不同行针手法治疗肌筋膜疼痛综合征的疗效差异及其机制探讨

注册号:

Registration number:

ChiCTR2400094123 

最近更新日期:

Date of Last Refreshed on:

2024-12-17 14:19:22 

注册时间:

Date of Registration:

2024-12-17 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

不同行针手法治疗肌筋膜疼痛综合征的疗效差异及其机制探讨

Public title:

The difference of therapeutic effect and mechanism of different acupuncture manipulations in the treatment of myofascial pain syndrome

注册题目简写:

English Acronym:

研究课题的正式科学名称:

不同行针手法治疗肌筋膜疼痛综合征的疗效差异及其机制探讨

Scientific title:

The difference of therapeutic effect and mechanism of different acupuncture manipulations in the treatment of myofascial pain syndrome

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:

陆凤燕 

研究负责人:

陆凤燕 

Applicant:

Lu Fengyan 

Study leader:

Lu Fengyan 

申请注册联系人电话:

Applicant telephone:

+86 178 0108 5517

研究负责人电话:

Study leader's
telephone:

+86 178 0108 5517

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:

973985145@qq.com

研究负责人电子邮件:

Study leader's E-mail:

973985145@qq.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:

中国浙江省杭州市西湖区莫干山路219号浙江省中山医院

研究负责人通讯地址:

中国浙江省杭州市西湖区莫干山路219号浙江省中山医院

Applicant address:

Zhejiang Zhongshan Hospital, 219 Moganshan Road, Xihu District, Hangzhou City, Zhejiang Province, China

Study leader's address:

Zhejiang Zhongshan Hospital, 219 Moganshan Road, Xihu District, Hangzhou City, Zhejiang Province, 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:

浙江省中山医院针灸科

Applicant's institution:

Department of acupuncture and moxibustion, Zhejiang Zhongshan Hospital

研究负责人所在单位:

浙江省中山医院针灸科

Affiliation of the Leader:

Department of acupuncture and moxibustion, Zhejiang Zhongshan Hospital

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:

ZSLL-KY-2022-025-01; ZSLL-KY-2022-025-02

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三医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of the Third Affiliated Hospital of Zhejiang Chinese Medicine University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-06-07 00:00:00

伦理委员会联系人:

马慧娟

Contact Name of the ethic committee:

Ma Huijuan

伦理委员会联系地址:

中国浙江省杭州市西湖区莫干山路219号浙江省中山医院

Contact Address of the ethic committee:

Zhejiang Zhongshan Hospital, 219 Moganshan Road, Xihu District, Hangzhou City, Zhejiang Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 571 8808 1172

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:

浙江省中山医院

Primary sponsor:

Zhejiang Zhongshan Hospital

研究实施负责(组长)单位地址:

中国浙江省杭州市西湖区莫干山路219号

Primary sponsor's address:

219 Moganshan Road, Xihu District, Hangzhou City, Zhejiang Province, 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):

杭州

市(区县):

Country:

China

Province:

Hangzhou

City:

单位(医院):

中山医院

具体地址:

中国浙江省杭州市西湖区莫干山路219号

Institution
hospital:

Zhongshan hospital

Address:

219 Moganshan Road, Xihu District, Hangzhou City, Zhejiang Province, China

经费或物资来源:

浙江省中医药科技计划项目资助

Source(s) of funding:

Zhejiang Province Traditional Chinese Medicine Science and Technology project

研究疾病:

肌筋膜疼痛综合征  

Target disease:

Myofascial pain syndrome

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:

(1) 比较不同行针手法(提插法、捻转法、不行手法)治疗肌筋膜疼痛综合征的疗效差异; (2) 探讨不同行针手法治疗肌筋膜疼痛综合征的疗效差异是否与不同的得气针感及激痛点局部肌肉抽搐反应有关。  

Objectives of Study:

The purpose of this study was to compare the efficacy of different acupuncture techniques (lifting, twisting, no needling manipulation) in the treatment of myofascial pain syndrome, and to determine whether this difference in efficacy is related to the different sensations of de qi and the local muscle twitching response of the pain point.

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)不符合肌筋膜疼痛综合征的诊断标准及纳入标准者; (2)针灸禁忌症,如皮肤感染、溃疡、瘢痕、肿瘤及传染性疾病; (3)1 个月内接受过与本病相关的中西医治疗者; (4)合并严重心、脑、肾等重大器官疾病者以及精神障碍者; (5)孕妇、哺乳期妇女。

Exclusion criteria:

(1) Those who do not meet the diagnostic and inclusion criteria for myofascial pain syndrome; (2) Acupuncture contraindications, such as skin infections, ulcers, scars, tumors and infectious diseases; (3) Patients who have received Chinese and western medicine treatment within 1 month; (4) Patients with serious heart, brain, kidney and other major organ diseases and mental disorders; (5) Pregnant and lactating women.

研究实施时间:

Study execute time:

From 2022-04-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-04-03 00:00:00 To 2024-12-31 00:00:00

干预措施:

Interventions:

组别:

提插组

样本量:

36

Group:

Lifting group

Sample size:

干预措施:

提插组行提插手法,上提下插幅度约1cm,采用平补平泻法,频率 1 次/秒,持续1min,留针19 分。

干预措施代码:

Intervention:

The lifting group was carried out with lifting and inserting method, the lifting and inserting amplitude was 1cm, the frequency was 1Hz, the duration time was 1 minute, and the needle was left for 19 minutes.

Intervention code:

组别:

捻转组

样本量:

36

Group:

Twisting group

Sample size:

干预措施:

捻转组行捻转手法,左右往返180°,采用平补平泻法,频率 1 次/秒,持续1min,留针19 分

干预措施代码:

Intervention:

The twisting group was carried out with twisting method, the amplitude was 180°, the frequency was 1Hz, the duration time was 1minute, and the needle was left for 19 minutes

Intervention code:

组别:

不行手法组

样本量:

36

Group:

No manipulation group

Sample size:

干预措施:

不行手法组仅留针20min

干预措施代码:

Intervention:

The needle was inserted into the acupoint without any manipulation, and the needle was left for 20 minutes

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):

杭州 

Country:

China

Province:

Zhejiang

City:

Hangzhou

单位(医院):

浙江省中山医院 

单位级别:

三甲 

Institution
hospital:

Zhejiang Zhongshan Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

McGill疼痛评分(PRI、VAS、PPI)

指标类型:

主要指标

Outcome:

McGill pain score(PRI,VAS,PPI)

Type:

Primary indicator

测量时间点:

针刺治疗前、首次治疗后、疗程结束后

测量方法:

Measure time point of outcome:

Before acupuncture treatment, after the first treatment, after the course of treatment

Measure method:

指标中文名:

压痛阈

指标类型:

主要指标

Outcome:

Threshold of pain

Type:

Primary indicator

测量时间点:

针刺治疗前、首次治疗后、疗程结束后

测量方法:

Measure time point of outcome:

Before acupuncture treatment, after the first treatment, after the course of treatment

Measure method:

指标中文名:

弹性模量

指标类型:

主要指标

Outcome:

Modulus of elasticity

Type:

Primary indicator

测量时间点:

针刺治疗前、首次治疗后、疗程结束后

测量方法:

Measure time point of outcome:

Before acupuncture treatment, after the first treatment, after the course of treatment

Measure method:

指标中文名:

肌电

指标类型:

次要指标

Outcome:

Myoelectricity

Type:

Secondary indicator

测量时间点:

针刺治疗前、首次治疗后、疗程结束后

测量方法:

Measure time point of outcome:

Before acupuncture treatment, after the first treatment, after the course of treatment

Measure method:

指标中文名:

得气针感(酸痛感的频率、强度、持续时间,局部抽搐次数)

指标类型:

次要指标

Outcome:

De qi sensations(The frequency, intensity, duration of soreness and the number of local convulsions)

Type:

Secondary indicator

测量时间点:

针刺治疗时

测量方法:

Measure time point of outcome:

when needling

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 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):

由第三人采用随机数字表法产生随机序列

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

A random sequence is generated by a third party using a random number table method

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

对受试者和数据分析者采用盲法

Blinding:

Subjects and data analyzers were blinded.

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):

公开时间:2026.6.1. 方式:上传至ResMan, http://www.medresman.org.cn/login.aspx。

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

The time of sharing data:2026.6.1. ResMan, http://www.medresman.org.cn/login.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:

使用病例记录表采集数据,使用ResMan管理数据

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

Case sheet for data collection and ResMan for data administration

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2024-12-17 14:19:16