重复经颅磁刺激干预脑卒中后膈肌功能障碍的临床疗效研究及探索其与脑源性神经营养因子基因多态性调节的关联

注册号:

Registration number:

ChiCTR2600126165 

最近更新日期:

Date of Last Refreshed on:

2026-06-04 16:04:13 

注册时间:

Date of Registration:

2026-06-04 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

重复经颅磁刺激干预脑卒中后膈肌功能障碍的临床疗效研究及探索其与脑源性神经营养因子基因多态性调节的关联

Public title:

Clinical Efficacy of Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-Stroke Diaphragmatic Dysfunction and Its Association with Brain-Derived Neurotrophic Factor Gene Polymorphisms

注册题目简写:

English Acronym:

研究课题的正式科学名称:

重复经颅磁刺激干预脑卒中后膈肌功能障碍的临床疗效研究及探索其与脑源性神经营养因子基因多态性调节的关联

Scientific title:

Clinical Efficacy of Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-Stroke Diaphragmatic Dysfunction and Its Association with Brain-Derived Neurotrophic Factor Gene Polymorphisms

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:

吴燕 

研究负责人:

王文丽 

Applicant:

Yan Wu 

Study leader:

Wenli Wang 

申请注册联系人电话:

Applicant telephone:

+86 151 8073 5172

研究负责人电话:

Study leader's
telephone:

+86 158 0880 3641

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:

465725168@qq.com

研究负责人电子邮件:

Study leader's E-mail:

wangwenli@kmmu.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

昆明医科大学第二附属医院

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:

云南省昆明市五华区滇缅大道374号

研究负责人通讯地址:

云南省昆明市五华区滇缅大道374号

Applicant address:

No. 374, Dianmian Avenue, Wuhua District, Kunming, Yunnan Province, China

Study leader's address:

No. 374, Dianmian Avenue, Wuhua District, Kunming, Yunnan 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:

昆明医科大学第二附属医院

Applicant's institution:

The Second Affiliated Hospital of Kunming Medical University

研究负责人所在单位:

昆明医科大学第二附属医院

Affiliation of the Leader:

The Second Affiliated Hospital of Kunming Medical University

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:

审-PJ-科-2025-420

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:

昆明医科大学第二附属医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of the Second Affiliated Hospital of Kunming Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-12-05 00:00:00

伦理委员会联系人:

张敏

Contact Name of the ethic committee:

Min Zhang

伦理委员会联系地址:

云南省昆明市五华区滇缅大道374号

Contact Address of the ethic committee:

No. 374, Dianmian Avenue, Wuhua District, Kunming, Yunnan Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 63402346

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:

昆明医科大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of Kunming Medical University

研究实施负责(组长)单位地址:

云南省昆明市五华区滇缅大道374号

Primary sponsor's address:

No. 374, Dianmian Avenue, Wuhua District, Kunming, Yunnan 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):

云南

市(区县):

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明医科大学第二附属医院

具体地址:

云南省昆明市五华区滇缅大道374号

Institution
hospital:

The Second Affiliated Hospital of Kunming Medical University

Address:

No. 374, Dianmian Avenue, Wuhua District, Kunming, Yunnan Province, China

经费或物资来源:

云南省临床医学中心及昆明医科大学第二附属医院

Source(s) of funding:

Yunnan Provincial Clinical Medical Center and the Second Affiliated Hospital of Kunming Medical University

研究疾病:

脑卒中后膈肌功能障碍  

Target disease:

Post-stroke diaphragmatic dysfunction

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:

本研究旨在通过随机对照试验,评估重复经颅磁刺激(rTMS)对脑卒中后膈肌功能障碍患者膈肌功能及呼吸功能的临床疗效,并观察其对血清脑源性神经营养因子(BDNF)水平的影响,进一步探索BDNF基因多态性对rTMS治疗效果的潜在调节作用。  

Objectives of Study:

The objective of this study is to evaluate the clinical efficacy of repetitive transcranial magnetic stimulation (rTMS) on diaphragmatic and respiratory function in patients with post-stroke diaphragmatic dysfunction through a randomized controlled trial, to investigate its effects on serum brain-derived neurotrophic factor (BDNF) levels, and to explore the potential modulatory role of BDNF gene polymorphisms on the therapeutic response to rTMS.

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.患有慢性阻塞性肺疾病、肺结核和肺癌等呼吸系统疾病者; 2.病情恶化,生命体征不稳定者; 3.小脑及脑干卒中患者; 4.合并重症肌无力或膈神经麻痹者; 5.患者存在重要器官功能严重受损或病情危重者; 6.体内心脏起搏器植入、癫痫、患侧颅骨缺损者等有TMS治疗禁忌症者。

Exclusion criteria:

1. Patients with respiratory system diseases such as chronic obstructive pulmonary disease, pulmonary tuberculosis, and lung cancer; 2. Patients whose condition has worsened and vital signs are unstable; 3. Patients with cerebellar and brainstem stroke; 4. Patients with comorbid myasthenia gravis or phrenic nerve paralysis; 5. Patients with severe impairment of important organ functions or critical illness; 6. Patients with contraindications to TMS treatment, such as implanted cardiac pacemakers, epilepsy, or cranial defects on the affected side.

研究实施时间:

Study execute time:

From 2026-01-07 00:00:00 To 2027-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-01-07 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

A组(rTMS刺激+常规康复训练组)

样本量:

26

Group:

Group A (rTMS stimulation plus conventional rehabilitation training)

Sample size:

干预措施:

重复经颅磁刺激

干预措施代码:

Intervention:

Repetitive transcranial magnetic stimulation(rTMS)

Intervention code:

组别:

B组(常规康复训练+假刺激组)

样本量:

26

Group:

Group B (conventional rehabilitation training plus sham stimulation)

Sample size:

干预措施:

常规康复训练

干预措施代码:

Intervention:

Conventional rehabilitation training

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

云南 

市(区县):

 

Country:

China

Province:

Yunnnan

City:

单位(医院):

昆明医科大学第二附属医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Kunming Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

膈肌增厚分数

指标类型:

主要指标

Outcome:

Diaphragmatic thickening fraction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

膈肌移动度

指标类型:

次要指标

Outcome:

Diaphragmatic excursion

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

最大吸气压

指标类型:

次要指标

Outcome:

Maximal Inspiratory Pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

最大呼气压

指标类型:

次要指标

Outcome:

Maximal Expiratory Pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

用力肺活量

指标类型:

次要指标

Outcome:

forced vital capacity

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

BDNF血清浓度

指标类型:

次要指标

Outcome:

Serum BDNF concentration

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

BDNF基因多态性

指标类型:

主要指标

Outcome:

BDNF gene polymorphism

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:

血液

组织:

Sample Name:

blood

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 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):

本研究采用随机数字表法按1:1比例对受试者进行随机分组,

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

Participants will be randomly assigned in a 1:1 ratio using a random number table. Allocation concealment will be ensured by the use of sequentially numbered, opaque, sealed envelopes. Both participants and outcome assessors will be blinded to group assignment. The control group will receive sham stimulation designed to mimic active treatment, in order to minimize selection bias, placebo effects, and assessment bias, and to enhance the objectivity and reliability of the study outcomes.

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:

对受试者、结局评估人员、数据统计人员设盲

Blinding:

Blinding of subjects, outcome assessors, and data statisticians

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):

邮件联系研究者

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

Contact the researcher by email

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:

CRF, EDC

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

CRF, EDC

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:

 2026-06-04 16:04:07