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Theta爆发式磁刺激应用于认知障碍的专家共识OA

Expert Consensus on the Application of Theta Burst Stimulation for Cognitive Impairment

中文摘要英文摘要

随着人口老龄化的进展,认知障碍受到越来越多的关注,认知障碍不仅降低了患者的整体生活质量及寿命,也对照护人员及社会经济造成巨大的困扰.重复经颅磁刺激(rTMS)是一种用于神经及精神疾病的神经电生理技术,研究证实其对多项认知功能具有改善作用.Theta爆发式磁刺激(TBS)作为一种新型的rTMS治疗方案,在认知障碍的治疗中应用得越来越多.TBS与传统rTMS相比,所需的刺激强度更低,脉冲数更少,应用时间更短,患者配合度更高.本专家共识通过对既往的研究结果及临床实践经验进行梳理和优化,深入分析TBS的起源及作用机制、有效性和安全性等方面的问题,制定适合临床使用的TBS干预方案及工作流程,有望为认知障碍患者提供更有效的治疗手段.

With the progression of population aging,cognitive impairment has garnered increasing attention.It not only reduces the overall quality of life and lifespan of patients,but also imposes tremendous burdens on caregivers and the social economy.Repeti-tive transcranial magnetic stimulation(rTMS)is a neuroelectrophysiological technique used for neurological and psychiatric disor-ders,which has been proven by studies to exert ameliorative effects on multiple cognitive functions.Theta burst stimulation(TBS),as a novel rTMS treatment protocol,has been increasingly applied in the treatment of cognitive impairment.Compared with conven-tional rTMS,TBS requires lower stimulation intensity,fewer pulses and shorter application time,leading to higher patient compli-ance.By reviewing and optimizing previous research findings and clinical practice experience,this expert consensus thoroughly ana-lyzes issues pertaining to the origin,mechanism of action,efficacy and safety of TBS,and formulates clinically applicable TBS inter-vention protocols and workflows,which are expected to provide a more effective therapeutic approach for patiens with cognitive impairment.

白玉龙;唐敏;王永慧;谢海群;谢平;许东升;张丽君;狄海波;侯文生;胡昔权;刘颖;李增勇;吕泽平;彭亮;孙俊峰

复旦大学附属华山医院,上海 200040宁波市康复医院,浙江 宁波 315040山东大学齐鲁医院,山东 济南 250012佛山市第一人民医院,广东 佛山 528000燕山大学,河北 秦皇岛 066000上海中医药大学康复医学院,上海 201203上海市第二康复医院,上海 201900杭州师范大学,浙江 杭州 311121重庆大学,重庆 400044中山大学附属第三医院,广东 广州 510630国家康复辅具研究中心,北京 100176国家康复辅具研究中心,北京 100176国家康复辅具研究中心附属康复医院,北京 100176中国科学院自动化研究所多模态人工智能系统全国重点实验室,北京 100190上海交通大学生物医学工程学院,上海 201100

认知障碍Theta爆发式磁刺激重复经颅磁刺激康复

cognitive impairmentTheta burst stimulation(TBS)repetitive transcranial magnetic stimulation(rTMS)rehabili-tation

《康复学报》 2026 (1)

8-15,8

国家重点研发计划项目(2022YFC3601200)

10.3724/SP.J.1329.2026.01003

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