ChiCTR2600116474 版本V1.0 版本创建时间2026/01/11 18:30:41 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:

ChiCTR2600116474 

最近更新日期:

Date of Last Refreshed on:

2026-01-11 18:30:36 

注册时间:

Date of Registration:

2026-01-11 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

短时大量饮水干预治疗功能性慢性便秘的疗效与安全性评估

Public title:

Efficacy and safety evaluation of short-term high-volume water intake intervention for functional chronic constipation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

短时大量饮水干预治疗功能性慢性便秘的疗效与安全性评估

Scientific title:

Efficacy and safety evaluation of short-term high-volume water intake intervention for functional chronic constipation

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:

潘欣予 

研究负责人:

刘静 

Applicant:

Xinyu Pan 

Study leader:

Jing Liu 

申请注册联系人电话:

Applicant telephone:

+86 159 2637 8368

研究负责人电话:

Study leader's
telephone:

+86 189 7162 2466

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:

panxinyu4015203@163.com

研究负责人电子邮件:

Study leader's E-mail:

liujing_gi@whu.edu.cn

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:

湖北省武汉市武昌区东湖路169号

研究负责人通讯地址:

湖北省武汉市武昌区东湖路169号

Applicant address:

169 East Lake Road, Wuchang District, Wuhan, Hubei

Study leader's address:

169 East Lake Road, Wuchang District, Wuhan, Hubei

申请注册联系人邮政编码:

Applicant postcode:

430071

研究负责人邮政编码:

Study leader's postcode:

430071

申请人所在单位:

武汉大学中南医院

Applicant's institution:

Zhongnan Hospital of Wuhan University

研究负责人所在单位:

武汉大学中南医院

Affiliation of the Leader:

Zhongnan Hospital of Wuhan University

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:

临研伦[2025151]

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:

武汉大学中南医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Zhongnan Hospital of Wuhan University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-06-12 00:00:00

伦理委员会联系人:

胡梦薇

Contact Name of the ethic committee:

Mengwei Hu

伦理委员会联系地址:

湖北省武汉市武昌区东湖路169号武汉大学中南医院门诊楼11楼

Contact Address of the ethic committee:

11F, Outpatient Building, Zhongnan Hospital of Wuhan University, 169 East Lake Road, Wuchang District, Wuhan, Hubei

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 27 6781 2787

伦理委员会联系人邮箱:

Contact email of the ethic committee:

znyyll@126.com

研究实施负责(组长)单位:

武汉大学中南医院

Primary sponsor:

Zhongnan Hospital of Wuhan University

研究实施负责(组长)单位地址:

湖北省武汉市武昌区东湖路169号

Primary sponsor's address:

169 East Lake Road, Wuchang District, Wuhan, Hubei

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖北省

市(区县):

Country:

China

Province:

Hubei

City:

单位(医院):

武汉大学中南医院

具体地址:

湖北省武汉市武昌区东湖路169号

Institution
hospital:

Zhongnan Hospital of Wuhan University

Address:

169 East Lake Road, Wuchang District, Wuhan, Hubei

经费或物资来源:

自筹

Source(s) of funding:

Self-raised

研究疾病:

慢性功能性便秘  

Target disease:

Chronic functional constipation

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

本研究旨在通过多中心、单臂、前瞻性自身前后对照试验,评估短时大量饮水干预(连续4周晨起空腹10-15分钟快速摄入1.2L左右常温纯净水)对慢性功能性便秘(chronic functional constipation,CFC)患者的症状缓解效果及安全性,为开发基于生理反射的非药物便秘治疗方案提供循证医学依据。  

Objectives of Study:

This study aims to evaluate the efficacy and safety of a short-term high-volume water intake intervention for patients with chronic functional constipation (CFC) through a multicenter, single-arm, prospective self-controlled clinical trial. The intervention consists of the rapid ingestion of approximately 1.2 liters of room-temperature purified water within 10–15 minutes upon waking on an empty stomach, sustained daily over an 4-week period. The findings are expected to provide evidence-based support for the development of novel, non-pharmacological constipation treatments based on physiological reflex mechanisms.

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.符合罗马IV慢性便秘临床诊断标准,出现以下7条症状中2条及2项以上: (1)在25%及以上的时间里有肛门及直肠梗阻感或阻塞感; (2)在25%及以上的时间里有排便费力感; (3)在25%及以上的时间里粪便为块状或质地坚硬; (4)在25%及以上的时间里有排不尽感; (5)在25%及以上的时间里需要外界提供手法辅助排便; (6)每周自发排便次数低于3次; (7)无泻药时很少有稀便。 2.18-70岁 3.未接受便秘相关系统治疗

Inclusion criteria

1.Diagnosis consistent with Rome IV criteria for chronic constipation, with the presence of at least two or more of the following seven symptoms: ?Sensation of anorectal obstruction or blockage during defecation in ≥25% of bowel movements; ?Straining during defecation in ≥25% of bowel movements; ?Lumpy or hard stools in ≥25% of bowel movements; ?Sensation of incomplete evacuation in ≥25% of bowel movements; ?Manual maneuvers required to facilitate defecation (e.g., digital evacuation or pelvic floor support) in ≥25% of bowel movements; ?Fewer than three spontaneous bowel movements (SBMs) per week; ?Rare occurrence of loose stools without the use of laxatives. 2.Age between 18 and 70 years. 3.No prior systematic treatment for constipation.

排除标准:

1.患有严重基础疾病:失代偿性心力衰竭(NYHA III-IV级);未控制的高血压(收缩压>160mmHg或舒张压>100mmHg);6个月内发生急性冠脉综合征或脑卒中。 2.患有内分泌代谢疾病:糖尿病肾病(eGFR<60ml/min/1.73m2);甲状腺功能异常(TSH超出0.4-4.0mIU/L范围);低钠血症(血清Na+<135mmol/L)或抗利尿激素分泌异常综合征(SIADH)。 3.患有其他消化系统疾病:炎症性肠病(克罗恩病/溃疡性结肠炎)活动期;结直肠肿瘤病史或肠梗阻史;先天性巨结肠或肛门直肠畸形;食管狭窄或贲门失弛缓症。 4.药物干扰排除:1个月内使用阿片类药物、钙通道阻滞剂或抗胆碱能药物;2周内使用促动力药(如普芦卡必利)、渗透性泻药(如聚乙二醇);长期(>3个月)滥用刺激性泻药(番泻叶、比沙可啶)。 5.有特殊治疗病史:3个月内接受过胃肠道手术或内镜下治疗(如肠道支架置入);6个月内接受过腹部开放手术(胆囊切除、子宫切除等);存在腹腔引流管或肠造瘘。 6.特殊生理状态排除:妊娠/哺乳期:血/尿HCG检测阳性。 7.精神神经疾病:严重认知障碍(MMSE<24分);帕金森病、多发性硬化等神经退行性疾病。

Exclusion criteria:

1.Severe underlying diseases, including: ?Decompensated heart failure (New York Heart Association [NYHA] class III-IV); ?Uncontrolled hypertension (systolic blood pressure >160 mmHg or diastolic pressure >100 mmHg); ?Acute coronary syndrome or stroke within the past 6 months. 2.Endocrine or metabolic disorders, including: ?Diabetic nephropathy (estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m2); ?Thyroid dysfunction (thyroid-stimulating hormone [TSH] outside the range of 0.4–4.0 mIU/L); ?Hyponatremia (serum sodium <135 mmol/L) or syndrome of inappropriate antidiuretic hormone secretion (SIADH). 3.Other gastrointestinal diseases, including: ?Active inflammatory bowel disease (Crohn’s disease or ulcerative colitis); ?History of colorectal tumors or intestinal obstruction; ?Congenital megacolon or anorectal malformations; ?Esophageal stricture or achalasia. 4.Medication-related exclusion, including: ?Use of opioids, calcium channel blockers, or anticholinergic agents within the past month; ?Use of prokinetic agents (e.g., prucalopride) or osmotic laxatives (e.g., polyethylene glycol) within the past 2 weeks; ?Long-term (>3 months) abuse of stimulant laxatives (e.g., senna, bisacodyl). 5.History of special treatments, including: ?Gastrointestinal surgery or endoscopic interventions (e.g., intestinal stent placement) within the past 3 months; ?Open abdominal surgery (e.g., cholecystectomy, hysterectomy) within the past 6 months; ?Presence of abdominal drainage tubes or intestinal stoma. 6.Special physiological conditions: ?Pregnancy or lactation (positive blood or urine hCG test). 7.Neuropsychiatric disorders: ?Severe cognitive impairment (Mini-Mental State Examination [MMSE] score <24); ?Neurodegenerative diseases such as Parkinson’s disease or multiple sclerosis.

研究实施时间:

Study execute time:

From 2025-06-12 00:00:00 To 2026-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-07-05 00:00:00 To 2026-06-30 00:00:00

干预措施:

Interventions:

组别:

慢性功能性便秘患者

样本量:

40

Group:

Patients with chronic functional constipation

Sample size:

干预措施:

连续4周晨起空腹10-15分钟内摄入1.2L左右常温纯净水

干预措施代码:

Intervention:

Ingesting approximately 1.2 liters of room-temperature purified water within 10-15 minutes on an empty stomach every morning for four consecutive weeks

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖北 

市(区县):

武汉 

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

武汉大学中南医院 

单位级别:

三甲 

Institution
hospital:

Zhongnan Hospital of Wuhan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

鄂州 

Country:

China

Province:

Hubei

City:

Ezhhou

单位(医院):

鄂州市中心医院 

单位级别:

三甲 

Institution
hospital:

Ezhou Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

武汉 

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

武汉市新洲区中医医院 

单位级别:

二甲 

Institution
hospital:

Wuhan Xinzhou District Traditional Chinese Medicine Hospital

Level of the institution:

Secondary A

国家:

中国

省(直辖市):

湖北 

市(区县):

咸宁市 

Country:

China

Province:

Hubei

City:

Xianning

单位(医院):

嘉鱼县人民医院 

单位级别:

二甲 

Institution
hospital:

Jiayu County People’s Hospital

Level of the institution:

Secondary A

测量指标:

Outcomes:

指标中文名:

每周完全自发性排便次数

指标类型:

主要指标

Outcome:

complete spontaneous bowel movements

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

慢性便秘症状评分量表评分

指标类型:

主要指标

Outcome:

Cleveland Clinic Constipation Score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

布里斯托大便分型

指标类型:

主要指标

Outcome:

Bristol Stool Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疗效指数

指标类型:

主要指标

Outcome:

Therapeutic Efficacy Index

Type:

Primary indicator

测量时间点:

测量方法:

疗效指数=(治疗前CCS评分-治疗后CCS评分)/治疗前CCS评分×100%。其中:疗效指数<33%为无效,33%≤疗效指数<66%为有效,66%≤疗效指数<99%为显效,疗效指数≥99%为临床治愈。总有效率=有效率+显效率+治愈率。

Measure time point of outcome:

Measure method:

The therapeutic efficacy index is calculated using the formula: Therapeutic Efficacy Index = [(Pre-treatment CCS Score - Post-treatment CCS Score) / Pre-treatment CCS Score] × 100%; among which, a therapeutic efficacy index < 33% is defined as ineffective, 33% <= therapeutic efficacy index < 66% as effective, 66% <= therapeutic efficacy index < 99% as markedly effective, and a therapeutic efficacy index >= 99% as clinical cure; the total effective rate is calculated as: Total Effective Rate =

指标中文名:

便秘患者生活质量量表评分

指标类型:

次要指标

Outcome:

Score of Quality of Life Scale for Patients with Constipation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

便秘症状积分量表评分

指标类型:

次要指标

Outcome:

Score of Constipation Symptom Inventory

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

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

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 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:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

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):

国家生物信息中心 China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/)

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

China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/)

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

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

CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-01-11 18:30:36