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同时应用经颅磁刺激和低频静电场治疗代谢综合征患者的碳水化合物和脂质紊乱。

Simultaneous application of transcranial magnetic stimulation and low-frequency electrostatic field as treatment of carbohydrate and lipid disorders in patients with metabolic syndrome.

作者信息

Benkov Andrey A, Nagornev Sergey N, Frolkov Valery K, Reps Valentine F, Edelev Dmitriy A, Fesyun Anatoly D, Yakovlev Maxim Yu, Tumanova Natalia Fedorovna, Sanina Natalia P, Maccarone Maria Chiara

机构信息

Limited Liability Company "Med TeKo", Moscow.

Federal State Budgetary Institution "Center for Strategic Planning and Management of Biomedical Health Risks" of the Federal Biomedical Agency of the Russian Federation, Moscow.

出版信息

Eur J Transl Myol. 2022 Feb 22;32(1):10351. doi: 10.4081/ejtm.2022.10351.

Abstract

The metabolic syndrome, which covers a wide variety of pathological concerns, is rapidly becoming a global pandemic. This syndrome is difficult to treat pharmacologically. Physiotherapy techniques, which have both local and systemic effects, can be employed as a suitable substitute. The purpose of this study was to investigate the therapeutic effects of a program of simultaneous physiotherapy that included migrant transcranial magnetic stimulation (TMS) and the exposure to an alternating low-frequency electrostatic field (LFEF) in the treatment of metabolic syndrome patients. Ninety patients were randomly assigned to three study groups. While continuing the usual drug therapy the first group (30 patients) received LFEF intervention, the second group (30 patients) received TMS, and the third group (30 patients) underwent the simultaneous use of these non-invasive techniques (LFEF + TMS). All treatments involved 10 sessions with daily frequency. In all the patients before and after treatment body weight, blood pressure parameters, levels of insulin, cortisol, glucose, total cholesterol, high density lipoproteins, malondialdehyde, and Schiff bases, the activity of the antioxidant enzymes catalase and of the superoxide dismutase were studied. The changes in the outcomes assessed revealed a different reaction to therapy with LFEF or TMS, as well as a greater benefit when both treatments were used at the same time. A simultaneous LFEF and TMS intervention seems a promising resource for the treatment of the metabolic syndrome, particularly of the lipid and carbohydrate metabolism disorders. However, further studies are needed to confirm these findings and investigate the underlying mechanisms.

摘要

代谢综合征涵盖了各种各样的病理问题,正迅速成为一种全球性的流行病。这种综合征在药物治疗上存在困难。具有局部和全身效应的物理治疗技术可以作为一种合适的替代方法。本研究的目的是调查一种同步物理治疗方案的治疗效果,该方案包括移动经颅磁刺激(TMS)和暴露于交变低频静电场(LFEF),用于治疗代谢综合征患者。90名患者被随机分为三个研究组。在继续常规药物治疗的同时,第一组(30名患者)接受LFEF干预,第二组(30名患者)接受TMS,第三组(30名患者)同时使用这些非侵入性技术(LFEF + TMS)。所有治疗均为每日1次,共10次。对所有患者在治疗前后的体重、血压参数、胰岛素、皮质醇、葡萄糖、总胆固醇、高密度脂蛋白、丙二醛和席夫碱水平,以及抗氧化酶过氧化氢酶和超氧化物歧化酶的活性进行了研究。评估结果的变化显示,患者对LFEF或TMS治疗有不同反应,同时使用两种治疗时获益更大。LFEF和TMS同步干预似乎是治疗代谢综合征,特别是脂质和碳水化合物代谢紊乱的一种有前景的方法。然而,需要进一步研究来证实这些发现并探究其潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfc/8992675/a3a2c1488d43/ejtm-32-1-10351-g001.jpg

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