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经颅磁刺激联合治疗在脑部疾病临床应用中的研究进展

[Research progress on combined transcranial electromagnetic stimulation in clinical application in brain diseases].

作者信息

Wei Yujia, Wang Tingyu, Wang Chunfang, Zhang Ying, Xu Guizhi

机构信息

State Key Laboratory of Intelligent Power Distribution Equipment and System, School of Electrical Engineering, Hebei University of Technology, Tianjin 300130, P. R. China.

Tianjin Key Laboratory of Bioelectromagnetic Technology and Intelligent Health, School of Electrical Engineering, Hebei University of Technology, Tianjin 300130, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2025 Aug 25;42(4):847-856. doi: 10.7507/1001-5515.202410055.

Abstract

In recent years, the ongoing development of transcranial electrical stimulation (TES) and transcranial magnetic stimulation (TMS) has demonstrated significant potential in the treatment and rehabilitation of various brain diseases. In particular, the combined application of TES and TMS has shown considerable clinical value due to their potential synergistic effects. This paper first systematically reviews the mechanisms underlying TES and TMS, highlighting their respective advantages and limitations. Subsequently, the potential mechanisms of transcranial electromagnetic combined stimulation are explored, with a particular focus on three combined stimulation protocols: Repetitive TMS (rTMS) with transcranial direct current stimulation (tDCS), rTMS with transcranial alternating current stimulation (tACS), and theta burst TMS (TBS) with tACS, as well as their clinical applications in brain diseases. Finally, the paper analyzes the key challenges in transcranial electromagnetic combined stimulation research and outlines its future development directions. The aim of this paper is to provide a reference for the optimization and application of transcranial electromagnetic combined stimulation schemes in the treatment and rehabilitation of brain diseases.

摘要

近年来,经颅电刺激(TES)和经颅磁刺激(TMS)的不断发展已在各种脑部疾病的治疗和康复中展现出巨大潜力。特别是,TES和TMS的联合应用因其潜在的协同效应而显示出相当大的临床价值。本文首先系统回顾了TES和TMS的作用机制,突出了它们各自的优势和局限性。随后,探讨了经颅电磁联合刺激的潜在机制,特别关注三种联合刺激方案:重复经颅磁刺激(rTMS)与经颅直流电刺激(tDCS)、rTMS与经颅交流电刺激(tACS)以及theta爆发式经颅磁刺激(TBS)与tACS,以及它们在脑部疾病中的临床应用。最后,本文分析了经颅电磁联合刺激研究中的关键挑战,并概述了其未来的发展方向。本文旨在为经颅电磁联合刺激方案在脑部疾病治疗和康复中的优化与应用提供参考。

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