电针对椎间盘性坐骨神经痛疗效研究的随机对照临床试验设计

注册号:

Registration number:

ChiCTR-IPR-15006370 

最近更新日期:

Date of Last Refreshed on:

2015-05-08 18:05:56 

注册时间:

Date of Registration:

2015-05-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

电针对椎间盘性坐骨神经痛疗效研究的随机对照临床试验设计

Public title:

Effect of electroacupuncture for discogenic sciatica protocol of a randomised controlled trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

电针对椎间盘性坐骨神经痛疗效研究的随机对照临床试验设计

Scientific title:

Effect of electroacupuncture for discogenic sciatica protocol of a randomised controlled trial

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:

张雪 

研究负责人:

张雪 

Applicant:

Xue Zhang 

Study leader:

Xue Zhang 

申请注册联系人电话:

Applicant telephone:

+86 13260476371

研究负责人电话:

Study leader's
telephone:

+86 13260476371

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:

zhangxueresume@aliyun.com

研究负责人电子邮件:

Study leader's E-mail:

zhangxueresume@aliyun.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:

北京市大兴区黄村镇兴丰北大街138号

研究负责人通讯地址:

北京市大兴区黄村镇兴丰北大街138号

Applicant address:

138 Xingfeng north Street, Huangcun town, Beijing, Daxing District, China

Study leader's address:

138 Xingfeng north Street, Huangcun town, Beijing, Daxing District, China

申请注册联系人邮政编码:

Applicant postcode:

102618

研究负责人邮政编码:

Study leader's postcode:

102618

申请人所在单位:

中国中医科学院广安门医院南区

Applicant's institution:

South Area of Guang'anmen Hospital, China Academy of Chinese Medical Sciences

研究负责人所在单位:

Affiliation of the Leader:

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:

2015EC042

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

中国中医科学院广安门医院伦理委员会

Name of the ethic committee:

Guanganmen Academy of traditional Chinese medicine Chinese hospital ethics committee

伦理委员会批准日期:

Date of approved by ethic committee:

2015-04-23 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

中国中医科学院广安门医院南区

Primary sponsor:

South Area of Guang'anmen Hospital, China Academy of Chinese Medical Sciences

研究实施负责(组长)单位地址:

北京市大兴区黄村镇兴丰北大街138号

Primary sponsor's address:

138 Xingfeng north Street, Huangcun town, Beijing, Daxing District, 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):

北京市

市(区县):

大兴区

Country:

China

Province:

Beijing

City:

Daxing

单位(医院):

中国中医科学院广安门医院南区

具体地址:

北京市大兴区黄村镇兴丰北大街138号

Institution
hospital:

South Area of Guang'anmen Hospital, China Academy of Chinese Medical Sciences

Address:

138 Xingfeng north Street, Huangcun town, Beijing, Daxing District, China

经费或物资来源:

所级科研基金

Source(s) of funding:

The level of scientific research fund

研究疾病:

坐骨神经痛  

Target disease:

sciatica

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:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

主要目的是评价电针缓解腰椎间盘突出继发坐骨神经痛的疗效,研究电针的近期和远期疗效,找出对该病有较好治疗意义的保守疗法。虽然有些文献报道针刺缓解坐骨神经痛的疗效较好,但是由于样本量小、缺乏严格的纳入和排除标准、未描述盲法、设计不规范、测量指标不统一、随访时间短、方法学缺陷等问题,文献的证据强度不高,针灸缓解腰椎间盘突出继发坐骨神经痛的疗效尚待进一步证实。其次研究针灸的临床疗效和患者对针灸疗法期待值的关系,明确针灸的疗效是否与患者接受治疗前心理期待值高有一定关系;再次评价电针疗法的患者接受性、满意度,了解针灸疗法是否可被患者接受。  

Objectives of Study:

The main purpose is to evaluate the EA in alleviating lumbar disc herniation secondary sciatica, short-term and long-term curative effect of electroacupuncture, find a better therapeutic significance of conservative treatment of the disease. Although some reports in the literature of acupuncture effect to relieve sciatica is good, but due to the small sample size, the lack of strict inclusion and exclusion criteria, not blind, describe the design specification, measurement indicators are not unified, the short follow-up time, methodological flaws and other issues, the strength of evidence of literature is not high, remains to be further confirmed that acupuncture and moxibustion for treatment of lumbar disc herniation disc herniation secondary sciatica. The expected value of acupuncture and moxibustion therapy clinical curative effect and patients followed by the study of acupuncture, acupuncture and clear whether patients were treated before high psychological expectations have a certain relationship; electroacupuncture therapy in patients undergoing re evaluation, satisfaction, understanding whether acupuncture can be 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:

Inclusion criteria

排除标准:

(1)特别严重者出现马尾综合征或足下垂,需要绝对手术治疗的患者,或者6个月以内作过腰椎间盘手术者。
(2)腰椎间盘突出症经3个月严格保守治疗无效,继续加重,己并发神经根粘连,或健腿直腿抬高试验阳性,或肌肉萎缩明显者。
(3)由于其他非椎间盘突出原因引起的腿痛、麻木或无力者。
(4) 椎间盘突出未引起坐骨神经受累的症状和体征,或仅有腰部疼痛者。
(5)表现为双侧下肢疼痛、麻木、或无力者。
(6)意识不清,合并心血管、肝、肾、消化、造血系统等原发性疾病者,或患者肿瘤,伴有感染、骨折,以及精神病患者。
(7)孕妇或哺乳期妇女。
(8)正在参加其他临床研究者。
(9)安装心脏起搏器,金属过敏或严重惧针者。

Exclusion criteria:

(1) in severe cases of cauda equina syndrome or foot drop, the absolute need operation treatment of patients, or within 6 months for lumbar intervertebral disc operation;
(2) lumbar disc herniation after 3 months of conservative treatment is invalid, has continued to increase, with nerve root adhesion, or the healthy leg straight leg raising test was positive, or muscle atrophy;
(3) due to other non lumbar disc herniation causes leg pain, numbness or weakness;
(4) intervertebral disc herniation causing no sciatic nerve involvement symptoms and signs, or only the waist pain.
(5) showed bilateral lower limb pain, numbness, weakness;
(6) unconsciousness, cardiovascular, liver, kidney, gastrointestinal, hematopoietic system disease, or patients with tumor, infection, fracture, and psychiatric patients;
(7) women who are pregnant or lactating women;
(8) are participating in other clinical researchers;
(9) pacemaker, metal allergy or severe fear of needle.

研究实施时间:

Study execute time:

From 2015-06-01 00:00:00 To 2017-04-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2015-06-01 00:00:00 To 2016-04-01 00:00:00

干预措施:

Interventions:

组别:

治疗组

样本量:

50

Group:

treatment group

Sample size:

干预措施:

电针

干预措施代码:

Intervention:

electroacupuncture

Intervention code:

组别:

阳性对照组

样本量:

50

Group:

Control group

Sample size:

干预措施:

中频电疗

干预措施代码:

Intervention:

Medium frequency electrotherapy

Intervention code:

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):

大兴 

Country:

China

Province:

Beijing

City:

单位(医院):

中国中医科学院广安门医院南区 

单位级别:

三级甲等 

Institution
hospital:

South Area of Guang’anmen Hospital, China Academy of Chinese Medical Sciences

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

4周内腿痛数字模拟评分(NRS)平均值较基线减少值

指标类型:

主要指标

Outcome:

Change from baseline in average leg pain NRS in week 4.

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:

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 70 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):

由数据统计员通过随机数字生成器产生随机数字序列

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

Random number sequence by the statistician by a random number generator

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:

本试验实行针刺操作者、疗效评价者及统计人员三分离。针刺操作者事先并不知道某一受试对象的具体治疗方案,根据信封中随机方法所确定的治疗方案施行治疗;疗效评价者并不清楚患者所接受的治疗方案,只是指导患者填写相关量表;统计者为第三方专业人员,并不清楚分组情况、治疗情况及其意义,确保实验数据收集与分析的真实性与客观性。

Blinding:

In this experiment, the operator implement acupuncture curative effect evaluation and three separate statistical personnel. Acupuncture operator does not know in advance a subject specific treatment, treatment method according to the random envelope in the implementation of treatment; evaluation of curative effect is not clear treatment of patients, but patients were instructed to fill in the relevant scale; statistics for the third party professional, is not clear, and the treatment group meaning, to ensure the authenticity and objectivity of data collection and analysis experiment.

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

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):

中国中医科学院广安门医院南区

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

South Area of Guang’anmen Hospital, China Academy of Chinese Medical Sciences

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:

中国中医科学院广安门医院

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

Guang’anmen Hospital, China Academy of Chinese Medical Sciences

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-05-08 18:05:57