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三重(冲)刺激技术(triple stimulation technique,TST)衍生于经颅磁刺激技术(transcranial magnetic stimulation,TMS),利用对冲技术将TMS诱发的脊髓运动神经元放电同步化,可定量化评估运动传导通路损伤程度~([1]),作为一种无创无痛检查技术在神经系统疾病诊断中应用广泛。一、TST基本原理TST利用对冲技术,首先在大脑皮层进行1次TMS,随后对周围神经远近端分别进行2次电刺激~([1]),进行2次对冲。以上肢小指展肌记录TST为例,首先对大脑皮层M1区进行第1个TMS;经过适当时间间隔,在腕部进行第2个超强电刺激,使从皮层下传的电冲动与腕部上传的电冲动发生对
Triple stimulation technique (TST) is derived from transcranial magnetic stimulation (TMS) and uses heal technique to synchronize the discharge of TMS-induced spinal motor neurons. Quantitative assessment of motor conduction pathways Degree of injury ~ ([1]), as a non-invasive painless examination in the diagnosis of neurological diseases is widely used. First, the basic principles of TST Hedge heal technology, TST first in the cerebral cortex 1 TMS, followed by the proximal and distal peripheral nerve were 2 times electrical stimulation ~ ([1]), 2 hedges. In the upper limbs, the TST of the little finger is recorded as the first TMS in the cerebral cortex M1 area. After the appropriate time interval, the second super-electrical stimulation is performed on the wrist so that the impulse transmitted from the cortex to the wrist Upload the impulse happens