ChiCTR2600118362 版本V1.0 版本创建时间2026/02/04 15:56:15 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR2600118362 

最近更新日期:

Date of Last Refreshed on:

2026-02-04 15:56:09 

注册时间:

Date of Registration:

2026-02-04 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

电针治疗对脓毒症合并急性胃肠损伤患者Th17/Treg免疫细胞的影响

Public title:

The effect of electroacupuncture on Th17/Treg immune cells in patients with sepsis complicated with acute gastrointestinal injury

注册题目简写:

English Acronym:

研究课题的正式科学名称:

电针治疗对脓毒症合并急性胃肠损伤患者Th17/Treg免疫细胞的影响

Scientific title:

The effect of electroacupuncture on Th17/Treg immune cells in patients with sepsis complicated with acute gastrointestinal injury

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:

邢茜 

研究负责人:

邢茜 

Applicant:

Xing Xi 

Study leader:

Xing Xi 

申请注册联系人电话:

Applicant telephone:

+86 134 5680 7019

研究负责人电话:

Study leader's
telephone:

+86 134 5680 7019

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:

Xingxi626626@163.com

研究负责人电子邮件:

Study leader's E-mail:

Xingxi626626@163.com

申请单位网址(自愿提供):

Applicant 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:

中国浙江省杭州市上城区邮电路54号

研究负责人通讯地址:

中国浙江省杭州市上城区邮电路54号

Applicant address:

No. 54 Youdian Road, Shangcheng District, Hangzhou, Zhejiang, China

Study leader's address:

No. 54 Youdian Road, Shangcheng District, Hangzhou, Zhejiang, China

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:

浙江中医药大学附属第一医院

Applicant's institution:

The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine

研究负责人所在单位:

浙江中医药大学附属第一医院

Affiliation of the Leader:

The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025-KLS-829-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

浙江中医药大学附属第一医院伦理委员会

Name of the ethic committee:

The Ethic Committee of the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2025-10-30 00:00:00

伦理委员会联系人:

何强

Contact Name of the ethic committee:

He Qiang

伦理委员会联系地址:

中国浙江省杭州市上城区邮电路54号

Contact Address of the ethic committee:

No. 54 Youdian Road, Shangcheng District, Hangzhou, Zhejiang, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 135 8887 0088

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

浙江中医药大学附属第一医院

Primary sponsor:

The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

中国浙江省杭州市上城区邮电路54号

Primary sponsor's address:

No. 54 Youdian Road, Shangcheng District, Hangzhou, Zhejiang, 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):

浙江

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江中医药大学附属第一医院

具体地址:

中国浙江省杭州市上城区邮电路54号

Institution
hospital:

The First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine

Address:

No. 54 Youdian Road, Shangcheng District, Hangzhou, Zhejiang, China

经费或物资来源:

浙江省中医药科技计划

Source(s) of funding:

Zhejiang Province Traditional Chinese Medicine Science and Technology Program

研究疾病:

脓毒症合并急性胃肠损伤  

Target disease:

Sepsis complicated with acute gastrointestinal injury

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

探讨脓毒症合并AGI时电针刺治疗改善其免疫功能的机理  

Objectives of Study:

Exploring the mechanism by which electro-acupuncture treatment improves the immune function in patients with sepsis complicated with AGI

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.入住我院ICU,参照《拯救脓毒症运动:脓毒症与感染性休克治疗国际指南2021版》中关于脓毒症的诊断标准,脓毒症3.0的定义为,机体对感染的反应失调而导致危及生命的器官功能障碍,对于感染乃至疑似感染的患者,当序贯性器官衰竭评价系统评分(Sequential Organ Failure Assessment score,SOFA )≥2分时,认为存在脓毒症。且AGIⅡ级及以上(胃肠功能损伤评级参考欧洲危重病医学会(ESICM)制订的AGI诊断标准4); 2.年龄≥18 岁; 3.患者家属同意参加本研究者。

Inclusion criteria

1.After admission to the ICU of our hospital, in accordance with the diagnostic criteria for sepsis in "The Surviving Sepsis Campaign: International Guidelines for the Management of Sepsis and Septic Shock 2021 Edition" , the definition of sepsis 3.0 is that the body's response to infection becomes disordered, leading to life-threatening organ dysfunction. For patients with infection or suspected infection, when the Sequential Organ Failure Assessment score (SOFA) is >= 2 points, sepsis is considered to exist. Moreover, AGI grade II or above (reference to the AGI diagnostic criteria 4 formulated by the European Society of Intensive Care Medicine (ESICM)); 2. Age >= 18 years old; 3. The patient's family consents to participate in this study.

排除标准:

1、合并胸、腹部严重外伤; 2、入组前使用过促胃肠动力药; 3、足三里、中脘、天枢、上巨虚、三阴交、中脘等穴位处局部皮肤损伤不适合电针刺; 4、血常规血小板计数<50*10^9/L或有严重凝血功能障碍(INR>2.0); 5、存在胃肠严重原发性基础疾病(如消化道大出血、机械性肠梗阻、肠穿孔者); 6、入住ICU 24h后仍血流动力学不稳定; 7、病情极危重,短时间内急剧恶化,48h内预期死亡; 8、恶性肿瘤终末期。

Exclusion criteria:

1.The diagnostic criteria for the combination of severe thoracic and abdominal trauma; 2. Use of gastrointestinal motility-promoting drugs before enrollment; 3. Local skin damage at acupoints such as Zusanli, Zhongwan, Tianqiu, Shangguizhu, Sanyinjiao, Zhongwan, etc. is not suitable for electro-acupuncture; 4. Blood routine with platelet count < 50*10^9/L or severe coagulation dysfunction (INR > 2.0); 5. Existing severe primary gastrointestinal diseases (such as massive gastrointestinal bleeding, mechanical intestinal obstruction, intestinal perforation); 6. Hemodynamic instability remained 24 hours after admission to ICU; 7. Extremely critical condition with rapid deterioration within 48 hours, expected to die within 48 hours; 8. Terminal stage of malignant tumors.

研究实施时间:

Study execute time:

From 2026-03-01 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-03-01 00:00:00 To 2028-12-31 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

71

Group:

Intervention group

Sample size:

干预措施:

西医规范化治疗+电针刺

干预措施代码:

Intervention:

Standardized treatment of Western Medicine + electroacupuncture

Intervention code:

组别:

对照组

样本量:

71

Group:

Control group

Sample size:

干预措施:

西医规范化治疗

干预措施代码:

Intervention:

Standardized treatment of Western Medicine

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

台州 

Country:

China

Province:

Zhejiang

City:

Taizhou

单位(医院):

台州市中西医结合医院 

单位级别:

三乙 

Institution
hospital:

Taizhou Hospital of Integrated Traditional Chinese and Western Medicine

Level of the institution:

Tertiary B

测量指标:

Outcomes:

指标中文名:

28天病死率

指标类型:

主要指标

Outcome:

28-day mortality

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

二胺氧化酶

指标类型:

次要指标

Outcome:

Diamine oxidase

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

内毒素

指标类型:

次要指标

Outcome:

Lipopolysaccharides

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胃动素

指标类型:

次要指标

Outcome:

Motilin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胃肠功能衰竭评分

指标类型:

次要指标

Outcome:

Gastrointestinal failure 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:

转化生长因子-β

指标类型:

次要指标

Outcome:

Transforming growth factor-β, TGF-β

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-17

指标类型:

次要指标

Outcome:

Interleukin-17, IL-17

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-10

指标类型:

次要指标

Outcome:

Interleukin-10, IL-10

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-23

指标类型:

次要指标

Outcome:

Interleukin-23, IL-23

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白介素-6

指标类型:

次要指标

Outcome:

Interleukin-6, IL-6

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

人类白细胞 DR 抗原

指标类型:

次要指标

Outcome:

Human leukocyte DR Antigen, HLA-DR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血Th17数量

指标类型:

次要指标

Outcome:

The number of Th17 cells in peripheral blood

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血treg数量

指标类型:

次要指标

Outcome:

The number of treg cells in peripheral blood

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血Th17/treg百分比

指标类型:

次要指标

Outcome:

Percentage of Th17/treg in peripheral blood

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白蛋白

指标类型:

次要指标

Outcome:

Albumin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

前白蛋白

指标类型:

次要指标

Outcome:

Prealbumin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

急性生理和慢性健康状况系统Ⅱ评分

指标类型:

次要指标

Outcome:

Acute physiology and chronic health evaluation Ⅱ score, APACHEⅡ 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:

序贯性器官衰竭评价系统评分

指标类型:

次要指标

Outcome:

Sequential organ failure evaluation system score, SOFA

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

机械通气时间

指标类型:

次要指标

Outcome:

Duration of mechanical ventilation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

留住ICU时间

指标类型:

次要指标

Outcome:

Duration of ICU stay

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:

血清

组织:

Sample Name:

Serum

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:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

采用计算机软件将142个数字按1:1比例随机分成对照组和干预组

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

142 numbers were randomly divided into control group and intervention group according to 1:1 ratio by computer software

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

开放标签

Blinding:

Open label

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是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):

2029.1.10在ResMan上公开

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

2022.1.10 publicized on ResMan

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:

CRF表为纸质版

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

The case record form is a paper version

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-02-04 15:56:09