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梅花针疗法治疗抽动秽语综合征的有效性和安全性:一项随机对照试验的研究方案

The effectiveness and safety of plum-blossom needle therapy for Tourette syndrome: study protocol for a randomized controlled trial.

作者信息

Yu Jinna, Ye Yongming, Li Shanshan, Liu Jun, Zhai Yanbing, Zhang Min, Liu Zhishun

机构信息

Acupuncture Department, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, No. 5, Beixiange Street, 100053, Xicheng District, Beijing, China.

出版信息

Trials. 2015 Jul 29;16:320. doi: 10.1186/s13063-015-0873-0.

Abstract

BACKGROUND

Previous studies have indicated that acupuncture can alleviate the symptoms of Tourette syndrome (TS), but the evidence is insufficient. So far, there have been no reports on plum-blossom needle therapy for TS. Here we present a protocol for a randomized controlled trial using plum-blossom needle therapy to treat TS.

METHODS/DESIGN: Sixty patients will be randomly allocated into either the plum-blossom needle therapy group or the habit reversal training (HRT) group. All patients in each group will be given 12 weeks of treatment, with follow-up at the 24th week. The primary outcome measure will be the mean change from baseline in the total tic score on the Yale Global Tic Severity Scale (YGTSS) at the 12th week. Secondary outcome measures will include the scores on the TS Clinical Global Impression Scale (CGI) and the mean changes from baseline in the YGTSS score and the Children and Adolescents' Quality of Life Scale (CAQOL) at other time points. Safety will also be evaluated.

DISCUSSION

This trial will evaluate the effectiveness and safety of plum-blossom needle therapy for TS compared with HRT. A limitation of this trial is that patients and acupuncturists cannot be blinded.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT02403258 (Date of registration: March 31, 2015).

摘要

背景

既往研究表明针刺可缓解抽动秽语综合征(TS)的症状,但证据不足。迄今为止,尚无关于梅花针疗法治疗TS的报道。在此,我们提出一项使用梅花针疗法治疗TS的随机对照试验方案。

方法/设计:60例患者将被随机分配至梅花针疗法组或习惯逆转训练(HRT)组。每组所有患者将接受12周的治疗,并在第24周进行随访。主要结局指标将是第12周时耶鲁综合抽动严重程度量表(YGTSS)上总抽动得分相对于基线的平均变化。次要结局指标将包括抽动秽语综合征临床总体印象量表(CGI)得分,以及其他时间点YGTSS得分和儿童青少年生活质量量表(CAQOL)相对于基线的平均变化。还将评估安全性。

讨论

本试验将评估与HRT相比,梅花针疗法治疗TS的有效性和安全性。本试验的一个局限性是患者和针灸师无法设盲。

试验注册

ClinicalTrials.gov标识符:NCT02403258(注册日期:2015年3月31日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90a5/4517654/69a1b05ddc03/13063_2015_873_Fig1_HTML.jpg

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