经颅磁刺激治疗失眠障碍的临床应用与技术规范OA

As a mature neuromodulation technique with sufficient evidence and wide application,transcranial mag-netic stimulation(TMS)has become a highly promising approach for the treatment of insomnia disorder.However,there is still a lack of unified standards for formulation of treatment regimens,technical operations,indications and contraindica-tions,treatment of adverse reactions,and application in special populations.In order to standardize the application of TMS in the diagnosis and treatment of insomnia disorder,Professional Committee of Sleep and Neuromodulation of Chinese Sleep Research Society organized the compilation of the technical specifications.This document systematically elaborates on the technical principles and stimulation modes of TMS,summarizes the clinical evidence for its application in the treat-ment of primary insomnia disorder and comorbid conditions such as depression and cognitive impairment,clarifies the key points for formulating treatment regimens(including stimulation coils,targets,modes,and intensity),refines the techni-cal specifications such as treatment room setup,personnel qualifications,operation procedures,and efficacy evaluation,and provides recommendations for the management of adverse reactions and principles for use in special populations,which provides a comprehensive expert consensus and practical guidance for the standardized clinical application of TMS in the treatment of insomnia disorder.