保护性策略通气对腹部手术患者肺功能的影响

注册号:

Registration number:

ChiCTR-IOR-15005917 

最近更新日期:

Date of Last Refreshed on:

2015-02-01 09:06:52 

注册时间:

Date of Registration:

2015-01-31 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

保护性策略通气对腹部手术患者肺功能的影响

Public title:

The effect of protective strategy ventilation on lung function in patients with abdominal surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

保护性策略通气对腹部手术患者肺功能的影响

Scientific title:

The effect of protective strategy ventilation on lung function in patients with abdominal surgery

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:

孙雪青 

研究负责人:

孙振涛 

Applicant:

Xueqing Sun 

Study leader:

Zhentao Sun 

申请注册联系人电话:

Applicant telephone:

+86 18935240550

研究负责人电话:

Study leader's
telephone:

+86 13603455483

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:

sunxueqingso@163.com

研究负责人电子邮件:

Study leader's E-mail:

gentlesun@126.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:

河南省郑州大学第一附属附院医院麻醉科

研究负责人通讯地址:

河南省郑州大学第一附属附院医院麻醉科

Applicant address:

the anesthesia departmentthe of the first affiliated hospital of Zhengzhou University

Study leader's address:

the anesthesia departmentthe of the first affiliated hospital of Zhengzhou University

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

河南省郑州大学第一附属附院医院

Applicant's institution:

the first affiliated hospital of Zhengzhou university

研究负责人所在单位:

Affiliation of the Leader:

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:

2014年科研第(36)号

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

郑州大学第一附属医院医学科研伦理委员会

Name of the ethic committee:

Medical research ethics committee of the first affiliated hospital of Zhengzhou university

伦理委员会批准日期:

Date of approved by ethic committee:

2014-09-01 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

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:

研究实施负责(组长)单位:

郑州大学第一附属医院

Primary sponsor:

The first affiliated Hospital of Zhengzhou University

研究实施负责(组长)单位地址:

郑州大学第一附属附院医院麻醉科

Primary sponsor's address:

The anesthesia departmentthe of the first affiliated Hospital of Zhengzhou University

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

河南

市(区县):

郑州

Country:

China

Province:

Henan

City:

Zhengzhou

单位(医院):

郑州大学第一附属医院

具体地址:

郑州大学第一附属附院医院麻醉科

Institution
hospital:

The first affiliated hospital of Zhengzhou university

Address:

The anesthesia departmentthe of the first affiliated hospital of Zhengzhou University, Zhengzhou

经费或物资来源:

自筹

Source(s) of funding:

self-raised

研究疾病:

肺损伤  

Target disease:

Lung injury

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:

随机平行对照 

Study design:

Parallel 

研究目的:

探讨对肺功能正常的患者实施腹部手术时,如何选择合适的通气策略以减少机械相关性肺损伤。使保护性策略通气作为预防手段为肺功能正常患者实施腹部手术时提供参考 。  

Objectives of Study:

To explore when implement the abdominal surgeries in patients with normal lung function, how to choose the suitable ventilation strategies to reduce the mechanical ventilation related lung injury.Make the protective ventilation strategy as a preventive measure to provide the reference for patients with normal pulmonary function when implement the abdominal surgeries.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

患者拒绝签署知情同意书,近一个月有肺部感染病史或者发烧史,高血压,冠心病史,肝肾功能异常, 肺通气功能监测:MVV实测值/预计值<70%、FEV1<60%

Exclusion criteria:

The patient refused to sign a consent form, history of lung infection or fever in the last month, high blood pressure, Coronary heart disease, Liver and kidney dysfunction, pulmonary function testing of preoperative: MVV measured values/expected value <70%, FEV1 <60%

研究实施时间:

Study execute time:

From 2015-02-09 00:00:00 To 2016-05-02 00:00:00  

征募观察对象时间:

Recruiting time:

From 2015-02-09 00:00:00 To 2015-12-31 00:00:00

干预措施:

Interventions:

组别:

开腹高频通气组

样本量:

40

Group:

OHV

Sample size:

干预措施:

呼吸频率大于60次

干预措施代码:

Intervention:

Breathing rate is more than 60 times

Intervention code:

组别:

开腹小潮气量组

样本量:

40

Group:

OSV

Sample size:

干预措施:

VT=6ml/kg

干预措施代码:

Intervention:

VT=6ml/kg

Intervention code:

组别:

开腹正常通气组

样本量:

40

Group:

ONV

Sample size:

干预措施:

VT=8ml/kg

干预措施代码:

Intervention:

VT=8ml/kg

Intervention code:

组别:

腔镜高频通气组

样本量:

40

Group:

LHV

Sample size:

干预措施:

呼吸频率大于60次

干预措施代码:

Intervention:

Breathing rate is more than 60 times

Intervention code:

组别:

腔镜小潮气量组

样本量:

40

Group:

LSV

Sample size:

干预措施:

VT=6ml/kg

干预措施代码:

Intervention:

VT=6ml/kg

Intervention code:

组别:

腔镜正常通气组

样本量:

40

Group:

LNV

Sample size:

干预措施:

VT=8ml/kg

干预措施代码:

Intervention:

VT=8ml/kg

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

河南 

市(区县):

郑州 

Country:

China

Province:

Henan

City:

Zhengzhou

单位(医院):

郑州大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The first affiliated hospital of Zhengzhou university

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

肺内分流率

指标类型:

主要指标

Outcome:

lung shunt rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

静脉血炎症因子IL-8

指标类型:

主要指标

Outcome:

Venous blood inflammatory cytokines IL - 8

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

静脉血炎症因子TNF-α

指标类型:

主要指标

Outcome:

Venous blood inflammatory cytokines TNF-alpha

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺顺应性

指标类型:

次要指标

Outcome:

lung compliance

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

死腔率

指标类型:

次要指标

Outcome:

Rate of dead space

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

氧合指数

指标类型:

次要指标

Outcome:

Oxygenation index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

呼吸指数

指标类型:

次要指标

Outcome:

respiratory index

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后气管导管拔除时间

指标类型:

主要指标

Outcome:

tracheal catheter removal time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

拔除气管导管后SpO2

指标类型:

主要指标

Outcome:

SpO2 after extubation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后5天肺部并发症

指标类型:

主要指标

Outcome:

pulmonary complications after 5 days of postoperative

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后1天临床肺部感染评分

指标类型:

主要指标

Outcome:

The clinical pulmonary infection score after 1 day of postoperative

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后3天临床肺部感染评分

指标类型:

主要指标

Outcome:

The clinical pulmonary infection score after 3 day of postoperative

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后5天临床肺部感染评分

指标类型:

主要指标

Outcome:

The clinical pulmonary infection score after 5 day of postoperative

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后28天住院率

指标类型:

主要指标

Outcome:

The rates of hospitalization after 28 day of postoperative

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后28天死亡率

指标类型:

主要指标

Outcome:

The mortality after 28 days of postoperative

Type:

Primary 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:

血液

组织:

桡动脉

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

血液

组织:

中心静脉

Sample Name:

Blood

Tissue:

central vein

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 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):

随机数字表法

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

random number table

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:

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

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):

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

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:

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

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-02-01 09:06:53