Theta爆发式经颅磁刺激治疗失语症的研究进展  

Research advancement of Theta burst stimulation in the treatment of aphasia

作　　者：张雅文 尹昱[2] 陈江龙 杨玉慧[2] 吕红香 张琦 吕佩源 Yawen Zhang;Yu Yin;Jianglong Chen;Yuhui Yang;Hongxiang Lyu;Qi Zhang;Peiyuan Lyu(Graduate School,Hebei Medical University,Shijiazhuang 050000,China;Department of Rehabilitation,Hebei General Hospital,Shijiazhuang 050000,China;College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China;Hebei Key Laboratory of Cerebral Network and Cognitive Disorders,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学研究生院,石家庄050000 [2]河北省人民医院康复科,石家庄050000 [3]华北理工大学护理与康复学院,唐山063210 [4]河北省脑网络与认知障碍疾病重点实验室,石家庄050000

出　　处：《中华脑科疾病与康复杂志(电子版)》2024年第5期306-311,共6页Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition)

基　　金：河北省财政厅政府资助临床医学优秀人才培养项目(202211)

摘　　要：失语症是脑部器质性病变导致的一种语言网络障碍,严重影响患者的日常沟通和交流,仅依靠常规康复训练疗效有限。目前,重复经颅磁刺激技术(rTMS)广泛应用于失语症的临床治疗中,通过引起持续性的皮质环路可塑性改变来促进患者功能恢复。Theta爆发式刺激(TBS)是rTMS的一种新型治疗模式,其基本原理与传统rTMS基本一致,但可在更短的时间内激发皮质可塑性,现逐渐应用于失语症的治疗中。本文围绕TBS治疗失语症及其相关方面的研究进展进行综述,旨在为临床选用TBS刺激方案提供新的思路及参考。Aphasia is considered to be a language network disorder caused by organic brain lesions,which seriously affect the daily communication of patients,and relying only on routine rehabilitation training has limited efficacy.Currently,repetitive transcranial magnetic stimulation(rTMS)is extensively utilized in the clinical treatment of aphasia to facilitate functional recovery by inducing persistent cortical circuit plasticity alterations.Theta burst stimulation(TBS),a novel treatment modality of rTMS,has a fundamental principle largely similar to that of traditional rTMS.However,it can stimulate cortical plasticity within a shorter period and is gradually being employed in the treatment of aphasia.This article reviews the research advancement of TBS in the treatment of aphasia and its related aspects,the aim is to offer a new idea and reference for the clinical selection of TBS stimulation.

关 键 词：失语症 脑卒中 经颅磁刺激 Theta爆发式刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]