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用于意识障碍患者的非侵入性脑干预技术。

Non-invasive brain intervention techniques used in patients with disorders of consciousness.

作者信息

Shou Zeyu, Li Zhilong, Wang Xueying, Chen Miaoyang, Bai Yang, Di Haibo

机构信息

International Vegetative State and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China.

Key Laboratory of Aging and Cancer Biology of Zhejiang Province, Hangzhou Normal University, Hangzhou, China.

出版信息

Int J Neurosci. 2021 Apr;131(4):390-404. doi: 10.1080/00207454.2020.1744598. Epub 2020 Apr 2.

Abstract

With the development of emergency medicine and intensive care technology, the number of people who survive with disorders of consciousness (DOC) has dramatically increased. The diagnosis and treatment of such patients have attracted much attention from the medical community. From the latest evidence-based guidelines, non-invasive brain intervention (NIBI) techniques may be valuable and promising in the diagnosis and conscious rehabilitation of DOC patients. This work reviews the studies on NIBI techniques for the assessment and intervention of DOC patients. A large number of studies have explored the application of NIBI techniques in DOC patients. The NIBI techniques include transcranial magnetic stimulation, transcranial electric stimulation, music stimulation, near-infrared laser stimulation, focused shock wave therapy, low-intensity focused ultrasound pulsation and transcutaneous auricular vagus nerve stimulation. NIBI techniques present numerous advantages such as being painless, safe and inexpensive; having adjustable parameters and targets; and having broad development prospects in treating DOC patients.

摘要

随着急诊医学和重症监护技术的发展,意识障碍(DOC)幸存者的数量急剧增加。这类患者的诊断和治疗引起了医学界的广泛关注。根据最新的循证指南,非侵入性脑干预(NIBI)技术在DOC患者的诊断和意识康复方面可能具有重要价值和广阔前景。本文综述了关于NIBI技术用于DOC患者评估和干预的研究。大量研究探讨了NIBI技术在DOC患者中的应用。NIBI技术包括经颅磁刺激、经颅电刺激、音乐刺激、近红外激光刺激、聚焦冲击波疗法、低强度聚焦超声脉动和经皮耳迷走神经刺激。NIBI技术具有诸多优点,如无痛、安全、廉价;参数和靶点可调节;在治疗DOC患者方面具有广阔的发展前景。

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