重复经颅磁刺激治疗神经源性膀胱的临床研究进展OA
Clinical Research Progress of Repetitive Transcranial Magnetic Stimulation in the Treatment of Neurogenic Bladder
神经源性膀胱(neurogenic bladder,NB)病因复杂多样,影响广泛.现有治疗方法虽多,但效果各异,且存在诸多局限.重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)作为一种非侵入性神经调控技术,近年来在NB治疗中展现出潜力,然而治疗方案尚未统一,缺乏标准共识.本文综述rTMS在NB中的应用,讨论了rTMS参数的选择、与rTMS联合运用治疗NB的手段,我们发现rTMS治疗NB的干预时间与时程尚未明确,但其治疗时效有一定进展,最后总结目前rTMS治疗NB需进一步验证机制、确定治疗方案、扩大研究规模.本综述旨在为NB治疗提供新的临床思路,以期探索更高效的治疗方法.
Neurogenic bladder(NB)has complex and diverse etiologies,with a wide range of impacts.Al-though there are numerous existing treatment methods,their effects vary,and they are subject to many limita-tions.Repetitive transcranial magnetic stimulation(rTMS),as a non-invasive neuromodulation technique,has demonstrated potential in the treatment of NB in recent years.However,the treatment protocol has not yet been unified,and a standard consensus is lacking.This review summarizes the application of rTMS in NB,discussing the selection of rTMS parameters and the combined treatment approaches with rTMS for NB.We found that the intervention timing and duration of rTMS treatment for NB remain unclear,but there has been some progress re-garding its therapeutic time-effectiveness.Finally,it is concluded that further verification of the mechanisms,de-termination of treatment protocols,and expansion of research scale are required for rTMS in the treatment of NB at present.This review aims to provide new clinical ideas for the treatment of NB,with the expectation of exploring more efficient therapeutic methods.
马黎倩;余燕岚;龚鹏;刘渊;林咸明
浙江中医药大学第三临床医学院、康复医学院 杭州 310053浙江大学医学院附属邵逸夫医院 杭州 310020浙江中医药大学附属第三医院 杭州 310005浙江中医药大学附属第三医院 杭州 310005浙江中医药大学第三临床医学院、康复医学院 杭州 310053||浙江中医药大学附属第三医院 杭州 310005
医药卫生
重复经颅磁刺激神经源性膀胱排尿障碍研究进展
repetitive transcranial magnetic stimulationneurogenic bladdervoiding dysfunctionresearch progress
《神经损伤与功能重建》 2026 (4)
238-241,4
2021年度浙江省卫生领军人才项目(浙卫办[2021]40号)2024年中西医协同创新基金项目(电针预测骶神经调控术疗效的临床研究,No.ZS24XTCX03)
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