无创经颅电磁刺激及其联合应用的现状和未来
DOI:
作者:
作者单位:

作者简介:

王玉平,男,主任医师,教授,博士生导师。 中 华医学会心身医学分会主任委员,中华医学会神经病学分会常务 委员兼睡眠障碍学组组长,中国抗癫痫协会癫痫中心规范化建设 工作委员会主任委员等。 主要研究方向:心身疾病、睡眠障碍、癫 痫、认知障碍等脑功能性疾病的诊疗与机制研究。

通讯作者:

基金项目:

北京市卫生健康委高创计划·青苗计划(编号:2- 1-008-0255);北京市医管中心“培育”项目(编号:PX2023032); 国家重点研发计划(编号:2022YFC2503806)


The current status and future of non-invasive transcranial electrical and magnetic stimulation and its combined application
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    无创经颅神经调控技术因具有无创及安全性较高的优势,近年来在神经精神疾病治疗领域受到广泛关注。 经 颅磁刺激和经颅电刺激是应用最广泛的两类无创脑刺激技术,分别可通过感应电场和外加电场调节皮层兴奋性、脑振荡节律 及脑网络可塑性。 随着研究深入,单一刺激模式在疗效幅度、持续时间等方面的局限逐渐显现,经颅电刺激与经颅磁刺激联 合应用的“经颅电磁联合刺激”由此成为新的研究热点。 本文总结了经颅电刺激和经颅磁刺激的基本原理与主要模式,重点 阐述经颅电磁联合刺激的技术要点、生理学研究进展及其在脑卒中、精神障碍、睡眠障碍和认知障碍等神经精神疾病领域的 应用现状。 现有证据提示,经颅电磁联合刺激可通过跨半球协同、预调节易化、局部同向协同和相位耦合等机制增强神经调 控效应,显示出优于单一刺激模式的潜在治疗价值。 未来仍需开展多中心、大样本、随机双盲对照研究,并结合脑网络影像、 个体化建模和脑机接口闭环调控等技术,推动经颅电磁联合刺激向精准化、智能化和临床可推广方向发展。

    Abstract:

    Non-invasive transcranial nerve regulation technology has advantages of non-invasiveness and high safety. In recent years, it has received widespread attention in the field of treating neurological and psychiatric disorders. Transcranial magnetic stimulation (TMS) and transcranial electrical stimulation ( tES) are the two most prevalent non-invasive brain stimulation techniques. The techniques modulate cortical excitability, neural oscillations and brain network plasticity via induced and externally applied electric fields, respectively. As research deepens, limitations of a single stimulus mode in terms of therapeutic amplitude and duration gradually become apparent. Therefore, the combination of transcranial electrical stimulation and transcranial magnetic stimulation, known as transcranial electromagnetic stimulation, has become a new research hotspot. This article summarizes the basic principles and main modes of transcranial electrical stimulation and transcranial magnetic stimulation. The technical key points, physiological research progress and current application status of transcranial electromagnetic combined stimulation in the fields of neurological and psychiatric disorders such as stroke, mental disorders, sleep disorders and cognitive disorders are focused. Existing evidence suggests that combined TMS-tES can enhance neural regulatory effects through mechanisms such as interhemispheric synergy, priming, local synergy and phase-coupling, demonstrating potential therapeutic value superior to single stimulation modes. However, multicenter, large sample, randomized double-blind controlled studies are still needed in the future. Furthermore, by combination of brain network imaging, personalized modeling and brain computer interfaces to create a closed-loop control, it aims to promote the development of transcranial electromagnetic stimulation towards precision, intelligence and clinical applicability.

    参考文献
    相似文献
    引证文献
引用本文

苏亦晗,林一聪,王玉平.无创经颅电磁刺激及其联合应用的现状和未来[J].实用医院临床杂志,2026,23(3):7-11

复制
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2026-03-23
  • 最后修改日期:2026-03-31
  • 录用日期:
  • 在线发布日期: 2026-05-26
文章二维码