经颅直流电刺激治疗心境障碍的研究进展
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国家自然科学基金面上项目(81771463)


Progress of transcranial direct current stimulation in the treatment of mood disorders
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    摘要:

    心境障碍以心境或情感改变为基础,常表现为情绪低落或情感高涨,大多数症状多继发 于心境改变。此类疾病发作时常常与应激事件等因素有关,易复发,且疾病经济负担重。心境障碍的 治疗以药物治疗为主,接受药物治疗后部分患者症状可以完全缓解,而部分患者单药治疗的疗效不佳, 因此迫切需要新的治疗方式辅助药物治疗。经颅直流电刺激作为一种无创性脑刺激技术广泛应用于心 境障碍已十余年,具有易操作、成本低和安全性高的特点,被证明单一或联合药物治疗能够有效地缓解 心境障碍患者的症状,但其尚无推荐的最佳刺激参数以及具体的作用机制尚不明确。现就经颅直流电 刺激治疗心境障碍(以抑郁障碍与双相情感障碍为主)相关的作用机制、刺激参数、应用疗效、局限性及 展望进行综述,为将来经颅直流电刺激的相关研究及临床应用提供依据。

    Abstract:

    Mood disorders are based on mood or emotional changes, often characterized by low or high mood, and most symptoms secondary to mood changes. Such disease attack is usually related to stress events and other factors, easy to relapse, and the economic burden of the disease is heavy. The treatment of mood disorders is mainly drug treatment. After receiving monotherapy, parts of patients' symptoms can be completely relieved, while the efficacy of monotherapy alone is not enough for some patients. Therefore, there is an urgent need for new treatment methods as an adjunctive for mood disorders. As a non-invasive brain stimulation technique, transcranial direct current stimulation( tDCS) has been widely used in mood disorders for more than ten years, which has the characteristics of easy operation, low cost and high safety. It has been proved that tDCS alone or combined with drug therapy can effectively treat some patients with mood disorders, but there is no recommended best treatment parameters and the specific mechanism remains unclear. The mechanism, parameters, efficacy, limitation and prospect of tDCS in the treatment of mood disorders( mainly depression and bipolar disorder) will be reviewed in order to provide the basis for the future research and clinical application of transcranial direct current stimulation.

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翟璇 韩露 王育梅.经颅直流电刺激治疗心境障碍的研究进展[J].神经疾病与精神卫生,2021,21(4):
DOI :10.3969/j. issn.1009-6574.2021.04.010.

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  • 在线发布日期: 2021-05-14