基于经皮耳迷走神经神经刺激改善脑卒中后吞咽障碍患者的疗效研究

注册号:

Registration number:

ChiCTR2500108870 

最近更新日期:

Date of Last Refreshed on:

2025-09-08 14:49:11 

注册时间:

Date of Registration:

2025-09-08 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于经皮耳迷走神经神经刺激改善脑卒中后吞咽障碍患者的疗效研究

Public title:

A Study on the Efficacy of Transcutaneous Vagus Nerve Stimulation in Improving Swallowing Disorders in Post-Stroke Patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于经皮耳迷走神经神经刺激改善脑卒中后吞咽障碍患者的疗效研究

Scientific title:

A Study on the Efficacy of Transcutaneous Vagus Nerve Stimulation in Improving Swallowing Disorders in Post-Stroke Patients

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:

马姝玥 

研究负责人:

于帆 

Applicant:

Shuyue Ma 

Study leader:

Fan Yu 

申请注册联系人电话:

Applicant telephone:

+86 153 9047 5870

研究负责人电话:

Study leader's
telephone:

+86 177 0175 2339

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:

mashuyue@stu.njmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

dr_yufan@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:

江苏省南京市江宁区龙眠大道101号

研究负责人通讯地址:

上海市虹口区武进路85号

Applicant address:

101 Longmian Avenue, Jiangning District, Nanjing City, Jiangsu Province

Study leader's address:

No. 85, Wujin Road, Hongkou District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

211100

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

南京医科大学

Applicant's institution:

Nanjing Medical university

研究负责人所在单位:

上海市第一人民医院

Affiliation of the Leader:

Shanghai General 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:

院伦审[2025]246号

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:

上海市第一人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shanghai General Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-02-24 00:00:00

伦理委员会联系人:

耿雯倩

Contact Name of the ethic committee:

Wenqian Gen

伦理委员会联系地址:

上海市虹口区武进路85号

Contact Address of the ethic committee:

No. 85, Wujin Road, Hongkou District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 63240090

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:

上海市第一人民医院

Primary sponsor:

Shanghai General Hospital

研究实施负责(组长)单位地址:

上海市虹口区武进路85号

Primary sponsor's address:

No. 85, Wujin Road, Hongkou District, Shanghai

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):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第一人民医院

具体地址:

上海市虹口区武进路85号

Institution
hospital:

Shanghai General Hospital

Address:

No. 85, Wujin Road, Hongkou District, Shanghai

经费或物资来源:

上海市松江区科学技术攻关项目,项目编号:2019SJKJGG01

Source(s) of funding:

Shanghai Songjiang District Science and Technology Key Project, Project Number:2019SJKJGG01

研究疾病:

吞咽障碍  

Target disease:

Dysphagia

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:

通过随机对照试验,探讨ta-VNS对脑卒中后吞咽功能障碍患者吞咽功能的疗效机制。为临床的吞咽功能康复策略提供有效的理论依据。  

Objectives of Study:

By investigating the efficacy mechanism of ta-VNS (transcranial vagus nerve stimulation) in patients with dysphagia after stroke through randomized controlled trials, this study provides an effective theoretical basis for clinical dysphagia rehabilitation strategies.

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.严重心、肺、肝功能不全者; 2.意识,严重认知障碍,无法配合治疗; 3.食道及咽喉结构本身疾病; 4.低心率(每分钟60次)或既往迷走神经手术干预。

Exclusion criteria:

1. Severe heart, lung, and liver dysfunction; 2. Unconsciousness, severe cognitive impairment, unable to cooperate with treatment; 3. Diseases of the esophagus and throat structures themselves; 4. Low heart rate (60 beats per minute) or previous vagus nerve surgical intervention.

研究实施时间:

Study execute time:

From 2025-08-01 00:00:00 To 2026-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-10-01 00:00:00 To 2026-02-28 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

25

Group:

Experimental group

Sample size:

干预措施:

刺激参数采用25Hz双向脉冲,脉冲宽度250μs,治疗时间20分钟。刺激强度范围为0-5mA。耳屏刺激,刺激强度为感觉阈与疼痛阈界限,略低于疼痛阈,即以每0.1mA强度增加,感觉到疼痛后减小0.1mA

干预措施代码:

Intervention:

The stimulation parameters use 25Hz bidirectional pulses with a pulse width of 250μs, and the treatment time is 20 minutes. The range of stimulation intensity is 0-5mA. Auricular stimulation is applied, with the intensity set at the threshold between sensation and pain, slightly below the pain threshold, that is, increasing by 0.1mA increments until pain is felt, then reducing by 0.1mA

Intervention code:

组别:

对照组

样本量:

25

Group:

Control group

Sample size:

干预措施:

刺激参数采用25Hz双向脉冲,脉冲宽度250μs,治疗时间20分钟。刺激强度范围为0-5mA。耳垂假刺激,刺激强度略低于感觉阈,即感受到刺激后减小。所有患者均接受常规吞咽康复训练

干预措施代码:

Intervention:

The stimulation parameters use 25Hz bidirectional pulses with a pulse width of 250μs, and the treatment time is 20 minutes. The range of stimulation intensity is 0-5mA. Sham stimulation is applied to the earlobe, with the intensity set slightly below the sensation threshold, i.e., reducing the intensity after sensation is perceived. All patients receive routine swallowing rehabilitation training

Intervention code:

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):

上海市第一人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai General Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

南京 

市(区县):

 

Country:

China

Province:

Nanjing

City:

单位(医院):

江苏省人民医院栖霞分院 

单位级别:

二甲 

Institution
hospital:

Jiangsu Province People's Hospital Qixia Branch

Level of the institution:

Secondary A

测量指标:

Outcomes:

指标中文名:

吞咽造影数字化影像分析

指标类型:

主要指标

Outcome:

Digital image analysis of videofluoroscopic swallowing study (VFSS)

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:

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 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):

简单随机抽样

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

Simple Random Sampling

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:

Blinding:

None

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

否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:

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

None

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:

 2025-09-08 14:49:02