文章摘要
不同频率重复外周磁刺激对大脑皮层血流动力学的影响
Effects of Different Frequencies of Repetitive Peripheral Magnetic Stimulation on Cortical Hemodynamics
投稿时间:2025-03-26  修订日期:2025-03-26
DOI:
中文关键词: 近红外脑功能成像  外周神经磁刺激  血流动力
英文关键词: fNIRs  Peripheral nerve magnetic stimulation  Hemodynamics  Cortical excitability
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作者单位邮编
陈思 广东三九脑科医院 51000
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中文摘要:
      【摘要】目的:探讨不同频率外周神经磁刺激对脑皮层神经功能的影响,为临床外周磁刺激治疗参数提供有利的参考依据。方法:本研究纳入20例健康成年人,分别接受10Hz、20Hz和30Hz的外周磁刺激 ,刺激部位为腕背伸肌群,采用近红外脑功能成像技术fNIRs)监测脑区血流动力学改变。实验设置一串刺激时间2S、间隔时间8S和总脉冲2400个。结果:在健康成年人中,本实验中三组范式的外周磁刺激均可引起脑部皮层血流动力学的变化,(P< 0.05)。通过分析右侧伸腕肌群刺激前后的静息态数据,发现通道10、11、12、15、18、28、42、47均在干预后有较明显的氧合血红蛋白浓度的变化,其中20Hz频率的磁刺激所引起的大脑皮层变化部位最多,主要部位是右前额叶背外侧、左右躯体感觉皮质、左辅助运动皮质、左右Broca区等。所有存在差异的通道中我们发现,每个通道10Hz组与20Hz组、10Hz与30Hz均存在差异,20Hz与30Hz组均不存在差异。结论:fNIRs可以实时反映外周神经磁刺激时引起的皮层血流动力学响应变化;不同范式的外周磁刺激均能引起头部皮层血流动力学的改变,20Hz的外周磁刺激在激活大脑皮层区域方面表现出最显著的效果,可能成为临床治疗的重要参数。
英文摘要:
      【Abstract】Objective: To explore the effects of different frequencies of peripheral nerve magnetic stimulation on cortical nerve function, and provide favorable reference for clinical peripheral magnetic stimulation treatment parameters. Method: This study included 20 healthy adults who underwent peripheral magnetic stimulation at 10Hz, 20Hz, and 30Hz on different dates to stimulate the extensor carpi dorsi muscle group. We observed whether different frequencies of stimulation caused different changes in cerebral hemodynamics. To exclude the influence of other factors, we set fixed stimulation time, interval time, and total pulse number to avoid changes caused by differences in total and interval time. The study adopted the recommended guidelines for peripheral magnetic stimulation, with a duration of 2 seconds of stimulation and 8 seconds of rest, totaling 2400 pulses. Before and after magnetic stimulation treatment, near-infrared functional brain imaging (fNIRs) technology was used to collect the concentration of oxygenated hemoglobin in the cerebral cortex of subjects. Result: In healthy adults, all three paradigms of peripheral magnetic stimulation in this experiment caused changes in cerebral cortical hemodynamics (P<0.05). By analyzing the resting state data of the right wrist extensor muscle group before and after stimulation, it was found that channels 10, 11, 12, 15, 18, 28, 42, and 47 all showed significant changes in oxygenated hemoglobin concentration after intervention. Among them, magnetic stimulation at a frequency of 20Hz caused the most changes in the cerebral cortex, with the main areas being the dorsolateral side of the right frontal lobe, left and right somatosensory cortex, left and right auxiliary motor cortex, and left and right Broca area. Among all channels with differences, we found that there were differences between the 10Hz group and the 20Hz group, as well as between the 10Hz and 30Hz groups, while there were no differences between the 20Hz and 30Hz groups. Conclusion: fNIRs can reflect real-time changes in cortical hemodynamic response caused by peripheral nerve magnetic stimulation; Peripheral magnetic stimulation of different paradigms can cause changes in the hemodynamics of the cerebral cortex, with 20Hz frequency magnetic stimulation activating the most significant regions.
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