头穴按压治疗髓海不足型阿尔茨海默轻症的临床疗效观察

注册号:

Registration number:

ITMCTR2025001321

最近更新日期:

Date of Last Refreshed on:

2025-07-01

注册时间:

Date of Registration:

2025-07-01

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

头穴按压治疗髓海不足型阿尔茨海默轻症的临床疗效观察

Public title:

Clinical Efficacy of Cephalic Acupressure in Managing Mild Alzheimer's Disease with Medullary Sea Insufficiency

注册题目简写:

English Acronym:

研究课题的正式科学名称:

头穴按压治疗髓海不足型阿尔茨海默轻症的临床疗效观察

Scientific title:

Clinical Efficacy of Cephalic Acupressure in Managing Mild Alzheimer's Disease with Medullary Sea Insufficiency

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:

周维娜

研究负责人:

周维娜

Applicant:

Zhou Weina

Study leader:

Zhou Weina

申请注册联系人电话:

Applicant telephone:

13917592088

研究负责人电话:

Study leader's telephone:

13917592088

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:

13917592088@163.com

研究负责人电子邮件:

Study leader's E-mail:

13917592088@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:

上海市黄浦区普安路185号

研究负责人通讯地址:

上海市黄浦区普安路185号

Applicant address:

No. 185 Puan Road Huangpu District Shanghai

Study leader's address:

No. 185 Puan Road Huangpu District Shanghai

申请注册联系人邮政编码:

Applicant postcode:

200021

研究负责人邮政编码:

Study leader's postcode:

200021

申请人所在单位:

上海中医药大学附属曙光医院

Applicant's institution:

Shanghai Shuguang Hospital Affiliated to Shanghai 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:

2024-1565-148-01

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:

上海中医药大学附属曙光医院伦理委员会

Name of the ethic committee:

EC of Shuguang Hospital affiliated to Shanghai University of TCM

伦理委员会批准日期:

Date of approved by ethic committee:

2024/8/27 0:00:00

伦理委员会联系人:

耿希

Contact Name of the ethic committee:

Geng Xi

伦理委员会联系地址:

上海市浦东新区张衡路528号

Contact Address of the ethic committee:

No. 528 Zhangheng Road Pudong New Area Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

021-20256070

伦理委员会联系人邮箱:

Contact email of the ethic committee:

sgyyllwyh@126.com

研究实施负责(组长)单位:

上海中医药大学附属曙光医院

Primary sponsor:

Shuguang Hosptial affiliated to Shanghai University of TCM

研究实施负责(组长)单位地址:

上海市黄浦区普安路185号

Primary sponsor's address:

No. 185 Puan Road Huangpu District Shanghai

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

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院

具体地址:

上海市黄浦区普安路185号

Institution
hospital:

Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Address:

No. 185 Puan Road Huangpu District Shanghai

经费或物资来源:

上海市卫生健康委员会,上海市中医药管理局

Source(s) of funding:

Shanghai Municipal Commission of Health & Shanghai Administration of Traditional Chinese Medicine

研究疾病:

阿尔茨海默症

研究疾病代码:

Target disease:

Alzheimer's disease

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:

本研究针对髓海不足型的阿尔茨海默轻症患者,且阿尔茨海默轻症患者进行性发展的神经退行性疾病及行为异常带来的危害和目前现代护理措施对阿尔茨海默轻症患者没有很好的干预手段的临床护理问题,采用随机对照的临床研究设计,拟在实施头部手指点穴的基础上进行分组对照比较,通过观察两组实施中医护理操作的前后的阿尔茨海默轻症患者的日常生活能力评价、认知评估、焦虑抑郁评估等,客观评价实施中医护理操作的实用价值,以及延缓阿尔茨海默轻症患者症状进展加重的可能性。

Objectives of Study:

This study is focused on a specific type of Alzheimer's disease (AD) characterized by medullary insufficiency and a progressive development of neurodegenerative diseases. This condition is often accompanied by behavioral abnormalities which are influenced by various factors. The current nursing care measures for AD patients are not fully equipped to address these challenges. The present study utilizes a randomized controlled clinical research design to evaluate the efficacy of head finger acupuncture points in managing Alzheimer's disease patients. The daily living abilities cognitive assessments anxiety levels and depression scores of Alzheimer's disease patients will be observed before and after the implementation of Chinese medicine nursing operations in both groups. This will allow for an objective evaluation of the practical value of implementing Chinese medicine nursing operations and the potential for slowing the progression of symptoms in Alzheimer's disease patients.

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)符合阿尔茨海默轻症患者的诊断标准; CDR为1分。 临床痴呆量表(CDR)已成为 AD痴呆临床分级的金标准。得分为0.0分表示正常;0.5分表示可疑痴呆;1.0分表示轻度痴呆;2.0分表示中度痴呆;3.0分表示重度痴呆。 (2)符合中医髓海不足型的诊断标准; (3)年龄>60周岁;; (4)能够独立配合完成量表者; (5)自愿接受临床观察,知情同意者。

Inclusion criteria

(1) Meets diagnostic criteria for mild Alzheimer's disease as defined by a Clinical Dementia Rating (CDR) score of 1.The Clinical Dementia Rating Scale (CDR) is widely regarded as the gold standard for the clinical grading of Alzheimer's disease (AD) dementia. A score of 0.0 indicates normal cognitive function 0.5 indicates suspected dementia 1.0 indicates mild dementia 2.0 indicates moderate dementia and 3.0 indicates severe dementia . Secondly the subject fulfills the diagnostic criteria of the medullary insufficiency type of Chinese medicine.Thirdly the subject is over the age of 60.Fourthly the subject was able to cooperate independently to complete the scale.Fifthly the subject voluntarily accepted clinical observation and gave informed consent.

排除标准:

(1)脑CT检查为器质性阿尔茨海默患者; (2)存在意识障碍或精神疾病; (3)合并严重凝血功能障碍、恶性肿瘤、严重感染以及消化系统疾病、肝肾、心脑血管等严重疾病。

Exclusion criteria:

The following criteria are indicative of the diagnosis of organic Alzheimer's disease as indicated by brain CT: The presence of disorders of consciousness or mental illness The presence of serious coagulation disorders The presence of malignant tumors The presence of serious infections The presence of serious diseases including digestive system diseases liver and kidney diseases cardiovascular diseases and cerebrovascular diseases

研究实施时间:

Study execute time:

From 2024-06-01

To      2027-05-31

征募观察对象时间:

Recruiting time:

From 2025-03-01

To      2025-08-15

干预措施:

Interventions:

组别:

试验组

样本量:

33

Group:

experimental group

Sample size:

干预措施:

常规治疗和护理联合头部穴位按压

干预措施代码:

Intervention:

Routine treatment and care and acupressure points on the head

Intervention code:

组别:

对照组

样本量:

33

Group:

control group

Sample size:

干预措施:

常规治疗和护理

干预措施代码:

Intervention:

Routine treatment and care

Intervention code:

样本总量 Total sample size : 66

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院

单位级别:

三级甲等

Institution/hospital:

Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

First Class

测量指标:

Outcomes:

指标中文名:

日常生活活动量表

指标类型:

主要指标

Outcome:

ADL (activity of daily living)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易智力状态检查量表

指标类型:

次要指标

Outcome:

MMSE

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

阿尔茨海默评定量表-认知分量表

指标类型:

次要指标

Outcome:

ADAS-cog

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:

次要指标

Outcome:

HAMD

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密尔顿焦虑量表

指标类型:

次要指标

Outcome:

HAMA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中医症候积分

指标类型:

次要指标

Outcome:

Chinese Medicine Symptom Score (CMS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

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

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:

标本中文名:

尿液

组织:

Sample Name:

urine

Tissue:

人体标本去向

使用后销毁

说明

Fate of sample 

Destruction after use

Note:

标本中文名:

粪便

组织:

Sample Name:

feces

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 60
Min age years
最大 100
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):

根据住院登记号采用随机数字表法入组

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

The enrollment process is based on a random number table method with the allocation of numbers determined by the hospital registration number.

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):

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):

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:

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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