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眶内电针治疗糖尿病性展神经麻痹的疗效:一项前瞻性单中心随机对照试验的研究方案

Efficacy of intraorbital electroacupuncture for diabetic abducens nerve palsy: study protocol for a prospective single-center randomized controlled trial.

作者信息

Zhou Ling-Yun, Li Xue-Mei, Liu Tie-Juan, Ji Xiao-Jie, Zhao Ming, Su Chang, Liu Ji-Chao, Sun Jiang-Yun

机构信息

Ocular Motility Disorder Treatment & Rehabilitation Center, Department of Acupuncture, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.

出版信息

Neural Regen Res. 2017 May;12(5):826-830. doi: 10.4103/1673-5374.206654.

DOI:10.4103/1673-5374.206654
PMID:28616041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5461622/
Abstract

Abducens nerve palsy (ANP) is commonly seen in patients with diabetes mellitus. The validity of acupuncture as a traditional Chinese medicine method in peripheral nerve repair is well established. However, its efficacy in randomized controlled trials remains unclear. Herein, we designed a protocol for a prospective, single-center, randomized controlled trial to investigate the effect of intraorbital electroacupuncture on diabetic ANP. We plan to recruit 60 patients with diabetic ANP, and randomly divide them into treatment and control groups. Patients in both groups will continue their glucose-lowering therapy. A neural nutrition drug will be given to both groups for six weeks. The treatment group will also receive intraorbital electroacupuncture therapy. We will assess efficacy of treatment, eyeball movement, diplopia deviation and the levels of fasting blood-glucose and glycosylated hemoglobin before treatment at 2, 4, and 6 weeks after treatment. The efficacy and recurrence will be investigated during follow-up (1 month after intervention). This protocol was registered at Chinese Clinical Trial Registry on 16 January 2015 (ChiCTR-IPR-15005836). This study was approved by the Ethics Committee of First Affiliated Hospital of Harbin Medical University of China (approval number: 201452). All protocols will be in accordance with , formulated by the World Medical Association. Written informed consent will be provided by participants. We envisage that the results of this clinical trial will provide evidence for promoting clinical use of this new therapy for management of ANP.

摘要

展神经麻痹(ANP)常见于糖尿病患者。针灸作为一种传统中医方法在周围神经修复中的有效性已得到充分证实。然而,其在随机对照试验中的疗效仍不明确。在此,我们设计了一项前瞻性、单中心、随机对照试验方案,以研究眶内电针治疗糖尿病性ANP的效果。我们计划招募60例糖尿病性ANP患者,并将他们随机分为治疗组和对照组。两组患者均继续进行降糖治疗。两组均给予神经营养药物治疗六周。治疗组还将接受眶内电针治疗。我们将在治疗前、治疗后2周、4周和6周评估治疗效果、眼球运动、复视偏差以及空腹血糖和糖化血红蛋白水平。在随访期间(干预后1个月)调查疗效和复发情况。该方案于2015年1月16日在中国临床试验注册中心注册(ChiCTR-IPR-15005836)。本研究经中国哈尔滨医科大学附属第一医院伦理委员会批准(批准文号:201452)。所有方案将符合世界医学协会制定的要求。参与者将提供书面知情同意书。我们预计,该临床试验结果将为推广这种治疗ANP的新疗法的临床应用提供证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a23/5461622/629f1b5651a2/NRR-12-826-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a23/5461622/629f1b5651a2/NRR-12-826-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a23/5461622/629f1b5651a2/NRR-12-826-g002.jpg

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本文引用的文献

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Microvascular Non-Arteritic Ocular Motor Nerve Palsies-What We Know and How Should We Treat?微血管性非动脉炎性动眼神经麻痹——我们所了解的及应如何治疗?
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复发缓解型慢性炎症性脱髓鞘性多发性神经病中的复发性孤立性第六颅神经麻痹
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[Forty-eight cases of abducent paralysis treated with electroacupuncture at Jianming 3(Extra) and Shangming(Extra)].[针刺健明3(奇穴)、上明(奇穴)治疗外展神经麻痹48例]
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