基于穴位敏化理论的电针治疗慢性冠脉综合征的探索性随机对照研究

注册号:

Registration number:

ITMCTR2025000051

最近更新日期:

Date of Last Refreshed on:

2025-01-09

注册时间:

Date of Registration:

2025-01-09

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

基于穴位敏化理论的电针治疗慢性冠脉综合征的探索性随机对照研究

Public title:

An exploratory randomized controlled study of electroacupuncture for chronic coronary syndrome based on acupoint sensitization theory

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于穴位敏化理论的电针治疗慢性冠脉综合征的探索性随机对照研究

Scientific title:

An exploratory randomized controlled study of electroacupuncture for chronic coronary syndrome based on acupoint sensitization theory

研究课题的正式科学名称简写:

Scientific title acronym:

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

鲁刚

研究负责人:

乔海法

Applicant:

Lu Gang

Study leader:

Qiao Haifa

申请注册联系人电话:

Applicant telephone:

15229497804

研究负责人电话:

Study leader's telephone:

18220046518

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lg20202110148@126.com

研究负责人电子邮件:

Study leader's E-mail:

1511006@sntcm.edu.cn

申请单位网址(自愿提供):

Study leader's website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website
(voluntary supply):

申请注册联系人通讯地址:

陕西省西咸新区西咸大道

研究负责人通讯地址:

陕西省西咸新区西咸大道

Applicant address:

Xixian Avenue Xixian New District Shaanxi Province

Study leader's address:

Xixian Avenue Xixian New District Shaanxi Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

陕西中医药大学

Applicant's institution:

Shaanxi University of Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

SZFYIEC-YJ-2024年第[223]号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

陕西中医药大学附属医院伦理委员会

Name of the ethic committee:

IEC of The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2024/11/19 0:00:00

伦理委员会联系人:

钟慧慧

Contact Name of the ethic committee:

Zhong Huihui

伦理委员会联系地址:

陕西省咸阳市秦都区渭阳西路2号

Contact Address of the ethic committee:

No.2 West Weiyang Road Qindu District Xianyang City Shaanxi Province China

伦理委员会联系人电话:

Contact phone of the ethic committee:

029-33377941

伦理委员会联系人邮箱:

Contact email of the ethic committee:

925738951@qq.com

研究实施负责(组长)单位:

陕西中医药大学附属医院

Primary sponsor:

Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

陕西省咸阳市秦都区渭阳西路2号

Primary sponsor's address:

No.2 West Weiyang Road Qindu District Xianyang City Shaanxi Province China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

陕西

市(区县):

咸阳

Country:

China

Province:

Shaanxi

City:

Xianyang

单位(医院):

陕西中医药大学

具体地址:

陕西省西咸新区西咸大道

Institution
hospital:

Shaanxi University of Chinese Medicine

Address:

Xixian Avenue Xixian New District Shaanxi Province

经费或物资来源:

国家重点研发计划

Source(s) of funding:

National Key Research and Development Program

研究疾病:

慢性冠脉综合征

研究疾病代码:

Target disease:

Chronic coronary syndrome

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

其它

Others

研究目的:

本课题基于国家重点研发计划“穴位敏化与靶器官关联的规律及机制”,以慢性冠脉综合征患者为研究对象。本研究采用随机对照设计,旨在探索使用电针敏化部位和传统针刺对于慢性冠脉综合征的疗效。评价电针敏化部位治疗慢性冠脉综合征的有效性和安全性,从而增强临床疗效。

Objectives of Study:

Based on National Key Research and Development Program of China the rule and mechanism of the association between acupoint sensitization and target organs this study will be conducted in patients with chronic coronary syndromes. The aim of this study is to explore the efficacy of electroacupuncture at sensitization areas and traditional acupoints for chronic coronary syndromes in a randomized controlled study. The efficacy and safety of electroacupuncture at sensitization areas for chronic coronary syndromes will be evaluated to enhance the clinical efficacy.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

(1)符合慢性冠脉综合征诊断标准(欧洲心脏病学会(ESC)于2019年发布的《慢性冠脉综合征的诊断与指南》[5]; (2)对答清晰并符合以上诊断标准的门诊或住院患者; (3)年龄18-65岁之间; (4)有心绞痛发作病史3月及以上,每周发作不少于2次,且每次发作的程度、持续时间基本稳定; (5)近3个月内未接受相应针灸治疗的患者; (6)愿意参与试验并签署知情同意书者。

Inclusion criteria

(1)Patients who meet the diagnostic criteria for chronic coronary syndrome according to the Guidelines for the Diagnosis of Chronic Coronary Syndrome issued by the European Society of Cardiology (ESC) in 2019 (2) The patient can answer clearly(3) Age18 to 65 years (inclusive of 18 and 65 years); (4) Patient has experienced angina attacks for at least two weeks lasting three months or longer and the frequency and severity of each attack are essentially constant; (5) Patient has not received appropriate acupuncture treatment in the last 3 months; (6) Patients are willing to participate in the trial and sign an informed consent form.

排除标准:

(1)既往有心肌梗死、严重心力衰竭、瓣膜性心脏病、严重的心律失常、原发性心肌病、血液类疾病;既往有高血压、高血糖者,以及伴有其他严重脑血管疾病者。 (2)局部皮肤末梢神经感觉异常者; (3)妊娠期、哺乳期妇女,精神疾病患者; (4)合并有其他严重心脑疾病者; (5)同时参加其他临床试验; (6)有出血、过敏体质者。

Exclusion criteria:

(1)Patients have previous myocardial infarction severe heart failure valvular heart disease severe cardiac arrhythmia primary cardiomyopathy hematologic disorders hypertension hyperglycemia and other serious cerebrovascular diseases;(2) Patients feel localized skin peripheral nerve abnormalities; (3) Patients are pregnant breastfeeding or mentally ill; (4) Patient have other serious heart and brain diseases; (5) Patients are participating in other clinical trials; (6) Patient are bleeding allergic. Note: Patients are excluded if they meet any of these criteria.

研究实施时间:

Study execute time:

From 2024-10-01

To      2025-12-31

征募观察对象时间:

Recruiting time:

From 2024-12-01

To      2025-10-31

干预措施:

Interventions:

组别:

敏化部位治疗组

样本量:

30

Group:

Sensitization area group

Sample size:

干预措施:

在常规药物治疗的基础上加载电针治疗,刺激部位为左手臂内侧的4个敏化部位,即S1、S2、S3、S4

干预措施代码:

Intervention:

Electroacupuncture and regular drugs treatment and the stimulation areas are the four sensitization areas on the inner side of the left arm S1 S2 S3 and S4

Intervention code:

组别:

常规针刺组

样本量:

30

Group:

Normal acupoint group

Sample size:

干预措施:

在常规西药治疗的基础上,加载电针治疗,刺激部位为左侧内关、通里、郄门、神门穴

干预措施代码:

Intervention:

Electroacupuncture and regular drugs treatment and the stimulation areas are the left arm Neiguan (PC6) Tongli (HT5) Ximen (PC4) and Shenmen (HT7)

Intervention code:

组别:

等待治疗组

样本量:

30

Group:

Control group

Sample size:

干预措施:

常规药物治疗

干预措施代码:

Intervention:

Regular drugs only

Intervention code:

样本总量 Total sample size : 90

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

陕西

市(区县):

咸阳

Country:

China

Province:

Shaanxi

City:

Xianyang

单位(医院):

陕西中医药大学第附属医院

单位级别:

三甲

Institution/hospital:

Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

不良事件

指标类型:

次要指标

Outcome:

Adverse events

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

6min步行距离

指标类型:

次要指标

Outcome:

6-min walking distance

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

焦虑自评量表

指标类型:

次要指标

Outcome:

Self-Rating Anxiety Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

痛敏点痛阈的改变

指标类型:

次要指标

Outcome:

Change of the pain threshold

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

VAS评分

指标类型:

次要指标

Outcome:

Visual Analogue Scale score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抑郁自评量表

指标类型:

次要指标

Outcome:

Self-rating depression scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心绞痛发作频数

指标类型:

主要指标

Outcome:

Angina frequency

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

西雅图心绞痛问卷

指标类型:

次要指标

Outcome:

Seattle Angina Questionnaire

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心绞痛每次发作的持续时间

指标类型:

次要指标

Outcome:

Duration of each angina

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁

说明

Fate of sample 

Destruction after use

Note:

征募研究对象情况:

正在进行

Recruiting

年龄范围:

最小 18
Min age years
最大 65
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

ResMan临床试验公共管理平台“http://www.medresman.org.cn/uc/index.aspx”。

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

ResMan Clinical Trial Public Management Platform “http://www.medresman.org.cn/uc/index.aspx”。

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据记录采用CRF表格和EDC系统。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Data recording is done using CRF forms and EDC system.

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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