ChiCTR2500111734 版本V1.0 版本创建时间2025/11/05 10:59:30 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR2500111734 

最近更新日期:

Date of Last Refreshed on:

2025-11-05 10:59:13 

注册时间:

Date of Registration:

2025-11-05 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于机器学习探究腰麻后低血压相关危险因素分析及预测模型构建

Public title:

Analysis of Risk Factors and Construction of a Prediction Model for Post-Spinal Anesthesia Hypotension Based on Machine Learning

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于机器学习探究腰麻后低血压相关危险因素分析及预测模型构建

Scientific title:

Analysis of Risk Factors and Construction of a Prediction Model for Post-Spinal Anesthesia Hypotension Based on Machine Learning

研究课题代号(代码):

Study subject ID:

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:

申请注册联系人:

王丽萍 

研究负责人:

王丽萍 

Applicant:

Wang Liping 

Study leader:

Wang Liping 

申请注册联系人电话:

Applicant telephone:

+86 152 8007 6362

研究负责人电话:

Study leader's
telephone:

+86 152 8007 6362

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

wlping0716@163.com

研究负责人电子邮件:

Study leader's E-mail:

wlping0716@163.com

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):

申请注册联系人通讯地址:

福建省福州市鼓楼区西二环北路156号

研究负责人通讯地址:

福建省福州市鼓楼区西二环北路156号

Applicant address:

156 West Second Ring Road North,Gulou District,Fuzhou,Fujian

Study leader's address:

156 West Second Ring Road North,Gulou District,Fuzhou,Fujian

申请注册联系人邮政编码:

Applicant postcode:

350025

研究负责人邮政编码:

Study leader's postcode:

350025

申请人所在单位:

中国人民解放军联勤保障部队第九〇〇医院

Applicant's institution:

The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China

研究负责人所在单位:

中国人民解放军联勤保障部队第九〇〇医院

Affiliation of the Leader:

The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

伦审科第2025-140号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中国人民解放军联勤保障部队第九〇〇医院伦理审查委员会

Name of the ethic committee:

Chinese People's Liberation Army Joint Logistic Support Force 90th Hospital Ethics Review Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-09-28 00:00:00

伦理委员会联系人:

李云凤

Contact Name of the ethic committee:

Li Yunfeng

伦理委员会联系地址:

福建省福州市鼓楼区西二环北路156号

Contact Address of the ethic committee:

156 West Second Ring Road North,Gulou District,Fuzhou,Fujian

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 591 2285 9650

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

中国人民解放军联勤保障部队第九〇〇医院

Primary sponsor:

The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China

研究实施负责(组长)单位地址:

福建省福州市鼓楼区西二环北路156号

Primary sponsor's address:

156 West Second Ring Road North, Gulou District, Fuzhou, Fujian

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

福建

市(区县):

福州

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

中国人民解放军联勤保障部队第九〇〇医院

具体地址:

福建省福州市鼓楼区西二环北路156号

Institution
hospital:

The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China

Address:

156 West Second Ring Road North, Gulou District, Fuzhou, Fujian

经费或物资来源:

福建省自然科学基金(2024Y9666)

Source(s) of funding:

Natural Science Foundation of Fujian Province (Grant No. 2024Y9666)

研究疾病:

腰麻后低血压  

Target disease:

Post-spinal anesthesia hypotension

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

病例对照研究 

Study design:

Case-Control study 

研究目的:

探究非剖宫产手术患者腰麻完成后低血压的发生率和相关危险因素,并构建出不同的临床预测模型,比较其性能,选择出能适应临床需求的最佳预测模型,以指导临床工作。  

Objectives of Study:

To investigate the incidence and related risk factors of hypotension following spinal anesthesia in non-cesarean surgical patients, construct different clinical prediction models, compare their performance, and select the optimal model that meets clinical needs to guide clinical practice.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1、研究期间在本院接受以腰麻作为其麻醉方式的非剖宫产手术患者,包括骨科、普外血管科、普外胃肠科、泌尿外科、烧伤整形科; 2、ASA麻醉分级I~IV级; 3、年龄≥18岁成年患者; 4、可以满足连续无创收缩压、无创舒张压及无创平均动脉压记录者。

Inclusion criteria

1. Non-cesarean surgical patients who underwent spinal anesthesia at our hospital during the study period, including those from orthopedics, general vascular surgery, general gastrointestinal surgery, urology, and burn and plastic surgery departments; 2. ASA physical status classification I–IV; 3. Adult patients aged >=18 years; 4. Individuals in whom continuous non-invasive systolic, diastolic, and mean arterial pressures could be recorded.

排除标准:

1、存在腰麻禁忌症的患者,如凝血功能障碍或感染等; 2、无法配合实验或精神异常的患者; 3、年龄<18岁的患者; 4、麻醉实施过程中因各种因素改变原计划麻醉方式或联合其它麻醉方式者; 5、拒绝接受该研究的患者。

Exclusion criteria:

1. Patients with contraindications to spinal anesthesia, such as coagulopathy or infection; 2. Patients unable to cooperate with the study or with psychiatric disorders; 3. Patients under 18 years of age; 4. Cases in which the originally planned anesthesia technique was changed to, or combined with, another method for any reason during the procedure; 5. Patients who refused to participate in the study.

研究实施时间:

Study execute time:

From 2025-11-01 00:00:00 To 2026-10-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-11-15 00:00:00 To 2026-10-01 00:00:00

干预措施:

Interventions:

组别:

低血压组

样本量:

200

Group:

Hypotension group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

非低血压组

样本量:

400

Group:

Non-hypotension group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

福建 

市(区县):

福州 

Country:

China

Province:

Fujian

City:

Fuzhou

单位(医院):

中国人民解放军联勤保障部队第九〇〇医院 

单位级别:

三甲 

Institution
hospital:

The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

腰麻完成后20分钟内或手术切皮前是否发生低血压

指标类型:

主要指标

Outcome:

Whether hypotension occurs within 20 minutes after the completion of spinal anesthesia or before surgical incision.

Type:

Primary indicator

测量时间点:

手术当天

测量方法:

无创袖带测压

Measure time point of outcome:

The day of the operation

Measure method:

Non-invasive cuff blood pressure monitoring

指标中文名:

下腔静脉塌陷指数

指标类型:

次要指标

Outcome:

Inferior Vena Cava Collapsibility Index (IVC-CI)

Type:

Secondary indicator

测量时间点:

麻醉实施前

测量方法:

超声测量

Measure time point of outcome:

Before anesthesia administration

Measure method:

Ultrasonographic measurement

指标中文名:

下腔静脉与主动脉直径指数

指标类型:

次要指标

Outcome:

Inferior vena cava-to-aorta diameter index

Type:

Secondary indicator

测量时间点:

麻醉实施前

测量方法:

超声测量

Measure time point of outcome:

Before anesthesia administration

Measure method:

Ultrasonographic measurement

指标中文名:

身高

指标类型:

次要指标

Outcome:

Height

Type:

Secondary indicator

测量时间点:

患者术前一天

测量方法:

使用电子体重秤:将电子体重秤放在平坦、坚硬的地面上,按下电源键开机,待显示屏数字归零后,被测者平稳站在体重秤中央,身体站直,不要晃动或倾斜,待体重秤显示的数字稳定后,读取体重数值。

Measure time point of outcome:

The day before the operation

Measure method:

Using electronic weight scale: put the electronic weight scale on a flat, hard ground, press the power button to turn on the device, and after the number on the display is zero, the subject stands in the center of the scale smoothly, the body stands straight, and does not shake or tilt. After the number on the scale is stable, the weight value is read.

指标中文名:

体重

指标类型:

次要指标

Outcome:

Weight

Type:

Secondary indicator

测量时间点:

患者术前一天

测量方法:

使用电子体重秤:将电子体重秤放在平坦、坚硬的地面上,按下电源键开机,待显示屏数字归零后,被测者平稳站在体重秤中央,身体站直,不要晃动或倾斜,待体重秤显示的数字稳定后,读取体重数值。

Measure time point of outcome:

The day before the operation

Measure method:

Using electronic weight scale: put the electronic weight scale on a flat, hard ground, press the power button to turn on the device, and after the number on the display is zero, the subject stands in the center of the scale smoothly, the body stands straight, and does not shake or tilt. After the number on the scale is stable, the weight value is read.

指标中文名:

术前禁饮时间

指标类型:

次要指标

Outcome:

Preoperative fluid fasting duration

Type:

Secondary indicator

测量时间点:

手术当天

测量方法:

向患者及其家属严格核实术前禁饮时长(精确至小时)

Measure time point of outcome:

The day of the operation

Measure method:

Strictly verify the exact duration (in hours) of the patient’s preoperative fluid fasting with both the patient and the accompanying family members.

指标中文名:

术前禁食时间

指标类型:

次要指标

Outcome:

Preoperative fasting time

Type:

Secondary indicator

测量时间点:

手术当天

测量方法:

向患者及其家属严格核实术前禁食时长(精确至小时)

Measure time point of outcome:

The day of the operation

Measure method:

Strictly verify the exact duration (in hours) of the patient’s preoperative fasting with both the patient and the accompanying family members.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

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

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

否No

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):

试验完成后6个月内公开在百度云网盘http://pan.baidu.com/share/manage

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Within 6 months after the completion of the experiment, it will be pubilcly available on Baidu Cloud Netdisk http://pan.baidu.com/share/manage.

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:

应用病例记录表记录数据。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Apply a case record form to record data.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-11-05 10:59:13