基于智能可感知DBS研究帕金森病患者睡眠-觉醒时空转换中震颤症状的机制

注册号:

Registration number:

ChiCTR2500106377 

最近更新日期:

Date of Last Refreshed on:

2025-07-23 09:12:55 

注册时间:

Date of Registration:

2025-07-23 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于智能可感知DBS研究帕金森病患者睡眠-觉醒时空转换中震颤症状的机制

Public title:

To investigate the mechanism of tremor during sleep-wake transition in Parkinson's disease based on intelligent sensing DBS

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于智能可感知DBS研究帕金森病患者睡眠-觉醒时空转换中震颤症状的机制

Scientific title:

To investigate the mechanism of tremor during sleep-wake transition in Parkinson's disease based on intelligent sensing DBS

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:

苏道庆 

研究负责人:

苏道庆 

Applicant:

Su Daoqing 

Study leader:

Su Daoqing 

申请注册联系人电话:

Applicant telephone:

+86 195 8897 0697

研究负责人电话:

Study leader's
telephone:

+86 195 8897 0697

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:

daoqingsu@163.com

研究负责人电子邮件:

Study leader's E-mail:

daoqingsu@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:

济南市历城区经十路5106号

研究负责人通讯地址:

济南市历城区经十路5106号

Applicant address:

No. 5106 Jingshi Road, Licheng District, Jinan

Study leader's address:

No. 5106 Jingshi Road, Licheng District, Jinan

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:

济南市中心医院(首都医科大学宣武医院济南医院)

Applicant's institution:

Jinan Central Hospital (Capital Medical University Xuanwu Hospital Jinan Hospital)

研究负责人所在单位:

济南市中心医院(首都医科大学宣武医院济南医院)

Affiliation of the Leader:

Jinan Central Hospital (Capital Medical University Xuanwu Hospital Jinan 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:

济科伦理(20250530011)

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:

济南市中心医院医学伦理委员会

Name of the ethic committee:

Jinan Central Hospital Medical Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-05-30 00:00:00

伦理委员会联系人:

李亚曼

Contact Name of the ethic committee:

Li Yaman

伦理委员会联系地址:

济南市历城区经十路5106号

Contact Address of the ethic committee:

No. 5106 Jingshi Road, Licheng District, Jinan

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 531 5586 5280

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:

济南市中心医院

Primary sponsor:

Jinan Central Hospital

研究实施负责(组长)单位地址:

济南市历城区经十路5106号

Primary sponsor's address:

No. 5106 Jingshi Road, Licheng District, Jinan

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

山东省

市(区县):

Country:

China

Province:

Shandong

City:

单位(医院):

济南市中心医院

具体地址:

济南市历城区经十路5106号

Institution
hospital:

Jinan Central Hospital

Address:

No. 5106 Jingshi Road, Licheng District, Jinan

经费或物资来源:

横向课题

Source(s) of funding:

horizontal topic

研究疾病:

帕金森病  

Target disease:

Parkinson's disease

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:

探索性研究/预试验 

Study phase:

0

研究设计:

单臂 

Study design:

Single arm 

研究目的:

(1)解析 STN-DBS 在睡眠-觉醒周期中对震颤的动态调控机制; (2)阐明 STN 时空编码与震颤节律耦合规律; (3)评估闭环刺激策略对震颤异质性的干预效果; (4)绘制 STN 核团的电生理拓扑结构图谱; (5)识别 PD 震颤相关的高敏感性电生理生物标志物。  

Objectives of Study:

(1) To analyze the dynamic regulation mechanism of STN-DBS on tremor during sleep-wake cycle; (2) To elucidate the coupling between STN spatio-temporal coding and tremor rhythm; (3) evaluate the intervention effect of closed-loop stimulation strategy on tremor heterogeneity; (4) mapping the electrophysiological topology of STN nucleus; (5) identify highly sensitive electrophysiological biomarkers related to tremor in PD.

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.严重认知障碍(MMSE<24),无法独立自主生活,无自理能力,沟通存在明显障碍; 2.患有严重的精神疾病,如抑郁,焦虑和精神分裂症,无法遵嘱、随访的病人; 3.有其他严重疾病,存在严重手术并发症、严重影响手术的效果、 预后和生存质量。

Exclusion criteria:

1. Severe cognitive impairment (MMSE<24), inability to live independently, no self-care ability, and significant communication disorder; 2. patients with severe mental illness, such as depression, anxiety and schizophrenia, who are unable to follow up; 3. patients with other serious diseases and serious surgical complications, which seriously affect the effect of surgery, prognosis and quality of life.

研究实施时间:

Study execute time:

From 2025-05-01 00:00:00 To 2028-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-08-01 00:00:00 To 2028-05-01 00:00:00

干预措施:

Interventions:

组别:

脑深部电刺激组

样本量:

150

Group:

Deep brain electrical stimulation group

Sample size:

干预措施:

脑深部电刺激手术

干预措施代码:

Intervention:

Deep brain electrical stimulation

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 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学宣武医院 

单位级别:

三甲 

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西省 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

南昌大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山东 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

济南市中心医院 

单位级别:

三甲 

Institution
hospital:

Jinan Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

β 频段相对功率

指标类型:

主要指标

Outcome:

Relative power of the β band

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高频振荡功率

指标类型:

主要指标

Outcome:

High-frequency oscillation power

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

相位-振幅耦合强度

指标类型:

主要指标

Outcome:

Phase-amplitude coupling strength

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

归一化均方根值

指标类型:

主要指标

Outcome:

normalized root-mean-square value

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

各睡眠期持续时间及占比

指标类型:

主要指标

Outcome:

Duration and proportion of each sleep stage

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

觉醒-睡眠转换事件

指标类型:

主要指标

Outcome:

Awakening - Sleep Transition Event

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

EMG 时域与频域特征

指标类型:

主要指标

Outcome:

EMG time-domain and frequency-domain features

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

四肢震颤强度指标

指标类型:

主要指标

Outcome:

The intensity index of limb tremors

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

匹兹堡睡眠质量指数量表

指标类型:

次要指标

Outcome:

Pittsburgh Sleep Quality Index Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密顿焦虑量表

指标类型:

次要指标

Outcome:

Hamilton Anxiety Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密顿抑郁量表

指标类型:

次要指标

Outcome:

Hamilton Depression Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易智能精神状态检查量表

指标类型:

次要指标

Outcome:

Mini-Mental State Examination

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

统一帕金森病评定量表第三部分

指标类型:

次要指标

Outcome:

UPDRS-III

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:

组织:

Sample Name:

no

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 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):

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

no have

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:

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):

2028.06.01http://www.medresman.org.cn/pub/en/proj/listbyproj.aspx?proj=7615

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

Do not share

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:

https://m.medsci.cn/article/show_article.do?id=2dd3249265d 研究结束时间2028-05-31

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

https://m.medsci.cn/article/show_article.do?id=ay2dd3249265d End time of research: May 31, 2028

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:

 2025-07-23 09:12:32