the Clinical Effect of TCM Sniffing Therapy Combined With Electroacupuncture in PSCI

ConditionStroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 70
SponsorHangzhou Medical College

About this trial

The patients with cognitive impairment after stroke were divided into control group, electroacupuncture group, olfactory therapy group, electroacupuncture combined with olfactory therapy group, and sham group with 35 people in each group. After the end of the treatment, the clinical efficacy was evaluated.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

(1) Stroke as per the TCM definition, presenting symptoms include unilateral paresis or paralysis, sensory deficits, speech impairment, and hemianopsia. PSCI diagnosis involves clinically significant deficits in at least one cognitive domain and severe disruption of instrumental ADLs/ADLs.; (2) The scores on the MMSE scale must adhere to the following criteria: Less than 17 points for individuals with illiteracy, less than 20 points for those with primary school education, and less than 24 points for individuals with a middle school education or higher.; (3) Aged under 70 years; (4) No history of mental illness, clear consciousness, stable vital signs, and able to complete the scale assessment; (5) Within 6 months post-stroke, diagnosed as a patient in the recovery period of cerebral infarction (or cerebral hemorrhage) at admission; (6) Signed informed consent by the patient or their family.

Disqualifiers

(1) Transient ischemic attack; (2) Subarachnoid hemorrhage; (3) History of severe liver or kidney diseases, mental illness, epilepsy, asthma, or obstructive pulmonary diseases; (4) Occurrence of cognitive impairment prior to stroke; (5) Severe communication barriers; (6) Substance abuse or heavy alcohol consumption; (7) Implanted cardiac pacemakers or other electronic devices.

Trial design

Design model

Parallel

Treatments tested in this trial

  • control

    Dietary supplement

    Donepezil hydrochloride was administered at 5 mg once a day (nightly) for 30 days without adverse reactions and then increased to 10 mg once a day (nightly) for 4 weeks.

  • Electronuchal acupuncture group treatment

    Other intervention

    Electronuchal acupuncture

  • Smell therapy group treatment

    Other intervention

    nasal suction intervention with volatile oil of Acorus calamus

  • Electronuchal acupuncture combined with smell and inhalation therapy group treatment

    Other intervention

    On the basis of electric nuchal acupuncture treatment, sniffing and inhalation therapy is given.

  • Sham stimulation

    Other intervention

    In the sham stimulation group, non-transdermal comfortable acupuncture will be used to make the patients experience a feeling similar to acupuncture.

Treatment groups

220 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: controlNo intervention 0 interventions
Group B: Electronuchal acupuncture group treatmentExperimental treatment 2 interventions
Group C: Smell therapy group treatmentExperimental treatment 2 interventions
Group D: The combined treatmentExperimental treatment 2 interventions
Group E: normalOther 1 intervention
Group F: Sham groupSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

MoCA

Montreal Cognitive Assessment Scale

Time frame
0,4 weeks after the intervention, 8 weeks after the intervention

Secondary outcomes

1

MMSE

Mini-Mental State Examination

Time frame
0,4 weeks after the intervention,8 weeks after the intervention
2

MBI

Barthel index score

Time frame
0,4 weeks after the intervention,8 weeks after the intervention
3

TCD

Transcranial Doppler examination

Time frame
0,4 weeks after the intervention
4

Near-infrared functional imaging of the brain

Near-infrared functional imaging of the brain

Time frame
0,4 weeks after the intervention

Other outcomes

Sponsors and contacts

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