功能性近红外光谱技术在失眠障碍中的应用进展OA
Advances in the application of functional near-infrared spectroscopy in insomnia disorders
失眠患病率高达15%,传统检测方法在其机制研究和临床评估方面存在局限.功能性近红外光谱技术作为一种新兴的无创神经监测技术,凭借其对大脑皮层血流动力学的直接监测能力、10 Hz左右或更高的采样率以及良好的抗运动干扰特性,已成为失眠神经机制研究和临床监护的重要工具.功能性近红外光谱技术可有效监测失眠患者前额叶皮层等浅表皮层脑区的氧合血红蛋白动态变化以及部分皮层脑区间默认模式网络的连接状态改变,为探索睡眠-觉醒调节的神经环路机制提供了新的数据支持.其与多模态技术的联合应用,展现出指导个体化治疗的潜力.本文系统评述功能性近红外光谱技术在失眠障碍脑功能评估与疗效监测中的技术优势与研究进展,旨在推动该技术在临床科研中的应用,并助力开发更精准的失眠客观评估与干预策略.
The prevalence rate of insomnia is as high as 15%,presents limitations in traditional diagnostic methods for both mechanistic research and clinical assessment.Functional near-infrared spectroscopy(fNIRS)is an emerging non-invasive neural monitoring technique.fNIRS possesses the capability for direct monitoring of cerebral cortical haemodynamics,featuring a sampling rate of approximately 10Hz or higher and excellent resistance to motion artefacts.fNIRS has become an important tool for investigating the neural mechanisms of insomnia and for clinical monitoring.fNIRS can effectively monitor dynamic changes in oxyhaemoglobin levels within superficial cortical regions such as the prefrontal cortex in insomnia patients,as well as alterations in the connectivity state of the default mode network between certain cortical regions.fNIRS provides novel data supporting the exploration of neural circuit mechanisms underlying sleep-wake regulation.The combined application of fNIRS and multimodal technologies demonstrates potential for guiding personalised treatment.This paper systematically reviews the technical advantages and research progress of fNIRS in assessing brain function and monitoring treatment efficacy for insomnia disorders,aiming to advance the application of fNIRS in clinical research and facilitate the development of more precise objective assessment and intervention strategies for insomnia.
陈卓;白林;张成宇;骆思宏;孙洪艺;孟子杭;李晓宁
黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学研究生院,黑龙江 哈尔滨 150040黑龙江中医药大学附属第二医院针灸四科,黑龙江 哈尔滨 150040
功能性近红外光谱技术失眠前额叶皮质脑网络多模态
functional near-infrared spectroscopyinsomniaprefrontal cortexbrain networksmultimodal
《分子影像学杂志》 2026 (4)
522-528,7
国家中医药管理局高水平中医药重点学科建设项目(14061230010)
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