基于前额叶-纹状体突显网络的针刺治疗慢性失眠伴情绪障碍的机制研究

注册号:

Registration number:

ITMCTR2025000900

最近更新日期:

Date of Last Refreshed on:

2025-05-07

注册时间:

Date of Registration:

2025-05-07

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

基于前额叶-纹状体突显网络的针刺治疗慢性失眠伴情绪障碍的机制研究

Public title:

The Mechanism Study of Acupuncture Treatment for Chronic Insomnia with Emotional Disorders Based on the Frontoparietal-Striatal Salience Network

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于前额叶-纹状体突显网络的针刺治疗慢性失眠伴情绪障碍的机制研究

Scientific title:

The Mechanism Study of Acupuncture Treatment for Chronic Insomnia with Emotional Disorders Based on the Frontoparietal-Striatal Salience Network

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:

叶香吟

研究负责人:

晋松

Applicant:

Ye xiangyin

Study leader:

Jin song

申请注册联系人电话:

Applicant telephone:

18302363358

研究负责人电话:

Study leader's telephone:

18980880353

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:

cqcdyxy@126.com

研究负责人电子邮件:

Study leader's E-mail:

1049147000@qq.com

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:

四川省成都市金牛区十二桥路37号成都中医药大学十二桥校区

研究负责人通讯地址:

四川省成都市金牛区十二桥路39号成都中医药大学附属医院

Applicant address:

Chengdu University of Traditional Chinese Medicine Shierqiao Campus No. 37 Shierqiao Road Jinniu District Chengdu Sichuan Province.

Study leader's address:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine No. 39 Shierqiao Road Jinniu District Chengdu Sichuan Province.

申请注册联系人邮政编码:

Applicant postcode:

610075

研究负责人邮政编码:

Study leader's postcode:

610072

申请人所在单位:

成都中医药大学

Applicant's institution:

Chengdu University of Traditional 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:

2025KL-061

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:

成都中医药大学附属医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine.

伦理委员会批准日期:

Date of approved by ethic committee:

2025/4/14 0:00:00

伦理委员会联系人:

何清

Contact Name of the ethic committee:

He qing

伦理委员会联系地址:

四川省成都市金牛区十二桥路39号成都中医药大学附属医院

Contact Address of the ethic committee:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine No. 39 Shierqiao Road Jinniu District Chengdu Sichuan Province.

伦理委员会联系人电话:

Contact phone of the ethic committee:

028-87783142

伦理委员会联系人邮箱:

Contact email of the ethic committee:

ethicscd@126.com

研究实施负责(组长)单位:

成都中医药大学附属医院

Primary sponsor:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

四川省成都市金牛区十二桥路39号成都中医药大学附属医院

Primary sponsor's address:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine No. 39 Shierqiao Road Jinniu District Chengdu Sichuan Province.

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川

市(区县):

成都

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

成都中医药大学附属医院

具体地址:

四川省成都市金牛区十二桥路39号成都中医药大学附属医院

Institution
hospital:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

Address:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine No. 39 Shierqiao Road Jinniu District Chengdu Sichuan Province.

经费或物资来源:

四川省保健科研项目

Source(s) of funding:

Sichuan Provincial Health Research Project

研究疾病:

慢性失眠伴情绪障碍

研究疾病代码:

Target disease:

Chronic insomnia accompanied by emotional disturbances

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:

在临床研究基础上,观察真针刺、假针刺对慢性失眠伴情绪障碍患者脑网络功能连接改变,为科学阐释针刺治疗慢性失眠伴情绪障碍的作用机制提供新思路,以期作为针刺通过调节脑网络相关脑区功能,治疗慢性失眠伴情绪障碍的前瞻性研究。

Objectives of Study:

On the basis of clinical research this study observes the changes in brain network functional connectivity induced by true acupuncture and sham acupuncture in patients with chronic insomnia accompanied by emotional disturbances. The goal is to provide new insights for scientifically elucidating the mechanisms underlying acupuncture's therapeutic effects on chronic insomnia with emotional disorders. This research aims to serve as a pioneering study demonstrating how acupuncture may regulate the functions of brain regions involved in brain networks to effectively treat chronic insomnia accompanied by emotional disturbances.

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.慢性失眠伴情绪障碍患者纳入标准: ①符合上述的诊断标准; ②年龄18岁至60岁者,小学及以上学历,为右利手者; ③近1个月内未参加其它临床研究; ④无磁共振扫描禁忌(安装心脏起博器及神经刺激器、体内金属异物、幽闭恐惧症等); ⑤理解试验过程,签署患者知情同意书,自愿选择参加试验的受试者。 注:同时符合上述5项标准的患者,方可纳入研究。 2.健康受试者纳入标准: ①年龄18岁至60岁者,小学及以上学历,为右利手者; ②经相关体检,各项指标均在正常范围,既往未确诊功能性或器质性疾病;无精神、神经系统的家族遗传病史; ③无磁共振扫描禁忌(安装心脏起博器及神经刺激器、体内金属异物、幽闭恐惧症等); ④理解试验过程,签署患者知情同意书,自愿选择参加试验的受试者。 注:同时符合以上4项标准的健康受试者,方可纳入。

Inclusion criteria

1. Inclusion Criteria for Patients with Chronic Insomnia Accompanied by Emotional Disturbances: ① Meet the diagnostic criteria mentioned above; ② Ages 18 to 60 with at least a primary school education and right-handed; ③ Have not participated in other clinical studies within the past month; ④ Have no contraindications for magnetic resonance scanning (e.g. pacemaker or neurostimulator implants metallic foreign bodies in the body claustrophobia etc.); ⑤ Understand the experimental procedure sign the informed consent form and voluntarily choose to participate as a subject. Note: Only patients meeting all 5 criteria above may be included in the study. 2. Inclusion Criteria for Healthy Subjects: ① Ages 18 to 60 with at least a primary school education and right-handed; ② Passed relevant physical examinations with all indicators within the normal range; no prior diagnosis of functional or organic diseases; no family history of psychiatric or neurological genetic diseases; ③ Have no contraindications for magnetic resonance scanning (e.g. pacemaker or neurostimulator implants metallic foreign bodies in the body claustrophobia etc.); ④ Understand the experimental procedure sign the informed consent form and voluntarily choose to participate as a subject. Note: Only healthy subjects meeting all 4 criteria above may be included.

排除标准:

1.慢性失眠伴情绪障碍患者排除标准: ①伴有肝肾功不全、肿瘤或循环、消化、内分泌、呼吸等系统严重基础疾病者;癫痫发作史或家族史、 脑器质性疾病及严重躯体疾病史者;既往己诊为重度抑郁症、双向情感障碍、精神分裂症或其他精神障碍类疾病者; ②伴有慢性头痛、偏头痛、头部外伤史及头部占位性病变者; ③妊娠期、哺乳期妇女; ④酗酒或药物滥用者;凝血功能障碍或严重疤痕体质者。 注:凡符合上述4项标准中任何一项的患者,则予以排除。 2.健康受试者排除标准: ①妊娠期、哺乳期妇女; ②既往头部外伤史者; ③近1个月内参加其它临床试验者。 注:凡符合上述任何一项的健康受试者,即予以排除。

Exclusion criteria:

1. Exclusion Criteria for Patients with Chronic Insomnia Accompanied by Emotional Disturbances: ① Patients with liver or kidney dysfunction tumors or severe underlying diseases affecting the circulatory digestive endocrine or respiratory systems; a history or family history of epilepsy; cerebral organic diseases; severe physical illnesses; or a previous diagnosis of major depression bipolar disorder schizophrenia or other psychiatric disorders; ② Patients with chronic headaches migraines a history of head trauma or intracranial space-occupying lesions; ③ Pregnant or breastfeeding women; ④ Alcoholics or individuals with drug abuse issues; patients with coagulation disorders or severe scarring tendencies. Note: Any patient meeting one of the 4 criteria above will be excluded from the study. 2. Exclusion Criteria for Healthy Subjects: ① Pregnant or breastfeeding women; ② Individuals with a history of head trauma; ③ Subjects who have participated in other clinical trials within the past month. Note: Any healthy subject meeting one of the criteria above will be excluded from the study.

研究实施时间:

Study execute time:

From 2025-01-01

To      2026-12-31

征募观察对象时间:

Recruiting time:

From 2025-05-20

To      2026-06-30

干预措施:

Interventions:

组别:

针刺组

样本量:

20

Group:

Acupuncture Group

Sample size:

干预措施:

针刺

干预措施代码:

Intervention:

acupuncture

Intervention code:

组别:

健康人组

样本量:

20

Group:

Healthy Control Group

Sample size:

干预措施:

干预措施代码:

Intervention:

No Intervention Measures

Intervention code:

组别:

假针刺组

样本量:

20

Group:

Sham Acupuncture Group

Sample size:

干预措施:

假针刺

干预措施代码:

Intervention:

Sham acupuncture

Intervention code:

样本总量 Total sample size : 60

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

四川省

市(区县):

成都市

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

成都中医药大学附属医院

单位级别:

三级甲等

Institution/hospital:

The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

Level of the institution:

Grade III Class A

测量指标:

Outcomes:

指标中文名:

蒙特利尔认知评估量表

指标类型:

次要指标

Outcome:

Montreal Cognitive Assessment 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:

睡眠日记

指标类型:

次要指标

Outcome:

Sleep Diary

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简明生活质量量表-36

指标类型:

次要指标

Outcome:

Short Form-36

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

功能磁共振

指标类型:

次要指标

Outcome:

Functional Magnetic Resonance Imaging

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

失眠严重指数

指标类型:

次要指标

Outcome:

insomnia severity index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密尔顿抑郁量表

指标类型:

主要指标

Outcome:

Hamilton Depression Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密尔顿焦虑量表

指标类型:

主要指标

Outcome:

Hamilton Anxiety Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

匹兹堡睡眠质量指数

指标类型:

主要指标

Outcome:

Pittsburgh Sleep Quality Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿森斯失眠量表

指标类型:

次要指标

Outcome:

Athens Insomnia Scale

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:

征募研究对象情况:

尚未开始

Not yet recruiting

年龄范围:

最小 18
Min age years
最大 60
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):

由独立的统计人员应用SAS软件编程产生随机号码。将纳入的慢性失眠伴情绪障碍受试者按照1:1比例分为两组。具体方法为:将写有随机数字、组别的信件装入不透光的牛皮信封中密封,信封上标注序号,当纳入慢性失眠伴情绪障碍患者时,按入组顺序打开序号相同的信封,随机分配到各组进行试验。随机人员负责保存随机信封,不参与分组及后期试验数据采集的具体实施。

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

The random numbers were generated by independent statisticians using SAS software programming. The enrolled subjects with chronic insomnia accompanied by emotional disorders were divided into two groups in a 1:1 ratio. The specific method involved: writing the random numbers and group assignments on letters which were then sealed in opaque envelopes labeled with corresponding serial numbers. When patients with chronic insomnia accompanied by emotional disorders were enrolled the envelopes labeled with the same serial numbers as the enrollment order were opened in sequence and the patients were randomly assigned to one of the two groups for the trial. The personnel responsible for randomization were in charge of storing the randomization envelopes and did not participate in the group allocation or the specific implementation of subsequent trial data collection.

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

No

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):

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

No

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:

本研究数据采集采用病例记录表,数据管理部分则采用RCDMS软件编制数据录入程序,进行数据录入与管理。

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

Data collection in this study utilized case report forms while the data management aspect involved using the RCDMS software to develop data entry programs for data entry and management.

数据管理委员会:

Data Managemen Committee:

No

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):

国际传统医学临床试验注册平台 京ICP备07032215号-5 提示:推荐使用IE8.0以上版本 宽屏显示分辨率下使用系统