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电针疗法治疗功能性肛门直肠痛的疗效:一项多中心随机对照试验的研究方案。

Efficacy of electroacupuncture therapy in patients with functional anorectal pain: study protocol for a multicenter randomized controlled trial.

机构信息

Department of Anorectal, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No.157 Daming Road, Qinhuai District, Nanjing, 210022, People's Republic of China.

Graduate School of Nanjing University of Chinese Medicine, Nanjing, 210023, People's Republic of China.

出版信息

Int J Colorectal Dis. 2024 Apr 22;39(1):55. doi: 10.1007/s00384-024-04628-5.

Abstract

BACKGROUND

Some Chinese scholars have initially explored the efficacy of electroacupuncture at Baliao acupoint in patients with functional anorectal pain (FAP). However, their studies are performed in a single center, or the sample size is small. Therefore, we aim to further explore the efficacy of electroacupuncture at Baliao acupoint on the treatment of FAP.

METHODS

In this multicenter randomized controlled trial, 136 eligible FAP patients will be randomly allocated into an electroacupuncture group or sham electroacupuncture group at a 1:1 ratio. This trial will last for 34 weeks, with 2 weeks of baseline, 4 weeks and 8 weeks of treatment, and 1, 3, and 6 months of follow-up. Outcome assessors and statisticians will be blind. The primary outcome will be clinical treatment efficacy, and secondary outcomes will be pain days per month, quality of life, psychological state assessment, anorectal manometry, pelvic floor electromyography, and patient satisfaction.

DISCUSSION

Results of this trial will be contributed to further clarify the value of electroacupuncture at Baliao acupoint as a treatment for FAP in the clinic.

TRIAL REGISTRATION

This trial has been registered in Chinese Clinical Trial Registry  https://www.chictr.org.cn/  (ChiCTR2300069757) on March 24, 2023.

摘要

背景

一些中国学者初步探讨了八髎穴电针对功能性肛门直肠痛(FAP)患者的疗效。然而,他们的研究是在单中心进行的,或者样本量较小。因此,我们旨在进一步探讨八髎穴电针对 FAP 的治疗效果。

方法

在这项多中心随机对照试验中,将 136 名符合条件的 FAP 患者按照 1:1 的比例随机分配到电针组或假电针组。该试验将持续 34 周,包括 2 周基线期、4 周和 8 周治疗期以及 1、3 和 6 个月的随访期。结局评估者和统计学家将保持盲态。主要结局将是临床治疗疗效,次要结局将是每月疼痛天数、生活质量、心理状态评估、肛门直肠测压、盆底肌电图和患者满意度。

讨论

该试验的结果将有助于进一步明确八髎穴电针对 FAP 临床治疗的价值。

试验注册

该试验于 2023 年 3 月 24 日在中国临床试验注册中心(ChiCTR2300069757)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f78/11035392/47003c7aa20d/384_2024_4628_Fig1_HTML.jpg

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