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非侵入性疗法:帕金森病治疗的未来途径。

Noninvasive Therapies: A Forthcoming Approach to Parkinson's Treatment.

作者信息

Anayyat Umer, Ahad Faiza, Fordil Bushra Muhammad, Hameed Hajra, Li Mengqing, Yu Qinyao, Wei Yunpeng, Wang Xiaomei

机构信息

School of Basic Medical Sciences, Shenzhen University Medical School, Shenzhen University, Shenzhen, Guangdong, 518055, China.

School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong 518060, China.

出版信息

CNS Neurol Disord Drug Targets. 2025;24(3):165-180. doi: 10.2174/0118715273318429240812094557.

DOI:10.2174/0118715273318429240812094557
PMID:39225218
Abstract

In this review, we have discussed the invasive and non-invasive treatment options for Parkinson's Disease (PD) following their safety, specificity, and reliability. Initially, this study has highlighted the invasive treatment options and the side effects they possess. A deep understanding of L-Dopa treatment, as oral or infusion, and the use of dopamine agonists has indicated that there is a need to acquire an alternative treatment for PD. The combined therapy with L-Dopa has been proven to affect PD, but with some limitations, such as mild to chronic side effects, with particular requirements of age and health of the patient and a large amount of expenditure. In the discussion of noninvasive methods to treat PD, we have found that this approach is comparatively slow and requires repetitive sessions, but is safe, effective, and reliable at any stage of PD. Electroconvulsive therapy has revealed its effectiveness in various neurological diseases, including PD. Transcranial current stimulation (direct or alternative) has already been shown to have an alleviative response to PD symptoms. Transcranial magnetic stimulations and other strategies of using the magnetic field for potential treatment options for PD need to be explored further imminently.

摘要

在本综述中,我们根据帕金森病(PD)的侵入性和非侵入性治疗方案的安全性、特异性和可靠性进行了讨论。最初,本研究强调了侵入性治疗方案及其所具有的副作用。对左旋多巴口服或输液治疗以及多巴胺激动剂的使用的深入了解表明,需要为帕金森病寻求替代治疗方法。左旋多巴联合治疗已被证明对帕金森病有影响,但存在一些局限性,如轻度至慢性副作用、对患者年龄和健康状况有特定要求以及费用高昂。在讨论治疗帕金森病的非侵入性方法时,我们发现这种方法相对较慢,需要重复疗程,但在帕金森病的任何阶段都是安全、有效且可靠的。电惊厥疗法已显示出其在包括帕金森病在内的各种神经系统疾病中的有效性。经颅电流刺激(直接或交替)已被证明对帕金森病症状有缓解作用。经颅磁刺激以及使用磁场作为帕金森病潜在治疗选择的其他策略迫切需要进一步探索。

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Noninvasive Therapies: A Forthcoming Approach to Parkinson's Treatment.非侵入性疗法:帕金森病治疗的未来途径。
CNS Neurol Disord Drug Targets. 2025;24(3):165-180. doi: 10.2174/0118715273318429240812094557.
2
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Neural response during prefrontal theta burst stimulation: Interleaved TMS-fMRI of full iTBS protocols.前额叶θ爆发刺激期间的神经反应:全 iTBS 方案的 TMS-fMRI 交叠。
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Effect of Transcranial Direct Current Stimulation (tDCS) on Depression in Parkinson's Disease-A Narrative Review.
经颅直流电刺激(tDCS)对帕金森病抑郁的影响——一项叙述性综述
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Effectiveness and brain mechanism of multi-target transcranial alternating current stimulation (tACS) on motor learning in stroke patients: study protocol for a randomized controlled trial.多靶点经颅交流电刺激(tACS)治疗脑卒中患者运动学习的效果及脑机制:一项随机对照试验研究方案。
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Interactions between tDCS treatment and COMT Val158Met in poststroke cognitive impairment.tDCS 治疗与 COMT Val158Met 在后发性认知障碍中的相互作用。
Clin Neurophysiol. 2024 Feb;158:43-55. doi: 10.1016/j.clinph.2023.12.011. Epub 2023 Dec 27.
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A meta-analysis of non-invasive brain stimulation (NIBS) effects on cerebellar-associated cognitive processes.非侵入性脑刺激 (NIBS) 对与小脑相关认知过程影响的荟萃分析。
Neurosci Biobehav Rev. 2024 Feb;157:105509. doi: 10.1016/j.neubiorev.2023.105509. Epub 2023 Dec 13.
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Buried bumper syndrome in percutaneous endoscopic gastrostomy with a jejunal extension tube in patients undergoing levodopa-carbidopa intestinal gel treatment.左旋多巴-卡比多巴肠凝胶治疗患者经皮内镜下胃造口术并置入空肠延长管时的埋藏式胃造口管综合征
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Involvement of Mitochondria in Parkinson's Disease.线粒体在帕金森病中的作用。
Int J Mol Sci. 2023 Dec 1;24(23):17027. doi: 10.3390/ijms242317027.
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Neuromodulatory effects of high-definition theta transcranial alternating current stimulation on the parietal cortex: a pilot study of healthy males.高清θ波经颅交流电刺激对顶叶皮质的神经调节作用:一项针对健康男性的初步研究。
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Research hotspots and trends of transcranial magnetic stimulation in Parkinson's disease: a bibliometric analysis.帕金森病经颅磁刺激的研究热点与趋势:一项文献计量分析
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