穴位埋线治疗痰瘀互结型PCOS合并胰岛素抵抗患者的临床疗效观察

注册号:

Registration number:

ITMCTR2025001391

最近更新日期:

Date of Last Refreshed on:

2025-07-11

注册时间:

Date of Registration:

2025-07-11

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

穴位埋线治疗痰瘀互结型PCOS合并胰岛素抵抗患者的临床疗效观察

Public title:

Observation of the clinical efficacy of acupoint embedding thread therapy in patients with phlegm blood stasis type PCOS with insulin resistance

注册题目简写:

English Acronym:

研究课题的正式科学名称:

穴位埋线治疗痰瘀互结型PCOS合并胰岛素抵抗患者的临床疗效观察

Scientific title:

Observation of the clinical efficacy of acupoint embedding thread therapy in patients with phlegm blood stasis type PCOS with insulin resistance

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:

姜歆宇

研究负责人:

姜歆宇

Applicant:

jiangxinyu

Study leader:

jiangxinyu

申请注册联系人电话:

Applicant telephone:

15000638747

研究负责人电话:

Study leader's telephone:

15000638747

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:

15000638747@163.com

研究负责人电子邮件:

Study leader's E-mail:

15000638747@163.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:

上海市杨浦区沈阳路128号

研究负责人通讯地址:

上海市杨浦区沈阳路128号

Applicant address:

Shanghai Yangpu District Shenyang Road NO.128

Study leader's address:

Shanghai Yangpu District Shenyang Road NO.128

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:

复旦大学附属妇产科医院

Applicant's institution:

Obstetrics & Gynecology Hospital of Fudan University

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:

2024-152

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:

复旦大学附属妇产科医院伦理委员会

Name of the ethic committee:

Ethics Committee of Obstetrics & Gynecology Hospital of Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2024/9/2 0:00:00

伦理委员会联系人:

鞠丹丹

Contact Name of the ethic committee:

jvdandan

伦理委员会联系地址:

上海市黄浦区方斜路419号

Contact Address of the ethic committee:

Shanghai Huangpu District Fangxie Road No. 419

伦理委员会联系人电话:

Contact phone of the ethic committee:

33189900-8408

伦理委员会联系人邮箱:

Contact email of the ethic committee:

fckyyllwyh@163.com

研究实施负责(组长)单位:

复旦大学附属妇产科医院

Primary sponsor:

Obstetrics & Gynecology Hospital of Fudan University

研究实施负责(组长)单位地址:

上海市杨浦区沈阳路128号

Primary sponsor's address:

Shanghai Yangpu District Shenyang Road NO.128

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

上海

Country:

china

Province:

shanghai

City:

shanghai

单位(医院):

复旦大学附属妇产科医院

具体地址:

上海市杨浦区沈阳路128号

Institution
hospital:

Obstetrics & Gynecology Hospital of Fudan University

Address:

Shanghai Yangpu District Shenyang Road NO.128

经费或物资来源:

上海市卫生健康委员会中医药科研项目

Source(s) of funding:

Traditional Chinese Medicine Research Project of Shanghai Municipal Health Commission

研究疾病:

多囊卵巢综合征合并胰岛素抵抗

研究疾病代码:

Target disease:

PCOS and Insulin resistance

Target disease code:

研究类型:

Study type:

治疗研究

Treatment 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:

治疗新技术临床试验

New Treatment Measure Clinical Study

研究目的:

本课题总目标是通过严谨规范的前瞻性随机对照临床研究,设立二甲双胍组和穴位埋线组,观察2种治疗方法对痰瘀互结型PCOS-IR患者的基础体温双向率、排卵率、血清学指标(包括性激素水平、空腹血糖、空腹胰岛素、胰岛素抵抗指数)、中医症候评分,客观评价2种治疗方法的临床疗效及安全性,为痰瘀互结型PCOS-IR患者的治疗提供疗效确切的治疗方案,并为推广穴位埋线的临床应用进一步提供科学依据。

Objectives of Study:

The overall goal of this project is to conduct a rigorous and standardized prospective randomized controlled clinical study establish a metformin group and an acupoint embedding group observe the bidirectional rate of basal body temperature ovulation rate serological indicators (including sex hormone levels fasting blood glucose fasting insulin insulin resistance index) and traditional Chinese medicine symptom score of patients with phlegm blood stasis type PCOS-IR treated with the two treatment methods objectively evaluate the clinical efficacy and safety of the two treatment methods provide a precise treatment plan for the treatment of patients with phlegm blood stasis type PCOS-IR and further provide scientific basis for promoting the clinical application of acupoint embedding.

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年龄18-40岁; ②符合PCOS的诊断标准; ③符合IR的诊断标准; ④符合痰瘀互结型的中医辩证标准; ⑤自愿参加本研究均签署同意书,同意随机分组方案,依从性良好,配合随访。

Inclusion criteria

①Age 18-40 ② Meets the diagnostic criteria for PCOS; ③ Meets the diagnostic criteria for IR; ④ Complies with the traditional Chinese medicine dialectical standards of phlegm blood stasis syndrome; ③ Voluntarily participating in this study has signed a consent form agreed to the randomization scheme demonstrated good compliance and cooperated with follow-up.

排除标准:

①年龄18岁以下、40岁以上女性; ②不符合上述诊断标准及中医辨证者; ③近3个月服用激素类药物(黄体酮除外)或二甲双胍,或正在参与其他研究; ④合并其他内分泌疾病; ⑤合并有心、肝、肾等严重原发性疾病; ⑤意识不清、智力障碍等不能配合完整问卷调查者; ⑥对本研究所用药物存在禁忌或过敏者;

Exclusion criteria:

① Women under 18 years old and over 40 years old; ② Those who do not meet the above diagnostic criteria and traditional Chinese medicine syndrome differentiation; ③ Taking hormone drugs (excluding progesterone) or metformin in the past 3 months or participating in other studies; ④ Merge with other endocrine disorders; ④ Merge serious primary diseases such as heart liver and kidney; ⑤ Individuals with unclear consciousness intellectual disabilities etc. who cannot cooperate with a complete questionnaire survey; ⑥ Individuals who have contraindications or allergies to the drugs used in this study;

研究实施时间:

Study execute time:

From 2024-11-01

To      2027-08-31

征募观察对象时间:

Recruiting time:

From 2024-11-01

To      2025-02-01

干预措施:

Interventions:

组别:

二甲双胍组

样本量:

32

Group:

Metform

Sample size:

干预措施:

二甲双胍

干预措施代码:

Intervention:

Metform

Intervention code:

组别:

穴位埋线组

样本量:

32

Group:

Catgut Implantation at Acupoint

Sample size:

干预措施:

穴位埋线

干预措施代码:

Intervention:

Catgut Implantation at Acupoint

Intervention code:

样本总量 Total sample size : 64

研究实施地点:

Countries of recruitment
and research settings:

国家:

上海

省(直辖市):

上海

市(区县):

上海

Country:

China

Province:

Shanghai

City:

Shanghai

单位(医院):

复旦大学附属妇产科医院

单位级别:

三级甲等

Institution/hospital:

Obstetrics & Gynecology Hospital of Fudan University

Level of the institution:

Three As

测量指标:

Outcomes:

指标中文名:

空腹胰岛素

指标类型:

次要指标

Outcome:

FINS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低密度脂蛋白

指标类型:

次要指标

Outcome:

LDL-C

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体重指数

指标类型:

次要指标

Outcome:

BMI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胰岛素指数

指标类型:

次要指标

Outcome:

HOMA-IR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清生殖激素

指标类型:

次要指标

Outcome:

reproductive hormone

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

空腹血糖

指标类型:

次要指标

Outcome:

FPG

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

餐后2小时血糖

指标类型:

次要指标

Outcome:

P2h-FG

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

甘油三酯

指标类型:

次要指标

Outcome:

TG

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PCOS患者生存质量量表

指标类型:

附加指标

Outcome:

PCOSQ

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

排卵率

指标类型:

主要指标

Outcome:

ovulation rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

葡萄糖曲线下面积

指标类型:

次要指标

Outcome:

the area under FG

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

服糖后1h胰岛素

指标类型:

次要指标

Outcome:

P1h-INS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

周期行经率

指标类型:

次要指标

Outcome:

Cycle passing rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高密度脂蛋白

指标类型:

次要指标

Outcome:

HDL-C

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总胆固醇

指标类型:

次要指标

Outcome:

CHO

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医症候评分

指标类型:

次要指标

Outcome:

TCM symptom 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:

服糖后2h胰岛素

指标类型:

次要指标

Outcome:

P2h-INS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

基础体温双相率

指标类型:

主要指标

Outcome:

Bipolar rate of basal body temperature

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胰岛素曲线下面积

指标类型:

次要指标

Outcome:

the area under insulin curve

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

症状自评量表

指标类型:

附加指标

Outcome:

SCL-90

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

餐后1小时血糖

指标类型:

次要指标

Outcome:

P1h-FG

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 19
Min age years
最大 40
Max age years

Recruiting status:

Participant age:

性别:

Gender:

女性

Female

随机方法(请说明由何人用什么方法产生随机序列):

本课题严格遵守随机化原则。将符合纳入标准的受试者按随机数字表法进行分组,分为二甲双胍组和穴位埋线组,每组按1:1匹配。本研究采用盲法分析,由不知分组的研究人员对受试者各个观察时间点的基础体温表、中医证候评分表进行收集并记录,资料总结阶段由第三方盲法统计分析,从而确保研究结果的真实可靠。

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

This project strictly adheres to the principle of randomization. Participants who meet the inclusion criteria will be randomly divided into metformin group and acupoint embedding group using a random number table method with each group matched 1:1. This study used a blind analysis method in which researchers without knowledge of grouping collected and recorded the basal body temperature table and traditional Chinese medicine syndrome score table of the subjects at various observation time points. In the data summary stage a third-party blind statistical analysis was conducted to ensure the authenticity and reliability of the research results

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):

RASData

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

RASData

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:

病例记录表

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

CRF

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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