非侵入性腦部刺激對纖維肌痛症之治療

林嘉韻 ； 康峻宏

《臨床醫學月刊》 79卷6期 (2017/06) Pp. 347-349

https://doi.org/10.6666/ClinMed.2017.79.6.064

摘要

纖維肌痛症是一種病因不明且症狀複雜的臨床病症，患者除了全身廣泛性疼痛之外，還會合併睡眠障礙、憂鬱、大腸激躁症、疲累、認知障礙等不同症狀，此類病患對痛覺及冷熱刺激更為敏感，目前普遍認為與中樞神經敏感化(central sensitization)有關；非侵入性腦部刺激(non-invasive brain stimulation, NBS)包括重覆性經顱磁刺激(repetitive transcranial magnetic stimulation, rTMS)以及經顱直流電刺激(transcranial direct current stimulation, tDCS)，臨床研究指出NBS有助於改善重度憂鬱、帕金森氏病、神經痛、難治療的慢性疼痛等症狀，對於纖維肌痛症患者而言，非侵入性腦部刺激可提供作為另一治療選擇，以達到減少疼痛，改善憂鬱、疲累、失眠及整體功能的效果，提升病患生活品質。

關鍵字

纖維肌痛症(fibromyalgia, FM) ； 非侵入性腦部刺激(non-invasive brain stimulation, NBS) ； 重覆性經顱磁刺激(repetitive transcranial magnetic stimulation, rTMS) ； 經顱直流電刺激(transcranial direct current stimulation, tDCS)

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