首页|人工智能与非药物神经调控技术在偏头痛中的临床应用进展

人工智能与非药物神经调控技术在偏头痛中的临床应用进展

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偏头痛是一种常见且复发率较高的神经系统疾病,其动态监督与随访、治疗效果一直是临床热门话题。人工智能(AI)在医学领域的发展为偏头痛的诊断、评估及管理提供了新思路。经皮耳迷走神经刺激(taVNS)和耳穴电针技术作为非药物治疗手段因其非侵入性和高效性而备受关注。taVNS通过刺激耳郭迷走神经耳支,调节脑内疼痛网络,能减少偏头痛发作频率和强度,安全性良好。耳穴电针通过脉冲电流刺激耳穴,强化调节功能,缩短偏头痛患者的疼痛时间,减少发作频次。临床亟须研发基于耳穴电针技术的新型可穿戴便携式镇痛仪,融合人机传感、先进材料和电子集成设计,实现功能模块的高度集成和数字化智能化管理,推动神经调节技术的科研和临床进展。该研究对AI辅助偏头痛诊治、taVNS和耳穴电针在偏头痛中的临床应用进行介绍,以期为临床偏头痛诊治、评估提供参考。
Progress in clinical application of artificial intelligence and non-drug neuromodulation techniques in migraine
Migraine is a common neurological disease with high recurrent rate,its dynamic supervision,follow-up and treatment effect have always been a hot topic in clinical practice.The development of artificial intelligence(AI)in the medical field has provided a new idea for the diagnosis,assessment and management of migraine.Transcutaneous auricular vagus nerve stimulation(taVNS)and auricular acupoint electroacupunc-ture as non-drug treatment methods have attracted clinical attention due to their non-invasive nature and high efficiency.taVNS regulates the pain network in the brain by stimulating the auricle branch of auricular vagus nerve,and can reduce the frequency and intensity of migraine attacks with good safety.Auricular acupoint electroacupuncture stimulates the auricular points by pulsed electrical currents,intensifies the adjustment function,and reduces the pain duration and frequency of attacks in migraine patients.Clinic urgently needs to develop a new wearable portable analgesic instrument based on auricular electroacupuncture technology,which integrates man-machine sensing,advanced materials and electronic integrated design to achieve a high degree of integration of functional modules and digital intelligent management in order to promote the scientific re-search and clinical progress of neuromodulation technology.This study introduces the clinical application of AI-assisted diagnosis and treatment of migraine,taVNS and auricular electroacupuncture in migraine in order to provide reference for clinical diagnosis,treatment and evaluation of migraine

migraineartificial intelligencenon-pharmacological neuromodulation techniquetaVNSauricular point electroacupuncturereview

张小君、刘勇、陈珍珍、张彬霞

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陆军军医大学第二附属医院疼痛与康复医学科,重庆 400037

偏头痛 人工智能 非药物神经调节技术 经皮耳迷走神经刺激 耳穴电针 综述

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(24)