{"id":214,"date":"2026-05-21T10:40:20","date_gmt":"2026-05-21T02:40:20","guid":{"rendered":"https:\/\/qdszxyy.com\/?p=214"},"modified":"2026-05-21T10:40:20","modified_gmt":"2026-05-21T02:40:20","slug":"%e7%bb%8f%e9%a2%85%e7%a3%81%e5%88%ba%e6%bf%80%ef%bc%88tms%ef%bc%89-%e6%97%a0%e5%88%9b%e8%b0%83%e8%8a%82%e5%a4%a7%e8%84%91","status":"publish","type":"post","link":"https:\/\/qdszxyy.com\/?p=214","title":{"rendered":"\u7ecf\u9885\u78c1\u523a\u6fc0\uff08TMS\uff09&#8211;\u65e0\u521b&#8221;\u8c03\u8282&#8221;\u5927\u8111"},"content":{"rendered":"<p>\u7ecf\u9885\u78c1\u523a\u6fc0\uff08Transcranial Magnetic Stimulation\uff0c\u7b80\u79f0 TMS\uff09\u662f\u4e00\u79cd<strong>\u65e0\u521b\u3001\u65e0\u75db\u3001\u4e0d\u9700\u8981\u624b\u672f\u3001\u4e0d\u7528\u5403\u836f<\/strong>\u7684\u5927\u8111\u8c03\u8282\u6280\u672f\u3002\u5b83\u901a\u8fc7\u78c1\u573a&#8221;\u9694\u7a7a&#8221;\u5728\u5927\u8111\u76ae\u5c42\u4ea7\u751f\u5fae\u5f31\u7535\u6d41\uff0c\u4ece\u800c\u6539\u53d8\u795e\u7ecf\u5143\u7684\u6d3b\u52a8\u72b6\u6001\u3002<\/p>\n<p>\u76ee\u524d\uff0cTMS \u5df2\u88ab\u7f8e\u56fd FDA\uff08\u548c\u4e2d\u56fd NMPA\uff09\u6279\u51c6\u7528\u4e8e\u6cbb\u7597\uff1a<\/p>\n<ul>\n<li><strong>\u96be\u6cbb\u6027\u6291\u90c1\u75c7<\/strong><\/li>\n<li><strong>\u5f3a\u8feb\u75c7\uff08OCD\uff09<\/strong><\/li>\n<li><strong>\u504f\u5934\u75db<\/strong><\/li>\n<li>\u4ee5\u53ca\u591a\u79cd\u795e\u7ecf\u7cbe\u795e\u75be\u75c5\u7684\u63a2\u7d22\u6027\u6cbb\u7597<\/li>\n<\/ul>\n<figure id=\"attachment_215\" aria-describedby=\"caption-attachment-215\" style=\"width: 225px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-215\" src=\"http:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-225x300.jpg 225w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-768x1024.jpg 768w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-1152x1536.jpg 1152w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-1536x2048.jpg 1536w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103400_432_2-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-215\" class=\"wp-caption-text\">_cuva<\/figcaption><\/figure>\n<h2>\u4e00\u3001\u5b83\u662f\u600e\u4e48&#8221;\u9694\u7a7a&#8221;\u5f71\u54cd\u5927\u8111\u7684\uff1f<\/h2>\n<p>TMS \u7684\u539f\u7406\u53ef\u4ee5\u7406\u89e3\u4e3a**\u201c\u78c1\u573a \u2192 \u7535\u6d41 \u2192 \u795e\u7ecf\u5143\u6fc0\u6d3b\u201d**\u7684\u4e09\u6b65\u4f20\u5bfc\uff1a<\/p>\n<p><strong>\u2460 \u78c1\u573a\u53d1\u751f<\/strong><br \/>\n\u8bbe\u5907\u7684\u6838\u5fc3\u662f\u4e00\u4e2a\u7ebf\u5708\u901a\u7535\u540e\u4ea7\u751f\u5feb\u901f\u53d8\u5316\u7684\u78c1\u573a\u3002\u8fd9\u4e2a\u78c1\u573a\u53ef\u4ee5<strong>\u7a7f\u900f\u9885\u9aa8<\/strong>\uff0c\u65e0\u9700\u624b\u672f\u6216\u690d\u5165\u3002<\/p>\n<p><strong>\u2461 \u8bf1\u5bfc\u7535\u6d41<\/strong><br \/>\n\u53d8\u5316\u7684\u78c1\u573a\u7a7f\u8fc7\u5934\u76ae\u548c\u9885\u9aa8\uff0c\u5728\u5927\u8111\u76ae\u5c42\u7684\u795e\u7ecf\u5143\u9644\u8fd1<strong>\u8bf1\u5bfc\u51fa\u5fae\u5f31\u7684\u611f\u5e94\u7535\u6d41<\/strong>\u3002<\/p>\n<p><strong>\u2462 \u795e\u7ecf\u5143\u54cd\u5e94<\/strong><br \/>\n\u7535\u6d41\u4f7f\u795e\u7ecf\u5143\u53bb\u6781\u5316\uff08\u901a\u4fd7\u5730\u8bf4\uff0c\u5c31\u662f&#8221;\u6fc0\u6d3b&#8221;\u795e\u7ecf\u5143\uff09\uff0c\u5f15\u53d1\u4e00\u8fde\u4e32\u7684\u795e\u7ecf\u6d3b\u52a8\u3002<\/p>\n<p>\u8fd9\u4e2a\u8fc7\u7a0b\u5b8c\u5168\u4e0d\u635f\u4f24\u76ae\u80a4\u3001\u9aa8\u9abc\u6216\u8111\u7ec4\u7ec7\u2014\u2014\u78c1\u573a\u53ea\u5728\u90a3\u4e00\u77ac\u95f4\u7a7f\u900f\uff0c<strong>\u6ca1\u6709\u8f90\u5c04\uff0c\u6ca1\u6709\u690d\u5165\u7269<\/strong>\u3002<\/p>\n<hr class=\"markdown-hr\" \/>\n<h2>\u4e8c\u3001\u5355\u6b21 vs. \u91cd\u590d\u2014\u2014\u4e0d\u540c\u6a21\u5f0f\u7684\u533a\u522b<\/h2>\n<table>\n<thead>\n<tr>\n<th>\u6a21\u5f0f<\/th>\n<th>\u8bf4\u660e<\/th>\n<th>\u6548\u5e94<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>\u5355\u8109\u51b2 TMS<\/strong>\uff08sTMS\uff09<\/td>\n<td>\u4e00\u4e2a\u78c1\u573a\u8109\u51b2<\/td>\n<td>\u4e3b\u8981\u7528\u4e8e\u68c0\u6d4b\u548c\u8bca\u65ad<\/td>\n<\/tr>\n<tr>\n<td><strong>\u53cc\u8109\u51b2 TMS<\/strong>\uff08pTMS\uff09<\/td>\n<td>\u4e24\u4e2a\u8109\u51b2\uff0c\u95f4\u9694\u53ef\u8c03<\/td>\n<td>\u7814\u7a76\u795e\u7ecf\u901a\u8def<\/td>\n<\/tr>\n<tr>\n<td><strong>\u91cd\u590d TMS<\/strong>\uff08rTMS\uff09<\/td>\n<td>\u591a\u4e2a\u8109\u51b2\u6309\u7279\u5b9a\u9891\u7387\u8fde\u7eed\u65bd\u52a0<\/td>\n<td><strong>\u6cbb\u7597\u5e94\u7528\u7684\u4e3b\u6d41<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u9ad8\u9891\u523a\u6fc0\uff08&gt;1 Hz\uff09<\/strong>\uff1a\u6bcf\u79d2\u8d85\u8fc71\u4e2a\u8109\u51b2\uff0c<strong>\u589e\u52a0<\/strong>\u76ae\u5c42\u5174\u594b\u6027<br \/>\n<strong>\u4f4e\u9891\u523a\u6fc0\uff08\u22641 Hz\uff09<\/strong>\uff1a\u6bcf\u79d21\u4e2a\u6216\u66f4\u5c11\uff0c<strong>\u6291\u5236<\/strong>\u76ae\u5c42\u5174\u594b\u6027<\/p>\n<p>\u8fd9\u5c31\u597d\u6bd4\uff1a<\/p>\n<blockquote><p>\u9ad8\u9891 = \u7ed9\u5927\u8111&#8221;\u8e29\u6cb9\u95e8&#8221;<br \/>\n\u4f4e\u9891 = \u7ed9\u5927\u8111&#8221;\u8e29\u5239\u8f66&#8221;<\/p><\/blockquote>\n<p>\u533b\u751f\u4f1a\u6839\u636e\u75c5\u60c5\u9009\u62e9\u5408\u9002\u7684\u9891\u7387\u548c\u523a\u6fc0\u90e8\u4f4d\u3002<\/p>\n<hr class=\"markdown-hr\" \/>\n<h2>\u4e09\u3001\u54ea\u4e9b\u75c5\u53ef\u4ee5\u7528\uff1f<\/h2>\n<p>TMS \u6700\u6210\u719f\u7684\u4e34\u5e8a\u5e94\u7528\u96c6\u4e2d\u5728\u4ee5\u4e0b\u51e0\u4e2a\u65b9\u5411\uff1a<\/p>\n<h3>\ud83e\udde0 \u6291\u90c1\u75c7\uff08\u7814\u7a76\u6700\u5145\u5206\uff09<\/h3>\n<p>\u8fd9\u662f TMS \u6700\u65e9\u3001\u8bc1\u636e\u6700\u5145\u5206\u7684\u9002\u5e94\u8bc1\u3002<\/p>\n<ul>\n<li>\u9002\u7528\u4e8e<strong>\u5bf9\u836f\u7269\u53cd\u5e94\u4e0d\u4f73\u7684\u96be\u6cbb\u6027\u6291\u90c1<\/strong><\/li>\n<li>\u523a\u6fc0\u9776\u70b9\u901a\u5e38\u662f<strong>\u5de6\u4fa7\u80cc\u5916\u4fa7\u524d\u989d\u53f6\u76ae\u5c42\uff08DLPFC\uff09<\/strong><\/li>\n<li>\u5927\u7ea6 50-60% \u7684\u60a3\u8005\u6709\u4e34\u5e8a\u6539\u5584<\/li>\n<\/ul>\n<h3>\ud83d\udd04 \u5f3a\u8feb\u75c7\uff08OCD\uff09<\/h3>\n<p>FDA \u4e8e 2018 \u5e74\u6279\u51c6\u4e86 TMS \u7528\u4e8e\u5f3a\u8feb\u75c7\uff0c\u9776\u70b9\u4e3a<strong>\u524d\u6263\u5e26\u56de\u76ae\u5c42\u548c\u7736\u989d\u76ae\u5c42<\/strong>\u3002<\/p>\n<h3>\u26a1 \u5e15\u91d1\u68ee\u75c5<\/h3>\n<p>\u53ef\u6539\u5584\u8fd0\u52a8\u75c7\u72b6\uff08\u5982\u9707\u98a4\u3001\u50f5\u76f4\uff09\u548c&#8221;\u5173\u671f&#8221;\uff08\u836f\u7269\u6548\u679c\u51cf\u9000\u65f6\uff09\u3002<\/p>\n<h3>\ud83e\udd15 \u504f\u5934\u75db<\/h3>\n<p>FDA \u6279\u51c6\u4e86<strong>\u5355\u8109\u51b2 TMS \u8bbe\u5907<\/strong>\u7528\u4e8e\u6025\u6027\u504f\u5934\u75db\u6cbb\u7597\u3002<\/p>\n<h3>\ud83e\udde9 \u5176\u4ed6\u63a2\u7d22\u6027\u5e94\u7528<\/h3>\n<table>\n<thead>\n<tr>\n<th>\u75be\u75c5<\/th>\n<th>\u8bc1\u636e\u7b49\u7ea7<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u963f\u5c14\u8328\u6d77\u9ed8\u75c5<\/td>\n<td>\u521d\u6b65\u7814\u7a76\uff0c\u8bc1\u636e\u6709\u9650<\/td>\n<\/tr>\n<tr>\n<td>\u81ea\u95ed\u75c7\u8c31\u7cfb\u969c\u788d\uff08ASD\uff09<\/td>\n<td>\u673a\u5236\u7814\u7a76\u9636\u6bb5<\/td>\n<\/tr>\n<tr>\n<td>\u8111\u5352\u4e2d\u540e\u8fd0\u52a8\u529f\u80fd\u6062\u590d<\/td>\n<td>\u6709\u4e00\u5b9a\u9633\u6027\u7ed3\u679c<\/td>\n<\/tr>\n<tr>\n<td>\u6162\u6027\u75bc\u75db\/\u7ea4\u7ef4\u808c\u75db<\/td>\n<td>\u63a2\u7d22\u4e2d<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr class=\"markdown-hr\" \/>\n<figure id=\"attachment_216\" aria-describedby=\"caption-attachment-216\" style=\"width: 225px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-216\" src=\"http:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-225x300.jpg 225w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-768x1024.jpg 768w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-1152x1536.jpg 1152w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-1536x2048.jpg 1536w, https:\/\/qdszxyy.com\/wp-content\/uploads\/2026\/05\/\u5fae\u4fe1\u56fe\u7247_20260521103240_431_2-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-216\" class=\"wp-caption-text\">_cuva<\/figcaption><\/figure>\n<h2>\u56db\u3001\u6cbb\u7597\u8fc7\u7a0b\u662f\u4ec0\u4e48\u6837\u7684\uff1f<\/h2>\n<p>\u4e00\u6b21\u6807\u51c6\u7684 rTMS \u6cbb\u7597\uff1a<\/p>\n<ol>\n<li><strong>\u51c6\u5907\u5de5\u4f5c<\/strong>\uff1a\u60a3\u8005\u5750\u5728\u6905\u5b50\u4e0a\uff0c\u4fdd\u6301\u6e05\u9192\uff0c\u65e0\u9700\u9ebb\u9189<\/li>\n<li><strong>\u5b9a\u4f4d\u7ebf\u5708<\/strong>\uff1a\u5c06\u7ebf\u5708\u653e\u7f6e\u5728\u5934\u76ae\u7279\u5b9a\u4f4d\u7f6e\uff08\u533b\u751f\u4e8b\u5148\u6839\u636e\u8111\u56fe\u8c31\u5b9a\u4f4d\uff09<\/li>\n<li><strong>\u5f00\u59cb\u523a\u6fc0<\/strong>\uff1a\u8bbe\u5907\u53d1\u51fa\u89c4\u5f8b\u6027\u7684\u78c1\u573a\u8109\u51b2\uff0c\u6301\u7eed\u00a0<strong>20-40 \u5206\u949f<\/strong><\/li>\n<li><strong>\u7597\u7a0b<\/strong>\uff1a\u901a\u5e38\u6bcf\u5929\u4e00\u6b21\uff0c\u6bcf\u5468 5 \u5929\uff0c\u6301\u7eed\u00a0<strong>4-6 \u5468<\/strong><\/li>\n<\/ol>\n<p>\u6cbb\u7597\u671f\u95f4\u60a3\u8005\u53ef\u80fd\u4f1a\u611f\u5230\u5934\u76ae\u5904\u8f7b\u5fae\u6572\u51fb\u611f\u6216\u523a\u75db\u611f\uff0c\u4f46\u901a\u5e38\u53ef\u4ee5\u8010\u53d7\u3002<\/p>\n<hr class=\"markdown-hr\" \/>\n<h2>\u4e94\u3001\u5b89\u5168\u6027\u5982\u4f55\uff1f<\/h2>\n<p>TMS \u88ab\u666e\u904d\u8ba4\u4e3a\u662f<strong>\u5b89\u5168\u7684<\/strong>\uff1a<\/p>\n<ul>\n<li><strong>\u4e0d\u9700\u8981\u9ebb\u9189<\/strong>\uff0c\u6cbb\u7597\u7ed3\u675f\u540e\u53ef\u6b63\u5e38\u6d3b\u52a8<\/li>\n<li>\u5e38\u89c1\u526f\u4f5c\u7528\uff1a\u5934\u76ae\u4e0d\u9002\u3001\u8f7b\u5fae\u5934\u75db\uff0c\u901a\u5e38\u77ed\u6682\u4e14\u53ef\u81ea\u884c\u7f13\u89e3<\/li>\n<li>\u6700\u503c\u5f97\u5173\u6ce8\u4f46\u7f55\u89c1\u7684\u4e0d\u826f\u53cd\u5e94\uff1a<strong>\u8bf1\u53d1\u766b\u75eb<\/strong>\uff08\u4e3b\u8981\u4e0e\u9ad8\u9891\u9ad8\u5f3a\u5ea6\u523a\u6fc0\u53c2\u6570\u6709\u5173\uff09<\/li>\n<li>\u7981\u5fcc\u4eba\u7fa4\uff1a\u5934\u90e8\u6709\u91d1\u5c5e\u690d\u5165\u7269\u3001\u4f69\u6234\u8d77\u640f\u5668\u8005<\/li>\n<\/ul>\n<p>\u76ee\u524d\u5168\u7403\u5df2\u6709\u6570\u5341\u4e07\u4f8b TMS \u6cbb\u7597\uff0c\u79ef\u7d2f\u4e86\u4e30\u5bcc\u7684\u5b89\u5168\u6027\u6570\u636e\u3002<\/p>\n<hr class=\"markdown-hr\" \/>\n<h2>\u516d\u3001\u6709\u54ea\u4e9b\u5c40\u9650\uff1f<\/h2>\n<table>\n<thead>\n<tr>\n<th>\u5c40\u9650<\/th>\n<th>\u8bf4\u660e<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>\u7597\u6548\u975e&#8221;\u6839\u6cbb&#8221;<\/strong><\/td>\n<td>\u4e0d\u662f\u6cbb\u6108\uff0c\u66f4\u591a\u662f\u75c7\u72b6\u6539\u5584\uff1b\u505c\u6cbb\u7597\u540e\u6548\u679c\u53ef\u80fd\u51cf\u9000<\/td>\n<\/tr>\n<tr>\n<td><strong>\u8d77\u6548\u9700\u8981\u65f6\u95f4<\/strong><\/td>\n<td>\u901a\u5e38 2-4 \u5468\u624d\u80fd\u89c2\u5bdf\u5230\u660e\u663e\u6539\u5584<\/td>\n<\/tr>\n<tr>\n<td><strong>\u523a\u6fc0\u53c2\u6570\u5c1a\u65e0\u7edf\u4e00\u6807\u51c6<\/strong><\/td>\n<td>\u9891\u7387\u3001\u5f3a\u5ea6\u3001\u523a\u6fc0\u90e8\u4f4d\u3001\u7597\u7a0b\u7b49\u6700\u4f18\u65b9\u6848\u4ecd\u5728\u63a2\u7d22<\/td>\n<\/tr>\n<tr>\n<td><strong>\u4e2a\u4f53\u5dee\u5f02\u5927<\/strong><\/td>\n<td>\u60a3\u8005\u7684\u53cd\u5e94\u56e0\u5e74\u9f84\u3001\u75c5\u56e0\u3001\u5408\u5e76\u7528\u836f\u7b49\u56e0\u7d20\u5dee\u5f02\u663e\u8457<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr class=\"markdown-hr\" \/>\n<h2>\u4e03\u3001\u672a\u6765\u65b9\u5411<\/h2>\n<p>TMS \u9886\u57df\u76ee\u524d\u6709\u51e0\u4e2a\u503c\u5f97\u5173\u6ce8\u7684\u53d1\u5c55\u8d8b\u52bf\uff1a<\/p>\n<ul>\n<li><strong>\u7cbe\u51c6\u5316<\/strong>\uff1a\u7ed3\u5408 fMRI \u6216 EEG \u5b9e\u65f6\u5bfc\u822a\uff0c\u5b9e\u73b0&#8221;\u4e2a\u4f53\u5316&#8221;\u523a\u6fc0\u9776\u70b9\u5b9a\u4f4d<\/li>\n<li><strong>\u52a0\u901f\u65b9\u6848<\/strong>\uff1a\u5c06\u7597\u7a0b\u4ece 6 \u5468\u538b\u7f29\u5230\u6570\u5929\uff08\u5982 Stanford neuromodulation protocol\uff09<\/li>\n<li><strong>\u4e0e\u5176\u4ed6\u6280\u672f\u8054\u7528<\/strong>\uff1aTMS + \u8ba4\u77e5\u8bad\u7ec3\u3001TMS + \u865a\u62df\u73b0\u5b9e\u7b49<\/li>\n<li><strong>\u63a2\u7d22\u65b0\u9002\u5e94\u8bc1<\/strong>\uff1a\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u3001\u9152\u7cbe\u6210\u763e\u3001\u521b\u4f24\u540e\u5e94\u6fc0\u969c\u788d\uff08PTSD\uff09\u7b49<\/li>\n<\/ul>\n<hr class=\"markdown-hr\" 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