闆诲強妯傛槸鐒″壍(chu脿ng)楂橀牷绁炵稉(j墨ng)闆诲埡婵€瑷倷锛岄€氶亷瑾�(di脿o)绡€(ji茅)闄拌帠鑳岀缍�(j墨ng)閬庡害鏁忔劅鎬ц垏瑾�(di脿o)鎺у皠绮剧缍�(j墨ng)锛岄仈鍒板欢鏅傜殑鏁堟灉銆�

鏃╂硠鐨勬牴婧愬父鑸囬櫚鑾栫缍�(j墨ng)閬庡害鏁忔劅鏈夐棞锛屽氨鍍忕毊鑶氳杓曡紩涓€纰板氨鐧�(f膩)鐧竴妯ｃ€傞浕鍙婃▊閫欏€嬮暦寰楀儚灏忛仚鎺у櫒鐨勮ō鍌欙紝姝ｆ槸閫氶亷涓€绋壒娈婄殑鈥滈浕淇¤櫉瑷撶反娉曗€濓紝骞姪绁炵稉(j墨ng)瀛告渻鈥滃喎闈滀笅渚嗏€濄€傛兂璞＄缍�(j墨ng)灏卞儚涓€鏍归浕绶氾紝姝ｅ父鎬у埡婵€濂芥瘮闆绘祦閫氶亷銆傚偝绲�(t菕ng)闆荤檪鏄敤鈥滀綆闋婚浕娴佲€濓紙姣斿鎸夋懇鍎€锛夎畵绁炵稉(j墨ng)鏇存椿韬嶏紝鑰岄浕鍙婃▊鍙嶅叾閬撹涔嬧€斺€斿畠鐧�(f膩)鍑烘瘡绉�1钀鐨勯珮闋婚浕娉紙鐩哥暥浜庢櫘閫氶浕鐧傞牷鐜囩殑100鍊嶏級銆傞€欑ó楂橀牷闇囧嫊鍍忕郸绁炵稉(j墨ng)鍋氣€滄寜鎽┾€濓紝璁撶缍�(j墨ng)鏆檪閫插叆鈥滀紤鐪犵媭鎱�(t脿i)鈥濓紝鍌抽仦鍒板ぇ鑵︾殑鏁忔劅淇¤櫉鑷劧璁�?n猫i)閰紵鑼朩椹楄瓑鐧�(f膩)鐝�(xi脿n)锛岄€欑ó楂橀牷闆绘尝鑳借畵绁炵稉(j墨ng)鐨勬晱鎰熷害闄嶄綆涓€鍗婁互涓婏紝浣嗕笉鏈冮€犳垚姘镐箙鎼嶅偡鈥斺€斿氨鍍忕郸绁炵稉(j墨ng)鎴翠簡鍊嬭嚚鏅傞檷鍣€虫锛屾憳鎺夊悗鑱藉姏閭勮兘鎭㈠京銆�

鍌崇当(t菕ng)浣庨牷闆诲埡婵€锛堝皬浜�1kHz锛夐€氶亷鍛ㄦ湡鎬у幓妤靛寲寮曠櫦(f膩)鍕曚綔闆讳綅锛屽爆浜庣缍�(j墨ng)鑸堝ギ鎬у共闋愩€傝€岄浕鍙婃▊閲囩敤鐨�10kHz楂橀牷浜よ畩闆诲牬锛屽墖閫氶亷鍏╃ó姗熷埗瀵︾従(xi脿n)绁炵稉(j墨ng)鍔熻兘閲嶅锛�

1.閳夐€氶亾鍕曞姏瀛稿共闋�

鐣�10kHz姝ｅ鸡娉㈤浕鍫翠綔鐢ㄤ簬绁炵稉(j墨ng)杌哥獊鏅傦紝鎸佺簩(x霉)楂橀牷鎸暕灏庤嚧闆诲闁€鎺ч垑閫氶亾铏曚簬"澶辨椿鎱�(t脿i)閹栧畾"銆傚椹楁暩(sh霉)鎿�(j霉)椤ず锛岃┎闋荤巼鍙娇閳夐€氶亾闁嬫斁姒傜巼闄嶄綆鑷冲熀绀庡€肩殑18%锛屾湁鏁堥樆鏂峰嫊浣滈浕浣嶅偝鎾€傞€欑ó鍙€嗘€ч樆婊晥鎳夛紝浣垮緱闄拌帠鑳岀缍�(j墨ng)鍚戜腑妯炲偝閬炵殑鎬у埡婵€淇¤櫉寮峰害琛版笡52%-67%銆�

2.杌哥獊鑶滈浕瀹规晥鎳�

楂橀牷闆诲牬鍦ㄧ缍�(j墨ng)绱拌優鑶滃舰鎴愭寔绾�(x霉)妤靛寲闆诲牬锛屾敼璁婅啘闆诲鍏呮斁闆荤壒鎬с€傞珨澶栨ā鍨嬭瓑瀵︼紝10kHz鍒烘縺鍙娇绁炵稉(j墨ng)绾栫董闆荤穵寮垫€ч暦搴﹀父鏁�(sh霉)绺煭鑷�0.3mm锛堟甯稿€�1.5mm锛夛紝椤憲闄嶄綆绁炵稉(j墨ng)娌栧嫊鐨勭┖闁撶附鍜屾晥鎳夈€�

鏃╂硠鏄敺鎬у湪鎬т氦鏅傜劇娉曡嚜涓绘帶鍒跺皠绮炬檪闁撶殑涓€绋€у姛鑳介殰绀欙紝涓昏琛ㄧ従(xi脿n)鐐洪櫚鑾栨彃鍏ラ櫚閬撳墠鎴栨彃鍏ュ悗鐭檪闁撳収(n猫i)锛堥€氬父鍘熺櫦(f膩)鎬ф棭娉勫湪1鍒嗛悩鍏�(n猫i)锛岀辜鐧�(f膩)鎬ф棭娉勫湪3鍒嗛悩鍏�(n猫i)锛夊嵆鐧�(f膩)鐢熷皠绮撅紝涓旈€欑ó鐝�(xi脿n)璞″湪澶氭暩(sh霉)鎬х敓娲讳腑鎸佺簩(x霉)瀛樺湪銆傚叾鏍稿績鍟忛鍦ㄤ簬灏勭簿鍙嶅皠鐨勫け鎺э紝灏庤嚧鎬т即渚堕洐鏂归洠浠ョ嵅寰楁豢瓒虫劅锛屽苟甯镐即闅ㄧ劍鎱€佽嚜鍗戠瓑璨犻潰鎯呯窉銆傚€煎緱娉ㄦ剰鐨勬槸锛屾棭娉勭殑瀹氱京骞堕潪鍍呬緷璩存檪闁撴婧栵紝閭勯渶缍滃悎瑭曚及灏勭簿鎺у埗鍔涖€佹€ф豢鎰忓害鍙婂績鐞嗙媭鎱�(t脿i)銆備緥濡傦紝閮ㄥ垎鎮ｈ€呭闅涘皠绮炬檪闁撴甯革紙濡�5-10鍒嗛悩锛夛紝浣嗗洜涓昏鐒︽叜鎴栦即渚舵湭閬旈珮娼€岃嚜鎴戣獚瀹氱偤鈥滀富瑙€鎬ф棭娉勨€濄€�

寰炵敓鐞嗘鍒朵締鐪嬶紝鏃╂硠鑸囦腑妯炵缍�(j墨ng)绯荤当(t菕ng)灏嶅皠绮剧殑鎺у埗澶辫　瀵嗗垏鐩搁棞銆�5-缇ヨ壊鑳猴紙5-HT锛夊拰澶氬反鑳虹瓑绁炵稉(j墨ng)閬炶唱(zh矛)鐨勮(di脿o)绡€(ji茅)鐣板父鏄棞閸靛洜绱狅紝5-HT鑳芥姂鍒跺皠绮惧弽灏勶紝鑰屽宸磋兒鍓囨渻鍔犻€熼€欎竴閬庣▼銆傞櫚鑾栬儗绁炵稉(j墨ng)閬庡害鏁忔劅鎴栭伜鍌冲洜绱犲皫鑷寸殑绁炵稉(j墨ng)鏈ⅱ鍒嗗竷瀵嗛泦锛屽彲鑳戒娇杓曞井鍒烘縺鍗宠Ц鐧�(f膩)蹇€熷皠绮俱€傛澶栵紝鎱㈡€у墠鍒楄吅鐐庛€佸翱閬撶値绛夋硨灏跨郴绲�(t菕ng)鐐庣櫏鏈冮噵鏀剧値鎬у洜瀛愶紝鍒烘縺灏勭簿绠″拰绮惧泭锛屽姞閫熺簿娑叉帓鍑猴紝閫欓鎮ｈ€呬腑鏃╂硠鐧�(f膩)鐢熺巼鍙仈26%-77%銆傚叏韬€х柧鐥呭绯栧翱鐥呫€佺敳鐙€鑵哄姛鑳界暟甯告垨蹇冭绠＄柧鐥呬篃鍙兘閫氶亷褰遍熆琛€绠″拰绁炵稉(j墨ng)鍔熻兘闁撴帴寮曠櫦(f膩)鏃╂硠銆傛不鐧傞渶閲囧彇缍滃悎绛栫暐銆傝鐐虹檪娉曞鈥滃嫊-鍋滄硶鈥濋€氶亷鏆仠鍒烘縺閲嶅缓灏勭簿鍙嶅皠锛岄仼鍚堝績鐞嗗洜绱犱富灏庣殑鎮ｈ€呫€傝棩鐗╂不鐧備腑锛岄伕鎿囨€�5-缇ヨ壊鑳哄啀鏀濆彇鎶戝埗鍔戯紙SSRIs锛夊閬旀硦瑗挎眬鍙湪鎬т氦鍓�1-2灏忔檪鎸夐渶鏈嶇敤锛屽揩閫熷欢闀峰皠绮炬檪闁擄紱姘熻タ姹€銆佸笗缇呰タ姹€绛夐暦鏈熻(gu墨)寰嬩娇鐢ㄧ殑钘ョ墿鍓囬仼鐢ㄤ簬鍚堝苟鐒︽叜鎴栨姂閮佺殑鎮ｈ€呫€傚眬閮ㄩ夯閱夊姂濡傚埄澶氬崱鍥犱钩鑶忛€氶亷闄嶄綆榫滈牠鏁忔劅搴﹁捣鏁堬紝浣嗛渶娉ㄦ剰浣跨敤鍚庢竻娼旈伩鍏嶅奖闊夸即渚躲€傚皪浜庨洠娌绘€у師鐧�(f膩)鎬ф棭娉勪笖绁炵稉(j墨ng)鏁忔劅搴﹂亷楂樿€咃紝闄拌帠鑳岀缍�(j墨ng)閬告搰鎬у垏鏂疯鍙綔鐐烘渶鍚庨伕鎿囷紝浣嗛渶鍤存牸瑭曚及琛撳悗鎰熻娓涢€€鎴栧媰璧烽殰绀欓ⅷ闅€�

灏嶆瘮鍌崇当(t菕ng)娌荤檪锛岄浕鍙婃▊鏈夊洓澶у崁(q奴)鍒ワ細

1.鐗╃悊浣滅敤

涓嶉潬钘ョ墿鍖栧鎴愬垎锛屽氨鍍忕敤鐗╃悊闄嶆韩浠ｆ浛鍚冮€€鐕掕棩锛�

2.绮炬簴瑾�(di脿o)鎺�

鍙奖闊胯矤璨晱鎰熺殑绁炵稉(j墨ng)锛屼笉骞叉摼姝ｅ父鍕冭捣鍔熻兘锛�

3.涓诲嫊鏀瑰杽

閫氶亷瑷撶反璁撶缍�(j墨ng)鑷垜瑾�(di脿o)绡€(ji茅)锛岃€屼笉鏄鍕曞鍒讹紱

4.瀹夊叏搴﹂珮

闆绘祦寮峰害姣旀墜姗熷厖闆婚倓寮憋紝鍍呯浉鐣朵簬闆诲瓙鎵嬭〃鐨勫伐浣滈浕娴侊紝姣忔鍒烘縺鏅傞枔鐭紙1鍒嗛悩锛夛紝涓旇嚜鍕曟柗闆讳繚璀枫€�

闆诲強妯傜殑鍘熺悊鍙互绨″柈鐞嗚В鐐猴細鐢ㄧ壒娈婄殑楂橀牷闆绘尝绲︽晱鎰熺缍�(j墨ng)鍋氣€滄姉澹撹〒绶粹€濓紝鏃㈣畵瀹冨€戠暥涓嬪垾澶縺鍕曪紝鍙堥€氶亷闀锋湡閸涚厜鏀硅畩绁炵稉(j墨ng)鐨勨€滄晱鎰熼珨璩�(zh矛)鈥濄€傞€欑ó涓嶅悆钘ャ€佷笉闁嬪垁鐨勬柟娉曪紝鐐烘棭娉勬不鐧傛彁渚涗簡鏂版€濊矾銆傜暥鐒讹紝鍏烽珨鏁堟灉鍥犱汉鑰岀暟锛屽缓璀板湪閱�(y墨)鐢熸寚灏庝笅绉戝浣跨敤銆�