乳腺癌患者上肢握力减退的中枢-外周神经机制研究:基于EEG-EMG联合分析

注册号:

Registration number:

ChiCTR2600126909 

最近更新日期:

Date of Last Refreshed on:

2026-06-18 15:45:12 

注册时间:

Date of Registration:

2026-06-18 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

乳腺癌患者上肢握力减退的中枢-外周神经机制研究:基于EEG-EMG联合分析

Public title:

Central‑Peripheral Neural Mechanisms of Upper Limb Grip Strength Decline in Breast Cancer Patients: A Combined EEG‑EMG Study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

乳腺癌患者上肢握力减退的中枢-外周神经机制研究:基于EEG-EMG联合分析

Scientific title:

Central‑Peripheral Neural Mechanisms of Upper Limb Grip Strength Decline in Breast Cancer Patients: A Combined EEG‑EMG Study

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:

赵月华 

研究负责人:

贾杰 

Applicant:

Yuehua Zhao 

Study leader:

Jie Jia 

申请注册联系人电话:

Applicant telephone:

+86 21 52887820

研究负责人电话:

Study leader's
telephone:

+86 21 52887820

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:

236637276@qq.com

研究负责人电子邮件:

Study leader's E-mail:

shannonjj@126.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:

上海市静安区西康路259号

研究负责人通讯地址:

上海市静安区西康路259号

Applicant address:

No.259 Xikang Road, Jing'an District, Shanghai, China

Study leader's address:

No.259 Xikang Road, Jing'an District, Shanghai, 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:

上海市静安区中心医院

Applicant's institution:

Jing'an District Central Hospital of Shanghai

研究负责人所在单位:

复旦大学附属华山医院

Affiliation of the Leader:

Huashan Hospital, Fudan 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:

(2026)伦审第(42)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:

上海市静安区中心医院医学伦理委员会

Name of the ethic committee:

Ethics Committee OF Jing'an District Central Hospital Of Shanghai

伦理委员会批准日期:

Date of approved by ethic committee:

2026-05-22 00:00:00

伦理委员会联系人:

顾北令

Contact Name of the ethic committee:

Gu Beiling

伦理委员会联系地址:

上海市静安区西康路259号

Contact Address of the ethic committee:

No.259 Xikang Road, Jing'an District, Shanghai, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 61578078

伦理委员会联系人邮箱:

Contact email of the ethic committee:

jzxywb1@126.com

研究实施负责(组长)单位:

上海市静安区中心医院

Primary sponsor:

Jing'an District Central Hospital of Shanghai

研究实施负责(组长)单位地址:

上海市静安区西康路259号

Primary sponsor's address:

No.259 Xikang Road, Jing'an District, Shanghai, 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):

上海市

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市静安区中心医院

具体地址:

上海市静安区西康路259号

Institution
hospital:

Jing'an District Central Hospital of Shanghai

Address:

No.259 Xikang Road, Jing'an District, Shanghai, China

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

self funding

研究疾病:

乳腺癌; 中枢性疲劳  

Target disease:

breast cancer; cancer-related fatigue

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

横断面 

Study design:

Cross-sectional 

研究目的:

1.主要目的: (1) 揭示乳腺癌患者与健康对照者在中枢-外周神经耦合性的在上肢运动任务时差异。 (2) 探究乳腺癌患者疲劳程度(FACIT-F评分)与EEG-EMG相干性、握力值之间的量化关联。 2.次要目的: (1) 探索上肢握力减退与自主神经功能(HRV)、患者报告结局(DASH、VAS、PHQ-9等)及血清炎症因子(IL-6、TNF-α)之间的相关性。 (2) 比较不同手术方式(保乳手术 vs 乳房全切术)及不同腋窝淋巴结清扫范围(前哨淋巴结活检 vs 腋窝淋巴结清扫I级/II级) 对 EEG-EMG 相干性的影响。  

Objectives of Study:

1. Main Purpose: (1) To reveal differences in central-peripheral neural coupling in upper limb motor tasks between breast cancer patients and healthy controls. (2) To explore the quantitative association between fatigue levels (FACIT-F scores) and EEG-EMG coherence and grip strength values in breast cancer patients. 2. Secondary Purpose: (1) To explore the correlation between upper limb grip weakness and autonomic function (HRV), patient-reported outcomes (DASH, VAS, PHQ-9, etc.), and serum inflammatory factors (IL-6, TNF-α). (2) Compare the effects of different surgical methods (breast-conserving surgery vs. total mastectomy) and different axillary lymph node dissection ranges (sentinel lymph node biopsy vs. Grade I/II axillary lymph node dissection) on EEG-EMG coherence.

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.术前患侧上肢已存在功能障碍、外伤、神经肌肉疾病或淋巴水肿;
2.存在肩关节器质性疾病或神经系统疾病史;
3.合并严重心、肺、肝、肾功能不全;
4.严重认知障碍或精神疾病;
5.存在颅脑外伤、癫痫或脑电图禁忌症;
6.妊娠或哺乳期妇女;

Exclusion criteria:

1.Preoperative dysfunction, trauma, neuromuscular disease, or lymphedema in the affected upper limb;
2.History of organic shoulder joint disease or neurological disorders;
3.Combined with severe heart, lung, liver, or kidney dysfunction;
4.Severe cognitive impairment or mental illness;
5.Presence of contraindications to cranial trauma, epilepsy, or EEG;
6.Pregnant or breastfeeding women;

研究实施时间:

Study execute time:

From 2026-06-30 00:00:00 To 2028-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-30 00:00:00 To 2027-06-30 00:00:00

干预措施:

Interventions:

组别:

健康对照组(C组)

样本量:

34

Group:

Healthy control group (Group C)

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

乳腺癌伴握力恢复良好组(B组)

样本量:

34

Group:

Breast Cancer with Good Grip Strength Recovery Group (Group B)

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

乳腺癌伴持续性握力减退组(A组)

样本量:

34

Group:

Breast cancer with persistent grip loss group (group A)

Sample size:

干预措施:

干预措施代码:

Intervention:

None

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 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市静安区中心医院 

单位级别:

三级乙等 

Institution
hospital:

Jing'an District Central Hospital Of Shanghai

Level of the institution:

Tertiary B

测量指标:

Outcomes:

指标中文名:

疲劳评分(FACIT-F)

指标类型:

次要指标

Outcome:

Fatigue Score

Type:

Secondary indicator

测量时间点:

测量方法:

慢性疾病治疗功能评估-疲劳量表

Measure time point of outcome:

Measure method:

Functional Assessment of Chronic Illness Therapy – Fatigue Scale

指标中文名:

心率变异性

指标类型:

次要指标

Outcome:

Heart Rate Variability (HRV)

Type:

Secondary indicator

测量时间点:

测量方法:

静息态10分钟心电信号采集

Measure time point of outcome:

Measure method:

ECG signal collection in resting state for 10 minutes

指标中文名:

EEG-EMG相干性

指标类型:

主要指标

Outcome:

EEG-EMG coherence

Type:

Primary indicator

测量时间点:

测量方法:

同步采集64导联脑电图及7导联上肢肌电图,进行频域相干分析

Measure time point of outcome:

Measure method:

Electroencephalograms from lead 64 and upper limb electromyography from lead 7 were collected simultaneously for frequency-domain coherence analysis

指标中文名:

握力值

指标类型:

次要指标

Outcome:

Grip strength

Type:

Secondary indicator

测量时间点:

测量方法:

Jamar电子握力计,ASHT标准化姿势

Measure time point of outcome:

Measure method:

Jamar electronic grip strength scale, ASHT standardized posture

指标中文名:

TNF-α

指标类型:

次要指标

Outcome:

TNF-α

Type:

Secondary indicator

测量时间点:

测量方法:

血检

Measure time point of outcome:

Measure method:

blood test

指标中文名:

肩关节活动度

指标类型:

次要指标

Outcome:

Shoulder Range of Motion

Type:

Secondary indicator

测量时间点:

测量方法:

数字量角器

Measure time point of outcome:

Measure method:

digital protractor

指标中文名:

上肢肌力

指标类型:

次要指标

Outcome:

Upper limb muscle strength

Type:

Secondary indicator

测量时间点:

测量方法:

徒手肌力测试

Measure time point of outcome:

Measure method:

manual muscle test

指标中文名:

IL-6

指标类型:

次要指标

Outcome:

IL-6

Type:

Secondary indicator

测量时间点:

测量方法:

血检

Measure time point of outcome:

Measure method:

blood test

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

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 20 years
最大 Max age 75 years

性别:

女性

Gender:

Female

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):

None

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:

Blinding:

None

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):

不共享

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

Not shared

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:

数据采集采用CRF表,数据管理采用电子数据库进行管理。

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

Data collection is performed using CRF forms, and data management is conducted via anelectronic database.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-06-18 15:44:32