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电针联合多奈哌齐对阿尔茨海默病患者认知功能的影响:一项随机对照试验的研究方案

The effect of electroacupuncture combined with donepezil on cognitive function in Alzheimer's disease patients: study protocol for a randomized controlled trial.

作者信息

Peng Weina, Zhou Jing, Xu Min, Feng Qing, Bin Lulu, Liu Zhishun

机构信息

Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.

Department of Neurology, Xuan Wu Hospital, Capital Medical University, Beijing, 100053, China.

出版信息

Trials. 2017 Jul 3;18(1):301. doi: 10.1186/s13063-017-2052-y.

Abstract

BACKGROUND

Alzheimer's disease is a progressive neurodegenerative disease. Although some of the current treatments offer some symptomatic relief, this disease cannot be cured at present. Electroacupuncture may be effective for Alzheimer's disease for cognitive function, but the evidence for its effectiveness is still limited. The aim of this study is to evaluate the add-on effect of electroacupuncture to donepezil for improving the cognitive function of Alzheimer's disease.

METHODS/DESIGN: A total of 334 participants with Alzheimer's disease will be randomly assigned to either an electroacupuncture combined with donepezil group or a donepezil group with a ratio of 1:1. Participants in the electroacupuncture combined with donepezil group will receive electroacupuncture in addition to donepezil for 12 weeks and will keep taking donepezil for the following 24 weeks. Participants in the control group will take donepezil only. The primary outcome is the change from baseline in the total score of the Alzheimer's Disease Assessment Scale-cognition at week 12. A follow-up will be conducted 24 weeks after the treatment.

DISCUSSION

We expect to verify the hypothesis that acupuncture in addition to donepezil is better than donepezil in improving the cognitive function of patients with Alzheimer's disease. This trial has a limitation that participant blinding is impossible.

TRIAL REGISTRATION

Clinical Trials.gov: ID: NCT02305836 . Registered on 13 November 2014.

摘要

背景

阿尔茨海默病是一种进行性神经退行性疾病。尽管目前的一些治疗方法能提供一定的症状缓解,但该疾病目前仍无法治愈。电针疗法可能对阿尔茨海默病的认知功能有效,但其有效性的证据仍然有限。本研究的目的是评估电针联合多奈哌齐对改善阿尔茨海默病认知功能的附加效果。

方法/设计:总共334名阿尔茨海默病患者将被随机分配到电针联合多奈哌齐组或多奈哌齐组,比例为1:1。电针联合多奈哌齐组的参与者除多奈哌齐外还将接受12周的电针治疗,并在接下来的24周继续服用多奈哌齐。对照组的参与者仅服用多奈哌齐。主要结局是第12周时阿尔茨海默病评估量表-认知总分相对于基线的变化。治疗后24周将进行随访。

讨论

我们期望验证以下假设,即除多奈哌齐外,针刺在改善阿尔茨海默病患者认知功能方面优于多奈哌齐。本试验有一个局限性,即不可能对参与者进行盲法。

试验注册

ClinicalTrials.gov:ID:NCT02305836。于2014年11月13日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/576e/5496421/d244d9c61614/13063_2017_2052_Fig1_HTML.jpg

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