神经病理性疼痛重复经颅磁刺激治疗研究进展  

Application of repetitive transcranial magnetic stimulation in neuropathic pain

作　　者：高天昊 陆蓉蓉[1] 姜从玉[1] 吴毅[1] 

机构地区：[1]复旦大学附属华山医院康复医学科,上海200040

出　　处：《上海医药》2017年第13期22-26,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市卫生和计划生育委员会"重要薄弱学科建设"项目(编号:2015ZB0401)

摘　　要：神经病理性疼痛是一类由躯体感觉神经系统(外周和中枢神经系统)损伤或疾病而产生的疼痛,临床上表现为自发性疼痛、痛觉过敏、异常疼痛和感觉异常等特征,严重影响患者及其家属的正常生活。神经病理性疼痛的常见类型包括三叉神经痛、幻肢痛、糖尿病性神经痛、疱疹后神经痛、脊髓损伤后疼痛和脑卒中后疼痛等,减轻患者的疼痛、使之早日恢复正常生活是治疗的首要目标。本文简述重复经颅磁刺激治疗神经病理性疼痛的机制以及治疗部位、方案、疗程等。Pathological pain is caused by the injury or disease of the peripheral and central somatosensory nervous system. Its clinical characters manifested as spontaneous pain, hyperalgesia, abnormal pain, paresthesia and other symptoms. Persistent neuropathic pain will seriously affect the activity of life of patients and their families. The common type of neuropathic pain includes trigeminal neuralgia, phantom limb pain, diabetic neuropathic pain, postherpetic neuralgia, pain caused by spinal cord injury and post-stroke pain. The primary goal for its treatment is to reduce the pain to let the patients return to their daily life. In this paper, we demonstrate the mechanism of repetitive transcranial magnetic stimulation （rTMS） for the treatment of pathological pain and its treatment site, regiment and course of treatment.

关 键 词：重复经颅磁刺激 神经病理性疼痛 神经调节 

分 类 号：R741[医药卫生—神经病学与精神病学]