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艾灸治疗压疮:一项试点、多中心、随机对照试验的研究方案

Moxibustion for the treatment of pressure ulcers: study protocol for a pilot, multicentre, randomised controlled trial.

作者信息

Zhang Qin-hong, Yue Jin-huan, Li Chao-ran, Sun Zhong-ren

机构信息

Department of Acupuncture and Moxibustion, Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, People's Republic of China.

Department of Acupuncture and Moxibustion, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, People's Republic of China.

出版信息

BMJ Open. 2014 Dec 30;4(12):e006423. doi: 10.1136/bmjopen-2014-006423.

Abstract

INTRODUCTION

Pressure ulcers are common in the elderly and immobile. Currently, there are few proven effective treatments for pressure ulcers. This trial aims to evaluate the feasibility, efficacy and safety of moxibustion for pressure ulcers.

METHODS/ANALYSIS: This is a multicentre, two-armed, parallel-design randomised controlled trial (RCT). 30 eligible patients with pressure ulcers will be randomised in a ratio of 1:1 to the treatment group and control group. The participants in the treatment group will undergo indirect moxibustion for 30 min before application of a dressing, one session daily, five sessions weekly for 4 weeks. The patients in the control group will only receive a dressing, applied in the same way as in the treatment group. Both groups will be followed up for 3 months. The primary outcome measures will be wound surface area (WSA) and proportion of ulcers healed within trial period (PUHTP). The secondary outcomes will be the Pressure Ulcer Scale for Healing (PUSH Tool), visual analogue scale (VAS) and adverse events. All outcomes will be evaluated at the beginning of the study, at the end of the second week, at 4 weeks after randomisation and at 1 and 3 months after treatment cessation.

ETHICS/DISSEMINATION: This trial has undergone ethical scrutiny and been approved by the ethics review boards of First Affiliated Hospital of Heilongjiang University of Chinese Medicine and Second Affiliated Hospital of Heilongjiang University of Chinese Medicine (Permission number: HZYEYLP2014). The results of this study will provide clinical evidence for the feasibility, efficacy and safety of moxibustion for pressure ulcers.

TRIAL REGISTRATION NUMBER

ChiCTR-TRC-13003959.

摘要

引言

压疮在老年人和行动不便者中很常见。目前,几乎没有经证实有效的压疮治疗方法。本试验旨在评估艾灸治疗压疮的可行性、疗效和安全性。

方法/分析:这是一项多中心、双臂、平行设计的随机对照试验(RCT)。30例符合条件的压疮患者将按1:1的比例随机分为治疗组和对照组。治疗组患者在敷用敷料前进行间接艾灸30分钟,每天1次,每周5次,共4周。对照组患者仅接受与治疗组相同方式敷用的敷料。两组均随访3个月。主要结局指标将是创面面积(WSA)和试验期内溃疡愈合比例(PUHTP)。次要结局将是压疮愈合量表(PUSH工具)、视觉模拟量表(VAS)和不良事件。所有结局将在研究开始时、第二周结束时、随机分组后4周以及停止治疗后1个月和3个月进行评估。

伦理/传播:本试验已通过伦理审查,并获得黑龙江中医药大学附属第一医院和黑龙江中医药大学附属第二医院伦理审查委员会的批准(批准文号:HZYEYLP2014)。本研究结果将为艾灸治疗压疮的可行性、疗效和安全性提供临床证据。

试验注册号

ChiCTR-TRC-13003959。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1acf/4281529/37a9a9bdfb23/bmjopen2014006423f01.jpg

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