Transcranial Magnetic Stimulation Treatment for Smoking Cessation: An Introduction for Primary Care Clinicians.
Transcranial Magnetic Stimulation Treatment for Smoking Cessation: An Introduction for Primary Care Clinicians.
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用于戒烟的经颅磁刺激治疗：初级保健临床医生的简介。
DOI：
10.1016/j.amjmed.2021.06.037
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Appelbaum LG
中科院分区：
文献类型：
--
作者：
Young JR;Galla JT;Appelbaum LG
在美国，烟草使用仍然是头号可预防的死亡原因，导致巨大的公共健康和经济成本。尽管通过药物治疗和心理治疗戒烟干预在减少烟草使用方面取得了进展，但仍需要更多的治疗选择来提高治疗效果。作为一种辅助治疗，美国食品和药物管理局(FDA)最近批准了经颅磁刺激(TMS)，一种非侵入性脑刺激技术，作为成人戒烟的辅助手段。鉴于大多数戒烟干预措施发生在初级保健环境中，本文旨在介绍TMS，概述TMS戒烟的证据，并概述当不可能转诊到介入精神病学家时，在初级保健环境中实施TMS的程序。随着越来越多的科学证据和越来越多的监管机构批准TMS用于戒烟，这种新的治疗方案现在可以用于那些想戒烟但药物治疗失败的患者。
Tobacco use remains the number one preventable cause of death in the United States, resulting in significant public health and economic costs. Despite progress in reducing tobacco use through pharmacotherapy and psychotherapy smoking cessation interventions, additional treatment options are still needed to improve treatment effectiveness. As an adjunctive treatment, the U.S. Food and Drug Administration (FDA) recently cleared transcranial magnetic stimulation (TMS), a noninvasive brain stimulation technique, as an aid for smoking cessation in adults. Given that most smoking cessation interventions occur in the primary care setting, this article aims to introduce TMS, to provide an overview of the evidence of TMS for smoking cessation, and to outline the procedures for implementing TMS in the primary care setting when referral to an interventional psychiatrist is not possible. With growing scientific evidence and increasing regulatory approval of TMS for smoking cessation, this novel treatment option is now available for patients who want to quit smoking but have been unsuccessful with pharmacologic approaches.
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