Lu Wei, He Baofeng, Li Juan, Wen Mingming, Zhang Min
Department of Rehabilitation Medicine, Gansu Provincial Hospital, Lanzhou 730000, P. R. China.
College of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, P. R. China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2025 Apr 25;42(2):404-408. doi: 10.7507/1001-5515.202410040.
Parkinson's disease is a neurodegenerative disease that mostly occurs in middle-aged and elderly people. It is characterized by progressive loss of dopaminergic neurons in the substantia nigra and aggregation of Lewy bodies, resulting in a series of motor symptoms and non-motor symptoms. Depression is the most important manifestation of non-motor symptoms, which seriously affects the quality of life of patients. Clinicians often use antidepressant drugs to improve the depressive symptoms of patients with Parkinson 's disease, but it is still urgent to solve the problems of drug side effects and drug resistance caused by such methods. Repetitive transcranial magnetic stimulation is a safe and non-invasive neuromodulation technique that can change the excitability of the corticospinal tract, induce the release of dopamine and other neurotransmitters, and further improve the depressive symptoms of patients with Parkinson 's disease. Based on this, this paper discusses and summarizes the research progress on the efficacy and potential mechanism of repetitive transcranial magnetic stimulation for improving depression in Parkinson 's disease at home and abroad, in order to provide reference for related clinical application research.
帕金森病是一种主要发生于中老年人的神经退行性疾病。其特征为黑质中多巴胺能神经元进行性丧失以及路易小体聚集,从而导致一系列运动症状和非运动症状。抑郁是非运动症状的最重要表现,严重影响患者的生活质量。临床医生常使用抗抑郁药物来改善帕金森病患者的抑郁症状,但通过这种方法所导致的药物副作用和耐药性问题仍亟待解决。重复经颅磁刺激是一种安全且无创的神经调节技术,它能够改变皮质脊髓束的兴奋性,诱导多巴胺等神经递质的释放,进而改善帕金森病患者的抑郁症状。基于此,本文对国内外重复经颅磁刺激改善帕金森病抑郁的疗效及潜在机制的研究进展进行论述和总结,以期为相关临床应用研究提供参考。