脑与心身医学专栏

非侵入性脑刺激技术在广泛性焦虑障碍治疗中的应用研究进展

  • 张华 ,
  • 梁秀雅 ,
  • 郑梓儀 ,
  • 尹通 ,
  • 李声 ,
  • 黄键澎
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  • 1.广州中医药大学第二临床医学院 (广东 广州 510120 )
    2.广州中医药大学针灸康复临床医学院 (广东 广州 510006 )

收稿日期: 2025-07-31

  网络出版日期: 2025-12-25

基金资助

国家自然科学基金项目(82104979);国家自然科学基金项目(81904293);广东省中医院中医药科学技术研究专项资助(YN2022QN14)

Research progress on the application of non-invasive brain stimulation techniques in the treatment of generalized anxiety disorder

  • Hua ZHANG ,
  • Xiuya LIANG ,
  • Ziyi ZHENG ,
  • Tong YIN ,
  • Sheng LI ,
  • Jianpeng. HUANG
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  • *.The Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou 510120,Guangdong,China

Received date: 2025-07-31

  Online published: 2025-12-25

摘要

广泛性焦虑障碍(GAD)是一种高发病率的精神疾病,对患者和社会均造成严重负担。现有治疗手段多样,但疗效不一且存在局限性。近年来,非侵入性脑刺激技术(NIBS)的快速发展为GAD的个体化精准治疗提供了新思路,展现出广阔的临床应用前景。该文系统综述了重复经颅磁刺激(rTMS)、经颅直流电刺激(tDCS)、经皮耳迷走神经刺激(taVNS)及经颅微电流刺激(CES)等技术在GAD治疗中的临床应用进展及其调节相关脑区、神经递质、炎症反应以及神经内分泌等多种相互关联的潜在机制,以期为未来临床研究和实践提供理论依据。

本文引用格式

张华 , 梁秀雅 , 郑梓儀 , 尹通 , 李声 , 黄键澎 . 非侵入性脑刺激技术在广泛性焦虑障碍治疗中的应用研究进展[J]. 实用医学杂志, 2025 , 41(24) : 3808 -3815 . DOI: 10.3969/j.issn.1006-5725.2025.24.003

Abstract

Generalized anxiety disorder (GAD) is a highly prevalent psychiatric condition that imposes a substantial burden on individuals and society. Although various treatments are available, their efficacy remains inconsistent and often limited. In recent years, the rapid advancement of non-invasive brain stimulation (NIBS) technologies has opened new avenues for individualized and precise interventions in GAD, demonstrating promising clinical potential. This article provides a systematic review of the clinical applications and progress of NIBS techniques-including repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), transcutaneous auricular vagus nerve stimulation (taVNS), and cranial electrotherapy stimulation (CES)in the treatment of GAD. Furthermore, it examines the underlying mechanisms through which these techniques modulate key brain regions, neurotransmitter systems, inflammatory responses, and neuroendocrine processes, aiming to establish a theoretical foundation for future clinical research and practice.

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