中国全科医学2025，Vol.28Issue(34)：4258-4281,24.DOI:10.12114/j.issn.1007-9572.2025.0298
老年失能失智非侵入性神经调控的效应和疗效评价的专家共识
Expert Consensus on the Effects and Efficacy Evaluation of Non-invasive Neuromodulation in Elders with Disability and Dementia
摘要
Abstract
With the accelerating global aging population,the burden of neurodegenerative diseases continues to rise,placing substantial economic and caregiving pressure on both society and families.Non-invasive neuromodulation(NINM)has emerged as a potential intervention,demonstrating unique advantages in mitigating functional decline.However,a scientific,comprehensive,and standardized system is still lacking in the current evaluation of effects and efficacy,as they rely heavily on subjective scales,overlook the dynamic changes of brain function,and involve ambiguous safety thresholds,thereby constraining comprehensive assessment of the long-term efficacy and clinical benefits of NINM.Based on evidence-based medicine,domestic and international guidelines,expert consensus,clinical practical experience,and technical management standards,this consensus statement proposes 11 recommendations for NINM interventions targeting elderly individuals with disability and dementia.These recommendations systematically encompass key domains including patient selection,intervention strategies,efficacy and effectiveness evaluation,and safety monitoring.The development of this consensus aims to enhance the scientific rigor and feasibility of clinical application,providing standardized guidance for NINM interventions in elderly populations with disability and dementia,thus ensuring their rational implementation and effective management in clinical practice.关键词
认知障碍/老年失能失智/非侵入性神经调控/效应和疗效评价Key words
Cognition disorders/Elderly disability and dementia/Non-invasive neuromodulation/Efficacy and effectiveness evaluation分类
医药卫生引用本文复制引用
中国康复医学会脑功能监测与调控康复专业委员会,北京神经内科学会脑小血管病专业委员会..老年失能失智非侵入性神经调控的效应和疗效评价的专家共识[J].中国全科医学,2025,28(34):4258-4281,24.基金项目
国家重点研发计划(2022YFC3600504) （2022YFC3600504）
