论文部分内容阅读
强迫症是一种临床上常见，病程迁延，且难以治愈的精神障碍。强迫症的治疗方法主要是药物治疗和心理治疗，但部分患者对药物治疗反应不佳。经颅磁刺激是一种无创的神经刺激技术，目前在神经精神疾病有着广泛的应用。经颅磁刺激治疗强迫症的应用正逐渐增多。目前国内外已有研究报道经颅磁刺激能改善强迫症症状并有助于提高其认知功能，但研究的刺激部位、刺激参数、样本大小和刺激时间长短不同，报告的临床疗效多不一致。特别是近几年来，关于强迫症的经颅磁刺激研究在靶点选择、刺激序列、刺激方式等方面有了进一步的探索。重点关注不同的刺激部位对治疗强迫症的临床疗效，为强迫症的进一步干预和治疗提供新思路。“,”Obsessive-compulsive disorder (OCD) is a kind of conrmon clinical mental disorder.It has a prolonged course of disease and is difficult to cure.The treatment methods of obsessive-compulsive disorder are mainly composed of drug therapy and psychotherapy, but some patients have poor response to drug therapy.Transcranial magnetic stimulation (TMS) is a non-invasive nerve stimulation technique and is widely used in neuropsychiatric diseases.Transcranial magnetic stimulation is gradually increasing in the treatment of obsessive-compulsive disorder.To date, researches at home and abroad have reported that transcranial magnetic stimulation can improve the symptoms of obsessive-compulsive disorder and help to improve its cognitive function.However, the clinical therapeutic effects reported are inconsistent due to different stimulation sites, stimulation parameters, sample size and stimulation time.Especially in recent years, transcranial magnetic stimulation research on obsessive-compulsive disorder has made further exploration in target selection, stimulation sequence, stimulation mode and so on.This paper focuses on the clinical effects of different stimulation sites on the treatment of OCD, and provids new ideas for further intervention and treatment of OCD.