深部经颅磁刺激(deep transcranial magnetic stimulation,dTMS)作为常见物理治疗方式的一种,近年来已越来越多地应用于各类精神疾病的治疗研究中.目前大部分研究集中于抑郁障碍、强迫障碍、物质使用障碍等精神疾病,治疗方案初步成熟,取得了较好的疗效,加速治疗方案在抑郁障碍、强迫障碍中初见成效.也有研究尝试使用dTMS治疗双相抑郁、创伤后应激障碍、注意缺陷多动障碍、广泛性焦虑障碍、进食障碍等疾病,改善了部分症状,但是否具有切实的疗效仍需进一步研究.目前研究也在尝试使用不同线圈,探索不同治疗部位、不同治疗方案对各类疾病的疗效,以寻求更好的治疗效果.
Abstract
Deep transcranial magnetic stimulation (dTMS) is a common form of physical therapy. In recent years,it has been increasingly used in the treatment of various mental diseases. Most research has focused on depressive disorder,obsessive-compulsive disorder,and substance use disorder. Treatment programs are initially maturing with good results,and accelerated treatment programs has achieved initial results in depressive disorder and obsessive-compulsive disorder. A number of studies have attempted to use dTMS to treat conditions such as bipolar depression,post-traumatic stress disorder,attention deficit hyperactivity disorder,generalized anxiety disorder,and eating disorders. Current research is also trying to use different coils to explore the efficacy of different treatment sites and treatment protocols for a variety of diseases in order to pursue better treatment results.