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Effects of repetitive transcranial magnetic stimulation on cognitive function and cholinergic activity in the rat hippocampus after vascular dementia 被引量:34
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作者 Xiao-Qiao Zhang Li Li +2 位作者 Jiang-Tao Huo Min Cheng Lin-Hong Li 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第8期1384-1389,共6页
Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that can enhance the recovery of neurological function after stroke. Whether it can similarly promote the recovery of cognitive functio... Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that can enhance the recovery of neurological function after stroke. Whether it can similarly promote the recovery of cognitive function after vascular dementia remains unknown, In this study, a rat model for vascular dementia was established by the two-vessel occlusion method. Two days after injury, 30 pulses of rTMS were ad- ministered to each cerebral hemisphere at a frequency of 0.5 Hz and a magnetic field intensity of 1,33 T. The Morris water maze test was used to evaluate learning and memory function. The Karnovsky-Roots method was performed to determine the density of cholinergic neurons in the hippocampal CA1 region. Immunohistochemical staining was used to determine the number of brain-derived neurotroph- ic factor (BDNF)-immunoreactive cells in the hippocampal CA1 region, rTMS treatment for 30 days significantly improved learning and memory function, increased acetylcholinesterase and choline acetyltransferase activity, increased the density of cholinergic neurons, and increased the number of BDNF-immunoreactive cells. These results indicate that rTMS can ameliorate learning and memory deficiencies in rats with vascular dementia, The mechanism through which this occurs might be related to the promotion of BDNF expression and subsequent restoration of cholinergic system activity in hippocampal CA 1 region. 展开更多
关键词 nerve regeneration cholinergic system neurotrophic factor hippocampal CA1 region learning and memory function repetitivetranscranial magnetic stimulation vascular dementia neural regeneration
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Therapeutic Efficacy of Neurostimulation for Depression:Techniques, Current Modalities, and Future Challenges 被引量:8
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作者 Hafsah Akhtar Faiza Bukhari +2 位作者 Misbah Nazir Muhammad Nabeel Anwar Adeeb Shahzad 《Neuroscience Bulletin》 SCIE CAS CSCD 2016年第1期115-126,共12页
Depression is the most prevalent debilitating mental illness; it is characterized as a disorder of mood, cognitive function, and neurovegetative function. About one in ten individuals experience depression at some sta... Depression is the most prevalent debilitating mental illness; it is characterized as a disorder of mood, cognitive function, and neurovegetative function. About one in ten individuals experience depression at some stage of their lives. Antidepressant drugs are used to reduce the symptoms but relapse occurs in ~ 20% of patients. However, alternate therapies like brain stimulation techniques have shown promising results in this regard. This review covers the brain stimulation techniques electroconvulsive therapy, transcranial direct current stimulation, repetitive transcranial magnetic stimulation, vagus nerve stimulation, and deep brain stimulation, which are used as alternatives to antide- pressant drugs, and elucidates their research and clinical outcomes. 展开更多
关键词 DEPRESSION Electroconvulsive therapyTranscranial direct current stimulation - repetitivetranscranial magnetic stimulation ~ Magnetic seizuretherapy . Vagus nerve stimulation. Deep brainstimulation Treatment-resistant depression
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舒肝解郁胶囊联合重复经颅磁刺激治疗对围绝经期抑郁神经内分泌功能的影响 被引量:17
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作者 司夏樱 岳秀宁 +3 位作者 王昕 刘金传 张珊珊 闫立新 《中国实验方剂学杂志》 CAS CSCD 北大核心 2019年第1期163-168,共6页
目的:探讨舒肝解郁胶囊联合重复经颅磁刺激(rTMS)治疗对围绝经期抑郁的临床疗效及对神经内分泌功能的影响。方法:将符合要求的132例患者,按SAS软件生成的随机数字表法分为对照组和观察组。对照组65例,口服盐酸舍曲林片,50mg/次,2次/d。... 目的:探讨舒肝解郁胶囊联合重复经颅磁刺激(rTMS)治疗对围绝经期抑郁的临床疗效及对神经内分泌功能的影响。方法:将符合要求的132例患者,按SAS软件生成的随机数字表法分为对照组和观察组。对照组65例,口服盐酸舍曲林片,50mg/次,2次/d。观察组67例,口服舒肝解郁胶囊,2粒/次,分早、晚饭后服用;rTMS治疗,20min/次,1次/d,连续治疗5d为1个疗程,间隔2d行下个疗程,共进行4个疗程。两组均连续治疗8周。采用汉密尔顿抑郁量表17项(HAMD-17)评价抑郁程度;进行治疗前后汉密尔顿焦虑量表(HAMA),匹兹堡睡眠质量指数(PSQI),Kupperman和肾虚肝郁证评分;检测治疗前后促卵泡刺激素(FSH),促黄体生成素(LH)和雌二醇(E2)等性激素水平;检测治疗前后5-羟色胺(5-HT),多巴胺(DA),去甲肾上腺素(NE)和5-羟吲哚乙酸(5-HIAA)水平;进行安全性评价。结果:经重复测量的方差分析,治疗后两组患者HAMD-17评分均明显下降(P<0.01),观察组患者在治疗后第8周HAMD-17评分低于对照组(P<0.01);观察组患者肾虚肝郁证,HAMA,PSQI和Kupperman评分均低于对照组(P<0.01);观察组抑郁总有效率95.52%高于对照组的81.54%(X^2=6.405,P<0.05);观察组中医证候总有效率92.54%,高于对照组的78.46%(X^2=5.304,P<0.05);治疗后观察组患者FSH和LH水平均低于对照组,E2水平较高于对照组(P<0.01);观察组患者血清5-HT,DA,NE和5-HIAA水平均高于对照组(P<0.01)。结论:舒肝解郁胶囊联合rTMS治疗围绝经期抑郁肾虚肝郁型患者在改善抑郁、焦虑症状等方面疗效优于盐酸舍曲林片,并具有调节性激素和单胺类神经递质水平作用。 展开更多
关键词 围绝经期抑郁 肾虚肝郁证 舒肝解郁胶囊 重复经颅磁刺激 性激素 单胺类神经递质
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重复经颅磁刺激治疗抑郁症的机制研究进展(英文) 被引量:15
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作者 Zhengwu PENG Cuihong ZHOU +5 位作者 Shanshan XUE Jie BAI Shoufen YU Xiaosa LI Huaning WANG Qingrong TAN 《上海精神医学》 CSCD 2018年第2期84-92,共9页
概述:抑郁障碍是目前最常见的心理健康问题之一。然而,对于该疾病的基于机制的治疗方法仍然是难以捉摸的。重复经颅磁刺激(rTMS)是一种非侵入性的程序,它可以以一种脉冲磁场来刺激大脑中的电活动,被认为是一种有效的抑郁症治疗方式。在... 概述:抑郁障碍是目前最常见的心理健康问题之一。然而,对于该疾病的基于机制的治疗方法仍然是难以捉摸的。重复经颅磁刺激(rTMS)是一种非侵入性的程序,它可以以一种脉冲磁场来刺激大脑中的电活动,被认为是一种有效的抑郁症治疗方式。在这里,我们回顾了关于rTMS治疗抑郁症的临床和基础研究的主要发现,包括它的抗抑郁疗效,基本原理,调节神经回路、神经递质和脑网络、海马神经发生、和突出的功效,以及分子通路。 展开更多
关键词 机制 磁性 心理健康问题 神经发生 RTMS 调查结果 抗抑郁剂 大脑
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