淺談纖維肌痛症和重覆經顱磁刺激 (rTMS)
纖維肌痛是一種慢性疼痛疾病，其特徵是全身廣泛性疼痛和肌肉壓痛，通常伴有睡眠疾病，疲勞和憂鬱症，佔一般人口的1％至3％。
使用重覆經顱磁刺激 (rTMS)治療纖維肌痛症
國外已經開始嘗試重覆經顱磁刺激 (rTMS)治療纖維肌痛症，Nilson Nogueira Mendes Neto教授團隊招募17位纖維肌痛症女性，經過10次治療後(rTMS in the left prefrontal cortex. The sessions were performed in a series of 3 to 5 consecutive days with maximum break of 2 days between the series. A minimum of 10 sessions was required. Parameters used: frequency (10Hz), cycles of 10 stimuli with pause of 20 seconds between them. 20 minutes was the length of each session.)
41.2％的患者報告在第三次rTMS療程後疼痛明顯改善。 第三次療程後，有50％的患者憂鬱症狀得到改善。失眠和疲勞的改善率分別為35.3％和52.9％。有47.1％的患者的生活質量提高。
參考文獻
Efficacy and Safety of Repetitive Transcranial Magnetic Stimulation for the Treatment of Fibromyalgia: An open label clinical trial. Neurology. April 10, 2018; 90 (15 Supplement)
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