An Le, Shao Rui, Wang Xingsheng, Tang Ziren
Department of Emergency Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China. Corresponding author: Tang Ziren, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Sep;36(9):997-1000. doi: 10.3760/cma.j.cn121430-20240617-00513.
With the development of medicine, the survival rate of patients with traumatic brain injury has gradually increased, and more lives have been successfully saved. However, the number of comatose patients has also risen, leading to prolonged medical care that increases economic burdens on families and society. The awakening of comatose patients is of great significance. As a non-invasive brain stimulation technique, median nerve electrical stimulation (MNS) has been widely used in clinical awakening therapy, and multiple clinical studies have confirmed the effectiveness of this technology. This article summarizes the research progress of this technology from the aspects of coma mechanism, median nerve pathway, awakening mechanism of MNS, clinical application of MNS, parameter setting of electrical stimulation, and neurological function evaluation.
随着医学的发展,创伤性脑损伤患者的存活率逐渐提高,更多生命得以成功挽救。然而,昏迷患者的数量也有所增加,导致医疗护理时间延长,加重了家庭和社会的经济负担。昏迷患者的苏醒具有重要意义。正中神经电刺激(MNS)作为一种非侵入性脑刺激技术,已广泛应用于临床苏醒治疗,多项临床研究证实了该技术的有效性。本文从昏迷机制、正中神经通路、MNS的苏醒机制、MNS的临床应用、电刺激参数设置以及神经功能评估等方面总结了该技术的研究进展。