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Trial Title: Efficacy, Safety and Neural Mechanism of Stellate Ganglion Block in the Treatment of Anxiety. Disorder.

NCT ID: NCT06540313

Condition: Anxiety Disorders
Stellate Ganglion Block

Conditions: Official terms:
Ganglion Cysts
Synovial Cyst
Anxiety Disorders

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Factorial Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Stellate Ganglion Block
Description: Stellate ganglion block refers to the injection of local anesthetic drugs into tissues around and near SG to regulate the tension of the sympathetic nervous system, inhibit the outflow of the sympathetic nerve in the innervation area of the stellate ganglion to the ipsilateral head, neck, chest and upper limb, and finally achieve the role of regulating the autonomic nervous system, circulatory system, endocrine system and immune system of the human body to maintain dynamic balance. It is used to treat a variety of pain and non-pain diseases.
Arm group label: Explore the Stellate Ganglion Block intervention mechanism
Arm group label: Relieve anxiety symptoms
Arm group label: Restore mental function
Arm group label: Verify Stellate Ganglion Block security

Summary: 1. In this study, ultrasound-guided Stellate Ganglion Block(SGB) will be used in the treatment of anxiety disorders, combined with relevant scales, HRV indicators and resting state functional magnetic resonance data, to explore the safety and effectiveness of SGB in the treatment of anxiety disorders, and to explore whether its mechanism of action is related to the excitability of sympathetic nervous system and the activity changes of insular cortex. 2. Verify the following hypothesis: (1) SGB is a safe, well-tolerated and acceptable treatment technique; (2) After SGB treatment, the anxiety symptoms of the patients were relieved to a certain extent and the psychological function was restored; (3) The sympathetic excitability of patients after SGB treatment is reduced, and this effect can be monitored by heart rate variability; (4) The activity of insular cortex decreased after SGB treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Aged 18-60 years old 2. Diagnosed with various types of anxiety disorders according to the DSM-5, and meet the diagnostic criteria for pain disorders 3. Right-handed 4. Voluntarily join the study and sign the informed consent. Exclusion Criteria: 1. Suicidal thoughts and behaviors 2. serious physical disease 3. diseases of the nervous system or other mental diseases 4. Contraindications for MRI examination 5. During pregnancy or lactation 6. Allergy to narcotic drugs 7. Contraindications with stellate ganglion block

Gender: All

Minimum age: 18 Years

Maximum age: 60 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Nanjing Brain Hospital

Address:
City: Nanjing
Zip: 210029
Country: China

Start date: September 1, 2024

Completion date: June 10, 2026

Lead sponsor:
Agency: Nanjing Medical University
Agency class: Other

Source: Nanjing Medical University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06540313

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