您的位置: 首页 > 2022年5月 第52卷 第3期 > 文字全文
2023年7月 第38卷 第7期11
目录

经颅磁刺激在神经康复中的应用

Application of transcranial magnetic stimulation in neurological rehabilitation

来源期刊: 广州医药 | 1-6 发布时间:2022-07-01 收稿时间:2025/11/13 18:21:22 阅读量:58
作者:
关键词:
经颅磁刺激神经康复应用现状机制
transcranial magnetic stimulationneurological rehabilitationapplication statusmechanism
DOI:
10.3969/j.issn.1000-8535.2022.03.001
收稿时间:
2022-04-11 
修订日期:
 
接收日期:
 
引用总数:
9  
经颅磁刺激(TMS)作为一种新兴的非侵入性的神经调控技术,具有安全无痛、操作简单等优点,日益广泛应用于神经康复各领域。本文基于近年来发表的TMS治疗神经系统疾病的研究成果,对TMS在脑卒中后运动障碍、认知障碍和吞咽障碍、脊髓损伤、帕金森、抑郁症中的应用现状和可能机制进行综述。并对当前TMS在神经康复应用中存在的不足和应用前景进行简要总结,以期为TMS在临床和科研中的应用提供理论依据。
Transcranial magnetic stimulation (TMS), as a new non-invasive neuromodulation technique, has the advantages of safety, painless and simple operation, and has been widely used in various fields of neurological rehabilitation. Based on the research results of TMS in the treatment of neurological diseases in recent years, this paper reviewed the application status and possible mechanisms of TMS in the treatment of poststroke dyskinesia and cognitive impairment, spinal cord injury, Parkinson's disease and depressive disorder. The deficiencies and application prospects of TMS in the application of neurological rehabilitation were briefly summarized in order to provide theoretical basis for the application of TMS in clinical and scientific research.
1、 DRYSDALE A T, GROSENICK L, DOWNAR J, et al. Resting-state connectivity biomarkers define neurophysiological subtypes of depression [J]. Nat Med, 2017, 23(1): 28-38. DRYSDALE A T, GROSENICK L, DOWNAR J, et al. Resting-state connectivity biomarkers define neurophysiological subtypes of depression [J]. Nat Med, 2017, 23(1): 28-38.
2、 LV X, SI T, WANG G, et al. The establishment of the objective diagnostic markers and personalized medical intervention in patients with major depressive disorder: rationale and protocol [J]. BMC Psychiatry, 2016(16): 240. LV X, SI T, WANG G, et al. The establishment of the objective diagnostic markers and personalized medical intervention in patients with major depressive disorder: rationale and protocol [J]. BMC Psychiatry, 2016(16): 240.
3、 LEFAUCHEUR J P, ALEMAN A, BAEKEN C, et al. Corrigendum to “Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018)”[J]. Clin Neurophysiol, 2020, 131(5): 1168-1169. LEFAUCHEUR J P, ALEMAN A, BAEKEN C, et al. Corrigendum to “Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018)”[J]. Clin Neurophysiol, 2020, 131(5): 1168-1169.
4、 CASH R F H, WEIGAND A, ZALESKY A, et al. Using brain imaging to improve spatial targeting of transcranial magnetic stimulation for depression [J]. Biol Psychiatry, 2021, 90(10): 689-700. CASH R F H, WEIGAND A, ZALESKY A, et al. Using brain imaging to improve spatial targeting of transcranial magnetic stimulation for depression [J]. Biol Psychiatry, 2021, 90(10): 689-700.
5、 ESHEL N, KELLER C J, WU W, et al. Global connectivity and local excitability changes underlie antidepressant effects of repetitive transcranial magnetic stimulation [J]. Neuropsychopharmacology, 2020, 45(6): 1018-1025. ESHEL N, KELLER C J, WU W, et al. Global connectivity and local excitability changes underlie antidepressant effects of repetitive transcranial magnetic stimulation [J]. Neuropsychopharmacology, 2020, 45(6): 1018-1025.
6、 TAO Q, YANG Y, YU H, et al. Anatomical connectivity-based strategy for targeting transcranial magnetic stimulation as antidepressant therapy [J]. Front Psychiatry, 2020(11): 236. TAO Q, YANG Y, YU H, et al. Anatomical connectivity-based strategy for targeting transcranial magnetic stimulation as antidepressant therapy [J]. Front Psychiatry, 2020(11): 236.
7、 BRUNONI A R, CHAIMANI A, MOFFA A H, et al. Repetitive transcranial magnetic stimulation for the acute treatment of major depressive episodes: A systematic review with network meta-analysis [J]. JAMA Psychiatry, 2017, 74(2): 143-152. BRUNONI A R, CHAIMANI A, MOFFA A H, et al. Repetitive transcranial magnetic stimulation for the acute treatment of major depressive episodes: A systematic review with network meta-analysis [J]. JAMA Psychiatry, 2017, 74(2): 143-152.
8、 MCCLINTOCK S M, RETI I M, CARPENTER L L, et al. Consensus recommendations for the clinical application of repetitive transcranial magnetic stimulation (rTMS) in the treatment of depression [J]. J Clin Psychiatry, 2018, 79(1):16cs10905. MCCLINTOCK S M, RETI I M, CARPENTER L L, et al. Consensus recommendations for the clinical application of repetitive transcranial magnetic stimulation (rTMS) in the treatment of depression [J]. J Clin Psychiatry, 2018, 79(1):16cs10905.
9、 HAI-JIAO W, GE T, LI-NA Z, et al. The efficacy of repetitive transcranial magnetic stimulation for Parkinson disease patients with depression [J]. Int J Neurosci, 2020, 130(1): 19-27. HAI-JIAO W, GE T, LI-NA Z, et al. The efficacy of repetitive transcranial magnetic stimulation for Parkinson disease patients with depression [J]. Int J Neurosci, 2020, 130(1): 19-27.
10、 MAKKOS A, PáL E, ASCHERMANN Z, et al. High-frequency repetitive transcranial magnetic stimulation can improve depression in parkinson's disease: A rando-mized, double-blind, placebo-controlled study [J]. Neuropsychobiology, 2016, 73(3): 169-177. MAKKOS A, PáL E, ASCHERMANN Z, et al. High-frequency repetitive transcranial magnetic stimulation can improve depression in parkinson's disease: A rando-mized, double-blind, placebo-controlled study [J]. Neuropsychobiology, 2016, 73(3): 169-177.
11、 CARDOSO E F, FREGNI F, MARTINS MAIA F, et al. rTMS treatment for depression in Parkinson's disease increases BOLD responses in the left prefrontal cortex [J]. Int J Neuropsychopharmacol, 2008, 11(2): 173-183. CARDOSO E F, FREGNI F, MARTINS MAIA F, et al. rTMS treatment for depression in Parkinson's disease increases BOLD responses in the left prefrontal cortex [J]. Int J Neuropsychopharmacol, 2008, 11(2): 173-183.
12、 LATORRE A, ROCCHI L, BERARDELLI A, et al. The use of transcranial magnetic stimulation as a treatment for movement disorders: A critical review [J]. Movement Disord, 2019, 34(6): 769-782. LATORRE A, ROCCHI L, BERARDELLI A, et al. The use of transcranial magnetic stimulation as a treatment for movement disorders: A critical review [J]. Movement Disord, 2019, 34(6): 769-782.
13、 COHEN O S, ORLEV Y, YAHALOM G, et al. Repetitive deep transcranial magnetic stimulation for motor symptoms in Parkinson's disease: A feasibility study [J]. Clin Neurol Neurosurg, 2016(140): 73-78. COHEN O S, ORLEV Y, YAHALOM G, et al. Repetitive deep transcranial magnetic stimulation for motor symptoms in Parkinson's disease: A feasibility study [J]. Clin Neurol Neurosurg, 2016(140): 73-78.
14、 KALIA L V, LANG A E. Parkinson disease in 2015: Evolving basic, pathological and clinical concepts in PD [J]. Nat Rev Neurol, 2016, 12(2): 65-66. KALIA L V, LANG A E. Parkinson disease in 2015: Evolving basic, pathological and clinical concepts in PD [J]. Nat Rev Neurol, 2016, 12(2): 65-66.
15、 REICH S G, SAVITT J M. Parkinson's Disease [J]. Med Clin North Am, 2019, 103(2): 337-350. REICH S G, SAVITT J M. Parkinson's Disease [J]. Med Clin North Am, 2019, 103(2): 337-350.
16、 PETROSYAN H A, ALESSI V, SISTO S A, et al. Transcranial magnetic stimulation (TMS) responses elicited in hindlimb muscles as an assessment of synaptic plasticity in spino-muscular circuitry after chronic spinal cord injury [J]. Neurosci Lett, 2017(642): 37-42. PETROSYAN H A, ALESSI V, SISTO S A, et al. Transcranial magnetic stimulation (TMS) responses elicited in hindlimb muscles as an assessment of synaptic plasticity in spino-muscular circuitry after chronic spinal cord injury [J]. Neurosci Lett, 2017(642): 37-42.
17、 Y?LMAZ B, KESIKBURUN S, YA?AR E, et al. The effect of repetitive transcranial magnetic stimulation on refractory neuropathic pain in spinal cord injury [J]. J Spinal Cord Med, 2014, 37(4): 397-400. Y?LMAZ B, KESIKBURUN S, YA?AR E, et al. The effect of repetitive transcranial magnetic stimulation on refractory neuropathic pain in spinal cord injury [J]. J Spinal Cord Med, 2014, 37(4): 397-400.
18、 NARDONE R, H?LER Y, LANGTHALER P B, et al. rTMS of the prefrontal cortex has analgesic effects on neuropathic pain in subjects with spinal cord injury [J]. Spinal Cord, 2017, 55(1): 20-25. NARDONE R, H?LER Y, LANGTHALER P B, et al. rTMS of the prefrontal cortex has analgesic effects on neuropathic pain in subjects with spinal cord injury [J]. Spinal Cord, 2017, 55(1): 20-25.
19、 JO H J, PEREZ M A. Corticospinal-motor neuronal plasticity promotes exercise-mediated recovery in humans with spinal cord injury [J]. Brain, 2020, 143(5): 1368-1382. JO H J, PEREZ M A. Corticospinal-motor neuronal plasticity promotes exercise-mediated recovery in humans with spinal cord injury [J]. Brain, 2020, 143(5): 1368-1382.
20、 JING Y H, LIN T, LI W Q, et al. Comparison of activation patterns in mirror neurons and the swallowing network during action observation and execution: A Task-Based fMRI Study [J]. Front Neurosci, 2020(14): 867. JING Y H, LIN T, LI W Q, et al. Comparison of activation patterns in mirror neurons and the swallowing network during action observation and execution: A Task-Based fMRI Study [J]. Front Neurosci, 2020(14): 867.
21、 RUAN X, ZHANG G, XU G, et al. The after-effects of theta burst stimulation over the cortex of the suprahyoid muscle on regional homogeneity in healthy subjects [J]. Front Behav Neurosci, 2019(13): 35. RUAN X, ZHANG G, XU G, et al. The after-effects of theta burst stimulation over the cortex of the suprahyoid muscle on regional homogeneity in healthy subjects [J]. Front Behav Neurosci, 2019(13): 35.
22、 ZHANG G, GAO C, RUAN X, et al. Intermittent theta-burst stimulation over the suprahyoid muscles motor cortex facilitates increased degree centrality in healthy subjects [J]. Front Hum Neurosci, 2020(14): 200. ZHANG G, GAO C, RUAN X, et al. Intermittent theta-burst stimulation over the suprahyoid muscles motor cortex facilitates increased degree centrality in healthy subjects [J]. Front Hum Neurosci, 2020(14): 200.
23、 LIN T, JIANG L, DOU Z, et al. Effects of theta burst stimulation on suprahyoid motor cortex excitability in healthy subjects [J]. Brain Stimul, 2017, 10(1): 91-98. LIN T, JIANG L, DOU Z, et al. Effects of theta burst stimulation on suprahyoid motor cortex excitability in healthy subjects [J]. Brain Stimul, 2017, 10(1): 91-98.
24、 BUCUR M, PAPAGNO C. Are transcranial brain stimulation effects long-lasting in post-stroke aphasia? A comparative systematic review and meta-analysis on naming performance [J]. Neurosci Biobehav Rev, 2019(102): 264-289. BUCUR M, PAPAGNO C. Are transcranial brain stimulation effects long-lasting in post-stroke aphasia? A comparative systematic review and meta-analysis on naming performance [J]. Neurosci Biobehav Rev, 2019(102): 264-289.
25、 LI Y, QU Y, YUAN M, et al. Low-frequency repetitive transcranial magnetic stimulation for patients with aphasia after stoke: A meta-analysis [J]. J Rehabil Med, 2015, 47(8): 675-681. LI Y, QU Y, YUAN M, et al. Low-frequency repetitive transcranial magnetic stimulation for patients with aphasia after stoke: A meta-analysis [J]. J Rehabil Med, 2015, 47(8): 675-681.
26、 YIN M, LIU Y, ZHANG L, et al. Effects of rTMS treatment on cognitive impairment and resting-state brain activity in stroke patients: a randomized clinical trial [J]. Front Neural Circuits, 2020(14): 563777. YIN M, LIU Y, ZHANG L, et al. Effects of rTMS treatment on cognitive impairment and resting-state brain activity in stroke patients: a randomized clinical trial [J]. Front Neural Circuits, 2020(14): 563777.
27、 KIM J, CHA B, LEE D, et al. Effect of cognition recovery by repetitive transcranial magnetic stimulation on ipsilesional dorsolateral prefrontal cortex in subacute stroke patients [J]. Front Neurol, 2022(13): 823108. KIM J, CHA B, LEE D, et al. Effect of cognition recovery by repetitive transcranial magnetic stimulation on ipsilesional dorsolateral prefrontal cortex in subacute stroke patients [J]. Front Neurol, 2022(13): 823108.
28、 徐光青, 兰月, 何小飞, 等. 右侧额顶网络在空间注意认知过程中的作用机制 [J]. 中国康复医学杂志, 2013, 28(8): 714-718. 徐光青, 兰月, 何小飞, 等. 右侧额顶网络在空间注意认知过程中的作用机制 [J]. 中国康复医学杂志, 2013, 28(8): 714-718.
29、 何小飞, 徐光青, 兰月, 等. 活体小鼠后顶叶皮质神经元双光子成像与空间定向机制 [J]. 中国康复医学杂志, 2013, 28(10): 889-893. 何小飞, 徐光青, 兰月, 等. 活体小鼠后顶叶皮质神经元双光子成像与空间定向机制 [J]. 中国康复医学杂志, 2013, 28(10): 889-893.
30、 徐光青, 兰月, 赵江莉, 等. 持续短阵快速脉冲刺激前额叶皮质对视空间注意功能的调控机制 [J]. 中国康复医学杂志, 2013, 28(9): 806-810. 徐光青, 兰月, 赵江莉, 等. 持续短阵快速脉冲刺激前额叶皮质对视空间注意功能的调控机制 [J]. 中国康复医学杂志, 2013, 28(9): 806-810.
31、 徐光青, 兰月, 陈正宏, 等. 后顶叶皮质调控视空间注意功能的经颅磁刺激研究 [J]. 中华物理医学与康复杂志, 2013, 35(9): 687-690. 徐光青, 兰月, 陈正宏, 等. 后顶叶皮质调控视空间注意功能的经颅磁刺激研究 [J]. 中华物理医学与康复杂志, 2013, 35(9): 687-690.
32、 YU H X, WANG Z X, LIU C B, et al. Effect of cognitive function on balance and posture control after stroke [J]. Neural Plast, 2021(2021): 6636999. YU H X, WANG Z X, LIU C B, et al. Effect of cognitive function on balance and posture control after stroke [J]. Neural Plast, 2021(2021): 6636999.
33、 YU H, ZHANG Q, LIU S, et al. Effect of executive dysfunction on posture control and gait after stroke [J]. Evid Based Complement Alternat Med, 2021,(2021): 3051750. YU H, ZHANG Q, LIU S, et al. Effect of executive dysfunction on posture control and gait after stroke [J]. Evid Based Complement Alternat Med, 2021,(2021): 3051750.
34、 WANG S, YANG H, ZHANG J, et al. Efficacy and safety assessment of acupuncture and nimodipine to treat mild cognitive impairment after cerebral infarction: a randomized controlled trial [J]. BMC Complement Altern Med, 2016, 16(1): 361. WANG S, YANG H, ZHANG J, et al. Efficacy and safety assessment of acupuncture and nimodipine to treat mild cognitive impairment after cerebral infarction: a randomized controlled trial [J]. BMC Complement Altern Med, 2016, 16(1): 361.
35、 WU C, LI M N, FENG Y W, et al. Continuous theta burst stimulation provides neuroprotection by accelerating local cerebral blood flow and inhibiting inflammation in a mouse model of acute ischemic stroke [J]. Brain Res, 2020(1726): 146488. WU C, LI M N, FENG Y W, et al. Continuous theta burst stimulation provides neuroprotection by accelerating local cerebral blood flow and inhibiting inflammation in a mouse model of acute ischemic stroke [J]. Brain Res, 2020(1726): 146488.
36、 QU Y J, ZHUO L, LI N, et al. Prevalence of post-stroke cognitive impairment in china: a community-based, cross-sectional study [J]. PloS One, 2015, 10(4): e0122864. QU Y J, ZHUO L, LI N, et al. Prevalence of post-stroke cognitive impairment in china: a community-based, cross-sectional study [J]. PloS One, 2015, 10(4): e0122864.
37、 NIIMI M, SASAKI N, KIMURA C, et al. Sleep during low-frequency repetitive transcranial magnetic stimulation is associated with functional improvement in upper limb hemiparesis after stroke [J]. Acta Neurol Belg, 2019, 119(2): 233-238. NIIMI M, SASAKI N, KIMURA C, et al. Sleep during low-frequency repetitive transcranial magnetic stimulation is associated with functional improvement in upper limb hemiparesis after stroke [J]. Acta Neurol Belg, 2019, 119(2): 233-238.
38、 LONG H, WANG H, ZHAO C, et al. Effects of combining high-and low-frequency repetitive transcranial magnetic stimulation on upper limb hemiparesis in the early phase of stroke [J]. Restor Neurol Neurosci, 2018, 36(1): 21-30. LONG H, WANG H, ZHAO C, et al. Effects of combining high-and low-frequency repetitive transcranial magnetic stimulation on upper limb hemiparesis in the early phase of stroke [J]. Restor Neurol Neurosci, 2018, 36(1): 21-30.
39、 DING Q, CAI H, WU M, et al. Short intracortical facilitation associates with motor-inhibitory control [J]. Behav Brain Res, 2021(407): 113266. DING Q, CAI H, WU M, et al. Short intracortical facilitation associates with motor-inhibitory control [J]. Behav Brain Res, 2021(407): 113266.
40、 GAUGHAN T, BOE S G. Investigating the dose-response relationship between motor imagery and motor recovery of upper-limb impairment and function in chronic stroke: A scoping review [J]. J Neuropsychol, 2022, 16(1): 54-74. GAUGHAN T, BOE S G. Investigating the dose-response relationship between motor imagery and motor recovery of upper-limb impairment and function in chronic stroke: A scoping review [J]. J Neuropsychol, 2022, 16(1): 54-74.
41、 LING Y T, ALAM M, ZHENG Y P. Spinal cord injury: lessons about neuroplasticity from paired associative stimulation [J]. Neuroscientist, 2020, 26(3): 266-277. LING Y T, ALAM M, ZHENG Y P. Spinal cord injury: lessons about neuroplasticity from paired associative stimulation [J]. Neuroscientist, 2020, 26(3): 266-277.
42、 SUPPA A, HUANG Y Z, FUNKE K, et al. Ten years of theta burst stimulation in humans: established knowledge, unknowns and prospects [J]. Brain Stimul, 2016, 9(3): 323-335. SUPPA A, HUANG Y Z, FUNKE K, et al. Ten years of theta burst stimulation in humans: established knowledge, unknowns and prospects [J]. Brain Stimul, 2016, 9(3): 323-335.
43、 CHUNG S W, HOY K E, FITZGERALD P B. Theta-burst stimulation: a new form of TMS treatment for depression? [J]. Depress Anxiety, 2015, 32(3): 182-192. CHUNG S W, HOY K E, FITZGERALD P B. Theta-burst stimulation: a new form of TMS treatment for depression? [J]. Depress Anxiety, 2015, 32(3): 182-192.
44、 DING Q, LIN T, WU M, et al. Influence of iTBS on the Acute Neuroplastic Change After BCI Training [J]. Front Cell Neurosci, 2021(15): 653487. DING Q, LIN T, WU M, et al. Influence of iTBS on the Acute Neuroplastic Change After BCI Training [J]. Front Cell Neurosci, 2021(15): 653487.
45、 ZHANG C, ZHENG X, LU R, et al. Repetitive transcranial magnetic stimulation in combination with neuromuscular electrical stimulation for treatment of post-stroke dysphagia [J]. J Int Med Res, 2019, 47(2): 662-672. ZHANG C, ZHENG X, LU R, et al. Repetitive transcranial magnetic stimulation in combination with neuromuscular electrical stimulation for treatment of post-stroke dysphagia [J]. J Int Med Res, 2019, 47(2): 662-672.
46、 MAEDA F, KEENAN J P, TORMOS J M, et al. Modulation of corticospinal excitability by repetitive transcranial magnetic stimulation [J]. Clin Neurophysioly, 2000, 111(5): 800-8005. MAEDA F, KEENAN J P, TORMOS J M, et al. Modulation of corticospinal excitability by repetitive transcranial magnetic stimulation [J]. Clin Neurophysioly, 2000, 111(5): 800-8005.
47、 LEFAUCHEUR J P, ANDRé-OBADIA N, ANTAL A, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS) [J]. Clin Neurophysiol, 2014, 125(11): 2150-2206. LEFAUCHEUR J P, ANDRé-OBADIA N, ANTAL A, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS) [J]. Clin Neurophysiol, 2014, 125(11): 2150-2206.
48、 KLOMJAI W, KATZ R, LACKMY-VALLéE A. Basic principles of transcranial magnetic stimulation (TMS) and repetitive TMS (rTMS) [J]. Ann Phys Rehabil Med, 2015, 58(4): 208-213. KLOMJAI W, KATZ R, LACKMY-VALLéE A. Basic principles of transcranial magnetic stimulation (TMS) and repetitive TMS (rTMS) [J]. Ann Phys Rehabil Med, 2015, 58(4): 208-213.
49、 LI D, CHENG A, ZHANG Z, et al. Effects of low-frequency repetitive transcranial magnetic stimulation combined with cerebellar continuous theta burst stimulation on spasticity and limb dyskinesia in patients with stroke [J]. BMC Neurol, 2021, 21(1): 369. LI D, CHENG A, ZHANG Z, et al. Effects of low-frequency repetitive transcranial magnetic stimulation combined with cerebellar continuous theta burst stimulation on spasticity and limb dyskinesia in patients with stroke [J]. BMC Neurol, 2021, 21(1): 369.
50、 BARKER A T, JALINOUS R, FREESTON I L. Non-invasive magnetic stimulation of human motor cortex [J]. Lancet, 1985, 1(8437): 1106-1107. BARKER A T, JALINOUS R, FREESTON I L. Non-invasive magnetic stimulation of human motor cortex [J]. Lancet, 1985, 1(8437): 1106-1107.
51、 POLSON M J, BARKER A T, FREESTON I L. Stimulation of nerve trunks with time-varying magnetic fields [J]. Medical Biol Eng Comput, 1982, 20(2): 243-244. POLSON M J, BARKER A T, FREESTON I L. Stimulation of nerve trunks with time-varying magnetic fields [J]. Medical Biol Eng Comput, 1982, 20(2): 243-244.
1、王晓旗.正中神经电刺激联合rTMS对脑卒中后上肢运动功能的临床研究[D].吉林大学,2024.DOI:10.27162/d.cnki.gjlin.2024.008733. 王晓旗.正中神经电刺激联合rTMS对脑卒中后上肢运动功能的临床研究[D].吉林大学,2024.DOI:10.27162/d.cnki.gjlin.2024.008733.
2、温馨.基于fNIRS技术探究小脑间歇性θ波脉冲刺激在调节吞咽机制方面的研究[D].赣南医科大学,2024.DOI:10.27959/d.cnki.ggnyx.2024.000253. 温馨.基于fNIRS技术探究小脑间歇性θ波脉冲刺激在调节吞咽机制方面的研究[D].赣南医科大学,2024.DOI:10.27959/d.cnki.ggnyx.2024.000253.
3、巫嘉陵.神经调控技术助力康复医学发展[J].中国现代神经疾病杂志,2022,22(11):915-921. 巫嘉陵.神经调控技术助力康复医学发展[J].中国现代神经疾病杂志,2022,22(11):915-921.
4、符玲萍,李淑娜,刘二萍,等.脑卒中患者应用康复训练联合重复经颅磁刺激治疗的效果分析[J].国际医药卫生导报,2023,29(02):204-207. 符玲萍,李淑娜,刘二萍,等.脑卒中患者应用康复训练联合重复经颅磁刺激治疗的效果分析[J].国际医药卫生导报,2023,29(02):204-207.
5、朱兆武,朱瑞增.rTMS联合醒脑开窍针刺法对老年帕金森病患者步态指标及血清指标的影响[J].中国医学创新,2023,20(10):80-83. 朱兆武,朱瑞增.rTMS联合醒脑开窍针刺法对老年帕金森病患者步态指标及血清指标的影响[J].中国医学创新,2023,20(10):80-83.
6、樊琼,刘华,徐冬梅,等.重复经颅磁刺激联合高压氧对颅脑损伤昏迷患者的促醒效果[J].中国民康医学,2023,35(18):37-39. 樊琼,刘华,徐冬梅,等.重复经颅磁刺激联合高压氧对颅脑损伤昏迷患者的促醒效果[J].中国民康医学,2023,35(18):37-39.
7、洑斌斌,李圆.经颅磁刺激联合乌灵胶囊对慢性耳鸣患者睡眠质量和情绪状态的影响[J].浙江中西医结合杂志,2023,33(11):1022-1025. 洑斌斌,李圆.经颅磁刺激联合乌灵胶囊对慢性耳鸣患者睡眠质量和情绪状态的影响[J].浙江中西医结合杂志,2023,33(11):1022-1025.
8、任慧,张思鈺,魏衍旭,等.rTMS联合温针灸治疗脑卒中后吞咽障碍疗效观察[J].现代中西医结合杂志,2024,33(08):1081-1085. 任慧,张思鈺,魏衍旭,等.rTMS联合温针灸治疗脑卒中后吞咽障碍疗效观察[J].现代中西医结合杂志,2024,33(08):1081-1085.
9、唐曦,程永,丁玉廷,等.早期针刺结合康复训练对急性脑卒中康复影响的随机对照研究[J].广州医药,2025,56(07):982-987+994.DOI:10.20223/j.cnki.1000-8535.2025.07.019. 唐曦,程永,丁玉廷,等.早期针刺结合康复训练对急性脑卒中康复影响的随机对照研究[J].广州医药,2025,56(07):982-987+994.DOI:10.20223/j.cnki.1000-8535.2025.07.019.
下一篇
出版者信息








《广州医药》公众号
目录