rTMS) in psychiatry.跨越颅骨:精神病学中的电休克疗法(ECT)与重复经颅磁刺激(rTMS)
Convuls Ther. 1997 Jun;13(2):83-91.
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Comparable seizure characteristics in magnetic seizure therapy and electroconvulsive therapy for major depression.磁惊厥治疗与电惊厥治疗在治疗重度抑郁症中的相似惊厥特征。
Eur Neuropsychopharmacol. 2013 Nov;23(11):1541-50. doi: 10.1016/j.euroneuro.2013.04.011. Epub 2013 Jun 29.
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Should we expand the toolbox of psychiatric treatment methods to include Repetitive Transcranial Magnetic Stimulation (rTMS)? A meta-analysis of the efficacy of rTMS in psychiatric disorders.我们是否应该扩大精神科治疗方法的工具箱,包括重复经颅磁刺激 (rTMS)?rTMS 在精神障碍中的疗效的荟萃分析。
J Clin Psychiatry. 2010 Jul;71(7):873-84. doi: 10.4088/JCP.08m04872gre. Epub 2010 Mar 9.
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Transcranial magnetic stimulation in the treatment of mood disorder: a review and comparison with electroconvulsive therapy.经颅磁刺激治疗情绪障碍:综述及与电休克治疗的比较
Can J Psychiatry. 2001 Oct;46(8):720-7. doi: 10.1177/070674370104600804.
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[Affective disorders and repetitive transcranial magnetic stimulation: Therapeutic innovations].[情感障碍与重复经颅磁刺激:治疗创新]
Encephale. 2010 Dec;36 Suppl 6:S197-201. doi: 10.1016/S0013-7006(10)70057-9.

引用本文的文献

1
Vagus Nerve Stimulation (VNS) and Other Augmentation Strategies for Therapy-Resistant Depression (TRD): Review of the Evidence and Clinical Advice for Use.迷走神经刺激(VNS)及其他针对难治性抑郁症(TRD)的强化治疗策略:证据综述与临床应用建议
Front Neurosci. 2018 Apr 10;12:239. doi: 10.3389/fnins.2018.00239. eCollection 2018.