摘要创伤性脑损伤(TBI)是青壮年死亡和伤残的重要原因之一,TBI患者往往存留多种功能障碍.TBI患者的功能障碍主要包括认知、感觉、运动功能障碍以及慢性疼痛等.对TBI患者功能障碍的康复治疗有助于提高患者的生活质量,促进其重返工作岗位.目前,TBI患者的康复治疗主要采用药物及运动康复等,多存在一定局限性.非侵入性脑刺激(NBS)技术主要包括经颅磁刺激、经颅直流电刺激、低能量激光疗法及经颅多普勒超声.目前已有较多研究着眼于NBS技术在TBI中的应用,NBS技术有望在改善TBI患者认知、感觉和运动功能障碍,缓解慢性疼痛等方面发挥重要作用,为TBI患者的康复提供一种新思路.笔者就TBI后常见的功能障碍、NBS技术在TBI康复中的应用进展作一综述,为NBS技术在TBI中的进一步应用提供参考.

abstractsTraumatic brain injury (TBI) is a leading cause of death and disability in young adults,leaving patients with multiple sequelae and dysfunction,including cognition,sensation,motor dysfunction and chronic pain.Rehabilitative treatment of functional disorders can help improve the quality of life for TBI patients and help them return to work.Currently,medication and exercise rehabilitation are often adopted,yet with certain limitations.Non-invasive brain stimulation (NBS) mainly includes transcranial magnetic stimulation,transcranial direct current stimulation,low-energy laser therapy,and transcranial Doppler ultrasound.Currently,many studies have been exploring the application of NBS in TBI treatment.NBS is expected to play an important role in improving cognition,sensation,motor function and alleviating chronic pain,providing a new approach for the rehabilitation of TBI patients.This article reviews the common dysfunction after TBI and NBS application in TBI treatment in order to provide reference for its further application.