基于多模态MRI和脑重塑机制的卒中后偏瘫头针靶点研发与效应机制研究

注册号:

Registration number:

ChiCTR2500100755 

最近更新日期:

Date of Last Refreshed on:

2025-04-15 09:48:13 

注册时间:

Date of Registration:

2025-04-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于多模态MRI和脑重塑机制的卒中后偏瘫头针靶点研发与效应机制研究

Public title:

Research on the Development of Scalp Acupuncture Targets and Therapeutic Mechanisms for Post-Stroke Hemiplegia Based on Multimodal MRI and Brain Plasticity

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于多模态MRI和脑重塑机制的卒中后偏瘫头针靶点研发与效应机制研究

Scientific title:

Research on the Development of Scalp Acupuncture Targets and Therapeutic Mechanisms for Post-Stroke Hemiplegia Based on Multimodal MRI and Brain Plasticity

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:

院思彤 

研究负责人:

张斌龙 

Applicant:

Sitong Yuan 

Study leader:

Binlong Zhang 

申请注册联系人电话:

Applicant telephone:

+86 173 8323 7231

研究负责人电话:

Study leader's
telephone:

+86 10 8800 1413

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:

yuan402251677@163.com

研究负责人电子邮件:

Study leader's E-mail:

binlongzhang2013@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:

北京市西城区北线阁5号

研究负责人通讯地址:

北京市西城区北线阁5号

Applicant address:

5 Beixiange, Xicheng District, Beijing

Study leader's address:

5 Beixiange, Xicheng District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100053

研究负责人邮政编码:

Study leader's postcode:

100053

申请人所在单位:

中国中医科学院广安门医院

Applicant's institution:

Guang’anmen Hospital, China academy of Chinese Medical Sciences

研究负责人所在单位:

中国中医科学院广安门医院

Affiliation of the Leader:

Guang’anmen Hospital, China academy of Chinese Medical Sciences

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:

2025-009-KY-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:

中国中医科学院广安门医院伦理委员会

Name of the ethic committee:

Institutional review board of Guang’anmen Hospital, China academy of Chinese Medical Sciences

伦理委员会批准日期:

Date of approved by ethic committee:

2025-04-09 00:00:00

伦理委员会联系人:

乔洁

Contact Name of the ethic committee:

Jie Qiao

伦理委员会联系地址:

北京市西城区北线阁5号

Contact Address of the ethic committee:

5 Beixiange, Xicheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 8800 1552

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

Primary sponsor:

Guang’anmen Hospital, China academy of Chinese Medical Sciences

研究实施负责(组长)单位地址:

北京市西城区北线阁5号

Primary sponsor's address:

5 Beixiange, Xicheng District, Beijing

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(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

中国中医科学院广安门医院

具体地址:

北京市西城区北线阁5号

Institution
hospital:

Guang’anmen Hospital, China academy of Chinese Medical Sciences

Address:

5 Beixiange, Xicheng District, Beijing

经费或物资来源:

中国科协青年人才托举工程项目

Source(s) of funding:

Young Elite Scientists Sponsorship Program by China Association for Science and Technology

研究疾病:

卒中后偏瘫  

Target disease:

post-stroke hemiplegia

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:

探索基于多模态MRI的新型头针方案对卒中后偏瘫的疗效及效应机制。  

Objectives of Study:

Exploration of the Therapeutic Efficacy and Mechanisms of a Novel Multimodal MRI-Based Scalp Acupuncture Protocol for Post-Stroke Hemiplegia.

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:

(一)存在核磁检查禁忌症; (二)严重构音障碍、听觉障碍、认知障碍等原因导致患者不能配合量表评定; (三)存在其他疾病导致的肢体活动受限、残损、关节肿胀、挛缩、严重疼痛或者其他肢体疾患; (四)因心肝肾等重要器官功能损伤,研究者认为不适合参加本课题; (五)正在使用经颅磁刺激、经颅电刺激等非侵入性脑刺激技术,且纳入研究后亦不能停止者。

Exclusion criteria:

1. Existence of contraindication of MRI; 2.Serious dysarthria, auditory impairment, or cognition impairment that do not allow the patients to cooperate with scale assessment; 3.Presence of other conditions causing limb mobility limitations, functional impairment, joint swelling, contractures, severe pain, or other limb disorders; 4. Serious heart, lung, liver, and kidney dysfunctions, or serious chronic diseases that researchers consider not suitable for the study; 5. Patients who are accepting non-invasive brain stimulation techniques such as transcranial magnetic stimulation, transcranial electrical stimulation, etc., and are not able to stop the therapy after inclusion.

研究实施时间:

Study execute time:

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

征募观察对象时间:

Recruiting time:

From 2025-04-20 00:00:00 To 2026-04-01 00:00:00

干预措施:

Interventions:

组别:

治疗组

样本量:

20

Group:

Treatment Group

Sample size:

干预措施:

MRI头针针刺

干预措施代码:

Intervention:

MRI scalp acupuncture

Intervention code:

组别:

对照组

样本量:

20

Group:

Control Group

Sample size:

干预措施:

非经非穴针刺

干预措施代码:

Intervention:

non-acupoints acupuncture

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):

西城区 

Country:

China

Province:

Beijing

City:

Xicheng District

单位(医院):

中国中医科学院广安门医院 

单位级别:

三级甲等 

Institution
hospital:

Guang’anmen Hospital, China academy of Chinese Medical Sciences

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肢体功能

指标类型:

主要指标

Outcome:

limb function

Type:

Primary indicator

测量时间点:

30天

测量方法:

Fugl-Meyer运动功能评分量表

Measure time point of outcome:

30 days

Measure method:

Fugl-Meyer assessment

指标中文名:

肢体功能

指标类型:

次要指标

Outcome:

limb function

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

运动评定量表评分(MAS)

Measure time point of outcome:

30 days, 60 days

Measure method:

Motor Assessment Scale

指标中文名:

肢体功能

指标类型:

次要指标

Outcome:

limb function

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

Brunnstrom分期

Measure time point of outcome:

30 days, 60 days

Measure method:

Brunnstrom stages

指标中文名:

神经功能

指标类型:

次要指标

Outcome:

neurological function

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

美国国立卫生研究院卒中量表

Measure time point of outcome:

30 days, 60 days

Measure method:

National Institute of Health stroke scale

指标中文名:

生活质量

指标类型:

次要指标

Outcome:

quality of life

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

改良Barthel指数(MBI)

Measure time point of outcome:

30 days, 60 days

Measure method:

Modified Barthel Index

指标中文名:

情绪状态

指标类型:

次要指标

Outcome:

emotional state

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

汉密尔顿焦虑量表(HAMA)

Measure time point of outcome:

30 days, 60 days

Measure method:

Hamilton Anxiety Rating Scale

指标中文名:

情绪状态

指标类型:

次要指标

Outcome:

emotional state

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

汉密尔顿抑郁量表(HAMD)

Measure time point of outcome:

30 days, 60 days

Measure method:

Hamilton Depression Rating Scale

指标中文名:

认知功能

指标类型:

次要指标

Outcome:

cognitive function

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

蒙特利尔认知评估量表

Measure time point of outcome:

30 days, 60 days

Measure method:

Montreal Cognitive Assessment

指标中文名:

肢体功能

指标类型:

次要指标

Outcome:

limb function

Type:

Secondary indicator

测量时间点:

60天

测量方法:

Fugl-Meyer运动功能评分量表

Measure time point of outcome:

60 days

Measure method:

Fugl-Meyer assessment

指标中文名:

中医证候

指标类型:

次要指标

Outcome:

Traditional Chinese Medical syndrome

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

缺血性中风证候要素诊断量表

Measure time point of outcome:

30 days, 60 days

Measure method:

Diagnostic scale for Traditional Chinese Medical syndromes of ischemic stroke

指标中文名:

核磁影像

指标类型:

次要指标

Outcome:

Magnetic Resonance Imaging

Type:

Secondary indicator

测量时间点:

30天、60天

测量方法:

3D-MRI, DTI, RS-fMRI

Measure time point of outcome:

30 days, 60 days

Measure method:

3D-MRI, DTI, RS-fMRI

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 35 years
最大 Max age 80 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):

采用区组随机,由不知道分组的统计人员借助SAS统计软件PROC PLAN过程语句

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

Randomized block design, produced by stasticians who were unaware of study protocol, using SAS statistical software PROC PLAN process language.

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:

对除了针刺技师以外的患者、结局评估者、研究人员、统计人员、康复训练技师设盲。

Blinding:

The group assignments were known only to the acupuncturists and blinded to the patients, outcome assessors, study investigators, statisticians, and rehabilitation therapists.

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):

文章发表后6个月,向研究负责人提交规范合理且方法可行的申请。邮箱:binlongzhang2013@163.com。

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

Six months after the article was published. Available from the study leader upon reasonable request and methodologically sound proposal. Email: binlongzhang2013@163.com.

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:

病历记录表

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

Case Record Form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-04-15 09:47:49