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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: |
ChiCTR2400083196 |
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最近更新日期: Date of Last Refreshed on: |
2024-04-18 08:10:46 |
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注册时间: Date of Registration: |
2024-04-18 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: |
艾司氯胺酮不同给药方式对术后痛觉过敏的影响 |
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Public title: |
The effect of different administration methods of ketamine on postoperative pain hypersensitivity |
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注册题目简写: |
艾司氯胺酮不同给药方式对术后痛觉过敏的影响 |
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English Acronym: |
The effect of different administration methods of ketamine on postoperative pain hypersensitivity |
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研究课题的正式科学名称: |
艾司氯胺酮不同给药方式对术后痛觉过敏的影响 |
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Scientific title: |
The effect of different administration methods of ketamine on postoperative pain hypersensitivity |
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研究课题代号(代码): Study subject ID: |
2023GLLH0451 |
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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: |
46063143615220111A1001 |
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申请注册联系人: |
马玉华 |
研究负责人: |
马玉华 |
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Applicant: |
Ma Yuhua |
Study leader: |
Ma Yuhua |
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申请注册联系人电话: Applicant telephone: |
+86 138 4793 0665 |
研究负责人电话:
Study leader's |
+86 138 4793 0665 |
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申请注册联系人传真 : Applicant Fax: |
0482-8411680 |
研究负责人传真: Study leader's fax: |
0482-8411680 |
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申请注册联系人电子邮件: Applicant E-mail: |
3221410993@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
3221410993@qq.com |
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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: |
内蒙古自治区兴安盟乌兰浩特市罕山西街66号 |
研究负责人通讯地址: |
内蒙古自治区兴安盟乌兰浩特市罕山西街66号 |
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Applicant address: |
No.66 Hanshan West Street, Ulanhot, Xing 'an League, Inner Mongolia Autonomous Region |
Study leader's address: |
No.66 Hanshan West Street, Ulanhot, Xing 'an League, Inner Mongolia Autonomous Region |
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申请注册联系人邮政编码: Applicant postcode: |
137400 |
研究负责人邮政编码: Study leader's postcode: |
137400 |
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申请人所在单位: |
兴安盟人民医院 |
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Applicant's institution: |
Xing 'an League People's Hospital |
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研究负责人所在单位: |
兴安盟人民医院 |
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Affiliation of the Leader: |
Xing 'an League People's Hospital |
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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: |
2023GLLH0451 |
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: |
兴安盟人民医院伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Xing 'an League People's Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-01-05 00:00:00 | ||
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伦理委员会联系人: |
于洋 |
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Contact Name of the ethic committee: |
yuyang |
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伦理委员会联系地址: |
内蒙古自治区兴安盟乌兰浩特市罕山西街66号 |
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Contact Address of the ethic committee: |
No.66 Hanshan West Street, Ulanhot, Xing 'an League, Inner Mongolia Autonomous Region |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 482 841 3799 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
mayuhua0665@163.com |
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研究实施负责(组长)单位: |
兴安盟人民医院 |
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Primary sponsor: |
Xing 'an League People's Hospital |
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研究实施负责(组长)单位地址: |
内蒙古自治区兴安盟乌兰浩特市罕山西街66号 |
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Primary sponsor's address: |
No.66 Hanshan West Street, Ulanhot, Xing 'an League, Inner Mongolia Autonomous Region |
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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: |
内蒙古自治区医学科学院公立医院科研联合基金项目 |
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Source(s) of funding: |
Joint scientific research fund project of public hospitals of Inner Mongolia Academy of Medical Sciences |
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研究疾病: |
胃癌、结肠癌、直肠癌 |
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Target disease: |
Gastric cancer, colon cancer and rectal cancer |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
探索性研究/预试验 | ||||||||||||||||||||||
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Study phase: |
0 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
通过随机、双盲、对照研究,探讨艾司氯胺酮不同给药方式对腹腔镜下胃肠道手术后痛觉过敏的影响,降低阿片类相关不良反应的发生,为腹腔镜下胃肠道手术患者快速康复提供有利条件。 |
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Objectives of Study: |
Through a randomized, double-blind, controlled study, this paper discusses the effects of different administration methods of estaketamine on hyperalgesia after laparoscopic gastrointestinal surgery, reduces the occurrence of opioid-related adverse reactions, and provides favorable conditions for patients undergoing laparoscopic gastrointestinal surgery to recover quickly. |
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药物成份或治疗方案详述: |
K1组:K2组:S组: 咪达唑仑2mg 咪达唑仑2mg 咪达唑仑2mg 丙泊酚2mg/kg 丙泊酚2mg/kg 丙泊酚2mg/kg 顺式阿曲库铵0.15mg/kg 顺式阿曲库铵0.15mg/kg 顺式阿曲库铵0.15mg/kg 舒芬太尼0.2ug/kg 舒芬太尼0.2ug/kg 舒芬太尼0.2ug/kg 艾司氯胺酮(10mg/ml)(体重/40)ml 艾司氯胺酮(10mg/ml) (体重/40)ml 生理盐水 (体重/40)ml 术中麻醉维持方案 K1组: 手术开始给予舒芬太尼0.1ug/kg次iv 丙泊酚5mg/kg/h(术毕停药) 间断给予顺式阿曲库铵0.03mg/kg次 艾司氯胺酮(1mg/ml)(0.2*体重)ml/h持续泵入(术毕停药) 瑞芬太尼6ug/kg.h(根据术中心率血压调整--维持基础血压±30%,调整幅度1ug/kg.h)(术毕停药) 间断给予舒芬太尼0.1ug/kg(瑞芬太尼用量大于9ug/kg.h且血压高于基础血压的30%时) 术毕给予NSAIDS药物(酮铬酸30mg) K2组: 手术开始给予舒芬太尼0.1ug/kg次iv 丙泊酚5mg/kg/h(术毕停药) 间断给予顺式阿曲库铵0.03mg/kg次 生理盐水 (0.2*体重)ml/h持续泵入 瑞芬太尼6ug/kg.h(根据术中心率血压调整--维持基础血压±30%,调整幅度1ug/kg.h)(术毕停药) 间断给予舒芬太尼0.1ug/kg(瑞芬太尼用量大于9ug/kg.h且血压高于基础血压的30%时) 术毕前20分钟给予艾司氯胺酮(10mg/ml) (体重/50)ml 术毕给予NSAIDS药物(酮铬酸30mg) S组: 手术开始给予舒芬太尼0.1ug/kg次iv 丙泊酚5mg/kg.h(术毕停药) 间断给予顺式阿曲库铵0.03mg/kg次 生理盐水 (0.2*体重)ml/h持续泵入 瑞芬太尼6ug/kg.h(根据术中心率血压调整--维持基础血压±30%,调整幅度1ug/kg.h)(术毕停药) 间断给予舒芬太尼0.1ug/kg(瑞芬太尼用量大于9ug/kg.h且血压高于基础血压的30%时) 术毕给予NSAIDS药物(酮铬酸30mg) 试验药物 用药名称:盐酸艾司氯胺酮注射液 剂型:2ml;50mg 生产单位:江苏恒瑞医药股份有限公司 产品批号:221211BL 有效期:2025年12月10日 保持条件:密闭,避光,不超过30o保存 |
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Description for medicine or protocol of treatment in detail: |
Group K1: group K2: group s: Midazolam 2mg Midazolam 2 mg Midazolam 2 mg Midazolam 2 mg Propofol 2mg/kg Propofol 2 mg/kg Propofol 2 mg/kg Cisatracurium 0.15mg/kg Cisatracurium 0.15mg/kg Cisatracurium 0.15mg/kg Cisatracurium 0.15mg/kg Sufentanil 0.2ug/kg sufentanil 0.2 ug/kg sufentanil 0.2 ug/kg Esketamine (10mg/ml) (weight /40)ml Esketamine (10mg/ml) (weight/40) ml physiological saline (weight/40) ml. Intraoperative anesthesia maintenance scheme K1 group: Sufentanil was given 0.1ug/kg iv at the beginning of the operation. Propofol 5mg/kg/h (drug withdrawal after operation) Cisatracurium was given intermittently at 0.03mg/kg. Esketamine (1mg/ml)(0.2* body weight) ml/h was pumped continuously (drug withdrawal after operation). Remifentanil 6ug/kg.h (according to the operation center rate, the blood pressure is adjusted-the basal blood pressure is maintained by 30%, and the adjustment range is 1ug/kg.h) (the drug is stopped after operation). 0.1ug/kg sufentanil was given intermittently (when the dosage of remifentanil was more than 9 ug/kg h and the blood pressure was higher than 30% of the basal blood pressure). NSAIDS (30mg ketochromic acid) were given after operation. K2 group: Sufentanil was given 0.1ug/kg iv at the beginning of the operation. Propofol 5mg/kg/h (drug withdrawal after operation) Cisatracurium was given intermittently at 0.03mg/kg. Normal saline (0.2* body weight) ml/h is pumped continuously. Remifentanil 6ug/kg.h (according to the operation center rate, the blood pressure is adjusted-the basal blood pressure is maintained by 30%, and the adjustment range is 1ug/kg.h) (the drug is stopped after operation). 0.1ug/kg sufentanil was given intermittently (when the dosage of remifentanil was more than 9 ug/kg h and the blood pressure was higher than 30% of the basal blood pressure). Esketamine (10mg/ml) (weight/50 ml) was given 20 minutes before the operation. NSAIDS (30mg ketochromic acid) were given after operation. Group s: Sufentanil was given 0.1ug/kg iv at the beginning of the operation. Propofol 5 mg/kg h (drug withdrawal after operation) Cisatracurium was given intermittently at 0.03mg/kg. Normal saline (0.2* body weight) ml/h is pumped continuously. Remifentanil 6ug/kg.h (according to the operation center rate, the blood pressure is adjusted-the basal blood pressure is maintained by 30%, and the adjustment range is 1ug/kg.h) (the drug is stopped after operation). 0.1ug/kg sufentanil was given intermittently (when the dosage of remifentanil was more than 9 ug/kg h and the blood pressure was higher than 30% of the basal blood pressure). NSAIDS (30mg ketochromic acid) were given after operation. Experimental drug Drug name: Esketamine Hydrochloride Injection Dosage form: 2ml; 50mg Manufacturer: jiangsu hengrui Pharmaceutical Co., Ltd. Product batch number: 221211BL Validity: December 10, 2025 Preservation conditions: airtight, protected from light, and stored for no more than 30o. |
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纳入标准: |
1. 年龄32-76岁 2. ASA Ⅰ-Ⅱ 3. 接受腹腔镜下胃肠道手术 4. 签署知情同意书 |
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Inclusion criteria |
1. Age 32-76 years old 2. ASA Ⅰ-Ⅱ 3. Undergo laparoscopic gastrointestinal surgery 4. Sign informed consent form |
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排除标准: |
1. 孕期女性 2. ASA 3级以上 3. 急诊手术 4. 受法律保护的成年人(在司法保护、监护或监督下),被剥夺自由的人 5. 房室传导阻滞、窦房结阻滞或心室内传导阻滞 6. 窦性心动过缓(基础心率小于60次/min) 7. 术前低血压(收缩压低于100mmHg) 8. 术前合并耳石症、梅尼埃综合征、椎动脉狭窄 9. 脑血管疾病 10. NSAIDs药物禁忌症 11. 对麻醉药物过敏 12.中转开腹者排除 |
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Exclusion criteria: |
1. Pregnant women 2. Asa level 3 or above 3. Emergency operation 4. Adults protected by law (under judicial protection, guardianship or supervision), persons deprived of their liberty. 5. Atrioventricular block, sinoatrial node block or intraventricular block 6. Sinus bradycardia (basal heart rate less than 60 beats /min) 7. Preoperative hypotension (systolic blood pressure below 100mmHg) 8. Preoperative complications included otolith, Meniere's syndrome and vertebral artery stenosis. 9.Ccerebrovascular disease 10. Contraindications of ?NSAIDs drugs 11. Allergic to narcotic drugs 12. Those who converted to laparotomy were excluded. |
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研究实施时间: Study execute time: |
从 From 2023-12-01 00:00:00至 To 2026-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-05-01 00:00:00 至 To 2025-04-30 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: |
男女均可 |
Gender: |
Both |
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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): |
随机、双盲、对照研究。患者将随机分为三组。为了确保组间的可比性,将采用随机分组。随机化将由研究者尽可能靠近手术进行。每名患者将获得一个唯一的患者编号,计算机将生成一个随机编号(患者代码) |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Randomized, double-blind, controlled study. Patients will be randomly divided into three groups. In order to ensure comparability between groups, random grouping will be adopted. Randomization will be carried out by researchers as close as possible to the operation. Each patient will get a unique patient number, and the computer will generate a random number (patient code). |
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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: |
不公开/Private |
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盲法: |
确定患者入组后,由研究助手配制三组诱导及维持药物,麻醉医生按方案进行诱导和术中维持,术毕配制舒芬太尼镇痛泵同时由研究助手给予试验用镇痛泵。术毕返回恢复室(PACU),由PACU护士进行术后评估,术后随访由另一名研究助手完成。试验过程中只有进行配药的研究助手知道分组情况,他/她不会在任何时候参与麻醉及对患者的评估。麻醉医生、手术医生、术后随访护士、患者及病房护士均不知道分组情况 |
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Blinding: |
After the patients were confirmed to be in the group, the research assistant prepared three groups of induction and maintenance drugs, the anesthesiologist carried out induction and intraoperative maintenance according to the plan, and sufentanil analgesia pump was prepared after the operation, and the research assistant gave the experimental analgesia pump at the same time. After the operation, they returned to the recovery room (PACU), and were evaluated by nurses in PACU, followed up by another research assistant. During the trial, only the research assistant who is dispensing drugs knows the grouping situation, and he/she will not participate in anesthesia and evaluation of patients at any time. Anesthesiologists, surgeons, postoperative follow-up nurses, patients and ward nurses all don't know the grouping situation. |
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是否共享原始数据: IPD sharing |
否No |
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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): |
万方数据库 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Wanfang database |
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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: |
病例记录表 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Case record form |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
暂未确定/Not yet |