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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2100048420 |
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最近更新日期: Date of Last Refreshed on: |
2022-02-08 19:46:45 |
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注册时间: Date of Registration: |
2021-07-06 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
严重创伤患者伤后免疫功能紊乱的临床及试验研究 |
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Public title: |
Clinical and experimental study on post-traumatic immune dysfunction in patients with severe trauma |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
严重创伤患者伤后免疫功能紊乱的临床及试验研究 |
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Scientific title: |
Clinical and experimental study on post-traumatic immune dysfunction in patients with severe trauma |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
唐朝晖 |
研究负责人: |
唐朝晖 |
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Applicant: |
Tang Zhaohui |
Study leader: |
Tang Zhaohui |
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申请注册联系人电话: Applicant telephone: |
+86 13971125289 |
研究负责人电话:
Study leader's |
+86 13971125289 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
tangzh@tjh.tjmu.cn |
研究负责人电子邮件: Study leader's E-mail: |
tangzh@tjh.tjmu.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
湖北省武汉市硚口区解放大道1095号 |
研究负责人通讯地址: |
湖北省武汉市硚口区解放大道1095号 |
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Applicant address: |
1095 Jiefang Avenue, Qiaokou District, Wuhan, Hubei |
Study leader's address: |
1095 Jiefang Avenue, Qiaokou District, Wuhan, Hubei |
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申请注册联系人邮政编码: Applicant postcode: |
430030 |
研究负责人邮政编码: Study leader's postcode: |
430030 |
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申请人所在单位: |
华中科技大学,同济医学院附属同济医院 |
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Applicant's institution: |
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology |
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研究负责人所在单位: |
华中科技大学,同济医学院附属同济医院 |
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Affiliation of the Leader: |
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
TJ-IRB20200720 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
华中科技大学同济医学院附属同济医院医学伦理委员会 |
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Name of the ethic committee: |
Medical ethics committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology |
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伦理委员会批准日期: Date of approved by ethic committee: |
2020-07-20 00:00:00 | ||
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伦理委员会联系人: |
杜艾桦 |
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Contact Name of the ethic committee: |
Du Aihua |
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伦理委员会联系地址: |
湖北省武汉市硚口区解放大道1095号 |
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Contact Address of the ethic committee: |
1095 Jiefang Avenue, Qiaokou District, Wuhan, Hubei |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
华中科技大学,同济医学院附属同济医院 |
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Primary sponsor: |
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology |
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研究实施负责(组长)单位地址: |
湖北省武汉市硚口区解放大道1095号 |
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Primary sponsor's address: |
1095 Jiefang Avenue, Qiaokou District, Wuhan, Hubei |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
国家自然科学基金 |
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Source(s) of funding: |
National Natural Science Foundation of China |
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研究疾病: |
N/A |
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Target disease: |
N/A |
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研究疾病代码: |
T01.901 |
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Target disease code: |
T01.901 |
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研究类型: |
病因学/相关因素研究 |
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Study type: |
Cause/Relative factors study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
病例对照研究 |
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Study design: |
Case-Control study |
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研究目的: |
随着我国社会经济的全面快速发展,创伤现已成为我国居民死因第4位,居45岁以下人群死因的首位。而要探寻有效治疗方法,提高创伤,特别是严重创伤的治疗效果,最核心的是加强对其病理机制的研究,这是当前严重创伤救治工作中的紧迫任务。多项研究证实机体遭受严重创伤后,同时或随后激活了机体的抗炎机制,导致抗炎介质“泛滥”释放,诱发代偿性抗炎反应综合症(CARS)。诱发机体出现严重的免疫紊乱,致伤后机体极易伴发脓毒症及多脏器功能衰竭。因此,全面纠正创伤后免疫功能紊乱是改善严重创伤预后及降低死亡率的关键之一. 我们先前的研究表明,观察了严重创伤诱导的免疫紊乱,特别是淋巴细胞在创伤后免疫紊乱中的作用。因此,通过严重创伤患者伤后免疫功能紊乱的临床及实验研究,发掘其影响因素,更好的判断病情,改善预后。 |
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Objectives of Study: |
With the rapid development of social economy in China, trauma has become the fourth leading cause of death in China, and the leading cause of death among people under 45 years old. In order to find effective treatment methods and improve the therapeutic effect of trauma, especially serious trauma, the most important thing is to strengthen the study of its pathological mechanism, which is an urgent task in the treatment of severe trauma at present. Several studies have confirmed that after severe trauma, the anti-inflammatory mechanism of the body is activated at the same time or later, which leads to the release of anti-inflammatory mediators and induces compensatory anti-inflammatory response syndrome (CARSs). It can induce severe immune disorder, which can easily be accompanied by sepsis and multiple organ failure. Therefore, comprehensive correction of post-traumatic immune dysfunction is one of the keys to improve prognosis and reduce mortality of severe trauma. Our previously study revealed the immune disorder induced by severe trauma, especially the role of lymphocytes played in post-traumatic immune disorders. The aim of this study is to explore the influence factors of the immune dysfunction induced by injury in severely traumatised patients by clinical observation and experimental studies, and thus better assessing the disease status and improving the prognosis. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
创伤组:1、性别:男性,2、年龄:18-50岁,3、伴下肢闭合性骨折严重患者,4、ISS≥16分 |
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Inclusion criteria |
Trauma group :1. Gender: male; 2. Age: 18-50 years old; 3. Patients with severe closed fractures of lower limbs; 4.18-50 years old; |
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排除标准: |
创伤组(有以下一种及以上情况的):1、开放性损伤患者;2、长期激素或免疫抑制治疗患者;3、有免疫缺陷病史,包括HIV阳性或类风湿性关节炎、红斑狼疮、重症肌无力、慢性肾小球肾炎等基础免疫系统慢性疾,或有器官移植史者; 4、入院时有发热(体温>38.5℃),并伴有血白细胞计数升高和血沉增快;5、患者存活时间<7天。 |
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Exclusion criteria: |
Trauma group (with one or more of the following conditions): 1, patients with open injury; 2, patients with long-term corticosteroid or immunosuppressive therapy; 3. History of immunodeficiency, including HIV positive or rheumatoid arthritis, lupus erythematosus, myasthenia gravis, chronic glomerulonephritis and other chronic diseases of the immune system, or a history of organ transplantation. 4. On admission, there was fever (body temperature > 38.5 ℃), accompanied by increased white blood cell count and erythrocyte sedimentation rate. 5. The survival time of the patient was less than 7 days. |
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研究实施时间: Study execute time: |
从 From 2021-07-05 00:00:00至 To 2021-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2021-07-05 00:00:00 至 To 2021-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男性 |
Gender: |
Male |
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随机方法(请说明由何人用什么方法产生随机序列): |
非随机 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
non randomized control |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
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盲法: |
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Blinding: |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
是Yes |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
www.medresman.org |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
www.medresman.org |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
www.medresman.org |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
www.medresman.org |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |