非侵入性電刺激神經(jīng)調(diào)控技術(shù):鎮(zhèn)痛效果與鎮(zhèn)痛機(jī)制
非侵入性神經(jīng)調(diào)控技術(shù)是一種潛力巨大的非藥物鎮(zhèn)痛手段,具有經(jīng)濟(jì)、易操作、安全性高等優(yōu)點(diǎn),已被應(yīng)用于各類(lèi)臨床疼痛的治療。然而,目前仍缺乏對(duì)不同神經(jīng)調(diào)控技術(shù)鎮(zhèn)痛特性的深入理解。因此,本文從鎮(zhèn)痛效果和鎮(zhèn)痛機(jī)制兩個(gè)方面入手,評(píng)述非侵入性外周神經(jīng)電刺激(經(jīng)皮神經(jīng)電刺激、經(jīng)皮迷走神經(jīng)電刺激)和中樞神經(jīng)電刺激(經(jīng)顱直流電刺激、經(jīng)顱交流電刺激)在鎮(zhèn)痛方面的研究結(jié)果,總結(jié)各技術(shù)對(duì)急性疼痛和慢性疼痛的常用刺激參數(shù)和鎮(zhèn)痛效果,探討可能的鎮(zhèn)痛機(jī)制。最后,本文對(duì)比和總結(jié)各技術(shù)的鎮(zhèn)痛特點(diǎn),討論了現(xiàn)有研究的若干局限和未來(lái)的研究方向??朔@些局限將促進(jìn)相關(guān)技術(shù)的臨床應(yīng)用,最終達(dá)到幫助患者緩解疼痛的目的,減輕疼痛對(duì)患者、其家庭和整個(gè)社會(huì)帶來(lái)的健康和經(jīng)濟(jì)負(fù)擔(dān)。
Other AbstractAs non-pharmaceutical interventions, non-invasive neuromodulation techniques are promising in pain management. With many advantages, such as low costs, high usability, and non-invasiveness, they have been exploited to treat multiple clinical pain. Proper use of these techniques requires a comprehensive understanding of how they work. In this article, we reviewed recent studies concerning non-invasive electrical peripheral nerve stimulation (transcutaneous electrical nerve stimulation and transcutaneous vagus/vagal nerve stimulation) as well as electrical central nerve stimulation (transcranial direct current stimulation and transcranial alternating current stimulation). Specifically, we discussed the oft-used stimulation parameters, the analgesic effects on acute and chronic pain, and the neural mechanisms underlying the analgesic effect of each technique. We then contrasted the four kinds of nerve stimulation techniques, pointing out limitations of existing studies and proposing directions for future research. With more extensive and in-depth research to overcome these limitations, we shall witness more clinical applications of non-invasive electrical nerve stimulations to alleviate patients’ pain and ease the crippling medical and economic burden imposed on patients, their families, and the entire society.
Keyword神經(jīng)調(diào)控 鎮(zhèn)痛 經(jīng)皮神經(jīng)電刺激 經(jīng)皮迷走神經(jīng)電刺激 經(jīng)顱直流電刺激 經(jīng)顱交流電刺激 2020 Language中文 DOI10.13294/j.aps.2020.0093 Source Publication生理學(xué)報(bào) ISSN0371-0874 Volume73Issue:03Pages:35Subtype實(shí)證研究 Indexed ByCSCD Project Intro.Research from the corresponding author’s laboratory was supported by grants from the National Natural Science Foundation of China (No. 32071061,31822025,31701000,31671141)
CSCD IDCSCD:CSCD Citation statistics Document Type期刊論文 Identifierhttp://ir.psych.ac.cn/handle/311026/34096 Collection中國(guó)科學(xué)院心理健康重點(diǎn)實(shí)驗(yàn)室Affiliation1.中國(guó)科學(xué)院心理健康重點(diǎn)實(shí)驗(yàn)室(中國(guó)科學(xué)院心理研究所)
2.中國(guó)科學(xué)院大學(xué)心理學(xué)系
First Author AffilicationKey Laboratory of Mental Health, CAS Recommended Citation
GB/T 7714 陳鈺昕,張立波,呂雪靖,等. 非侵入性電刺激神經(jīng)調(diào)控技術(shù):鎮(zhèn)痛效果與鎮(zhèn)痛機(jī)制[J]. 生理學(xué)報(bào),2020,73(03):35. APA 陳鈺昕,張立波,呂雪靖,&胡理.(2020).非侵入性電刺激神經(jīng)調(diào)控技術(shù):鎮(zhèn)痛效果與鎮(zhèn)痛機(jī)制.生理學(xué)報(bào),73(03),35. MLA 陳鈺昕,et al."非侵入性電刺激神經(jīng)調(diào)控技術(shù):鎮(zhèn)痛效果與鎮(zhèn)痛機(jī)制".生理學(xué)報(bào) 73.03(2020):35. Files in This Item: File Name/Size DocType Version Access License 非侵入性電刺激神經(jīng)調(diào)控技術(shù):鎮(zhèn)痛效果與鎮(zhèn)(620KB)期刊論文出版稿限制開(kāi)放CC BY-NC-SAApplication Full Text Related ServicesRecommend this itemBookmarkUsage statisticsExport to EndnoteGoogle ScholarSimilar articles in Google Scholar[陳鈺昕]'s Articles[張立波]'s Articles[呂雪靖]'s ArticlesBaidu academicSimilar articles in Baidu academic[陳鈺昕]'s Articles[張立波]'s Articles[呂雪靖]'s ArticlesBing ScholarSimilar articles in Bing Scholar[陳鈺昕]'s Articles[張立波]'s Articles[呂雪靖]'s ArticlesTerms of UseNo data!Social Bookmark/Share
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