rTMS作用基础及其在脑卒中治疗中的应用  

The Function Foundation and Applications of rTMS in Stroke

作　　者：赵秀秀[1] 张靖慧[1] 韩肖华[1] 黄晓琳[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《世界最新医学信息文摘》2012年第3期16-21,共6页World Latest Medicine Information Electronic Version

基　　金：国家自然科学基金（81071601）;教育部博士点基金（20090142110013）;

摘　　要：重复经颅磁刺激（Repetitive Transcranial Magnetic Stimulation，rTMS）作为一种具有明显优势的新技术现已广泛用于脑卒中后康复治疗的研究。rTMS作用效果受刺激线圈、方向、强度、频率等多种因素影响，不同刺激参数可对皮层兴奋性产生兴奋或抑制作用，进而使脑内部发生可塑性变化。rTMS在脑卒中后运动功能障碍、空间忽略、吞咽困难、痉挛等的治疗中表现出积极作用，具有广阔的应用前景，但其具体机制尚不完全清楚，有待进一步研究。Repetitive transcranial magnetic stimulation as a kind of new technology has been widely used in the rehabilitation research of stroke with obvious advantage. The effect of rTMS can be influenced by stimulating direction, intensity, frequency, and so on. Exciting or inhibiting effect can be provoked by different stimulating parameters and plasticity change happens in the brain, rTMS in motor dysfunction, spatial neglect, dysphagia, spasticity, and so on after stroke has showed positive treatment effect and has a wide prospect. But its specific mechanisms are not very clear and further investigation will be needed.

关 键 词：脑卒中 RTMS 治疗 

分 类 号：R493[医药卫生—康复医学]