基于多模态脑功能的针灸干预遗忘型轻度认知障碍的机制研究

注册号:

Registration number:

ITMCTR2025000418

最近更新日期:

Date of Last Refreshed on:

2025-02-27

注册时间:

Date of Registration:

2025-02-27

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

基于多模态脑功能的针灸干预遗忘型轻度认知障碍的机制研究

Public title:

Mechanisms of Acupuncture Intervention for Amnestic Mild Cognitive Impairment Based on Multimodal Brain Functions

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于多模态脑功能的针灸干预遗忘型轻度认知障碍的机制研究

Scientific title:

Mechanisms of Acupuncture Intervention for Amnestic Mild Cognitive Impairment Based on Multimodal Brain Functions

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:

张金焕

研究负责人:

刘永锋

Applicant:

Zhang Jinhuan

Study leader:

Liu Yongfeng

申请注册联系人电话:

Applicant telephone:

15217032572

研究负责人电话:

Study leader's telephone:

13480752834

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:

2608640237@qq.com

研究负责人电子邮件:

Study leader's E-mail:

2608640237@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:

广东省深圳市福田区福华路一号深圳市中医院

研究负责人通讯地址:

广东省深圳市福田区福华路一号深圳市中医院

Applicant address:

No.1 Fuhua Road Futian District Shenzhen Guangdong

Study leader's address:

No.1 Fuhua Road Futian District Shenzhen Guangdong

申请注册联系人邮政编码:

Applicant postcode:

518000

研究负责人邮政编码:

Study leader's postcode:

518000

申请人所在单位:

深圳市中医院

Applicant's institution:

Shenzhen 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:

K2021-012-02

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:

深圳市中医院

Name of the ethic committee:

Shenzhen Traditional Chinese Medicine Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2021/3/22 0:00:00

伦理委员会联系人:

邓蓉

Contact Name of the ethic committee:

Deng rong

伦理委员会联系地址:

广东省深圳市福田区福华路一号深圳市中医院

Contact Address of the ethic committee:

No.1 Fuhua Road Futian District Shenzhen Guangdong

伦理委员会联系人电话:

Contact phone of the ethic committee:

18675568803

伦理委员会联系人邮箱:

Contact email of the ethic committee:

xmsbll@126.com

研究实施负责(组长)单位:

深圳市中医院

Primary sponsor:

Shenzhen traditional Chinese medicine hospital

研究实施负责(组长)单位地址:

广东省深圳市福田区福华路一号深圳市中医院

Primary sponsor's address:

No.1 Fuhua Road Futian District Shenzhen Guangdong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

深圳市

Country:

Province:

City:

单位(医院):

深圳市中医院

具体地址:

广东省深圳市福田区福华路一号深圳市中医院

Institution
hospital:

Address:

经费或物资来源:

深圳市科创委

Source(s) of funding:

Shenzhen Science and Innovation Commission (SZSTIC)

研究疾病:

遗忘型轻度认知障碍

研究疾病代码:

Target disease:

Amnestic mild cognitive impairment

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:

探索针刺对遗忘型轻度认知障碍的临床疗效和中枢影像机制

Objectives of Study:

To explore the clinical effect and central imaging mechanism of acupuncture on amnestic mild cognitive impairment

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

符合 aMCI 诊断标准:(Perterson 2004 标准): (1)记忆减退为主诉,且有知情者证实; (2)客观存在的记忆力下降且与年龄不符; (3)一般认知功能基本正常; (4)日常生活能力基本正常; (5)认知损害程度不足以诊断为痴呆。 ②有记忆障碍症状且病程>3 个月; ③简易精神状态检查量表(MMSE)评分大于等于 24 分; ④临床痴呆评定量表(CDR)总体的评分为 0.5,而记忆领域至少为 0.5; ⑤年龄 50-75 岁, 小学及以上文化程度; ⑥日常生活能力未受影响,量表 (ADL)评分≤26; ⑦右利手,汉族; ⑧愿意全程配合并签署知情同意书。

Inclusion criteria

Meet the aMCI diagnostic criteria: (Perterson 2004 criteria) : (1) Memory loss is the main complaint and it is confirmed by informed persons; (2) Objectively existing memory decline that is inconsistent with age; (3) General cognitive function is basically normal; (4) The ability of daily living is basically normal; (5) The degree of cognitive impairment is not sufficient to diagnose dementia. ② There are symptoms of memory impairment and the course of the disease is >3 months; ③ The score of the Simple mental State Examination Scale (MMSE) is greater than or equal to 24 points; The overall score of the Clinical Dementia Rating Scale (CDR) was 0.5 and the memory domain was at least 0.5; ⑤ Age 50-75 years old primary school education or above; The ability of daily living was not affected and the scale (ADL) score was ≤26; ⑦ Right-handed Han nationality; ⑧ Willing to cooperate and sign the informed consent.

排除标准:

①近 1 个月内曾接受认知功能的相关治疗者; ②近 1 月使用可能影响认知功能的药物,包括镇静剂,抗焦虑药,催眠药,促智 药和拟胆碱药; ③既往有脑卒中、脑肿瘤、帕金森病、脑炎、癫痫和脑外伤等疾病史; ④明显的白质病变(Fazekas 评分= 3–6); ⑤严重精神疾病患者,嗜酒吸毒或其他精神性药物滥用者; ⑥严重听力、视力障碍和失语导致不能实现评估和不能完成试验者; ⑦有严重头部外伤史者,或其他累及中枢神经系统疾病,影响神经心理学量表评 估者; ⑧有严重心、肝、肾功能不全等全身性疾病者; ⑨有磁共振检查禁忌或者研究者认为其他不适合入组者

Exclusion criteria:

① Patients who have received cognitive function related treatment within the past 1 month; Use of drugs that may affect cognitive function in the past 1 month including sedatives anti-anxiety drugs hypnotics and psychotropic drugs Drugs and cholinomimetic drugs; (3) Previous history of stroke brain tumor Parkinson's disease encephalitis epilepsy and brain trauma; (4) Obvious white matter lesions (Fazekas score = 3-6); ⑤ Patients with serious mental illness alcoholics drugs or other psychotropic drug abusers; ⑥ Severe hearing visual impairment and aphasia resulting in inability to achieve the assessment and failure to complete the test; A history of severe head trauma or other diseases involving the central nervous system affect the neuropsychological scale assessment Estimator; ⑧ have serious heart liver renal insufficiency and other systemic diseases; ⑨ Patients with contraindications of MRI or other subjects deemed unsuitable by the researchers

研究实施时间:

Study execute time:

From 2021-12-31

To      2023-03-10

征募观察对象时间:

Recruiting time:

From 2022-12-31

To      2023-03-01

干预措施:

Interventions:

组别:

真针刺组

样本量:

60

Group:

verum acupuncture group

Sample size:

干预措施:

针刺

干预措施代码:

Intervention:

acupuncture

Intervention code:

组别:

健康对照组

样本量:

60

Group:

control group

Sample size:

干预措施:

干预措施代码:

Intervention:

none

Intervention code:

组别:

假针刺组

样本量:

60

Group:

sham acupuncture

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 : 180

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

广东

市(区县):

深圳市

Country:

China

Province:

Guangdong

City:

shenzhen

单位(医院):

深圳市中医院

单位级别:

三级甲等

Institution/hospital:

Shenzhen Traditional Chinese Medicine Hospital

Level of the institution:

grade 3A

测量指标:

Outcomes:

指标中文名:

临床痴呆量表

指标类型:

次要指标

Outcome:

CDR

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

蒙特利尔认知量表北京版

指标类型:

主要指标

Outcome:

MoCA

Type:

Primary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

简易精神状态检查量

指标类型:

次要指标

Outcome:

MMSE

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

视网膜图像

指标类型:

次要指标

Outcome:

OCT

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

磁共振

指标类型:

次要指标

Outcome:

MRI

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

华山版听觉词语学习测验

指标类型:

次要指标

Outcome:

AVLT-H

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

汉密尔顿抑郁量表-17

指标类型:

次要指标

Outcome:

HAMD-17

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

指标中文名:

日常生活能力

指标类型:

次要指标

Outcome:

ADL

Type:

Secondary indicator

测量时间点:

治疗前,治疗结束后

测量方法:

Measure time point of outcome:

before treatment after treatment

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

粪便

组织:

Sample Name:

faeces

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:

结束

Completed

年龄范围:

最小 50
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):

分组人员通过SPSS 25.0软件产生随机数字序列

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

The random number sequence will be generated by the grouping personnel through SPSS 25.0 software

盲法:

本研究采用单盲法。研究过程中,除针灸医师外,患者、评估医师及统计人员等均不知分组情况。为确保盲法的成功实施,我们在研究开始前将对研究人员进行严格的培训,确保各个环节的分离原则。

Blinding:

Single blind method was used in this study. During the study except for acupuncturists patients evaluators and statisticians did not know the group status. In order to ensure the successful implementation of the blind method we will conduct strict training for researchers before the start of the study to ensure the separation principle.

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):

none

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:

采用病例记录表采集数据,采用excel进行数据电子化管理。

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

CRF and excel will be used for data collection and management.

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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