砭石疗法对肝阳上亢型偏头痛患者影响的随机对照研究

注册号:

Registration number:

ITMCTR2100004856

最近更新日期:

Date of Last Refreshed on:

2021-05-16

注册时间:

Date of Registration:

2021-05-16

注册号状态:

Registration Status:

补注册

Retrospective registration

注册题目:

砭石疗法对肝阳上亢型偏头痛患者影响的随机对照研究

Public title:

Effect of stone needle therapy on migraine patients with hyperactivity of liver Yang: a randomized controlled study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

砭石疗法对肝阳上亢型偏头痛患者影响的随机对照研究

Scientific title:

Effect of stone needle therapy on migraine patients with hyperactivity of liver Yang: a randomized controlled study

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:

ChiCTR2100046456 ; ChiMCTR2100004856

申请注册联系人:

鲁剑萍

研究负责人:

鲁剑萍

Applicant:

Lu Jianping

Study leader:

Lu Jianping

申请注册联系人电话:

Applicant telephone:

+86 13764684357

研究负责人电话:

Study leader's telephone:

+86 021-56639828

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:

lucy1825@sina.com

研究负责人电子邮件:

Study leader's E-mail:

lucy1825@sina.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:

上海市静安区芷江中路274号9号楼410室

研究负责人通讯地址:

上海市静安区芷江中路274号9号楼410室

Applicant address:

274 Middle Zhijiang Road, Jing'an District, Shanghai, China

Study leader's address:

274 Middle Zhijiang Road, Jing'an District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

200071

研究负责人邮政编码:

Study leader's postcode:

200071

申请人所在单位:

上海市中医医院

Applicant's institution:

Shanghai Municipal Hospital of TCM

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:

2018SHL-KYYS-187

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:

上海市中医医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Hospital of traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2018/1/18 0:00:00

伦理委员会联系人:

凌丽

Contact Name of the ethic committee:

Ling li

伦理委员会联系地址:

上海市静安区芷江中路274号

Contact Address of the ethic committee:

274 Middle Zhijiang Road Jing'an District, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 13764684357

伦理委员会联系人邮箱:

Contact email of the ethic committee:

sweetery@126.com

研究实施负责(组长)单位:

上海市中医医院

Primary sponsor:

Shanghai Municipal Hospital of TCM

研究实施负责(组长)单位地址:

上海市静安区芷江中路274号

Primary sponsor's address:

274 Middle Zhijiang Road Jing'an District, Shanghai, China

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):

静安区

Country:

China

Province:

Shanghai

City:

Jing'an District

单位(医院):

上海市中医医院

具体地址:

芷江中路274号

Institution
hospital:

Shanghai Municipal Hospital of TCM

Address:

274 Middle Zhijiang Road

经费或物资来源:

上海申康发展中心三年行动计划项目

Source(s) of funding:

Three year action plan of Shanghai Shenkang Development Center

研究疾病:

偏头痛

研究疾病代码:

Target disease:

magrin

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:

应用砭石疗法为干预措施,通过客观、科学的临床评价手段,观察砭石治疗在五个访视时间点对肝阳上亢型偏头痛的临床疗效,评价穴位按摩效应的持续性并挖掘其基本规律,对改善肝阳上亢偏头痛患者症状及生活质量的改善作用具有重要的实践意义,并进一步推广了中医适宜技术的发展。

Objectives of Study:

Objective and scientific clinical evaluation method was used to observe the clinical efficacy of Bian stone therapy on migraine with hyperactivity of liver Yang at five visiting time points, evaluate the persistence of acupoint massage effect and explore its basic rules. It has important practical significance to improve the symptoms and quality of life of migraine patients with hyperactivity of liver Yang, and further promote the development of acupuncture therapy The development of appropriate technology of traditional Chinese medicine has been expanded.

药物成份或治疗方案详述:

试验组:梳形砭板(北京耿乃光物性检测技术研究中心生产)。患者取仰卧位,充分暴露头颈部、小腿配合治疗。腧穴定位参照《腧穴名称与定位》,取穴:印堂、神庭、百会、四神聪、头维、太阳、凤池、行间、复溜等。 操作手法如下:①刮法:用砭板侧棱垂直方向移动,刮擦体表;②点揉法:用砭板的边尖,在体表施以压力并摆动按揉。 操作流程如下:①点揉法,先从印堂向上至神庭3~5次,再至两侧头维再向两侧太阳穴。由内向外,不可逆行,速度宜慢。每穴约2分钟;②点揉百会、2分钟;③从百会刮试到四神聪点揉风池穴2分钟;④刮试太阳-风池连线2分钟;⑤刮头部五经:(梳形砭板的齿边分别刮人头部中间的督脉,两旁的膀胱经、胆经,左右相加,共五条经脉,所以称之为“五经”),采用梳头式刮法,沿督脉、膀胱经和胆经由前向后顺序进行梳头样的操作,力量由轻渐重,约2-3分钟;⑥点揉行间(手法采用泻法)、复溜(手法采用补法。力量由轻渐重,以患者感觉轻度酸痛即可. 每穴约2分钟。 砭石疗法组均为一周三次,每次为20min,12次为1个疗程,共治疗1个疗程,为期一个月。 对照组:西药治疗,发作时以镇痛、镇静为目的,解热镇痛药、麦角胺咖啡因、安定等,发作间歇时则以预防发作为目的,西比灵是常用药物。西比灵通用名:盐酸氟桂利嗪胶囊,生产厂家:西安杨森制药有限公司,批准文号:国药准字H10930003,药品规格:5mg*20粒,每日10~20mg。 常规护理:偏头痛患者注意室内通风,戒烟酒。注意避风寒,保暖,不要暴晒淋雨,防止诱发致病。保持稳定心情,避免情绪起伏过大。睡眠规律,避免熬夜。少吃可能引发头痛的食物,如乳酪、巧克力、味精、腌制食品等。患者纳入研究后当天予以发放健康教育处方并进行讲解,确保患者掌握其内容,患者入组治疗周期内每周电话或门诊随访,指导患者对于健康教育处方的落实。

Description for medicine or protocol of treatment in detail:

Intervention group: the comb type needle plate with the specification of 120mm x 60mm x 10mm (produced by Beijing Geng Naiguang physical property testing technology research center) was used. Patients with supine position, fully exposed head and neck, leg with treatment. Acupuncture points: Yintang, Shenting, Baihui, Sishencong, Touwei, Sun, Fengchi, Xingjian, Fuliu, etc. Control group: Western medicine is used for analgesia and sedation in the attack, antipyretic analgesics, ergotamine, caffeine, diazepam, etc., and for prevention in the intermission. Sibelium is a commonly used drug.

纳入标准:

1.符合偏头痛的西医诊断标准以及肝阳上亢偏头痛中医诊断标准; 2.年龄在18~65岁之间; 3.神志清楚,能配合中医适宜技术; 4.签署知情同意书者; 5.无严重心、肝、肾疾病,无其他重要脏器器质性病变,能配合检查及治疗患者。 6.能够完成基线期头痛日记。

Inclusion criteria

1. Meet the western medicine diagnostic criteria for migraine and TCM diagnostic criteria for migraine with hyperactivity of liver Yang; 2. Aged 18 to 65 years; 3. Clear mind, able to cooperate with the appropriate technology of traditional Chinese medicine; 4. Signed informed consent; 5. No severe gravity, liver and kidney diseases, no other important organ organic lesions, able to cooperate with the examination and treatment of patients; 6. Be able to complete the baseline headache diary.

排除标准:

1. 患有相对严重心、肝、肾、血液系统疾病,癌症、精神系统疾病患者; 2. 怀孕、哺乳或在研究中可能怀孕不能采取有效措施的妇女; 3. 操作部位有伤口、感染等操作禁忌症者; 4. 出血倾向性疾病者; 5. 正在参加其他临床试验者; 6. 其他器质性疾病,如蛛网膜下腔出血、脑梗塞、脑出血、高血压等疾病引起的头痛者; 7. 体内留有任何金属物品者。

Exclusion criteria:

1. Patients with relatively serious heart, liver, kidney and blood system diseases, cancer and mental system diseases; 2. Pregnant, lactating or pregnant women who may not be able to take effective measures in the study; 3. Operation contraindications such as wound and infection at operation site; 4. Bleeding tendency diseases; 5. Patients participating in other clinical trials; 6. Other organic diseases, such as Headache caused by subarachnoid hemorrhage, cerebral infarction, cerebral hemorrhage, hypertension and other diseases; 7. Any metal objects left in the body.

研究实施时间:

Study execute time:

From 2018-09-01

To      2019-08-31

征募观察对象时间:

Recruiting time:

From 2018-09-01

To      1990-01-01

干预措施:

Interventions:

组别:

对照组

样本量:

60

Group:

control group

Sample size:

干预措施:

西药治疗

干预措施代码:

Intervention:

Western medicine

Intervention code:

组别:

干预组

样本量:

60

Group:

Intervention group

Sample size:

干预措施:

砭石疗法

干预措施代码:

Intervention:

stone needle therapy

Intervention code:

样本总量 Total sample size : 100

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):

上海市中医医院

单位级别:

三级甲等

Institution/hospital:

Shanghai Municipal Hospital of TCM

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

视觉模拟评分

指标类型:

主要指标

Outcome:

Visual Analogue Scale, VAS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

社会人口学及基线指标

指标类型:

次要指标

Outcome:

Social demography and baseline indicators

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

头痛积分

指标类型:

主要指标

Outcome:

Headache score

Type:

Primary 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:

结束

Completed

年龄范围:

最小 38
Min age years
最大 56
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):

共招募100名符合条件的患者,按1:1的比例随机分为石针治疗组和对照组。中心随机,采用spss21.0。随机序列以不同大小的区块产生,并按中心分层。

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

A total of 100 eligible patients were recruited and were randomly assigned at a 1:1 ratio to receive stone needle therapy group or control group. Central randomization, using SPSS 21.0. Randomization sequence was generated in blocks of varying sizes and stratified by centers.

盲法:

砭石治疗组和对照组均为盲法。考虑到干预措施的性质,砭石治疗操作员对分组盲。结果评估者、数据收集者和统计学家对治疗分配是盲的。

Blinding:

Blind method for data collectors and statisticians.

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):

未说明 请阅读网页注册指南中关于“原始数据共享”的内容。

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

Not stated

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:

未说明

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

Not stated

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