颈部七线法穴位埋线综合改善神经根型颈椎病患者症状、体征的临床观察

注册号:

Registration number:

ITMCTR2025001350

最近更新日期:

Date of Last Refreshed on:

2025-07-09

注册时间:

Date of Registration:

2025-07-09

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

颈部七线法穴位埋线综合改善神经根型颈椎病患者症状、体征的临床观察

Public title:

Clinical Observation on Seven-line Acupoint Catgut Embedding in the Neck for Comprehensive Improvement of Symptoms and Signs in Patients with Radiculopathic Cervical Spondylosis

注册题目简写:

颈部七线法穴位埋线调衡CSR

English Acronym:

Seven-line Acupoint Catgut Embedding for Balancing CSR

研究课题的正式科学名称:

颈部七线法穴位埋线综合改善神经根型颈椎病患者症状、体征的临床观察(随机对照临床研究部分)

Scientific title:

Clinical Observation on the Comprehensive Improvement of Symptoms and Signs of Patients with Nerve - root - type Cervical Spondylosis by Neck Seven - line Point - embedding Therapy (Randomized Controlled Clinical Research Part)

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:

邓越

研究负责人:

邓越

Applicant:

Deng Yue

Study leader:

Deng Yue

申请注册联系人电话:

Applicant telephone:

010-81419806

研究负责人电话:

Study leader's telephone:

15300151605

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:

1259274456@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1259274456@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:

北京市顺义区健盛街1号

研究负责人通讯地址:

北京市顺义区健盛街1号

Applicant address:

No. 1 Jiansheng Street Shunyi District Beijing

Study leader's address:

No. 1 Jiansheng Street Shunyi District Beijing

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:

北京中医医院顺义医院

Applicant's institution:

Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital

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:

2024SYKY14-02

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:

北京中医医院顺义医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shunyi Hospital Beijing Traditional Chinese Medicine Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025/1/6 0:00:00

伦理委员会联系人:

郭华

Contact Name of the ethic committee:

Guo Hua

伦理委员会联系地址:

北京市顺义区健盛街1号

Contact Address of the ethic committee:

No. 1 Jiansheng Street Shunyi District Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

010-81419973

伦理委员会联系人邮箱:

Contact email of the ethic committee:

ec_bjsyzyyy@163.com

研究实施负责(组长)单位:

北京中医医院顺义医院

Primary sponsor:

Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital

研究实施负责(组长)单位地址:

北京市顺义区健盛街1号

Primary sponsor's address:

No. 1 Jiansheng Street Shunyi District Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京中医医院顺义医院

具体地址:

北京市顺义区健盛街1号

Institution
hospital:

Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital

Address:

No. 1 Jiansheng Street Shunyi District Beijing

经费或物资来源:

首都卫生发展科研专项经费

Source(s) of funding:

Capital's Funds for Health Improvement and Research

研究疾病:

神经根型颈椎病

研究疾病代码:

Target disease:

Cervical Spondylotic Radiculopathy (CSR)

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:

1.主要目的:评估颈部七线法穴位埋线治疗 CSR 临床疗效及安全性,为基层推广提供依据。 2.次要目的:通过通过颈椎功能障碍指数(NDI)、VAS及肌电图等主客观疗效指标改善程度,综合评估颈部七线法穴位埋线治疗CSR,能否确实有效解除疼痛,改善神经根压迫及相关功能障碍。评估颈部七线法穴位埋线能否改善CSR疼痛相关不良情绪、心理障碍等,为临床诊疗提供更多信息。

Objectives of Study:

1. Primary Objective To evaluate the clinical efficacy and safety of seven-line acupoint catgut embedding in the neck for treating Cervical Spondylotic Radiculopathy (CSR) and provide evidence for its promotion in primary healthcare settings. 2. Secondary Objectives To comprehensively assess whether seven-line acupoint catgut embedding in the neck can effectively relieve pain improve nerve root compression and related functional disorders in CSR patients based on the improvement of subjective and objective efficacy indicators (e.g. Neck Disability Index [NDI] Visual Analogue Scale [VAS] and electromyography). To evaluate whether seven-line acupoint catgut embedding can ameliorate pain-related negative emotions and psychological disorders in CSR patients so as to provide more information for clinical diagnosis and treatment.

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)符合西医诊断标准; (2)年龄在18-75岁之间; (3)治疗前1周未服用精神类药物; (4)能配合治疗及资料收集; (5)自愿签署知情同意书。

Inclusion criteria

(1) Meet the Western medical diagnostic criteria; (2) Aged between 18 and 75 years; (3) No psychotropic drugs taken within 1 week before treatment; (4) Able to cooperate with treatment and data collection; (5) Voluntarily sign the informed consent form.

排除标准:

(1)健康状况: ① 严重的心血管疾病,包括:心绞痛、过去6个月内发生过心肌梗死或卒中、心力衰竭、有症状的外周血管疾病。 ② 收缩压≥160 mmHg和/或舒张压≥100 mmHg,无论是否接受高血压治疗。如果正在接受治疗,最近三个月内药物治疗无变化。 ③ 肝功能损害(AST>80U/L,ALT>80U/L)或肾功能损害(肌酐>2.5mg/dL,eGFR <15 ml/min/1.73 m2)。 ④目前处于进展期或最后一次治疗后缓解少于5年的恶性肿瘤。 ⑤其它以上肢疼痛为主的疾患,如胸廓出口综合征、肩周炎;有颈肩上肢部外伤、骨折病史。 ⑥肿瘤、结核病、支气管哮喘、急慢性胃肠功能障碍患者。 ⑦语言障碍、听力障碍、智力障碍、精神疾病(例如重度抑郁症、双相情感障碍、进食障碍)等其它可能导致参与者在遵守方案方面存在风险或困难的疾病。 ⑨近3月接受过外科手术且未完全康复。 ⑩传染性血源性疾病,例如肝炎、艾滋病毒。 (2)个人方面: ① 吸烟或酗酒(换算为纯酒精,男性>210ml/周,女性>140ml/周) ② 1年内滥用药物史 ③ 1月内献血或输血史 ④ 怀孕或哺乳期,包括计划在未来4个月内怀孕 ⑤ 对可吸收性外科缝线、动物蛋白过敏 ⑥ 瘢痕体质 ⑦合并施术部位皮肤过敏、破损 ⑧不能使用智能手机或互联网 ⑨对研究所用药物存在严重过敏、不良反应等 ⑩根据研究者的判断,心理或行为问题将导致其难以遵守研究方案。

Exclusion criteria:

(1) Health Conditions ① Severe cardiovascular diseases including: angina pectoris myocardial infarction or stroke within the past 6 months heart failure symptomatic peripheral vascular disease. ② Systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg regardless of hypertension treatment. If under treatment no change in medication within the last 3 months. ③ Liver dysfunction (AST >80 U/L ALT >80 U/L) or renal dysfunction (creatinine >2.5 mg/dL eGFR <15 ml/min/1.73 m²). ④ Current advanced malignant tumors or remission <5 years after the last treatment. ⑤ Other upper limb pain-dominant disorders such as thoracic outlet syndrome scapulohumeral periarthritis; history of neck-shoulder-upper limb trauma or fracture. ⑥ Patients with tumors tuberculosis bronchial asthma acute/chronic gastrointestinal dysfunction. ⑦ Disorders that may cause compliance risks such as language/hearing impairment intellectual disability mental illnesses (e.g. major depression bipolar disorder eating disorders). ⑨ Surgical procedures within the past 3 months without complete recovery. ⑩ Infectious blood-borne diseases (e.g. hepatitis HIV). (2) Personal Factors ① Smoking or alcohol abuse (converted to pure alcohol: >210 ml/week for males >140 ml/week for females). ② History of drug abuse within 1 year. ③ History of blood donation or transfusion within 1 month. ④ Pregnant or lactating including planning to conceive within the next 4 months. ⑤ Allergy to absorbable surgical sutures or animal proteins. ⑥ Keloid constitution. ⑦ Allergic or damaged skin at the implantation site. ⑧ Inability to use smartphones or the internet. ⑨ Severe allergy or adverse reactions to study medications. ⑩ Psychological/behavioral issues that may hinder protocol compliance as judged by the investigator.

研究实施时间:

Study execute time:

From 2024-02-01

To      2027-07-01

征募观察对象时间:

Recruiting time:

From 2025-07-10

To      2027-07-01

干预措施:

Interventions:

组别:

假埋线组

样本量:

33

Group:

Sham Catgut Embedding Group

Sample size:

干预措施:

穴位假埋线

干预措施代码:

Intervention:

Sham Acupoint Catgut Embedding

Intervention code:

组别:

药物组

样本量:

33

Group:

Medication Group

Sample size:

干预措施:

口服药物治疗

干预措施代码:

Intervention:

Oral Medication

Intervention code:

组别:

埋线组

样本量:

33

Group:

Catgut Embedding Group

Sample size:

干预措施:

穴位埋线

干预措施代码:

Intervention:

Acupoint Catgut Embedding

Intervention code:

样本总量 Total sample size : 99

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京中医医院顺义医院

单位级别:

三级甲等中医院

Institution/hospital:

Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital

Level of the institution:

Third-Class Grade A Traditional Chinese Medicine Hospital

测量指标:

Outcomes:

指标中文名:

中医证候积分

指标类型:

次要指标

Outcome:

TCM Syndrome Score

Type:

Secondary indicator

测量时间点:

测量方法:

量表填写

Measure time point of outcome:

Measure method:

Questionnaire Completion

指标中文名:

颈椎功能障碍指数

指标类型:

主要指标

Outcome:

Neck Disability Index  NDI

Type:

Primary indicator

测量时间点:

测量方法:

量表

Measure time point of outcome:

Measure method:

Questionnaire Completion

指标中文名:

肌电图

指标类型:

次要指标

Outcome:

Electromyography (EMG)

Type:

Secondary indicator

测量时间点:

测量方法:

肌电图检测

Measure time point of outcome:

Measure method:

Conduct an EMG Test

指标中文名:

McGill疼痛问卷

指标类型:

次要指标

Outcome:

McGill Pain Questionnaire SF-MPQ

Type:

Secondary indicator

测量时间点:

测量方法:

量表填写

Measure time point of outcome:

Measure method:

Questionnaire Completion

指标中文名:

视觉模拟量表

指标类型:

次要指标

Outcome:

Visual Analogue ScaleVAS

Type:

Secondary indicator

测量时间点:

测量方法:

量表填写

Measure time point of outcome:

Measure method:

Questionnaire Completion

指标中文名:

YT20分法量表评分

指标类型:

次要指标

Outcome:

YT 20-Point Scale Scoring

Type:

Secondary indicator

测量时间点:

测量方法:

量表填写

Measure time point of outcome:

Measure method:

Questionnaire Completion

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:

尚未开始

Not yet recruiting

年龄范围:

最小 18
Min age years
最大 75
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):

按照1:1:1的比例,由专人进行计算机随机分组,将分组信息封入密闭的信封里,将CSR患者随机分配到埋线组及假埋线组(对照组1)、药物组(对照组2)。

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

Patients with CSR will be randomly assigned to the Catgut Embedding Group Sham Catgut Embedding Group (Control Group 1) and Medication Group (Control Group 2) in a 1:1:1 ratio. Randomization will be performed by a dedicated staff using a computer-generated random sequence and the allocation information will be sealed in opaque envelopes.

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):

不公开

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:

一病例记录表,二电子采集和管理。

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

1.Case Record Form CRF 2.Electronic Data Capture EDC

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):

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