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自主神经系统的电刺激治疗。

Electroceutical Targeting of the Autonomic Nervous System.

机构信息

Biobehavioral Oncology Program, UPMC Hillman Cancer Center , Pittsburgh, Pennsylvania.

Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.

出版信息

Physiology (Bethesda). 2019 Mar 1;34(2):150-162. doi: 10.1152/physiol.00030.2018.

DOI:10.1152/physiol.00030.2018
PMID:30724129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6586833/
Abstract

Autonomic nerves are attractive targets for medical therapies using electroceutical devices because of the potential for selective control and few side effects. These devices use novel materials, electrode configurations, stimulation patterns, and closed-loop control to treat heart failure, hypertension, gastrointestinal and bladder diseases, obesity/diabetes, and inflammatory disorders. Critical to progress is a mechanistic understanding of multi-level controls of target organs, disease adaptation, and impact of neuromodulation to restore organ function.

摘要

自主神经是电疗设备医学治疗的有吸引力的靶点,因为它具有潜在的选择性控制和很少的副作用。这些设备使用新型材料、电极配置、刺激模式和闭环控制来治疗心力衰竭、高血压、胃肠道和膀胱疾病、肥胖/糖尿病和炎症性疾病。关键是要深入了解目标器官的多层次控制、疾病适应以及神经调节恢复器官功能的影响,从而推动这一领域的进展。

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本文引用的文献

1
Exploration of the Impact of Brief Noninvasive Vagal Nerve Stimulation on EEG and Event-Related Potentials.探讨短暂非侵入性迷走神经刺激对 EEG 和事件相关电位的影响。
Neuromodulation. 2019 Jul;22(5):564-572. doi: 10.1111/ner.12864. Epub 2018 Oct 4.
2
Protocol for a randomized clinical trial investigating early sacral nerve stimulation as an adjunct to standard neurogenic bladder management following acute spinal cord injury.一项随机临床试验的方案,该试验旨在研究早期骶神经刺激作为急性脊髓损伤后标准神经源性膀胱管理辅助手段的效果。
BMC Urol. 2018 Aug 29;18(1):72. doi: 10.1186/s12894-018-0383-y.
3
Vagus nerve stimulation promotes gastric emptying by increasing pyloric opening measured with magnetic resonance imaging.迷走神经刺激通过增加幽门开口来促进胃排空,这可以通过磁共振成像测量。
Neurogastroenterol Motil. 2018 Oct;30(10):e13380. doi: 10.1111/nmo.13380. Epub 2018 May 24.
4
Low-Level Vagus Nerve Stimulation Suppresses Post-Operative Atrial Fibrillation and Inflammation: A Randomized Study.低频迷走神经刺激抑制术后心房颤动和炎症:一项随机研究。
JACC Clin Electrophysiol. 2017 Sep;3(9):929-938. doi: 10.1016/j.jacep.2017.02.019. Epub 2017 May 30.
5
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.
6
Molecular and Functional Neuroscience in Immunity.免疫中的分子和功能神经科学。
Annu Rev Immunol. 2018 Apr 26;36:783-812. doi: 10.1146/annurev-immunol-042617-053158.
7
Effects of vagal neuromodulation on feeding behavior.迷走神经调节对摄食行为的影响。
Brain Res. 2018 Aug 15;1693(Pt B):180-187. doi: 10.1016/j.brainres.2018.02.003. Epub 2018 Feb 7.
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Implanted Closed-Loop Gastric Electrical Stimulation (CLGES) System with Sensor-Based Feedback Safely Limits Weight Regain at 24 Months.基于传感器反馈的植入式闭环胃电刺激 (CLGES) 系统可在 24 个月时安全限制体重反弹。
Obes Surg. 2018 Jun;28(6):1766-1774. doi: 10.1007/s11695-017-3093-8.
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Autonomic regulation therapy to enhance myocardial function in heart failure patients: the ANTHEM-HFpEF study.自主神经调节治疗改善心力衰竭患者心肌功能:ANTHEM-HFpEF 研究。
ESC Heart Fail. 2018 Feb;5(1):95-100. doi: 10.1002/ehf2.12241. Epub 2017 Dec 28.
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Vagal nerve stimulation triggers widespread responses and alters large-scale functional connectivity in the rat brain.迷走神经刺激引发大鼠大脑广泛的反应,并改变大脑的大范围功能连接。
PLoS One. 2017 Dec 14;12(12):e0189518. doi: 10.1371/journal.pone.0189518. eCollection 2017.