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当归芍药加吴茱萸生姜汤对韩国手部冷过敏患者的疗效和安全性:一项先导性、双盲、随机、安慰剂对照、平行组临床试验的研究方案

The efficacy and safety of Danggui-Sayuk-Ga-Osuyu-Saenggang-tang on Korean patients with cold hypersensitivity in the hands: study protocol for a pilot, double-blind, randomized, placebo-controlled, parallel-group clinical trial.

作者信息

Ko Youme, Go Ho-Yeon, Cho Yoon-Young, Shin Ji-Hye, Kim Tae-Hoon, Choi Dong-Jun, Lee Jin-Moo, Jang Jun-Bok, Song Yun-Kyung, Ko Seong-Gyu, Sun Seung-Ho, Jeon Chan-Yong

机构信息

Department of Korean Preventive Medicine, Graduate School, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea.

Department of Korean Internal Medicine, College of Korean Medicine, Semyung University, 65, Semyeong-ro, Jecheon-si, Chungcheongbuk-do, Republic of Korea.

出版信息

Trials. 2017 Jun 8;18(1):268. doi: 10.1186/s13063-017-2002-8.

Abstract

BACKGROUND

In recent years, cold hypersensitivity in the hands (CHH) has become a common ailment of women in Korea. It can lead to gynecological problems such as irregular menstruation, miscarriage, and infertility. Traditionally, Korean herbal medicine has been the primary treatment method used to balance thermoregulation in the human body; however, its effectiveness has not been confirmed through systematic study. Thus, in this trial, we will investigate the feasibility of a full randomized clinical trial, Danggui-Sayuk-Ga-Osuyu-Saenggang-tang (DSGOST) in Korean women with CHH.

METHODS

This study will be a pilot, multicenter, double-blind, randomized, parallel-group, two-arm, placebo-controlled clinical trial. A total of 66 participants will be randomly divided into two groups, a DSGOST treatment group and a placebo control group, in a 1:1 ratio using a web-based randomization system. Each group will take DSGOST or placebo three times daily for 6 weeks. The primary outcome will be measured using Visual Analogue Scale (VAS) scores of CHH. Secondary outcomes will include changes in skin temperature of the hands, Clinical Global Impressions (CGI) scale scores, recovery rate of skin temperature of the hands after the cold stress test, and the Korean version of the WHO Quality of Life Scale, abbreviated version (WHOQOL-BREF).

DISCUSSION

This trial will be the first trial to reflect the newly defined disease range of CHH which was compiled by Korean medicine expert consensus. This study will provide considerable evidence for further large-scale trials and general clinical guidelines for CHH in the Korean medical field.

TRIAL REGISTRATION

This study is registered at ClinicalTrials.gov, ID: NCT02645916 . Registered on 30 December 2015.

摘要

背景

近年来,手部冷过敏(CHH)已成为韩国女性的常见疾病。它可能导致妇科问题,如月经不调、流产和不孕。传统上,韩医一直是用于平衡人体体温调节的主要治疗方法;然而,其有效性尚未通过系统研究得到证实。因此,在本试验中,我们将研究当归芍药加吴茱萸生姜汤(DSGOST)对韩国手部冷过敏女性进行全面随机临床试验的可行性。

方法

本研究将是一项试点、多中心、双盲、随机、平行组、双臂、安慰剂对照的临床试验。总共66名参与者将使用基于网络的随机系统以1:1的比例随机分为两组,即DSGOST治疗组和安慰剂对照组。每组每天服用DSGOST或安慰剂三次,持续6周。主要结局将使用手部冷过敏的视觉模拟量表(VAS)评分来衡量。次要结局将包括手部皮肤温度的变化、临床总体印象(CGI)量表评分、冷应激试验后手部皮肤温度的恢复率以及世界卫生组织生活质量量表韩国版简表(WHOQOL-BREF)。

讨论

本试验将是首个反映由韩医专家共识编制的手部冷过敏新定义疾病范围的试验。本研究将为韩国医学领域进一步的大规模试验和手部冷过敏的一般临床指南提供大量证据。

试验注册

本研究已在ClinicalTrials.gov注册,编号:NCT02645916。于2015年12月30日注册。

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