通过联合其他康复技术改进重复经颅磁刺激和经颅直流电刺激在慢性耳鸣治疗中的作用  

Improving the role of rTMS and tDCS in the treatment of chronic tinnitus by combining other rehabilitation techniques

作　　者：覃荣斌 曾祥丽[2] QIN Rongbin;ZENG Xiangli

机构地区：[1]中山大学新华学院听力与言语科学系,广州510520 [2]中山大学附属第三医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第5期468-471,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：慢性耳鸣的形成和维持是皮层重组的结果,重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)和经颅直流电刺激(transcranial direct current stimulation,tDCS)是能够调节皮层兴奋性的非侵入性脑刺激技术(NIBS),但是两项技术治疗耳鸣的效果只能说是中等疗效,目前通过这两项技术治疗的耳鸣患者仅得到部分的改善且存在较大的个体差异,这些都提示需要优化治疗策略。本文就rTMS和tDCS通过联合其他治疗方案来改进其在慢性耳鸣治疗中的作用展开综述。The formation and maintenance of chronic tinnitus are the result of cortical reorganization.Repeated transcranial magnetic stimulation and transcranial direct current stimulation are non-invasive brain stimulation techniques that can regulate reorganization of auditory cortex in tinnitus.However,the effects of the two technologies on tinnitus is only moderate effectiveness.At present,the treatment results in chronic tinnitus are currently burdened by only moderate improvement and high interindividual variability indicating the need for optimization strategies.This article reviews the role of repeated transcranial magnetic stimulation and transcranial direct current stimulation in the treatment of chronic tinnitus by combining other treatment regimens.

关 键 词：耳鸣 经颅磁刺激 经颅直流电刺激 联合治疗 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]